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Misoprostol Delivers! The use of misoprostol in the prevention of postpartum hemorrhage (PPH) in Doti District, Nepal Implementation and data collection CARE Nepal CRADLE Team Statistics by Noor Tirmizi and Kristen Yee

Post on 21-Dec-2014



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  • 1. Misoprostol Delivers!The use of misoprostol in the preventionof postpartum hemorrhage (PPH) in Doti District, NepalImplementation and data collection CARE Nepal CRADLE TeamStatistics by Noor Tirmizi and Kristen Yee

2. Outline Background Results from Feasibility Study Results from Case Control Study on Effectiveness Methods Results Descriptive statistics Bivariate analysis Logistic regression Limitations Conclusions 3. Background: Misoprostol in Doti District, Nepal Blanket pilot program initiated inDec 2010 in Doti Hilly, mountainous region, 768sq miles Aimed to Provide misoprostol(600g) to every pregnantwomen in 8th month ofpregnancy Training of HWs/FCHV and drugsupply facilitated by CARE Monitoring and supervision ofrollout done by MoH inpartnership with CARE 4. Operations Research StudyTo determine feasibility acceptability safetyof community-based distribution of misoprostol bycommunity volunteers under government service towardsthe prevention of postpartum hemorrhage (PPH) inpregnant women3 5. OR Feasibility StudyObjectives of the study: To explore the utilization pattern of Misoprostol in Dotidistrict during delivery. To find out results of Misoprostl and list sideeffects/complicatins seen.Study Design A cross section study on feasibility of Misoprostol byRecently Delivered Women (RDW)Sample Size for the study 15/ 50 VDCs randomly selected. (1) all the FCHVs of those VDC interviewed (2) Recently delivered women (3) Similarly HW and HWIC wherever available in these 15 VDCs interviewed. 6. Study Setting & Design Data Collection Quantitative collected from the interview of RDW Qualitative collected using IDI and FGDs of FCHVs, HWs,HFICsData processing and analysis Data collection tools were coded and analyzed in SPSS FGDs/IDIs were transcribed and analyzed using contentanalysis approachDuration of Data Collection August 2011 for both qualitative and quantitative data 7. Antenatal & Health Education Characteristics Cases (N=55) Controls (N=290) PercentPercentVariable FreqFreqFreq FreqANC