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Maternal health is considered to be a core marker in the functioning of any public healthcare delivery system. Hemorrhage accounts for 40% of maternal deaths in India with Post-Partum Haemorrhage (PPH) being the major contributor. In this study, Misoprostol has been successfully used for home deliveries, where the use of oxytocin is not possible, to stop Post-Partum Haemorrhaging. This paper studies the implementation of a 'community-based advance distribution of Misoprostol program' by USAID’s VRIDDHI project in Himachal Pradesh. It also demarcates an operational framework for distributing and using Misoprostol in a community health system. With proven success, Misoprostol can be used as an intervention for reducing PPH incidence, which will have a significant impact on maternal deaths during home deliveries. This study can be used to model and implement Misoprostol usage in communities.
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Mapping progress towards the SDG goal of reducing maternal mortality by 2030.
by WHO 75 min read