Full metadata
Title
Community-based development: scaling up the correct use of misoprostol at home births in Afghanistan
Description
Globally, more than 350 000 women die annually from complications during pregnancy and childbirth (UNFPA, 2011). Nearly 99% of these, according to World Health Organization (WHO) trends (2010) occur in the developing world outside of a hospital setting with limited resources including emergency care (WHO, 2012; UNFPA, 2011). The most prevalent cause of death is postpartum hemorrhage (PPH), accounting for 25% of deaths according to WHO statistics (2012). Conditions in Afghanistan are reflective of the scope and magnitude of the problem. In Afghanistan, maternal mortality is thought to be among the highest in the world. The Afghan Mortality Survey (AMS) data implies that one Afghan woman dies about every 2 hours from pregnancy-related causes (AMS, 2010). Lack of empowerment, education and access to health care resources increase a woman's risk of dying during pregnancy (AMS, 2010). This project aims to investigate the prospects of scaling-up the correct use of misoprostol, a prostaglandin E1 analogue, to treat PPH in developing countries where skilled assistance and resources are scant. As there has been little published on the lessons learned from programs already in place, this study is experience-driven, based on the knowledge of industry experts. This study employs a concurrent triangulation approach to synthesize quantitative data obtained from previous studies with qualitative information gathered through the testimonies of key personnel who participated in pilot programs involving misoprostol. There are many obstacles to scaling-up training initiatives in Afghanistan and other low-resource areas. The analysis concludes that the most crucial factors for scaling-up community-based programs include: more studies analyzing lessons learns from community driven approaches; stronger partnerships with community health care workers; overcoming barriers like association with abortion, misuse and product issues; and a heightened global and community awareness of the severity of PPH without treatment. These results have implications for those who actively work in Afghanistan to promote maternal health and other countries that may use Afghanistan's work as a blueprint for reducing maternal mortality through community-based approaches. Keywords: Afghanistan, community-based interventions, community-driven, maternal mortality, MDG5, misoprostol, postpartum hemorrhage, reproduction, scale-up
Date Created
2013
Contributors
- Cristy, Candice (Author)
- Grossman, Gary (Thesis advisor)
- Parmentier, Mary-Jane (Committee member)
- Byrd, Denise (Committee member)
- Arizona State University (Publisher)
Topical Subject
- Social Research
- public health
- Gender Studies
- Afghanistan
- Community-based Interventions
- Maternal Mortality
- Misoprostol
- Postpartum Hemorrhage
- Reproduction
- Synthetic prostaglandins E
- Prostaglandin E1
- Mothers--Mortality--Afghanistan--Prevention.
- Mothers
- Postnatal care--Afghanistan.
- Postnatal care
- Hemorrhage--Prevention.
- Hemorrhage
Resource Type
Extent
xii, 101 p. : col. ill., 1 col. map
Language
eng
Copyright Statement
In Copyright
Primary Member of
Peer-reviewed
No
Open Access
No
Handle
https://hdl.handle.net/2286/R.I.18815
Statement of Responsibility
by Candice Cristy
Description Source
Viewed on January 26, 2015
Level of coding
full
Note
thesis
Partial requirement for: M.S. Tech, Arizona State University, 2013
bibliography
Includes bibliographical references (p. 85-90)
Field of study: Technology
System Created
- 2013-10-08 04:25:33
System Modified
- 2021-08-30 01:37:59
- 3 years 2 months ago
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