A Regional Comparison of Distribution Strategies and Women's Awareness, Receipt, and Use of Misoprostol to Prevent Postpartum Hemorrhage in Rural Amhara and Oromiya Regions of Ethiopia

• DOI: 10.1111/jmwh.12136
• Publication Date: 2014-02-18T15:51:08Z
• Authors: Lynn M. Sibley; Sydney A. Spangler; Danika Barry; Solomon Tesfaye; Binyam Fekadu Desta; Abebe Gebremariam...
• Keywords: Receipt

Introduction In Ethiopia, postpartum hemorrhage is a leading cause of maternal death. The Maternal Health in Ethiopia Partnership (MaNHEP) project developed community‐based model and newborn health focusing on birth early care. Implemented the Amhara Oromiya regions, included misoprostol to prevent hemorrhage. This article describes regional trends women's use misoprostol; their awareness, receipt, at project's endline; factors associated with its use. Methods authors assessed using monthly data from MaNHEP's quality improvement database; use, correct endline survey 1019 randomly sampled women who gave during year prior survey. Results Misoprostol increased rapidly was relatively stable over 20 months, but differences were stark. At endline, significantly more aware compared resided (94% vs 59%); had received (80% 35%); it pregnancy (93% 48%); through varied sources. Most used (> 95%) irrespective age, parity, or education. Factors residence (odds ratio [OR] 9.48; 95% confidence interval [CI], 6.78–13.24), attending 2 Community Newborn (CMNH) family meetings (OR 2.62; CI, 1.89–3.63), receiving antenatal care 1.67; 1.08–2.58) being attended by skilled provider trained extension worker, community development agent, traditional attendant versus an untrained caregiver no one. Correct having CMNH 2.02; 1.35–3.03). Discussion Multiple distribution channels increase access misoprostol. have it. Early pregnant are educated appears be safe unrelated choice birthplace.