RTI INTERNATIONAL
The Prevention of Postpartum Hemorrhage Initiative (POPPHI) Project is a global health program aimed at reducing postpartum hemorrhage (PPH) in developing countries.
2009 · 75 pages

Abstract
The project was launched in August 2008 and is implemented by RTI International in collaboration with various partners. The program focuses on improving access to quality maternal healthcare services, particularly in low-resource settings. The project's primary objective is to reduce PPH-related maternal mortality and morbidity through the implementation of evidence-based interventions. These interventions include the provision of oxytocin, active management of the third stage of labor (AMTSL), and the use of uterotonic drugs and devices. The program also emphasizes the importance of skilled birth attendants (SBAs) and the need for community-based initiatives to promote maternal and newborn health. In the first six months of the project, significant progress was made in implementing the program's objectives. A total of 15 countries were involved in the project, with a focus on improving maternal healthcare services in rural and underserved areas. The program's activities included the provision of training and technical assistance to healthcare providers, the distribution of essential medicines and equipment, and the implementation of community-based initiatives to promote maternal and newborn health. One of the key achievements of the project was the establishment of a network of skilled birth attendants in several countries. This network provided critical support to healthcare providers in rural areas, enabling them to deliver high-quality maternal healthcare services. The project also made significant progress in improving access to oxytocin and uterotonic drugs, which are essential for preventing PPH. The project's monitoring and evaluation (M&E) system was also established during the first six months. This system enabled the project team to track progress, identify areas for improvement, and make data-driven decisions to optimize program implementation. The M&E system also facilitated the collection of data on program outcomes, including maternal mortality and morbidity rates. The project's success was also attributed to the strong partnerships established with local governments, healthcare providers, and community-based organizations. These partnerships enabled the project team to leverage resources, expertise, and networks to achieve the program's objectives. The project's partnerships also facilitated the dissemination of best practices and the sharing of knowledge and experiences among stakeholders. Overall, the Prevention of Postpartum Hemorrhage Initiative (POPPHI) Project made significant progress in its first six months, with a focus on improving maternal healthcare services in developing countries. The project's achievements demonstrate the importance of evidence-based interventions, skilled birth attendants, and community-based initiatives in reducing PPH-related maternal mortality and morbidity. The project's activities were implemented in several countries, including Ghana, Mali, and Bangladesh. In Ghana, the project established a network of skilled birth attendants in several districts, which provided critical support to healthcare providers in rural areas. In Mali, the project implemented community-based initiatives to promote maternal and newborn health, including the distribution of essential medicines and equipment. In Bangladesh, the project made significant progress in improving access to oxytocin and uterotonic drugs, which are essential for preventing PPH. The project also established a network of skilled birth attendants in several districts, which provided critical support to healthcare providers in rural areas. The project's M&E system enabled the collection of data on program outcomes, including maternal mortality and morbidity rates. The data collected during the first six months of the project showed a significant reduction in PPH-related maternal mortality and morbidity rates in several countries. Overall, the Prevention of Postpartum Hemorrhage Initiative (POPPHI) Project demonstrated the importance of evidence-based interventions, skilled birth attendants, and community-based initiatives in reducing PPH-related maternal mortality and morbidity. The project's achievements provide a model for future initiatives aimed at improving maternal healthcare services in developing countries.
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USAID DEC