Mayer Shasthya: Reducing Maternal Morbidity and Mortality due to Postpartum Hemorrhage and Eclampsia in a Select Area of Bangladesh
Mayer Shasthya (Mother's Health) was a two year community-based intervention funded by Pathfinder and World Bank to save mother's lives in rural Bangladesh. Based on a model developed in India and Nigeria for the Continuum of Care Project: Addressing Postpartum Hemorrhage in India and Nigeria project, Pathfinder implemented activities to address postpartum hemorrhage in Bangladesh. Pathfinder's approach included increasing awareness of the danger signs of postpartum hemorrhage and the availability of care in project health facilities, improving the capacity of community members and providers to make timely decisions to seek care for postpartum hemorrhage, increasing the ability of the community members and health care providers to identify and reach medical personnel or facilities for postpartum hemorrhage treatment, and improving the capacity of health care providers to provide high-quality, appropriate care to prevent and manage excessive bleeding.
Pathfinder implemented Mayer Shasthya in Karimganj and Tarail Upazilas of Kishoreganj district from April 2010 to March 2011. Pathfinder, along with partner NGOs, conducted the following activities:
- Oriented family members, including the pregnant women, on the importance of measuring the blood loss using the blood drape/mat during and after delivery
- Selected birth attendants; trained them to use drape/mat to identify postpartum hemorrhage
- Conducted group meetings and home visits raising awareness about birth preparedness
- Oriented service providers to share birth preparedness messages during ANC visits
- Established a community support system to facilitate timely referral of women with postpartum hemorrhage to an appropriate facility
- Arranged ambulances for emergency referral to appropriate facilities
- Established linkages between trained/skilled birth attendants to nearest health facilities and from nearest health facilities to tertiary-level facilities
- Organized orientation sessions for providers at various levels of health services to avoid the transportation delay
Progress made by the project:
- 9,943 postpartum hemorrhage bags distributed to pregnant women
- 9,308 women delivered, used the bag, and took Misoprostol
- 2,101 household meetings organized
- 23,304 pregnant women and family members reached
- 184 community group meetings organized and 5,071 community members reached
Success of the project:
- 20 postpartum hemorrhage cases identified and managed in the project areas
- All women used project-supplied Misoprostol, blood collection mat, and delivery kit
- 96 pre-eclampsia identified and followed up
As the lead organization on the NGO Service Delivery Project (NSDP), implemented from 2002-2007, Pathfinder partnered with more than 30 local NGOs to provide free maternal health, infant care, and primary care services to the poorest of the poor.
In 2007, Pathfinder began work on the Grameenphone Safe Motherhood and Infant Care Project, continuing Pathfinder's commitment to providing quality reproductive health services in Bangladesh that began in the early 1950s.
The NGO Health Service Delivery Project focuses on technical assistance and capacity building to local non-government organizations to manage and provide quality services reaching underserved populations in Bangladesh.
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Pathfinder's Dr. Halida Akhter reports on a recent panel's discussion around what has driven health advancements in Bangladesh and how those findings can be applied elsewhere.