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Mayer Shasthya

A Project to Address Post Partum Haemorrhage (PPH) & Eclampsia

in Bangladesh

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Current situation of Bangladesh

• In Bangladesh, Maternal Mortality Rate (MMR) is very high (2.9 per thousand live births)

• Post Partum Haemorrhage & Eclampsia is the most common cause of maternal mortality and accounts for 29% due to PPH & 24% of Eclampsia.

Source: Midterm Bangladesh Progress report 2007, BBS 2007

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Current situation of Bangladesh cont…

• Eighteen percents of births are attended by medically trained personnel

• Eighty five percents of births take place at home.

• Eighty percents of maternal deaths occur during home delivery.

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Mayer Shasthya Project

• Mayer Shasthya is a community based project to prevent PPH & Eclampsia and reduce morbidity and mortality from PPH & Eclampsia in intervention areas

• Mayer Shasthya will implement the comprehensive continuum of care which includes prevention, identification and management of PPH & Eclampsia

• The project started on April, 2009

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Mayer Shasthya Project cont…

• The project is funded by Pathfinder International

• Mayer Shasthya project is implemented by Swanirvar Bangladesh

• Partners of the project are Government of Bangladesh and Private Health Facility

• The project is implemented in Karimgonj and Tarail upazila of Kishoregonj district & covered a total number of 219 villages, 17 unions under 02 Upazilas with 55,011 eligible couples and 316,096 populations.

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Mayer Shasthya Project activities

• Registration of all pregnant women in the project area

• Distribution of PPH bag containing Misoprostol tablets (2 tab-200 microgram in each.), blood measuring mat, surgical hand gloves and delivery kit to each pregnant women after 28 weeks of pregnancy Picture: Field worker is distributing

the PPH bag

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Mayer Shasthya Project activities

• Identify sing symptoms of pre-eclampsia & follow up

• Manage eclampsia patient by pushing Magnesium Sulphet injection & refer for treatment

Picture: Field worker is distributing the PPH bag

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Project activities cont…

• Prevention of PPH by Misoprostol tablets in community and by ensuring Active Management of Third Stage of Labour (AMTSL) in facility

• Identification of PPH by using blood measuring mat Picture: Blood measuring mat is being

used by mother just after delivery

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Project activities cont…

• Refer to referral center for PPH & Eclampsia by using ambulance

• Management of PPH & Eclampsia cases at referral center by using drugs of Management Kit Box Picture: Ruma Akhter identified

PPH by using mat and managed at referral center

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Project activities cont…

• Orientation of family members including pregnant women on use of Misoprostol tablets, blood measuring mat and delivery kit at Uthan Baithak

Picture: Uthan Baithak is conducting by PPH worker

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Project activities cont…

• Conduct community group meeting including all sphere of people for community awareness on emergency cost and transportation during obstetric emergency

Picture: Mrs. Rupam Rani Sarker (Upazila Vice Chairman) addressing in the Community Group Meeting

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PPH & Eclampsia refer and management

Identification

Decision taking for refer

Contact with the project and community support group

Refer the patient to referral center by Ambulance

Management of PPH & Eclampsia case at referral center by using

Medicine kit box

Follow up

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Programmatic Report

Indicators Achievement Status (April 2009 to January 2011)

Pregnant Woman registration 13,931 preg. Mother

Distribution of PPH Bag 8,612 Pcs

Management of PPH cases 20 cases

Management of Eclampsia cases 2 cases

# of Pre-Eclampsia cases identified 71 cases

Awareness among the policy makers and community members and providers

190 (Mainly CSBA & CSP)

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Programmatic Report (Cont.)

Indicators Achievement Status (April 2009 to January 2011)

Community Mobilization Activities (# of meeting conducted) FWC (Family Welfare Center) Meetings

323

Community Group Meetings 174

Household Meetings 2,000

Swanirvar Village Development Committee Meeting

32

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Programmatic Report (Cont.)

Indicators Achievement Status (April 2009 to January 2011)

Delivery Performed

# of women delivering with the assistance of a skilled provider

5,515

# of deliveries conducted at home 7,000

# of delivering women at home whose blood loss was recorded or estimated by using blood measuring mat

6,504

# of women in labor transported to a health facility

1,647

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