Integrating Heat-Stable Carbetocin and Tranexamic Acid for Prevention and Management of Postpartum Hemorrhage in Sub-Saharan Africa: A Five-Country Pilot Implementation Study
Our study demonstrated that HSC and TXA can be safely and appropriately implemented in primary and tertiary facilities, and their introduction is feasible and acceptable from the perspective of HCPs. A holistic approach to training and regular supportive supervision is needed to ensure the continued safe use of these new and lesser-utilized PPH medicines. Dedicated training is required to improve the documentation of patient charts on PPH care. Introducing these medicines holds promise for improving PPH care in low- and middle-income countries, including by addressing suboptimal efficacy due to cold chain system challenges.
Authors
- Miriam Nakalembe (ORCID: https://orcid.org/0000-0001-7569-8173)
- Tesfaye Tufa
- Ferid A. Abubeker (ORCID: https://orcid.org/0000-0002-2624-544X)
- Gilda Piaggio (ORCID: https://orcid.org/0000-0002-9885-8392)
- Kwame Adu‐Bonsaffoh (ORCID: https://orcid.org/0000-0002-3741-6646)
- Tiéba Millogo (ORCID: https://orcid.org/0000-0003-3548-3789)
- Lester Chinery
- Sara Rushwan (ORCID: https://orcid.org/0000-0003-2538-4955)
- Fatu Forna (ORCID: https://orcid.org/0000-0003-3999-691X)
- Francis Moses (ORCID: https://orcid.org/0000-0002-9490-6537)
- Metin Gülmezoglu
Institutions
- University of Ghana (GH)
- University of Sierra Leone (SL)
- Concept Foundation (CH)
- St. Paul's Hospital Millennium Medical College (ET)
- Institut de Recherche en Sciences de la Santé (BF)
- Makerere University (UG)
Publication Details
- Journal
- International Journal of Maternal and Child Health and AIDS
- Published
- 2024-09-23
- DOI
- https://doi.org/10.25259/ijma_34_2024
- Citations
- 4
- Primary Topic
- Maternal and fetal healthcare
- Type
- article
- Field-Weighted Citation Impact
- 4.44