Barriers or gaps in implementation of misoprostol use for post-abortion care and post-partum hemorrhage prevention in developing countries: a systematic review.

摘要: Around 303,000 maternal deaths occur every year; most of these are preventable (World Health Organization), ICD-10: International classification diseases and related health problems, 10th revision. Volume 2: Instruction manual, 2010). Ninety-nine percent in developing countries. PPH contributed 35 % (35%) total maternal. Several interventions being done to reduce the number deaths. It has been noted that a simple low cost intervention providing misoprostol timely could prevent The objectives this systematic review was identify barriers/gaps implementation use for prevention postpartum hemorrhage management Post-abortion care services This study published qualitative quantitative literature on Documents included were local international peer reviewed articles program reports implementation. PubMed, Google Scholars Science direct databases used along with Grey manual search using terms “implementation gaps”, “misoprostol use”, “postpartum hemorrhage”, “post-abortion care” “developing countries”. Gaps or barriers identified through can be categorized into six broader thematic areas including: inconsistency supplies its distribution; inadequate staffing; lack knowledge providers end users, absence registration drug fear apprehensions at provider policy level. is concluded gaps addressed enabling environment supportive policies, designing formal plan supplies, task shifting strategies guidelines protocols successful