Knowledge, perception and practice towards oxytocin stability and quality: A qualitative study of stakeholders in three resource-limited countries.

摘要: Background Oxytocin is the gold standard drug for prevention of postpartum haemorrhage, but limitations in cold chain systems resource-constrained settings can severely compromise quality oxytocin product available these environments. This study investigated perspectives and practices stakeholders low lower-middle income countries towards oxytocin, its storage requirements associated barriers, available. Methods Qualitative inquiries were undertaken Ethiopia, India Myanmar, where data was collected through Focus Group Discussions (FGDs) In-Depth Interviews (IDIs). A total 12 FGDs 106 IDIs conducted with 158 healthcare providers (pharmacists, midwives, nurses, doctors obstetricians) 40 key informants (supply experts, program managers policy-makers). Direct observations resources at 51 facilities. Verbatim transcripts translated to English analysed according a thematic content analysis framework. Findings Stakeholder awareness heat sensitivity requirement widespread Ethiopia more limited Myanmar India. consistent finding across all regions significant barriers maintaining chain, lack refrigeration facilities unreliability electricity cited as major challenges. Perceptions compromised expressed by some each country. Conclusion Knowledge potential impacts inconsistent on not amongst providers, policy makers supply experts Targeted training advocacy messages are warranted emphasise importance maintain quality.