From: Postpartum hemorrhage prevention in Nepal: a program assessment
Mountain region | Hill region | Terai region | |
(n = 90) | (n = 90) | (n = 90) | |
Background | |||
Mean age in years ± SD | 34 ± 8 | 41 ± 11 | 41 ± 9 |
Educational attainment | |||
None | 23.3 (21) | 51.1 (46) | 28.9 (26) |
Primary | 57.8 (52) | 45.6 (41) | 64.4 (58) |
Secondary plus | 18.9 (17) | 3.3 (3) | 6.7 (6) |
PPH PREVENTION SERVICES | |||
Provision of misoprostol | 94.4 (85) | 98.9 (89) | 93.3 (84) |
Among those who provide misoprostol | n = 85 | n = 89 | n = 84 |
Month misoprostol is normally given | |||
7th | 1.2 (1) | 1.1 (1) | 10.7 (9) |
8th | 77.7 (66) | 78.7(70) | 86.9(73) |
9th | 20.0(17) | 13.5(12) | 2.4(2) |
Not sure | 1.2(1) | 6.7 (6) | 0.0 (0) |
Counseling includes information about: | |||
Purpose of misoprostol | 90.6(77) | 66.3(59) | 78.6(66) |
When to take the tablets | 78.8 (67) | 69.7 (62) | 72.6 (61) |
Number of tablets to take | 57.6 (49) | 53.9 (48) | 54.8 (46) |
Possible side effects | 17.6 (15) | 23.6 (21) | 34.5 (29) |
How to recognize PPH | 10.6 (9) | 31.5 (28) | 27.4 (23) |
Where to go/what to do if PPH occurs | 48.2 (41) | 39.3 (35) | 63.1 (53) |
Receipt of supervision within last 12 months | |||
Yes | 61.1 (55) | 25.6 (23) | 43.3 (39) |
No | 38.9 (35) | 74.4 (67) | 56.7 (51) |
Receipt of supervision on misoprostol for PPH prevention | |||
Yes | 18.0 (16) | 25.6 (23) | 32.2 (29) |
No | 82.0 (73) | 74.4 (67) | 67. 8 (61) |
MISOPROSTOL STOCK | |||
# of tablets currently in stock | |||
None | 67.1 (57) | 65.2 (58) | 71.1 (59) |
1–6 | 18.8 (16) | 22.5 (20) | 21.7 (18) |
7–12 | 8.2 (7) | 10.1 (9) | 6.0 (5) |
> 12 | 5.9 (5) | 2.3 (2) | 1.2 (1) |
Any stock out within the last year | 87.1 (74) | 69.7 (62) | 86.9 (73) |
Among those with any stock out | n = 74 | n = 62 | n = 73 |
Mean duration of stock out in months ± SD | 8.2 ± 4.3 | 5.1 ± 4.5 | 6.3 ± 4.7 |
Actions taken at time of stock outa | |||
Referred to health facility | 70.3 (52) | 62.9 (39) | 74.0 (54) |
Referred to private clinic | 0.0 (0) | 3.2 (2) | 1.4 (1) |
Borrowed tablets from other FCHV | 0.0 (0) | 0.0 (0) | 2.7 (2) |