Appendix C: Country Scale-up Maps of PPH and PE/E

7/31/2019 Appendix C: Country Scale-up Maps of PPH and PE/E

1/32

Prevention and Management of Postpartum

Hemorrhage and Pre-Eclampsia/Eclampsia:

National Programs in Selected USAIDProgram-Supported Countries

Appendix C: Country Scale-up Maps of PPH and PE/EMarch 2011

By:

Angeline Fujioka

Jeffrey Smith


2/32


3/32

Prevention and Management of Postpartum Hemorrhage and Pre-Eclampsia/Eclampsia:

National Programs in Selected USAID Program-Supported Countries

1

Appendix C: Country Scale-up Maps of PPH and PE/E

AFGHANISTAN - PATHWAY TO IMPLEMENTATION OFPOSTPARTUM HEMORRHAGE PREVENTION AND MANAGEMENT AT SCALE

Global ActionsNational Strategic

Choices

Program Implementation Sustainabili ty /Institutionalization

Int roduct ion Early Mature

Global advocacyand partnerships:Global act ion tosupport work on

reduction of PPH

Global clinical andprogram

approaches:Evidence-based

intervent ions forprevent ion and

management of PPH

demonstrated

PPH policy:AMTSL/misoprosto luse; Expanded j ob

descriptions for skil led

bi r th attendant cadresmanaging PPH; PPH

service deliveryguidel ines

Health system

governance:Proactive financing of

maternal heal thservices

Drugs & equipment :

Oxytoc in/ misoprostolprocurement,

logist ics , dis tr ibut ion

Service deli verycapacity at sites:

Reliableinfrastructure,

personnel , andsystems to deliver

services

Health workerstraining systems:For PPH preventionand management

Communitymobilization:

Awareness raising ofPPH;

Bi r th preparedness

Pilot programs:Phase 1

implementat ion ofmisoprostol and/ or

AMTSL for all ski l ledbi r th attendant

cadres

Program initiatives

in obstetric andpostpartum

management :Qual i ty of care;

Cl inical t raining;Supervision

Pharmaceuticalsystems:

Uterotonics on

Essential Drug Listand in Drug

Regis trat ion; Supplychain management

National advocacy:Expansion of

nat ional programand highl ight work

of champions

Standardizati on:Qual i ty of care

approaches;Government led

training expansion

Programmaticgrowth:

Adding districts,par tners, f inanc ing

Training programs:Government

budgeted trainingprograms on PPH;

PPH competencies inpre-service and in-

service curricula

Clinical coverage:High coverage use ofa uterot onic ; Publ ic

and pr ivate

implementat ion

Drug & equipmentavailability :

Drugs and supplies ingovernment rout ine

procurement

mechanisms

REDUCTION

OF PPHAND

IMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness

assessmentPilot project

dataSurvey data

Indicators inHMIS

Routine monitoring

Coverage of uterotonic in third stage of labour

0% 25% 50% 75% 100%

MCHIP/USAID active programs

Other partners active programs

Addressed previously, not active

No programs

March 2011 AFGHANISTAN - PATHWAY TO IMPLEMENTATION OF

PRE-ECLAMPSIA/ECLAMPSIA MANAGEMENT AT SCALE


Choices

Program Implementation Sustainabili ty /

InstitutionalizationInt roduct ion Ear ly Mature

Global advocacy andpartnerships:

Global act ion tosuppor t work on

prevent ion, ear lydetect ion, and

management of PE/ E

Global clinical andprogram approaches:

Evidence-basedintervent ions forprevent ion, ear ly

detect ion, and

management of PE/ Edemonstrated

PE/E pol icy :Calcium

supplementat ion;Screening in ANC;

MgSO4 for cl in ica l lydiagnosed severePE/E cases; PE/ Eservice del ivery

guidel ines

Health systemgovernance:

Proact ive f inancingo f m a t e r n a l h e a l t h

services

Drugs & equipment:Procurement ,

log ist ics, d ist r ibut ion

Service deliverycapacity at sites:

Rel iab leinf rast ructure,personnel, and

systems t o del iverservices

Health workertraining systems:

For PE/ E prevent ionand management


Awareness raisingof PE/E;

Bir th pr eparedness


im p le m e n t a t io n o fMgSO4 and othe rin tervent ions for

severe PE/ E

Program init iativesin ANC & obstetr ic

management :Qual i ty of care;C l in ica l t ra in ing;

Supervision


Drug regist rat ion;Essential Drug List;

Supply chainmanagement


nat ional programand h ighl ight work

of champions

Standardi zation :Qual i ty of Care


tra in ing expansion

Programmaticgrowth :

Adding d ist r icts,par tners, f inancing


budgeted t ra in ingprograms on PE/E;PE/ E competenciesin pre-service and

in-service cur r icu la

Clinical coverage:High coverage use of

MgSO4; Highcoverage calciumsupplementat ion;Publ ic and pr ivate

im p le m e n t a t io n

Drug & equipmentavailability:

Drugs, supplies, anddiagnost ic too ls ingovernment rout ine

procurementmechanisms

IMPROVEDMANAGEMENT

OF PE/ECASESANDREDUCED

MATERNAL &PERINATALMORTALITY

M&EReadiness


dataSurvey dat a

Indicators inHMIS

Routine monitoring

Coverage of MgS04 for severe PE/E

0% 25% 50% 75% 100%




No programs

March 2011


4/32



2

ANGOLA: PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices



Global advocacyand partnerships:Global act ion tosupport work onreduction of PPH




management of PPHdemonstrated


descriptions for skil ledbi r th attendant cadres

managing PPH; PPHservice delivery

guidel ines


Proactive financing of


Drugs & equipment :Oxytoci n/ misoprostol

procurement,logist ics , dis tr ibut ion


Reliableinfrastructure,personnel , and

systems to deliverservices



Awareness raising ofPPH;Bi r th preparedness




cadres

Program initiativesin obstetric and

postpartummanagement :

Qual i ty of care;Cl inical t raining;

Supervision


Uterotoni cs onEssential Drug List

and in DrugRegis trat ion; Supply

chain management



of champions



training expansion

Programmaticgrowth:





service curricula


and pr ivateimplementat ion




REDUCTIONOF PPH

ANDIMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

February 2011

ANGOLA: PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices


Int roduct ion Ear ly Mature




management of PE/ E



detect ion, andmanagement of PE/ E

demonstrated




guidel ines

Health system

governance:Proact ive f inancingo f m a t e r n a l h e a l t h

services













severe PE/ E



Supervision






of champions













Drugs, supplies, anddiagnost ic too ls in

government rout ineprocurementmechanisms

IMPROVEDMANAGEMENT

OF PE/ECASES ANDREDUCED


M&EReadiness


dataSurvey dat a

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

February 2011


5/32



3

BOLIVIA- PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices



Global advocacyand partnerships:

Global act ion tosupport work on

reduction of PPH



intervent ions for

prevent ion andmanagement of PPH

demonstrated



managing PPH; PPH





Drugs & equipment :Oxytoc in/ misoprostol

procurement,





services

Health workers

training systems:For PPH preventionand management

Community

mobilization:






cadres




Supervision


Uterotonics onEssential Drug List

and in Drug




of champions


approaches;

Government ledtraining expansion

Programmaticgrowth:

Adding districts,

par tners, f inanc ing

Training programs:

Governmentbudgeted trainingprograms on PPH;


service curricula




Drugs and supplies in

government rout ineprocurement

mechanisms

REDUCTIONOF PPH

AND

IMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%



Addressed previously, not activeNo programs

March 2011

BOLIVIA - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices






management of PE/ E




demonstrated




guidel ines



services













severe PE/ E



Supervision

Pharmaceutical

systems:Drug regist rat ion;

Essential Drug List;Supply chainmanagement



of champions















IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey dat a

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




No programs

March 2011


6/32



4

DEMOCRATIC REPUBLIC OF THE CONGO - PATHWAY TO IMPLEMENTATION OFPOSTPARTUM HEMORRHAGE PREVENTION AND MANAGEMENT AT SCALE


Choices











guidel ines















cadres




Supervision




chain management



of champions



training expansion

Programmaticgrowth:





service curricula






REDUCTIONOF PPH

ANDIMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




No programs

March 2011

DEMOCRATIC REPUBLIC OF THE CONGO - PATHWAY TO IMPLEMENTATION OFPRE-ECLAMPSIA/ECLAMPSIA MANAGEMENT AT SCALE

Global Acti onsNati onal Strategic

Choices

Program Implementati on Sustainabilit y /Institutionalization



Global act ion tosupport work onprevent ion, ear ly





demonstrated

PE/E policy:Calcium


MgSO4 for cl inicallydiagnosed severePE/ E cases; PE/Eservice delivery

guidel ines


Proactiv e f inancingof maternal heal th

services

Drugs & equipment:Procurement,





Health workertraini ng systems:

For PE/E prevent ionand management




Pilot pr ograms:Phase 1

implementat ion ofMgSO4 and ot herintervent ions for

severe PE/ E

Program initiativesin ANC & obstetric

management :Quali ty of care;Cl inical t raining;

Supervision


Drug regis trat ion;Essential Drug List;




of champions

Standardizati on:Qual i ty of Care


training expansion

Programmaticgrowth:


Training pr ograms:Government

budgeted trainingprograms on PE/E;PE/ E competenciesin pre-service andin-service curricula


MgSO4; Highcoverage calciumsupplementat ion;Public and private

implementat ion


Drugs, supplies, anddiagnostic tools in


mechanisms

IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




No programs

March 2011


7/32



5

EQUATORIAL GUINEA - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices











guidel ines















cadres




Supervision




chain management



of champions



training expansion

Programmaticgrowth:





service curricula






REDUCTIONOF PPH

ANDIMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




No programs

Ministry of Health active programs

March 2011

EQUATORIAL GUINEA - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices









demonstrated

PE/E policy:Calcium



guidel ines


Proactiv e f inancingof maternal heal th

services













severe PE/ E


management :Quali ty of care;Cl inical t raining;

Supervision






of champions



training expansion

Programmaticgrowth:






implementat ion




mechanisms

IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%


March 2011


8/32



6

ETHIOPIA - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices











guidel ines















cadres



Quali ty of care;Cl inical t raining;

Supervision



and in DrugRegistration; Supply

chain management



of champions



training expansion

Programmaticgrowth:



budgeted trainingprograms o n PPH;


service curricula

Clinical coverage:High coverage use ofa uterotonic ; Publ ic





REDUCTIONOF PPH

ANDIMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

March 2011

ETHIOPIA: PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices






management of PE/ E




demonstrated




guidel ines

Health system

governance:Proact ive f inancingo f m a t e r n a l h e a l t h

services







For PE/ E prevent ion

and management






severe PE/ E

Program init iativesin ANC & obstetric


Supervision






of champions







budgeted t ra in ingprogram s on PE/ E;PE/ E competenciesin pre-service and








IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey dat a

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

March 2011


9/32



7

GHANA - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices





reduction of PPH



intervent ions for


demonstrated



managing PPH; PPH






procurement,





services

Health workers


Community

mobilization:






cadres




Supervision



and in Drug




of champions


approaches;


Programmaticgrowth:

Adding districts,


Training programs:



service curricula






mechanisms

REDUCTIONOF PPH

AND

IMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

GHS and partners active programing

Other partners, with GHS support


No programs

Februar 2011

GHANA - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices

Program Implementation Sustainabili ty /

InstitutionalizationInt roduct ion Early Mature



prevention, ear lydetect ion, and

management of PE/ E

Global clinical and

program approaches:Evidence-based

interventions forprevention, ear ly


demonstrated

PE/E policy:Calcium


MgSO4 for cl inicallydiagnosed severePE/ E cases; PE/E


Health system

governance:Proactive financingof maternal heal th

services


logist ics, dis tr ibut ion


Reliable

infrastructure,personnel , and


Health workertraini ng systems:For PE/E prevent ion

and management


Awareness raising

of PE/E;Bi r th preparedness


implementat ion ofMgSO4 and ot herinterventions for

severe PE/ E


management :Qual i ty of care;Cl inical training;

Supervision





nat ional program

and highl ight workof champions

Standardizati on:

Qual i ty of Careapproaches;


Programmaticgrowth:

Adding districts,par tners, f inancing


budgeted training

programs on PE/E;PE/ E competenciesin pre-service andin-service curricula

Clinical coverage:

High coverage use ofMgSO4; High

coverage calciumsupplementat ion;

Public and privateimplementat ion

Drug & equipment

availability:Drugs, supplies, anddiagnostic tools in


IMPROVEDMANAGEMENT



M&EReadiness

assessment

Pilot project

dataSurvey data

Indicators in

HMISRoutine monitoring


0% 25% 50% 75% 100%

GHSand partners active programing

Other partners, with GHS support


No programs

February 2011


10/32



8

GUINEA - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices



Global advocacyand partnerships:Global act ion to

support work onreduction of PPH



interventions forprevention and


PPH policy:AMTSL/misoprosto l

use; Expanded j obdescriptions for skil ledbi r th attendant cadres

managing PPH; PPH


Health system




procurement,logist ics, dis tr ibut ion




services

Health workerstraining systems:

For PPH preventionand management





implementat ion of

misoprostol and/ orAMTSL for all skil led

bi r th attendantcadres



Qual i ty of care;Cl inical training;

Supervision

Pharmaceutical

systems:Uterotonics on

Essential Drug List

and in DrugRegistrat ion; Supplychain management



of champions



training expansion

Programmaticgrowth:





service curricula






REDUCTIONOF PPH

ANDIMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring

Coverage of uterotonic in thi rd stage of labour

0% 25% 50% 75% 100%




No programs

March 2011

GUINEA - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices









demonstrated

PE/E policy:Calcium



guidel ines


Proactive financingof maternal heal th

services













severe PE/ E


management :Qual i ty of care;Cl inical t raining;

Supervision






of champions



training expansion

Programmaticgrowth:






implementat ion


Drugs, supplies, and

diagnostic tools ingovernment rout ineprocurementmechanisms

IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




No programs

March 2011


11/32



9

INDIA - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices





reduction of PPH



intervent ions for


demonstrated




guidel ines





procurement,





services

Community

mobilization:



Pilot programs:

Phase 1implementat ion ofmisoprostol and/ or

AMTSL for all ski l led





Supervision



and in Drug




of champions


approaches;


Programmaticgrowth:

Adding districts,


Training programs:



service curricula



Drug & equipment

availability:Drugs and supplies ingovernment rout ine


REDUCTIONOF PPH

AND

IMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%



Addressed previously, not activeMinistry of Health active programs

No programs

March 2011

Health workers


INDIA - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices









demonstrated

PE/E policy:Calcium



guidel ines



services






Health workertraini ng systems:For PE/E prevent ion

and management






severe PE/ E



Supervision






of champions



training expansion

Programmaticgrowth:



budgeted trainingprograms on PE/E;PE/ E compet enciesin pre-service andin-service curricula



implementat ion




IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




No programs


March2011


12/32



10

INDONESIA- PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices





reduction of PPH



intervent ions for


demonstrated



managing PPH; PPH






procurement,





services

Health workers


Community

mobilization:






cadres




Supervision



and in Drug




of champions


approaches;


Programmaticgrowth:

Adding districts,


Training programs:



service curricula






mechanisms

REDUCTIONOF PPH

AND

IMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




March 2011

INDONESIA - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices









demonstrated

PE/E policy:Calcium



guidel ines



services













severe PE/ E



Supervision






of champions



training expansion

Programmaticgrowth:






implementat ion




IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




No programs

March 2011


13/32



11

KENYA - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices



Global advocacy

and partnerships:Global act ion tosupport work on

reduction of PPH



intervent ions for


demonstrated



managing PPH; PPH


Health system




procurement,





services

Health workers


Community

mobilization:






cadres




Supervision



and in Drug




of champions


approaches;


Programmaticgrowth:

Adding districts,


Training programs:



service curricula






mechanisms

REDUCTIONOF PPH

AND

IMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring

Coverage of uterotonic in third stage of labour-881%

0% 25% 50% 75% 100%




February 2011

KENYA - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices






management of PE/ E




demonstrated




guidel ines



services













severe PE/ E



Supervision

Pharmaceutical





of champions















IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey dat a

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




No programs

February 2011


14/32



12

LIBERIA - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices











guidel ines


Proactive financing ofmaternal heal th

services

Drugs & equipment :













cadres




Supervision



and in DrugRegis trat ion; Supplychain management



of champions



training expansion

Programmaticgrowth:





service curricula






REDUCTIONOF PPH

ANDIMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

February 2011

LIBERIA - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices









demonstrated

PE/E policy:Calcium



guidel ines



services













severe PE/ E



Supervision






of champions



training expansion

Programmaticgrowth:






implementat ion




mechanisms

IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

February 2011


15/32



13

MADAGASCAR- PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices





reduction of PPH



intervent ions for


demonstrated



managing PPH; PPH






procurement,





services

Health workers


Community

mobilization:






cadres




Supervision



and in Drug




of champions


approaches;


Programmaticgrowth:

Adding districts,


Training programs:



service curricula






mechanisms

REDUCTIONOF PPH

AND

IMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

February 2011

MADAGASCAR: PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ECLAMPSIAMANAGEMENT AT SCALE


Choices






management of PE/ E




demonstrated




guidel ines



services







For PE/ E prevent ion

and management






severe PE/ E



Supervision






of champions















IMPROVEDMANAGEMENT

OF PE/ECASES ANDREDUCED


M&EReadiness


dataSurvey dat a

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

February 2011


16/32



14

MALAWI - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices





reduction of PPH



intervent ions for


demonstrated

PPH policy:AMTSL/mi soprostoluse; Expanded job

descriptions forskilled birth

attendant cadres


guidelines




Drugs & equipment :



Service deli very

capacity at sites:Reliable

infrastructure,


services



Community

mobilization:






cadres




Supervision



and in Drug




of champions


approaches;


Programmaticgrowth:

Adding districts,


Training programs:



service curricula






mechanisms

REDUCTIONOF PPH

AND

IMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

February 2011

MALAWI - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices






management of PE/ E




demonstrated




guidel ines



services













severe PE/ E



Supervision

Pharmaceutical





of champions















IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey dat a

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%

February 2011


17/32



15

MALI - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices



Global advocacyand partnerships:Global act ion to

support work onreduction of PPH



interventions forprevention and




managing PPH; PPH


Health system




procurement,logist ics, dis tr ibut ion




services







implementat ion of

misoprostol and/ orAMTSL for all skil led




Qual i ty of care;Cl inical training;

Supervision

Pharmaceutical

systems:Uterotonics on

Essential Drug List

and in DrugRegistrat ion; Supplychain management



of champions



training expansion

Programmaticgrowth:





service curricula






REDUCTIONOF PPH

ANDIMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring

Coverage of uterotonic in thi rd stage of labour

0% 25% 50% 75% 100%




No programs

February 2011

MALI - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices









demonstrated

PE/E policy:Calcium



guidel ines



services













severe PE/ E



Supervision






of champions



training expansion

Programmaticgrowth:






implementat ion


Drugs, supplies, and

diagnostic tools ingovernment rout ineprocurementmechanisms

IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring


0% 25% 50% 75% 100%




No programs

February 2011


18/32



16

MOZAMBIQUE- PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices





reduction of PPH



intervent ions for


demonstrated



managing PPH; PPH






procurement,





services

Health workers


Community

mobilization:






cadres




Supervision



and in Drug




of champions

Standardization:Qual i ty of care


training expansion

Programmaticgrowth:

Adding districts,


Training programs:



service curricula






mechanisms

REDUCTIONOF PPH

AND

IMPROVEDMATERNAL

HEALTHSTATUS

M&EReadiness


dataSurvey data

Indicators inHMIS

Routine monitoring

Introducing innovation Moving toward sustainable impact at scale


0% 25% 50% 75% 100%

Februar 2011

MOZAMBIQUE - PATHWAY TO IMPLEMENTATION OF PRE-ECLAMPSIA/ ECLAMPSIAMANAGEMENT AT SCALE


Choices






management of PE/ E




demonstrated




guidel ines



services













severe PE/ E



Supervision

Pharmaceutical





of champions















IMPROVEDMANAGEMENT



M&EReadiness


dataSurvey dat a

Indicators inHMIS

Routine monitoring

INTRODUCING INNOVATION MOVING TOWARDS SUSTAINABLE IMPACT AT SCALE


0% 25% 50% 75% 100%

February 2011


19/32



17

NEPAL - PATHWAY TO IMPLEMENTATION OF POSTPARTUM HEMORRHAGEPREVENTION AND MANAGEMENT AT SCALE


Choices











guidel ines















cadres



Quali ty of care;Cl inical t raining;

Supervision



and in DrugRegistration; Supply

chain management



of champions



training expansion

Programmaticgrowth:



budgeted trainingprograms o n PPH;


service curricula

Clinical coverage:High coverage use ofa uterotonic ; Publ ic



Drugs and supplies ingovernmen

Documents

Appendix C: Country Scale-up Maps of PPH and PE/E