Management of post-partum hemorrhage in low-income countries.
The provision of safe and effective delivery care for all women in poor countries remains elusive, resulting in a continuing burden of mortality in general and mortality from post-partum haemorrhage in particular. Deployment of a functional health system and effective linkage of the health system to communities are the necessary prerequisites for the provision of the life-saving technical interventions that will make a difference in individual cases. Sadly, two factors militate against progress: the mantra that 'we know what works' (resulting in some serious gaps in evidence for best practice in resource-poor settings) and a lack of large-scale investment in maternity services to counteract the degradation of infrastructure and depletion of human resources evident in many countries.
Walraven
Gijs
G
Secretariat of His Highness the Aga Khan, Gouvieux, France. gijs.walraven@aiglemont.org
Wanyonyi
Sikolia
S
Stones
William
W
D003695:Delivery of Health Care / Q000191:economics* / Q000458:organization & administration; D003906:Developing Countries / Q000191:economics*; D005260:Female; D006801:Humans; D008427:Maternal Health Services / Q000191:economics* / Q000458:organization & administration; D008428:Maternal Mortality; D008507:Medically Underserved Area; D006473:Postpartum Hemorrhage / Q000191:economics / Q000517:prevention & control / Q000628:therapy*; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000191:economics / Q000517:prevention & control / Q000628:therapy*; D011314:Preventive Health Services / Q000191:economics / Q000458:organization & administration; D012959:Socioeconomic Factors