title: Recommendations for scale-up of community-based misoprostol distribution programs.
abstract: Community-based distribution of misoprostol for prevention of postpartum hemorrhage (PPH) in resource-poor settings has been shown to be safe and effective. However, global recommendations for prenatal distribution and monitoring within a community setting are not yet available. In order to successfully translate misoprostol and PPH research into policy and practice, several critical points must be considered. A focus on engaging the community, emphasizing the safe nature of community-based misoprostol distribution, supply chain management, effective distribution, coverage, and monitoring plans are essential elements to community-based misoprostol program introduction, expansion, or scale-up.
authors.affiliation: Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, USA. Electronic address: nrobin22@uic.edu.
authors.forename: Nuriya
authors.initials: N
authors.lastname: Robinson
authors.affiliation: Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, USA; Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, USA.
authors.forename: Chisina
authors.initials: C
authors.lastname: Kapungu
authors.affiliation: Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, USA.
authors.forename: Leslie
authors.initials: L
authors.lastname: Carnahan
authors.affiliation: Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, USA; Center for Research on Women and Gender, University of Illinois at Chicago, Chicago, USA.
authors.forename: Stacie
authors.initials: S
authors.lastname: Geller
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D003906:Developing Countries; D005260:Female; D006801:Humans; D016595:Misoprostol / Q000600:supply & distribution* / Q000627:therapeutic use; D010120:Oxytocics / Q000600:supply & distribution* / Q000627:therapeutic use; D006473:Postpartum Hemorrhage / Q000517:prevention & control*; D011247:Pregnancy
chemical_list: D010120:Oxytocics; D016595:Misoprostol
keywords: Community-based programming; Low-resource settings; Misoprostol; Postpartum hemorrhage