Programmes for advance distribution of misoprostol to prevent post-partum haemorrhage: a rapid literature review of factors affecting implementation

We present key outcomes and features of advanced distribution programmes that are in operation or have been piloted globally. We categorized factors influencing implementation into those that operate at the health system level, factors related to the community and policy context and those factors more closely connected to the end user.
Debates around advance distribution have centred on the potential risks and benefits of making misoprostol available to pregnant women and community members during pregnancy for administration in the home. However, the risks of advance distribution appear manageable and the benefits of self-administration, especially for women who have little chance of expert care for PPH, are considerable.

Source: Health Policy and Planning - January 23, 2016 Category: Health Management Authors: Smith, H. J., Colvin, C. J., Richards, E., Roberson, J., Sharma, G., Thapa, K., Gulmezoglu, A. M. Tags: Reviews Source Type: research