Best Practice & Research Clinical Obstetrics & Gynaecology
Volume 22, Issue 6 , Pages 1013-1023, December 2008

Management of post-partum hemorrhage in low-income countries

  • Gijs Walraven, MD, MPH, PhD (DoctorDirector of Community Health)

      Affiliations

    • Corresponding Author InformationCorresponding author. Secretariat of His Highness the Aga Khan, Aiglemont, 60270 Gouvieux, France. Tel.: +33 344 583 555; Fax: +33 344 580 918.

Secretariat of His Highness the Aga Khan, Gouvieux, France; and Visiting Professor in Community Health Sciences, Aga Khan University, Karachi, Pakistan

Department of Obstetrics and Gynaecology, Aga Khan University, Nairobi, Kenya

published online 28 August 2008.

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.

Key words: barriers to access to care, developing countries, health systems, post-partum haemorrhage

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PII: S1521-6934(08)00098-9

doi:10.1016/j.bpobgyn.2008.08.002

Best Practice & Research Clinical Obstetrics & Gynaecology
Volume 22, Issue 6 , Pages 1013-1023, December 2008