Subject: > Maternal and child health > Safe birth and newborn care
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- Active Management of the Third Stage of Labor (AMTSL) Learning Materials
The USAID-funded Prevention of Postpartum Hemorrhage Initiative developed a learning package on the prevention of postpartum hemorrhage consisting of a reference manual, participant’s notebook, and facilitator’s guide. This learning package was developed for use by nurses, midwives, and doctors providing childbirth and immediate postpartum care. Information about implementing active management of the third stage of labor is featured in this reference manual as well as the corresponding participant’s notebook and facilitator’s guide. The reference manuals and facilitators' guides are available as one large file and also in smaller sections for easier downloading.
Author: Prevention of Postpartum Hemorrhage Initiative (POPPHI)
Publication date: 2007
Region: Global
- Active Management of Third Stage of Labour: A Clinical Tutorial
PATH's Maternal and Newborn Health Technology Initiative, in collaboration with South Africa's KwaZulu Natal Department of Health, produced this essential training video on active management of the third stage of labor. Using real clinical footage, this video presents the information, skills, and practices that birth attendants need to routinely provide this life-saving intervention and prevent postpartum hemorrhage. To obtain free copies of the video in high resolution, please email a request to publications@path.org. For optimal viewing of the low-resolution versions posted here, save the files to your hard drive by right-clicking on the links below and selecting “Save target as." Please note: the Clinical Tutorial and Core Topics files require Windows Media Player, available as a free download from Microsoft.
Publication date: January 2008
Region: Global
- An Investigation Into the Context of Use and Functionality of Neonatal Resuscitator Devices
A HealthTech report evaluating neonatal resuscitators.
- Annotated Bibliography on Delivery Kits
This annotated bibliography provides a brief summary and citation information for published materials that are relevant to clean-delivery kits.
- Association Between Maternal, Birth, and Newborn Characteristics and Neonatal Mortality in Five Asian Countries
Questions about new interventions believed to improve neonatal survival have been added to the Demographic and Health Surveys (DHS) in five Asian countries: Bangladesh, India, Indonesia, Nepal, and the Philippines. This document explores associations between these interventions and neonatal mortality and discusses implications for future research.
- ASUH (Awal Sehat Untuk Hidup Sehat): Improving the Health of Newborns in Indonesia: Final Report
Final report from PATH to USAID Jakarta for the ASUH or Healthy Start for a Healthy Life program. From 2000-2003, PATH, in collaboration with the Indonesian Ministry of Health and other partners, galvanized the participation of communities and the health system in four of Indonesia's districts.
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- Basic Delivery Kit Guide
This comprehensive manual provides information about multiple aspects of delivery kit projects. Detailed discussions and practical work tools help programs decide whether they should develop a basic delivery kit project -- and, if so, how they can plan, assemble, distribute, and promote the kits. The guide is available for downloading as one large file or as seven smaller files.
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- Chlorhexidine for Umbilical Cord Care
Part of the Technology Updates series, this fact sheet describes PATH's work on the use of chlorhexidine for umbilical cord care.
- Clean Delivery Kit Workshop Manual
Publication date: 2000
Region: Global
- Clean Delivery Kit Workshop Report Introduction
Publication date: 2000
Region: Global
- Clean Delivery Kit: a Timeline of PATH's Involvement
This document provides a timeline of the Clean Delivery Kit project at PATH.
Publication date: 2007
Region: Global
- Clean-Delivery Kits: Guidelines for Their Use in Programmatic Settings
This two-page document outlines basic programmatic guidelines for the use of clean-delivery kits in international settings. It includes a discussion of kit contents, an overview of research on the effectiveness of kits, principles of clean delivery, issues related to production of local kits, and information about ordering preassembled kits.
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- Delivery Kit
Part of the Technology Updates series, this fact sheet describes delivery kit work at PATH.
- Directions in Global Health (Volume 1, Issue 2, May 2004)
This issue of Directions in Global Health profiles five PATH projects: Entre Amigas, which is reaching young adolescent girls in Nicaragua with reproductive health and life skills; the Healthy Start for a Healthy Life project, which is improving the care of newborns in Indonesia; the Ukraine TB project, which is implementing training and IEC activities to control tuberculosis; PATH's Children's Vaccine Program, which is managing medical waste in Nepal; and the Horizons program, which is influencing gender norms among young men in Brazil.
- Directions in Global Health (Volume 1, Issue 3, September 2004)
The September 2004 issue of PATH's programmatic newsletter focuses on five projects: PATH's Children's Vaccine Program, which is strengthening immunization in Senegal, Cambodia, and India; evaluation of the SolarChill refrigerator, which is using solar power to fuel the cold chain; our cervical cancer work in Kenya and Peru, as part of the Alliance for Cervical Cancer Prevention; the Program for Advancement of Commercial Technology--Child and Reproductive Health (PACT-CRH), which is transferring health technologies to India's private sector; and results from three evaluations of clean home delivery kits used in Nepal and Tanzania.
Part of series: Directions in Global Health
Author: PATH
Publication date: September 2004
Region: Global
- Directions in Global Health (Volume 3, Issue 2, August 2006)
This issue of Directions in Global Health features five PATH projects: our collaboration with the World Health Organization on the Meningitis Vaccine Project; prevention of mother-to-child HIV transmission in Ukraine; a small grants program that is catalyzing behavior change in Africa; the Inter-Act project, which is training truck drivers to slow the HIV epidemic in India; and an evaluation of neonatal resuscitators.
- Directions in Global Health (Volume 3, Issue 3, December 2006)
This issue of Directions in Global Health features five PATH projects: preparing for an avian influenza outbreak in Ukraine and Georgia; improving nevirapine packaging for prevention of mother-to-child HIV transmission; preventing postpartum hemorrhage through the POPPHI initiative; increasing access to safe abortion in Nepal; and supportive supervision of immunization programs in Vietnam.
Part of series: Directions in Global Health
Author: PATH
Publication date: December 2006
Region: Global
- Directions in Global Health (Volume 4, Issue 2, September 2007)
This special issue of Directions in Global Health features PATH's work in women's health. Featured projects include Sure Start; the Maternal and Newborn Health Technology Initiative; the Prevention of Postpartum Hemorrhage Initiative; Global Campaign for Microbicides; SILCS diaphragm; the PATH Woman's Condom; microbicide applicators; AIDS, Population, and Health Integrated Assistance II Western Province; and Spring Bud Healthy Development.
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- Evaluation of a Clean Delivery Kit Intervention in Preventing Cord Infection and Puerperal Sepsis in Mwanza, Tanzania
This is the final research report on the evaluation of clean delivery kits in Tanzania. The purpose of the study was to determine the impact of a delivery kit intervention on reducing cord infection and puerperal sepsis among newborns and their mothers. Study results indicate that use of the clean delivery kit had a positive effect on reducing both cord infection and puerperal sepsis. The effect of the kit on reducing cord infection was much greater than on puerperal sepsis, but both were significant.
Author: Winani S; Coffey P; Wood S; Mosha F; Chirwa T; Changalucha J
Publication date: 2005
Region: Africa
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- Global Survey on Management of the Third Stage of Labor Reports
These studies aim to provide ministries of health and their partners with data about the actual practice of active management of the third stage of labor (AMTSL), including policy, provider support, and supplies and logistics, along with the descriptive information necessary to assess AMTSL practices and identify barriers to its use in their country.
Publication date: 2006
Region: Global
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- A HealthTech Reference List: Key References and Resources for the Introduction of Oxytocin in the Uniject™ Device
This compilation contains key references and resources to aid program planners in the introduction of oxytocin in the Uniject™ prefilled injection device.
Publication date: September 2009
Region: Global
- A Healthy Start for a Healthy Life - Overview
Overview of the ASUH (Healthy Start for a Healthy Life) program in Indonesia.
Publication date: 2003
Region: Asia
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- Improving Delivery of Nevirapine for Infants
This is one of a series of fact sheets that describe PATH's current and past work in Kenya. The fact sheets focus on specific projects as well as unique approaches that cut across projects. This fact sheet describes work to improve single-dose packaging of nevirapine for programs to prevent mother-to-child transmission of HIV.
Publication date: June 2006
Region: Africa
- Improving Maternal and Child Health
This is a two-page fact sheet on PATH's maternal and child health activities.
- Increasing Women's Access to and Use of HIV Mother-to-Child Transmission Prevention Interventions in Ukraine
In this publication you will find a fact sheet that describes the Prevention of Mother-to-Child Transmission (PMTCT) Project in Ukraine.
- Indonesia's Healthy Start Program
Publication date: 2003
Region: Asia
- Innovative Solutions Saving Mothers’ Lives
This fact sheet provides information about the use of the hormone oxytocin in the Uniject device to prevent postpartum hemorrhage. It summarizes the benefits of using this innovative solution and also provides a success story based on a pilot study conducted in Mali.
Publication date: April 2008
Region: Global
- Instructions for Health Workers: Nevirapine Infant-Dose Pouch
This illustrated job aid provides a quick reference for providers using the nevirapine infant-dose pouch in programs for the prevention of mother-to-child transmission of HIV (PMTCT).
- Introducing Oxytocin in the Uniject™ Device: An Overview for Decision-Makers
This overview has been developed for program planners considering introduction and/or expansion of the use of oxytocin, and in particular oxytocin packaged in the Uniject™ device, to reduce the incidence of postpartum hemorrhage as a component of their maternal and child health programming. Administering oxytocin is just one component of active management of third stage labor.
Publication date: September 2008
Region: Global
- Introducing TT Uniject in Maternal and Neonatal Tetanus Elimination
This document provides materials to assist health workers and program managers in the introduction, training, and proper use of TT-Uniject.
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- Misoprostol Use in Obstetrics and Gynecology (Outlook, vol. 21, no. 4)
This issue of Outlook provides evidence-based information on the emerging use of misoprostol in obstetrics and gynecology. It describes current research, regulatory issues, availability, and administration, as well as misoprostol's use during labor and delivery for labor induction and for prevention and treatment of postpartum hemorrhage. It also describes its use in inducing or managing abortion, including for treatment of incomplete abortion, preabortion cervical ripening, and pregnancy termination. Finally, it outlines safety issues and implications for research and practice.
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- Neonatal Resuscitator
Part of the Technology Updates series, this fact sheet descibes the neonatal resuscitator project funded by USAID under the HealthTech program at PATH.
- Nepal Clean Home Delivery Kit: Evaluation of the Health Impact
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- Oxytocin in Uniject
Part of the Technology Updates series, this fact sheet describes the oxytocin in Uniject project at PATH.
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- Packaging Solutions for Nevirapine
Part of the Technology Updates series, this fact sheet describes PATH's current project to improve packaging of nevirapine used to prevent mother-to-child transmission of HIV.
- PATH in India
This brochure describes PATH's country program in India.
Publication date: April 2009
Region: Asia
- PATH's Maternal and Newborn Health Technology Initiative
This brochure describes PATH’s work in KwaZulu Natal, South Africa, through the Maternal and Newborn Health Technology Initiative (MNTI).
- A Pilot Introduction of the Nevirapine Infant-Dose Pouch in Kenya in Prevention of Mother-to-Child Transmission (PMTCT) Programs
This document provides a summary of the pilot introduction project in Kenya to provide nevirapine syrup to mothers prior to delivery to assist with the prevention of mother-to-child transmission of HIV.
Publication date: October 2006
Region: Global
- Pilot Use of Oxytocin in a Uniject™ Device for AMTSL in Mali
This report describes use of the Uniject™ device prefilled with 10 international units (IU) of oxytocin for actively managing the third stage of labor in selected health centers in Mali. Although this single-dose, autodisable injection device has previously been used for tetanus toxoid vaccination in Mali, the Ministry of Health lacked documentation of the safety and feasibility of using the device to deliver oxytocin for active management of the third stage of labor (AMTSL).
Author: Prevention of Postpartum Hemorrhage Initiative (POPPHI)
Publication date: December 2008
Region: Global
- Practical Selection of Neonatal Resuscitators, Version 2: A Field Guide
PATH has evaluated a variety of reusable neonatal resuscitators, including both bag-and-mask and tube-and-mask designs. This guide is divided into two sections: the first identifies resuscitators that are priced at less than US$30 each, and the second identifies those that are priced above $30 each. It also describes the criteria used during the device evaluation, evaluation results for each device, and suggestions for choosing a resuscitator. The guide is available in two formats: one for booklet-style printing and one for onscreen viewing.
Publication date: November 2006
Region: Global
- Preventing Postpartum Hemorrhage Website
Launched in 2005, the Postpartum Hemorrhage Prevention (POPPHI) website describes the work of the POPPHI Project, a USAID-funded project with the goal of expanding active management of the third stage of labor as a means to reduce postpartum hemorrhage, the single most important cause of maternal deaths worldwide. In addition to information about the project itself, the website offers a collection of information and resources related to postpartum hemorrhage and how to save women's lives through use of active management of the third stage of labor.
- Preventing Postpartum Hemorrhage: Managing the Third Stage of Labor (Outlook, vol. 19, no. 3)
- Prevention of Postpartum Hemorrhage Fact Sheets
The USAID-funded Prevention of Postpartum Hemorrhage Initiative (POPPHI) has developed numerous fact sheets on postpartum hemorrhage to educate individuals on its severity and how it can be avoided through active management of the third stage of labor.
Author: Prevention of Postpartum Hemorrhage Initiative (POPPHI)
Publication date: 2008
Region: Global
- Prevention of Postpartum Hemorrhage Job Aids
The USAID-funded Prevention of Postpartum Hemorrhage Initiative has six developed job aids to help educate individuals about the harmful effects of postpartum hemorrhage and the proper use of active management of the third stage of labor. Prevention and Initial Management of Postpartum Hemorrhage is available as one large file and two smaller files for easier downloading.
Author: Prevention of Postpartum Hemorrhage Initiative (POPPHI)
Publication date: December 2008
Region: Global
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- Reducing Postpartum Hemorrhage in Thanh Hoa
The study was undertaken to evaluate the acceptability and ease of use of the Uniject prefilled, single-use injection device by midwives at primary and secondary level facilities, the effectiveness of active management of the third stage of labor (AMTSL) in reducing rates of post partum hemorrhage (PPH) and the need for hemorrhage treatments, the cost-effectiveness of routine delivery of AMTSL, and the relative costs of using oxytocin in ampoules or in Uniject. The study was conducted in six districts of Thanh Hoa province from June to December 2004.
Publication date: 2003
Region: Asia
- Reducing Postpartum Hemorrhage in Vietnam
This fact sheet describes a collaboration between PATH and the Vietnamese Ministry of Health to study in six districts of Thanh Hoa Province, Vietnam, the use of single-dose Uniject? devices prefilled with oxytocin in the active management of the third stage of labor in order to reduce the rates of postpartum hemorrhage.
Publication date: 2007
Region: Asia
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- Safe Motherhood: Successes and Challenges (Outlook, vol. 16, special issue)
- Sourcing Guide: The Nevirapine Infant-Dose Pouch for Use in Prevention of Mother-to-Child Transmission of HIV/AIDS Programs. Version 1
This guide provides programs for the prevention of mother-to-child transmission of HIV (PMTCT) with the information they need to independently procure nevirapine infant-dose pouches for use in their PMTCT services. (PATH is not a manufacturer or supplier of the pouch.)
- Sure Start
Publication date: 2006
Region: Asia
- Sure Start: Helping Mothers and Newborns Thrive
Sure Start is an initiative intended to catalyze sustainable improvements in maternal and newborn health through effective community action in selected districts of Uttar Pradesh and urban sites of Maharashtra, India. The Sure Start project has been designed to complement and support the Government of India’s commitment to improving maternal and newborn health. This fact sheet gives an overall picture and progress of the project to date.
Publication date: July 2009
Region: Asia
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- Training Manual: Training Providers on Packaging Nevirapine Oral Suspension Using the Nevirapine Infant-Dose Pouch
This manual assists programs in training staff for the introduction of the nevirapine infant-dose pouch into programs for the prevention of mother-to-child transmission of HIV (PMTCT). It is intended for adaptation based on individual program needs.
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- Ukraine: What do Providers Know About Prevention of Mother-to-Child Transmission (PMTCT)?
This poster presentation illustrates a survey administered by PATH in 2005, in order to identify the knowledge, attitudes and practices among 517 providers (ob/gyns, gynecologists, and midwives) working in a total of 16 health care facilities in southern Ukraine.This poster was presented at the XVI AIDS conference in Toronto, August 13-18, 2006.
Author: Mogilevkina I; Kramer C; Winkler J; Bishop A; Stekhin K
Publication date: 2006
Region: Eastern Europe
- Use of the Clean Home Delivery Kit: A Qualitative Study
Qualitative research study to gather detailed information about how the clean home delivery kit helps various types of birth attendants and/or cord-cutters in Nepal to maintain the principles of clean delivery. The main objective of this study was to understand the context of kit use and non-use by women for their own deliveries and by women assisting them during delivery.