Addressing PPH requires a consideration of the broader context, spanning commodities, referral, metrics/data, human resources, financing, policy/governance, service delivery quality, infrastructure, community education/outreach and socio-cultural dynamics. Despite varying levels of health system development in the two APPHC target countries, different proportions of facility delivery (44% Madagascar, 90% in Malawi) and dissimilar socio-cultural and political contexts, findings from the scoping exercise and stakeholder consultations identified similar types of challenges in both countries. The set of activities were identified through a consultative process and are adapted to leverage existing opportunities and the evolving public health landscape.
The APPHC effort uses a partnered implementation science approach to ensure research, documentation and data analysis activities generate evidence directly applicable to post-partum hemorrhage related policy and program needs in Malawi, Madagascar (and beyond).
Learn more about our activities in Malawi and Madagascar below:
APPHC Portfolio of Activities
The evidence generation activities depicted in the graphic are currently underway and are explained in greater detail on the Malawi and Madagascar pages. Each country has a set of activities tailored to the stakeholder response and opportunities in each country. While the intention is for broad cross-country learning, in particular, the implementation research activities surrounding health provider burnout/psychosocial distress and mentorship models are aspects of both country activity portfolios, which will allow for particularly rich cross-context learning.