The Challenge:

In Madagascar there is low utilization of the health system and skilled birth attendance rates are at 44%. Even if utilization wasn’t low there are major health infrastructure challenges. To address these challenges, a variety of activites are being employed. Please visit the APPHC webpage for additional information on each of the activities listed below:

This qualitative research study examines key barriers to effective detection and management of obstetric complications (Breakthrough RESEARCH).

This study investigates strategies for implementing a sustainable and effective mentoring system for improving the management of PPH at community-level health centers by testing an innovative simulation-based mentorship approach and rapid response team model. In addition to strengthening individual provider skills and knowledge, the approach aims to strengthen teamwork, communication, inter-professional collaboration, and woman-centered maternal care (WCMC).

This is a mixed methods study to understand PPH knowledge, practice and the level of burnout and stress that prevents optimum provision of care in busy maternity units—including poor management of PPH. Two interventions will be introduced and studied: 1) mentorship simulation training (see below) and 2) co-designed intervention developed with in-country stakeholders (in development).