Feasibility and impact of a postpartum hemorrhage emergency care package using a bundle approach in Migori County, Kenya

Objective To investigate the impact of the PPH Emergency Care package (PPH EmC)—a holistic intervention that uses a bundle approach that has been implemented in Kenya, India, Nepal, Bangladesh, and Central America—in a low‐resource setting. Methods The feasibility and impact of PPH EmC implementatio...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2023-06, Vol.161 (3), p.969-978
Main Authors: Gonte, Madeleine R., Peifer, Hannah G., Meara, Grace, Otieno, Brenda, Oguttu, Monica, Burke, Thomas F.
Format: Article
Language:English
Subjects:
bundle
Emergency Medical Services
Feasibility Studies
Female
Humans
Kenya
maternal mortality
postpartum hemorrhage
Postpartum Hemorrhage - therapy
Pregnancy
Quality of Health Care
sub‐Saharan Africa
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Summary:Objective To investigate the impact of the PPH Emergency Care package (PPH EmC)—a holistic intervention that uses a bundle approach that has been implemented in Kenya, India, Nepal, Bangladesh, and Central America—in a low‐resource setting. Methods The feasibility and impact of PPH EmC implementation in Migori County, Kenya was studied using a qualitative research design. In March and April 2022 key informants were identified using purposive sampling. Semi‐structured interviews were conducted over Zoom from March to May 2022 until thematic saturation was reached. Interviews were transcribed, coded, and analyzed for emerging themes. Results PPH EmC has positively impacted facility and health system preparedness, referral coordination, teamwork and communication, and overall capacity to provide quality PPH emergency care. Participants reported that PPH EmC is sustainable because of its low cost and support from local partners. Conclusion Implementation of PPH EmC in Migori County, Kenya was feasible and positively impacted PPH emergency care. Synopsis Implementation of the Postpartum Hemorrhage Emergency Care Bundle (PPH EmC) in Migori County, Kenya was feasible and positively impacted postpartum hemorrhage emergency care.
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.14612