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Uterotonic use immediately following birth: using a novel methodology to estimate population coverage in four countries

Journal Article
(Published January, 2015)
Ricca, Jim (Author),
Dwivedi, Vikas (Author),
Varallo, John (Author),
Singh, Gajendra (Author),
Pallipamula, Suranjeen P. (Author),
Amade, Nazir (Author),
de Luz Vaz, Maria (Author),
Bishanga, Dustan (Author),
Plotkin, Marya (Author),
Al-Makaleh, Bushra (Author),
Suhowatsky, Stephanie (Author),
Smith, Jeffrey M. (Author)
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This article describes an exercise, developed with a global panel of experts, to assist national experts and stakeholders do estimates of  national population-level coverage of “uterotonic use immediately after birth” (UUIFB). This exercise was conducted in 2013 in Mozambique, Tanzania, the state of Jharkhand in India, and Yemen.

Estimated uterotonic use for facility births ranged from 70 to 100%; uterotonics are not used routinely at home births in any of the four countries. The national panels estimated UUIFB coverage of all births was 43% in Mozambique, 40% in Tanzania, 44% in Jharkhand, and 14% in Yemen. The estimated levels of coverage in all four settings were much lower than anticipated by many panel members. The exercise highlighted information and practice gaps and promoted discussion on ways to improve UUIFB measurement and coverage, particularly of home births. Each panel developed a set of recommendations to improve UUIFB coverage in their country.

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Ricca J, Dwivedi V, Varallo J, Singh G, Pallipamula S, Amade N, et al. Uterotonic use immediately following birth: using a novel methodology to estimate population coverage in four countries. BMC health services research. 2015;15(1):9.