Breakthrough RESEARCH partner ideas42 conducted research in June 2019 in peri-urban and rural areas of Vohipeno and Manakara districts of Madagascar's Vatovavy-Fitovinany region to identify health care providers' challenges for detecting and managing complications during childbirth including postpartum hemorrhage and identify optimal solutions. This brief summarizes the results of a behavioral diagnosis that reveals “Facility-based providers do not consistently follow best practices for the detection and management of complications during childbirth.” Low perception of risk of postpartum hemorrhage, limited review of compliance with best practices, consequences of current practices, and resource scarcity can negatively affect provider decision-making and clinical practice.
Breakthrough RESEARCH and USAID’s Health Evaluation and Applied Research Development. 2020. "Barriers inhibiting detection and management of postpartum hemorrhage by providers in Madagascar," APPHC Programmatic Research Brief. Washington, DC: Population Council and URC.