Nearly one-quarter of all maternal deaths are associated with postpartum hemorrhage (PPH) globally. PPH remains the leading cause of maternal death in most low-income countries, requiring additional research on prevention and treatment options. In response to this challenge, USAID has complemented its longstanding efforts to accelerate reductions in maternal deaths with a one-time catalytic investment in Malawi and Madagascar called Advancing Postpartum Hemorrhage Care (APPHC).

The objective of the APPHC investment is to generate and test solutions that address key barriers to PPH prevention, detection, and treatment. USAID invested in both the Breakthrough RESEARCH and the Health Evaluation and Applied Research Development (HEARD) Projects implemented by Population Council and University Research Co., LLC, respectively.

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Articles (peer-reviewed)

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Barriers inhibiting effective detection and management of postpartum hemorrhage during facility-based births in Madagascar: Findings from a qualitative study using a behavioral science lens, Sara V. Flanagan, Tina Razafinamanana, Charlotte E. Warren, and Jana Smith

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Harnessing the power of behavioral science: An implementation pilot to improve the quality of maternity care in rural Madagascar, Jana Smith, Marie Sandra Lennon, Madeline Kau, Anja Noeliarivelo Ranjalahy, Liliane Ingabire, Charlotte E. Warren, and Sara V. Flanagan

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Modeling pathways to describe how maternal health care providers’ mental health influences the provision of respectful maternity care in Malawi, Brady Zieman, Charlotte E. Warren, Felistas Chiundira, Edina Mandala, Fannie Kachale, Christina Heather Mchoma, Alexander Mboma, Martha Kamanga, and Abigail Kazembe

Briefs

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Barriers inhibiting detection and management of postpartum hemorrhage by providers in Madagascar, Breakthrough RESEARCH and USAID's Health Evaluation and Applied Research Development

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Obstacles limitant la détection et la prise en charge de l’HPP par les prestataires de soins de santé à Madagascar, Breakthrough RESEARCH

Case Studies

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Bottlenecks and opportunities around the use of maternity waiting homes in Malawi, Breakthrough RESEARCH

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Chipatala cha pa Foni, Malawi's 'Health Center by Phone,' improving information given about pregnancy-related symptoms, Breakthrough RESEARCH and VillageReach

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Perceptions and use of non-pneumatic anti-shock garments for management of postpartum hemorrhage in Malawi, Breakthrough RESEARCH

Commentaries

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Simple tools to reduce preventable deaths during childbirth, Madeline Kau and Sara V. Flanagan

Fact Sheets

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How birth companions can support providers during labour and delivery, Breakthrough RESEARCH

Posters

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A companion of choice is recommended for all women throughout labour, childbirth, and the immediate postnatal period, Breakthrough RESEARCH

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Ndikoyenela kuti amayi onse akhale ndi owayang’anira amene iwo asankha okha panthawi ya matenda,pobereka,komaso nthawi imene mwana wagobadwa kumene, Breakthrough RESEARCH