PPH Emergency Care Using a Bundle Approach (PPH EmC) Melody J - - PowerPoint PPT Presentation
PPH Emergency Care Using a Bundle Approach (PPH EmC) Melody J Eckardt MD MPH, MGH Global Health Innovation Lab PPH Community of Practice Annual Meeting July 21 23, 2020 PPH COP 2020 The problem: Postpartum hemorrhage remains a leading
PPH COP 2020
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH Community of Practice Annual Meeting July 21–23, 2020
PPH COP 2020
Postpartum hemorrhage remains a leading cause of maternal death. It is treatable. We must, we can save more lives.
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
70% REDUCTION ON IN PPH DEATHS AND DISAB ABILITY BY 2030
SDG 3.1
PPH COP 2020
Clinical: ⌑ PPH Emergency Response ⌑ Respectful Maternity Care Non-Clinical: ⌑ Teamwork and Communication ⌑ Network Integration ⌑ Facility Readiness ⌑ Leadership ⌑ Data, Monitoring and Quality Improvement
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020
WHO Technical Consultation
12/2017
Behavioral science research
08/2017 - 04/2020
Co-creation and initial implementation with international partners
India 04/2018 - 02/2020 Kenya 05/2019 - 02/2020
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020
⌑ Trigger ⌑ Set of actions ⌑ Compliance measures
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
WHO Technical Consultation
12/2017
Behavioral science research
08/2017 - 04/2020
Co-creation and initial implementation with international partners
India 04/2018 - 02/2020 Kenya 05/2019 - 02/2020
PPH COP 2020
Mixed Methods Study Design 3 maternity hospitals and networks of PHCs >900 delivery observations >1000 data points captured per delivery Examined Potential Drivers of Quality
wwwnc.cdc.gov/travel/images/map-kenya.png
Objective: To measure quality of care for PPH and explore reasons for gaps in quality
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020
Coverage of many monitoring & preventative care activities is low. Quality gaps are not fully explained by gaps in knowledge and supplies,
Postpartum monitoring is extremely
provider decision-making can help us understand why. Providers at PHCs report limited hands-on experience managing PPH. Challenges with the referral process lead to delays in care.
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020 Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020
WHO Technical Consultation
12/2017
Behavioral science research
08/2017 - 04/2020
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
Co-creation and initial implementation with international partners
India 04/2018 - 02/2020 Kenya 05/2019 - 02/2020
PPH COP 2020
⌑ Advocacy and stakeholder engagement is key ⌑ Committed and respected local champions are essential ⌑ The bundle concept is very well-received ⌑ Ensure flexibility for health system integration ⌑ A focus on teamwork and communication is necessary
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020
⌑ Network integration is imperative
⌑ Technical assistance and mentorship are necessary
⌑ Simulation practice increases confidence,
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020
Photo by Thiago Borges
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020 Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020
⌑ Belize ⌑ Select Central and South American countries ⌑ India (UP) ⌑ Kenya (Migori County) ⌑ Bangladesh
Melody J Eckardt MD MPH, MGH Global Health Innovation Lab
PPH COP 2020
Thank you to all our partners, collaborators and funders.
PPH website: www.savemothers.org For more information on PPH EmC, contact Dr. Melody Eckardt at meckardt@mgh.harvard.edu.
PPH COP 2020 Melody J Eckardt MD MPH, MGH Global Health Innovation Lab