Providing misoprostol at the community level—although not a replacement for facility-based efforts to promote safe delivery and prevent postpartum hemorrhage—can help to save lives among women in rural areas who do not yet have access to these services. Misoprostol has the potential to be a “game changer” when it comes to maternal health, but making good on its promise to reduce postpartum hemorrhage among women who deliver at home will require moving away from the “provider” frame and addressing pervasive biases regarding women’s capability to help themselves. These and other projects have shown that it can be done. The challenge now is to do it on the national scale and ensure that all women who could benefit from this simple yet effective technology have access to it.


Evaluation of different models of access to misoprostol at the community level to improve maternal health outcomes in Ethiopia, Ghana, and Nigeria

Wells, Elisa et al.
International Journal of Gynecology and Obstetrics , Volume 133 , Issue 3 , 261 - 265