*Y.C.* Initiation of use of misoprostal to prevent Post Partum Haemorrhage
Initiate the use of misoprostol to prevent Post Partum Haemorrhage (PPH) in home deliveries with transformation of local women into Community Change Agent and use of Sangini Franchising Outlets. Both, Sangini Franchising Outlets and local women who are active members community group are oriented about Misoprostol and their duties lie in disseminating correct informations of misoprostol. Misoporostol is made available in Sangini Franchising Outlets after orientation.
The use of misoprostol will help prevent PPH and ultimately contribute government's millenium development goal to reduce MMR
About You
Section 1: About You
First Name
CRS Company
Last Name
Nepal CRS
Website
Organization
Nepal CRS Company
Country
Nepal, BA
Are you an individual between the ages of 18 and 35 who would like to apply for a nine month Young Champions Program mentored by an Ashoka Fellow?
Yes
Section 2: About Your Organization
Organization Name
Nepal CRS Company
Organization Website
Organization Phone
+977-01-4362097
Organization Address
Mahadev Tar, Tokha Road, Gongabu, Kathmandu
Organization Country
Nepal, BA
The information you provide here will be used to fill in any parts of your profile that have been left blank, such as interests, organization information, and website. No contact information will be made public. Please uncheck here if you do not want this to happen..
Your idea
Name Your Project
*Y.C.* Initiation of use of misoprostal to prevent Post Partum Haemorrhage
Country your work focuses on
Nepal
Describe Your Idea
Initiate the use of misoprostol to prevent Post Partum Haemorrhage (PPH) in home deliveries with transformation of local women into Community Change Agent and use of Sangini Franchising Outlets. Both, Sangini Franchising Outlets and local women who are active members community group are oriented about Misoprostol and their duties lie in disseminating correct informations of misoprostol. Misoporostol is made available in Sangini Franchising Outlets after orientation.
The use of misoprostol will help prevent PPH and ultimately contribute government's millenium development goal to reduce MMR
Website URL
Innovation
What makes your idea unique?
It is a successful attempt in the history of social marketing that misoprostol is used for the prevention of excessive bleeding (PPH) during home birth. The success was achieved through the mobilization of local women and use of Sangini Franchising Network. Local women after orientation were termed Community Change Agent who conducted orientations to women groups which led to use of misoprostol during home deliveries.
Do you have a patent for this idea?
No
Impact
This Entry is about (Issues)
What impact have you had?
The impacts of the program were observed through the monitoring and evaluations done by IPC and CRS staff in Bardiya district. The impacts were;
• Out of 268 women interviewed, 78% of the users had overall knowledge on Misoprostal, 22% had knowledge on when to use and how to use.
• No casualties were found and only small percentage of women complained of headache, fever and severing and diarrhea.
• Out of 266 deliveries, only 35 women went hospital to deliver, rest of the deliveries were home deliveries and 2 of the women had not reach their delivery date in the time of monitoring period.
• 48% of the buyers of MSC were found to be husbands, 28% were relatives and 24% were pregnant women themselves.
One of the CCA reported a touching incidence about her neighbor dying in cowshed due to excessive bleeding after giving birth to her child. She said that, “if Matri Surakchya Chakki was available at that time my neighbor's life would have been saved.”
Problem
Approximately 250 words left (1200 characters).Maternal mortality rate of the country is 281 per lakh total live birth. Majority of the death during delivery is due to Post Partum haemorrhage (PPH) which accounts for 47% of total MMR (National Maternal Morbidity and Mortality Study 1998).
Approximately 79% of women deliver at home, less than one-fifth of births take place with the assistance of skilled birth attendance (SBA), and women receive assistance from a relative for nearly one out of every two births that probably have not had any formal training on deliveries and birth preparedness. Seven percent of births take place without any type of assistance at all. The situation is harshest for less educated and poor rural women, compounded by the insurgency and internal displacement over the past 10 years. Access to health facilities and trained providers remains a challenge, and while the GON is focusing efforts to increase the percentage of deliveries in health facilities, the need remains for interventions that seek to ensure use of Misoprostol for the prevention of PPH in household deliveries.
Actions
Implementation in Bardiya District(Pilot Initiative)
For the implementation of the program, MSC were made available in the 46 sangini outlets of Bardiya districts and orientations were held for the sangini outlets and CCAs accordingly.
Orientation on Misoprostol to Sangini Outlets:
All the 46 Sangini Outlets of Bardiya were given one day orientation program on Misoprostol. The orientation program was held in phase wise to effectively communicate the responsibilities of MSC seller.
They were asked to record the basic information of the purchaser and also the user of MSC. They were provided with logbook to record by Nepal CRS. They were also required to proper counsel the purchaser and they were strictly informed not to sell MSC if the pregnant women has still not cross seven months of her pregnancy period.
Further, CRS in coordination with NFCC developed the reporting and monitoring tools for CCA orientation program. A joint team observed the orientation session conducted by CCA and provided necessary feedback.
A total of 290 sessions of community meetings were conducted by the CCAs to women groups of Bardiya district.
Results
In Bardiya district, the use of misoprostol and overall knowledge were found to be high and also some of the female went for institutional deliveries and no casualties have found till this date which major achievement for this program
What will it take for your project to be successful over the next three years? Please address each year separately, if possible.
Over three years, this program will cover rural areas which will increase use of misoprostol in home deliveries. Similarly, in terai areas where health services are available, we will promote institutional delivery which will ultimately increase the number of instiutional deliveries.
What would prevent your project from being a success?
Approximately 250 words left (2000 characters).
How many people will your project serve annually?
101‐1000
What is the average monthly household income in your target community, in US Dollars?
Less than $50
Does your project seek to have an impact on public policy?
Sustainability
What stage is your project in?
Operating for less than a year
Is your organization a
Non‐profit/NGO/citizen sector organization
Is your initiative connected to an established organization?
Yes
If yes, provide organization name.
Nepal CRS Company
How long has this organization been operating?
More than 5 years
Does your organization have a Board of Directors or an Advisory Board?
Yes
Does your organization have a non-monetary partnerships with NGOs?
Does your organization have a non-monetary partnerships with businesses?
Does your organization have a non-monetary partnerships with government?
Yes
Please tell us more about how these partnerships are critical to the success of your innovation.
Partnerships will help us to implement our programs which we have launched in the field of family planning, HIV and AIDS prevention and maternal and child health. As, we are donor- supported company, we require full financial support and our survival depend on it.
Thus, partnerships is critical to the success of our Social Enterprise
What are the three most important actions needed to grow your initiative or organization?
The three most important actions needed to grow your initiative or organization
- Plan ahead the programs with coordination of key employers with their ideas in mind
- Develop a culture of innovation through motivation
- Transform plan into implementation with flexibility of addressing the unseen changes
The Story
What was the defining moment that you led to this innovation?
Nepal CRS's objective to contribute in the field of maternal and child health let to come across with this idea of use of MSC in home births as it would take long time for rural and remote people to go for institutional delivery.
Tell us about the social innovator behind this idea.
Mr. Krishna Bahadur Rayamajhi who has been working in the field of social marketing through Nepal CRS Company was determined to create a sucess in the field of maternal health by encouraging use of MSC in home births which is high in the context of Nepal. Pilot Project was intiated in Bardiya district as Bardiya's observation and distribution network of CRS was strong.
And, success was seen as use of misoprostol was used and no casualties were observed.
How did you first hear about Changemakers?
Email from Changemakers
If through another, please provide the name of the organization or company
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 | 113 weeks agoCRS Company Nepal CRS said: Dear Jake, Thank you very much for your interest. Our participation is of new kind so we are not much aware of what should we be ... about this Competition Entry. - read more > |
| 113 weeks agoCRS Company Nepal CRS said: Dear Jake, Thank you very much for your interest. Our participation is of new kind so we are not much aware of what should we be ... about this Competition Entry. - read more > |
| 113 weeks agoJake Miller said: There are other groups in this competition who have ideas concerning misoprostol. You should contact them and maybe you could work ... about this Competition Entry. - read more > |
| 114 weeks agoCRS Company Nepal CRS updated this Competition Entry. |
| 114 weeks agoCRS Company Nepal CRS submitted this idea. |
