Improving obstetric care using non-pneumatic anti-shock...

In the News

IHI wins Grand Challenges Explorations grant

Dar es Salaam. Ifakara Health Institute (IHI) is a Grand Challenges Explorations winner, an initiative funded by the Bill & Melinda Gates Foundation.  Ms. Zawadi Mageni, a Research Scientist at …

IHI partners support Ifakara women group

Ifakara Health Institute (IHI) partners at the Innovative Vector Control Consortium (IVCC), Jed Stone and Christopher Larkin, recently distributed 300 conference bags made of cotton from the Ifakara Women’s Weavers …

Recent Projects

Understanding and enhancing approaches to quality improvement in small and medium sized private facilities in sub-Saharan Africa

This is an evaluation study that IHI is conducting in collaboration with London school of hygiene and tropical medicine. The research takes place in the context of an innovative intervention …

Vaccine Delivery Costing Study

As countries drive towards achieving high and equitable coverage of life-saving vaccines, the availability of sustainable, equitable, and predictable financing for vaccine delivery is essential. Over the last two decades, …

Strengthening emergency obstetric care by using non-pneumatic anti-shock garment and closed user group mobile phone

Obstetric hemorrhage is the leading cause of maternal death. In Tanzania, PPH alone contributes up to 28% of total maternal deaths annually. In addition, 28% of women who die from hemorrhage deliver in a hospital.  One tool to aid in preventing these deaths is the Non-pneumatic Anti-Shock Garment (NASG). The NASG is a low technology compression device, which, when placed around the lower body of a woman with obstetric hemorrhage, will decrease bleeding, reverse shock, and buy the woman time until she can reach definitive care. The NASG, often referred to as Life-Wrap, is a relatively low cost tool for saving lives. Another contributor to maternal death from hemorrhage are problems with communications, the Closed User Group Emergency Phone (CUG) is another innovation, and was used to enhance emergency communications.

A number of studies have been conducted to document the NASGs’ effectiveness and in its 2012 Global recommendations, WHO stated, “The use of NASGs is recommended as a temporizing measure for obstetric haemorrhage.” This followed peer-reviewed publication of evidence from various studies including results from studies conducted at tertiary level facilities in Nigeria, Egypt, Zambia, Zimbabwe, and India which showed a 50% decrease in maternal deaths from hemorrhage, markedly reduced blood loss, and much faster recovery from shock. Data from 3,651 women were examined in a pooled analysis and showed a 59% significantly reduced odds of mortality among the women with the most severe shock. A recent randomized cluster trial of NASG application at primary health care centers before women in shock were transported to tertiary level facilities, showed similar decreases in mortality and faster shock recovery.

Lead Scientists:

Godfrey Mbaruku

Zachary Mtema

Robert Tilya

Partners

Safe Motherhood Program of the University of California, San Francisco
Ministry of Health Community Development, Gender, Elderly and Children (MoHCDGEC) Tanzania

Funders

Comic Relief
ELMA International

Projects Location

A PIXELBASE DESIGN
© Ifakara Health Institute (IHI), 2016