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

In the News

Study establishes link between gender, extramarital affairs and HIV

Dar es Salaam. A new Ifakara Health Institute study has found “a significant association between lifetime (proxy) extramarital affairs and HIV infection among women only,” with the risk being significantly …

IHI names winners of research, innovation fund

[Right-Left] Getrud, Beatrice, Theckla, and Tutu.Ifakara Health Institute (IHI) has named recipients of the 2017/18 Director’s Research and Innovation Fund. This is an internal funding mechanism aimed to support specific …

Recent Projects

Development of a new tool for malaria mosquito surveillance to improve vector control

Malaria transmission is influenced not only by vector abundance, but as well by demographic traits such as vector species and age structure, as these influence the intensity by which the …

Demonstrating complete disruption of residual malaria transmission by eliminating Anopheles funestus mosquitoes from rural Tanzanian villages

In rural south-eastern Tanzania, where malaria prevalence has reduced by >60% since 2000, low-to-moderate transmission still persists despite very high coverage with long-lasting insecticidal bednets. Like in most residual transmission …

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