Misoprostol Policy and Scale-up for the Prevention of Postpartum Hemorrhage in Madagascar, Mozambique, and Nigeria


Postpartum hemorrhage is the leading cause of maternal mortality in low-income countries. Over the past decade, the use of misoprostol for the prevention of postpartum hemorrhage in developing countries has gained attention as an effective strategy in settings where skilled birth attendance is low, particularly at the community level.

Despite a growing body of evidence, few countries in Africa have adopted national policies or service-delivery guidelines for the introduction and scale-up of this intervention. To better understand and inform the processes behind doing so, the African Strategies for Health project conducted a review of experiences from Madagascar, Mozambique, and Nigeria.