Madagascar’s maternal mortality ratio of 478 deaths per 100,000 live births is among the highest in sub-Saharan Africa, and 20–25% of those deaths are estimated to be due to postpartum hemorrhage (PPH). Women in Madagascar face a lack of access to quality maternity care; 83% of the population lives in rural areas, which have a high fertility rate and low rates of skilled birth attendance (44%) and facility-based delivery (39%), and where an insufficient maternal health workforce is poorly distributed.

In response to these challenges and as part of ongoing efforts to accelerate reductions in maternal deaths, Advancing Postpartum Hemorrhage Care (APPHC) is a catalytic investment by USAID in Malawi and Madagascar for accelerating reductions in maternal deaths. The APPHC Partnership is led by Breakthrough RESEARCH and the Health Evaluation and Applied Research Development (HEARD) Projects.

Learn More

Programmatic research brief: Advancing Postpartum Hemorrhage Care (APPHC): Partnership Approach and Portfolio Overview

Programmatic research brief: Advancements in Postpartum Hemorrhage Care (APPHC): Overview of Portfolio Development and Research Studies in Madagascar

Programmatic research brief: Barriers Inhibiting Detection and Management of Postpartum Hemorrhage by Providers in Madagascar [English │ French]

Journal articleBarriers Inhibiting Effective Detection and Management of Postpartum Hemorrhage During Facility-based Births in Madagascar: Findings from a qualitative study using a behavioral science lens [Go to BMC Pregnancy and Childbirth website to read article]

Blog post: Simple Tools to Reduce Preventable Deaths During Childbirth

Woman carrying a baby in a sling on her back

Activity Snapshot

Collaborating Partners
University Research Co., LLC, TANDEM, ideas42, University of California at San Francisco, Société Consultus, USAID Madagascar, The Institut National de Santé Publique et Communautaire (INSPC), Accessible Continuum of Care and Essential Services Sustained (ACCESS)

Anticipated Timeline

Geographic Location

Charlotte Warren

More information on Breakthrough RESEARCH’s APPHC activities