The maternal mortality ratio in Malawi is one of the highest in sub-Saharan Africa, at 439 per 100,000 live births, of which an estimated 25% is due to postpartum hemorrhage (PPH).  Facilities in Malawi face persistent challenges including limited human resources, provider vulnerabilities, weak infrastructure, commodity availability, and lack of functioning referral systems and quality improvement efforts. In light of these challenges, there is a need to develop and implement effective strategies and interventions to advance PPH prevention and treatment in Malawi.

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.

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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 Malawi

Case study: Bottlenecks and opportunities around the use of maternity waiting homes in Malawi

Case study: Chipatala cha pa Foni, Malawi’s “Health Center by Phone,” improving information given about pregnancy-related symptoms

Case study: Perceptions and use of non-pneumatic anti-shock garments for management of postpartum hemorrhage in Malawi

Brochure: How birth companions can support providers during labour and delivery [English or Chichewa]

Poster: A companion of choice is recommended for all women throughout labour, childbirth, and the immediate postnatal period [English or Chichewa]

Mother holding newborn baby

Activity Snapshot

Collaborating Partners
University Research Co., LLC, University of Malawi Kamuzu College of Nursing (KCN) and College of Medicine (COM), VillageReach, PRONTO, University of California at San Francisco, USAID-Malawi, Organized Network of Services for Everyone’s Health Activity (ONSE), Ministry of Health and Population (MoHP)

Anticipated Timeline

Geographic Location

Charlotte Warren

More information on Breakthrough RESEARCH’s APPHC activities