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This young woman was the first mother in our study in Tanzania whose post-partum hemorrhage was stopped by the misoprostol administered by a TBA.
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This is the sad lady in our quote, Margaum, who lost her own daughter to post-partum hemorrhage four years ago. She was one of the participating TBAs in our highly successful clinical demonstration study in Tanzania.
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In this picture the TBAs are going through parts of the training for using misoprostol to stop post-partum hemorrhage after home births.
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The kanga is a rectangular garment of uniform dimensions but the colors are varied and always bright. They are purchased in pairs and worn as garments, head coverings, and baby carriers and used also for many other purposes. There is even a little paperback African book called “100 Ways to Use a Kanga”! For our study the TBAs and our technical advice team from Berkeley invented a systematic way to use these to estimate blood loss to know when hemorrhage was occurring.
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This village is on the edge of Lake Tanganyika, by boat an hour north of Kigoma. Just one hour farther north is the Gombe Stream National Park, where Jane Goodall has carried out her studies of chimpanzees for over 40 years.
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We were thrilled to be working with these strong, resourceful women who have delivered many, many babies on mats on the floors of their villages’ homes for years. They explained that they were relieved to have, at last, a technology that could make a difference when a woman started to bleed too much. In the past, there was very little they could do about it and death was common.
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Each month there was careful recording of data regarding the outcomes of home births attended by the TBAs. This work is being done in a rural area outside Kigoma, western Tanzania.
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This summer we completed, with our committed team of Tanzanian researchers, an evaluation of the long-term use of misoprostol at the community level in a rural area outside Kigoma, western Tanzania. Every where we went the reply was, "Bring more! Bring more tablets!"
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Venture Strategies has developed culturally appropriate pictorial directions for illiterate mothers and birth attendants to use that describe when and how to take misoprostol for prevention of postpartum hemorrhage.
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Healthcare providers in four districts who provide critical antenatal care services to rural women were trained on misoprostol for the prevention of postpartum hemorrhage.
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