0:00:12i'm docks and all the pattern
0:00:14associate professor in residence of what on channel health
0:00:18in the scope ourself at university of california berkeley with my colleagues as annabelle and
0:00:22paraguay there'd we relatively few of prevention of perspective have which interventions of lisa settings
0:00:29looking at kind of perspectives
0:00:32the reason might would be that is we know that more than forty million cases
0:00:35of static average score every year
0:00:39so in the review of the pph prevention interventions
0:00:43we focus on me process to one of the latest technologies added to the conventional
0:00:49perspective hemorrhage well we look at all other interventions from a using information from randomised
0:00:55controlled trials an and randomise field trials
0:00:58we also look at challenges and opportunities to scale up those interventions
0:01:03so our results show that active management of their stage of labour is considered the
0:01:09gold standard strategies and he combines known drug intervention is really user tonic drugs
0:01:14and the preferred user at ronnie could be oxytones seen however oxytones in has limited
0:01:20applications in resource poor countries the to heat instability and the fact that needs to
0:01:26be provided by scale provider
0:01:29in fact all of the double it sure recommended interventions with the exception of recent
0:01:34past all need to be provided bytes can provide is this leads to really needed
0:01:40to reach because only those between facilities will be able to make
0:01:46you'll so that
0:01:47so the challenges that we found in our review
0:01:51are location of delivery discourse at of skew providers the for storage condition of drugs
0:01:57and efficient public sector supply chains
0:02:00they consisted you consistent use of recommended drugs and procedures continuum of care and also
0:02:07this little translation of research into policy some programs
0:02:12some of the opportunities that we found were related to the new keeps stable drug
0:02:17formulations that i development you rejected the old to the single block still seen injection
0:02:23system home base lifesaving skills package the can be used by non skin providers
0:02:29but also the potential to increase public private partnerships
0:02:33so we conclude that because pph is the main cause of maternal mortality worldwide
0:02:39prevention interventions need to be prioritise is an essential way to improve what do not
0:02:44help
0:02:45there is no panacea so country specific policies and programs need to be devised however
0:02:51it is important to prioritise the increase of access to profit leading to tonics
0:02:57in places in the low resource settings and we'll maternal mortality still high means of
0:03:03crosstalk is the best way to reduce pph that
0:03:07i hope that you enjoy reading this paper
0:03:10and we are happy to take any suggestions and comments from