EMOTIVE.pdf
PDF 114 KB Posted
- Opportunity number
- 72062024RFA00009
About this file
This document appears to be a Request for Application (RFA) for the USAID Primary Health Care Improvement Program (UPHIP) in Nigeria. The program aims to build a more effective, resilient, and responsive primary healthcare system that can adapt to the changing needs of the Nigerian population, supporting the Government of Nigeria's Nigeria Health Sector Renewal Investment Plan. The anticipated period of performance is five years, across two phases.
The RFA provides details on the funding opportunity, including the funding instrument (cooperative agreement), eligible applicant types, and the funding activity category (health). The program is funded under the USAID Foreign Assistance for Programs Overseas (CFDA 98.001) grant program. The U.S. Agency for International Development (USAID) Nigeria mission is the federal agency administering this grant opportunity.
EMOTIVE
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Tranexamic acid
• 1g IV injection of tranexamic acid or diluted in 200ml crystalloid over 10 minutes
• Ensure bladder is empty, evacuate clots, check for tears with an internal examination and placenta for completeness
• Escalate if bleeding does not stop after first response or you are unable to identify or manage cause of bleeding
Examination and escalation
E
Massage of uterus
• Massage until uterus has contracted or for one minute
DETECT AND TREAT P O S T PA RT U M H A E M O R R H A G E E A R LY
IV fluids
• IV fluids in addition to the infusion should be given if clinically indicated for resuscitation and will require a 2nd IV access
Oxytocic drugs
• 10 IU IV oxytocin injection or diluted in 200-500ml crystalloid over 10 minutes plus a maintenance dose for 20 IU IV oxytcin diluted in 1000ml saline over 4 hours (+- misoprostol 800mcg PR/SL if used)
M E
TO IV
• Calibrated drape for blood loss collection with trigger lines at 300ml and 500ml for the first hour after birth
• Observations (blood loss, blood flow, uterine tone) every 15 minutes documented on the blood loss monitoring chart
• Blood pressure and pulse carried out once in the 1st hour postpartum and documented on the blood loss monitoring chart
Trigger criteria
1 Clinical judgement
2 Blood loss 500ml or more
3 Blood loss 300ml or more plus one abnormal observation
Early detection and trigger criteria
Implementation strategies
Audit newsletters: sharing with all staff monthly detection and bundle use rates along with PPH, severe PPH, blood transfusion, laparotomy and death from PPH rates and given feedback at monthly departmental meetings
Champions: midwife and doctor to oversee change, troubleshoot, give feedback on audit newsletters, connect with other champions through chats, meeting and websites for sharing knowledge and lessons learnt
Trolley and/or carry case: including all medicines and devices required for the treatment of PPH restocked after every use and complete a stocking checklist at the start of every shift
Training: on-site, simulation-based, and peer-assisted training of 90 minutes to a whole day facilitated by the use of provider guides, flipcharts and job aids displayed in labour wards
File details come from the government source that posted it. Updated .