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The Postpartum Haemorrhage Roadmap Milestone Tracker
Holding the global community accountable for implementing the Roadmap to Combat Postpartum Haemorrhage between 2023 and 2030.
Each year, millions of women experience severe bleeding after childbirth, or postpartum haemorrhage (PPH). This preventable and treatable condition remains the leading cause of maternal death worldwide.
If we don't take the right actions now, this is going to get worse.
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Professor Arri Coomarasamy
University of Birmingham
This Roadmap outlines the global-level milestones and activities needed to combat PPH and ensure the global community is accountable to lasting change.
Explore the Roadmap
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The journey began at the first PPH Summit in Dubai
The journey began at the first PPH Summit in Dubai
Over 130 global stakeholders met to chart a shared path towards ending preventable PPH-related maternal deaths. Participants represented a range of sectors including governments (ministries of health), private sector organizations, research institutions and civil society organizations.
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In my nation we had one word we used to say ‘harambe’ which means pulling together. We shouldn't walk alone. As society, we should care enough for any woman who is pregnant.
Dr Anne Kihara
President, International Federation of Obstetrics and Gynaecology
Over the months leading up to and following the conclusion of the Summit, participants worked together to establish A Roadmap to Combat between 2023 and 2030 (aka the Roadmap), a shared plan—developed and held collectively—for preventing and treating PPH. The Roadmap is organized around four strategic areas, which reflect the journey of life-saving interventions from idea to clinical practice.
A broader set of stakeholders provided input and feedback to refine the Roadmap
A broader set of stakeholders provided input and feedback to refine the Roadmap
The Roadmap was shared through a soft launch at the International Maternal Newborn Health Conference in Cape Town to solicit additional stakeholder input and feedback. Partners also began making commitments to advance portions of the Roadmap.
The community has an opportunity now to come together and to achieve big reductions in maternal and newborn mortality.
Dr Jeffrey Smith
BMGF
The Roadmap and accompanying interactive accountability platform were published
The Roadmap and accompanying interactive accountability platform were published
At FIGO 2023, the Roadmap was released as an official WHO publication. This accountability platform was launched in concert, to help ensure commitments are sustained and progress is maintained. USAID has committed to implementation of the Roadmap through their missions.
MILESTONE
Efforts to strengthen access to lifesaving PPH commodities underway
Expert meeting to finalize a short list of WHO recommended commodities (including PPH commodities), commencing the development of implementation guidance. This will provide strategies for addressing procurement bottlenecks and overcoming barriers faced by health workers, women and their families.
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I asked what was happening and was told I was losing too much blood. I became very scared.
My partner was sitting next to me holding our baby and asking a midwife to take a picture of him. I remember thinking, 'I'm going to die and he has no idea'.
Quote from the Birth Trauma
Association UK
MILESTONE
WHO-FIGO-ICM begin work to develop a joint, consolidated PPH guideline
Global guideline developers commit to work together to harmonize guidance on PPH prevention, detection and management. This will clarify how best to respond to PPH emergencies.
We know that up to 50 percent of postpartum haemorrhages are currently missed. That means women who have postpartum haemorrhages don't get the right treatment at the right time.
Professor Arri Coomarasamy
University of Birmingham
MILESTONE
Call for proposals to conduct top priority research are released
In 2023, WHO will develop guidance for donor agencies and innovators on the research needed to address gaps in global PPH norms and standards. In 2024, calls for proposals that respond to these research gaps will be issued.
MILESTONE
WHO recommendations actioning new, impactful evidence are published
WHO recommendations will be updated to reflect new and impactful evidence on the management of PPH.
ONGOING ACTIVITIES
Guidelines and derivative tools will continue to be updated until 2030.
MILESTONE
Network of National PPH Champions is launched
This network of champions representing ministries of health from around the world will spearhead efforts to translate global guidelines into national policies, programmes and practices. The network will work closely with WHO and other key stakeholders to ensure guidance is tailored and adapted for context.
Are we really taking consideration of the context?
Are we really taking consideration of the context?
Ms Angela Nguku
White Ribbon Alliance
Ms Angela Nguku
White Ribbon Alliance
MILESTONE
Global branding strategy and advocacy framework are released
Over the course of 2024, a working group composed of WHO, other multilateral organizations, CSOs, NGOs, and the PPH Community of Practice will develop a coordinated global branding strategy and advocacy framework to coordinate global, regional and national efforts.
ONGOING ACTIVITIES
Advocacy efforts to raise awareness and advocate for women to be the centre of the political agenda
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This activity is dependent on the launch of the PPH framework
MILESTONE
Joint, consolidated WHO-FIGO-ICM PPH guideline is published
This new joint, consolidated PPH guideline will contain recommendations based on the most up-to-date evidence on PPH prevention and care. It will serve as a single reference for policymakers, programme managers and clinicians.
MILESTONE
Support for implementation of the joint, consolidated WHO-FIGO-ICM PPH guideline begins
Once the new joint, consolidated PPH guideline is released, Jhpiego and Laerdal Global Health have committed to partner to develop training materials and job aids to support in country-implementation. These materials will be distributed through the Network of National PPH Champions.
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This is dependent on the WHO recommendations developed in 2024 and influences the PPH guideline adaptation and adoption to support dissemination and implementation in-country.
We need more implementation work and really to overcome the gaps that exist in getting from research into practice.
Professor Suellen Miller
University of California
We need more implementation work and really to overcome the gaps that exist in getting from research into practice.
Professor Suellen Miller
University of California, San Francisco
MILESTONE
First Global PPH Day
Highlighting the achievements of the past two years, the first Global PPH Day will continue to rally international support for the Roadmap, and keep the global community focused on the shared goal of ending preventable PPH-related maternal deaths.
My baby was 3 weeks old when I haemorrhaged and passed out while feeding her at midnight. I soaked a maternity pad, undies, pants and through to the mattress in a couple of minutes.
MILESTONE
Global monitoring system to track country progress is launched
WHO, FIGO, ICM, ministries of health and national professional associations will collaborate through 2024 to scope and pilot a monitoring approach to support countries to track progress and meet PPH-related targets. The resulting global monitoring system will be launched in 2025.
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This milestone influencers advocacy efforts to raise awareness and advocate for women to be at the centre of the political agenda
MILESTONE
Regional and local advocacy frameworks begin to roll out
PPH messaging is most powerful when tailored to local contexts and situations. Over the course of 2024 and 2025, the advocacy working group and other stakeholders will tailor content and materials to serve regional and national advocacy efforts. These materials will be launched in 2026.
MILESTONE
New procurement initiative to strengthen country access to PPH commodities begins
Through 2024 and 2025, WHO and other key partners (e.g., UNFPA, the Global Financing Facility and the Reproductive Health Supplies Coalition) will have collaborated to develop a new procurement initiative to support countries in assuring access to quality lifesaving PPH commodities. These materials will be launched in 2026.
After I came to the hospital,I was bleeding a lot. They gave me some tablets to help, and it stopped.
I turned 19 in January and am currently going to school. I hope to go back once I am recovered from today.
Quote from International Health Partners
Liberia
MILESTONE
Results from the first batch of funded research priorities are published
Research activities seeded in 2024 will begin to show results. WHO and other global guideline developers will review evidence to determine whether new or updated recommendations are needed.
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This activity influences the ongoing PPH guideline adaptation and adoption to support dissemination and implementation in country
MILESTONE
Global, regional and national advocacy frameworks are updated
As the activities organized under the Roadmap take place, reductions in PPH-related maternal death and disability are visible. The advocacy working group and other stakeholders will update advocacy frameworks to reflect successes and reinforce the need to keep up the good work.
MILESTONE
New research priorities are established to further improve maternal health
Evidence from the first batch of funded research priorities will be effectively integrated into global guidelines, national programmes and clinical practice worldwide. It is time to establish new priorities for research and action.
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