Authors: 

Mubambe M, Mwanza J, Moyo E, Dzinamarira T.

Abstract:

Maternal mortality remains a pressing concern globally, with postpartum hemorrhage (PPH) being a significant contributor. PPH remains a significant public health challenge in Zambia, contributing to 34% of maternal deaths, as per a recent study (1). Zambia is a country in Southern Africa with a population of about 20 million. About 60% of the Zambian population lives in rural areas. 60% of Zambians were considered impoverished in 2022, making it one of the nations with the greatest rates of poverty (2). Due to logistical and physical obstacles like high transportation costs and extensive travel distances, access to healthcare services is restricted in rural areas of the country (3). This high prevalence of PPH can be attributed to several factors, including high parity, limited antenatal care (ANC), skilled birth attendant (SBA) shortage, and socio-economic constraints to mention a few (4).

Women in Zambia often experience multiple pregnancies, with uterine fatigue increasing the risk of PPH (5). Secondly, inadequate access to prenatal screening and interventions may increase vulnerability to complications during childbirth (6). This coupled with a lack of sufficient SBAs, particularly in rural areas, compromises the quality of delivery care and timely identification of PPH risks. Regarding socio-economic challenges, poverty can restrict access to essential maternal healthcare services (7), including blood transfusions and surgical procedures, crucial for managing severe PPH.

This opinion manuscript explores the current landscape of PPH management in Zambia, highlighting the Zambian Ministry of Health’s initiatives and partnerships and proffers a perspective on opportunities for strengthening efforts to address PPH in the country.