Feasibility and Impact of a Postpartum Hemorrhage Emergency Care Package Using a Bundle Approach in Migori County, Kenya

Promising evidence has emerged on the impact of postpartum hemorrhage (PPH) bundle interventions in high-income countries. However, data on PPH bundle interventions in low resource settings is limited despite the disproportionate burden of maternal mortality. The PPH Emergency Care package (PPH EmC) is a holistic intervention that uses a bundle approach, and has been implemented in Kenya, India, Nepal, Bangladesh, and Central America.The feasibility and impact of PPH EmC implementation in Migori County, Kenya was studied using a qualitative research design. In March and April 2022 key informants were identified using purposive sampling. Semi-structured interviews were conducted over Zoom from March to May 2022 until thematic saturation. Interviews were transcribed, coded, and analyzed for emerging themes.PPH EmC has positively impacted facility and health system preparedness, referral coordination, teamwork and communication, and overall capacity to provide quality PPH emergency care. Participants reported that PPH EmC is sustainable due to its low cost and support from local partners.Implementation of PPH EmC in Migori County, Kenya was feasible and positively impacts PPH emergency care.