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dc.contributor.authorRaj Sharma, Jeevan
dc.contributor.authorKhatri, Rekha
dc.contributor.authorHarper, Ian
dc.coverage.spatialNepalen
dc.date.accessioned2018-05-01T09:58:27Z
dc.date.available2018-05-01T09:58:27Z
dc.date.issued2018-05-01
dc.identifier.citationRaj Sharma, J., Khatri, R. and Harper, I. (2018) 'Accountability and Generating Evidence for Global Health: Misoprostol in Nepal' in Nelson, E., Bloom, G and Shankland, A. (Eds) Accountability for Health Equity: Galvanising a Movement for Universal Health Coverage, IDS Bulletin 49.2, Brighton: IDSen
dc.identifier.urihttps://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/13682
dc.description.abstractPostpartum haemorrhage (PPH) is a major cause of maternal morbidity and mortality in Nepal. Compounded by the remote terrain, endemic poverty, and a lack of access to health facilities, the use of misoprostol has advantages over the standard use of oxytocin for PPH management. Drawing on our qualitative study of a pilot intervention managed by the Nepal Family Health Programme, we map the institutional relationships involved in the design, implementation, and practices for bringing misoprostol into national policy. In the intense and competitive global and national policy arena, sustained lobbying and getting the ‘right people’ on board were as powerful drivers as the quality of the intervention itself. The case study takes us to the heart of the debate around the politics of generation of evidence for interventions in global health programmes, and ultimately the question of accountability for health policy and practice.en
dc.description.sponsorshipOpen Society Foundations, Vozes Desiguais/Unequal Voices, Future Health Systems consortium, the Impact Initiative and Health Systems Globalen
dc.language.isoenen
dc.publisherInstitute of Development Studiesen
dc.relation.ispartofseriesIDS Bulletin;49.2
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited. http://creativecommons.org/licenses/by/4.0/legalcodeen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectHealthen
dc.titleAccountability and Generating Evidence for Global Health: Misoprostol in Nepalen
dc.typeArticleen
dc.rights.holderInstitute of Development Studiesen
dc.identifier.teamHealth and Nutritionen
dc.identifier.doi10.19088/1968-2018.135
dcterms.dateAccepted2018-05-01
rioxxterms.funderDefault funderen
rioxxterms.identifier.projectDefault projecten
rioxxterms.versionVoRen
rioxxterms.funder.projectd218e59e-c0fb-4cb3-8a07-92a57da72cd1en


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This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited. http://creativecommons.org/licenses/by/4.0/legalcode
Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited. http://creativecommons.org/licenses/by/4.0/legalcode