In Mali, the Capacity Project’s Perle Combary recently assisted in the data analysis and writing of a final evaluation on a study of the role of matrones in the active management of the third stage of labor (AMTSL), a recommended practice to prevent postpartum hemorrhage.

The preliminary results of the study—a collaborative effort among the Capacity Project, Prevention of Postpartum Hemorrhage Initiative (POPPHI), Assistance Technique Nationale and Keneya Ciwara Project—suggest that matrones are able to perform AMTSL with the same levels of success and competency as other qualified health-worker cadres.

If this initial analysis is confirmed, it will demonstrate the benefits of expanding the role of matrones to improve alignment of maternal health needs with available human resources. Currently, 60% of all births in Mali are attended by matrones; their sanctioned use of AMTSL by the Ministry of Health would assist a very large population across the country.

February 2008