Prevention of Maternal Deaths from Unwanted Pregnancies – ‘PMDUP’ (2012-2017)

PMDUP in Lusaka, Zambia

Nurses at work, Lusaka, Zambia

PMDUP was a DFID funded programme that aimed to increase the provision of reproductive health service outlets and trained providers in 14 low and middle income countries in Africa and Asia, implemented by two international NGOs (2012-2017). PMDUP stands for Prevention of Maternal Death from Unwanted Pregnancy.

The EVA-PMDUP project, also funded by DFID, was an external impact evaluation of the PMDUP Programme, combining the expertise of researchers based in three world-leading research organisations in global reproductive health: LSHTM, the Guttmacher Institute and the Population Council.

Evaluation activities focused on seven countries (India, Zambia, Malawi, Pakistan, Bangladesh, DRC and South Sudan):

  • Zambia evaluation: Quasi-experimental design to establish a dose-response relationship between PMDUP implementation intensity and reproductive health indicators in three provinces; additional studies to strengthen understanding of PMDUP theory of change
  • India evaluation: Cross-sectional studies of abortion morbidity in health facilities and drug seller market for medical abortion to strengthen the understanding of PMDUP theory of change
  • Policy evaluation (India, Zambia, Malawi, Pakistan, South Sudan): Qualitative case studies and contribution analysis approach informed by theoretical and methodological perspectives from health policy and anthropology to establish how PMDUP contributed to locally led changes
  • Household consequences (India, Zambia): Qualitative longitudinal design comparing women with safe and unsafe abortions to document the impact of improved access/lack of access on women’s well-being
  • Desk based evaluation (DRC Congo, Bangladesh): Contribution analysis using secondary sources and in depth interviews to assess the plausibility of contribution by the programme.

Research and methodological findings are published in several peer- reviewed journals and include articles by Cresswell et al, Owolabi et al, Powell-Jackson et al, Campbell et al, Cresswell et alStoreng et al, Daire et al, Moore et alScott et al and Palmer and Storeng

The final evaluation report can be found here together with DFID’s management response.

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