thank you for the feedback. We established that each village health team is attached to a health center II and a number of health center II refer to a given health center III and onward. For the moment, we are presuming that with this kind of arrangement there is regular communication across these health centers and respective ambulances or attendants that move across these facilities. at the moment, our suggestion would be that each facility has at least 3 maternal wraps with the facilities' name clearly labelled. The attendant that goes with the patient is requested o return the wrap to the VHT representative who is usually a neighbor in the village who then returns the wrap or even returned by the ambulance service. We are redesigning the return loop but this is the most basic way we think it might work. We are open to your suggestions as well.
We received similar comments with regard to infection control surrounding the use and sharing of the device. The improved the design to make it 2 part whereby the outer dressing of the device is removable and autoclavable or can be wiped with disinfectant or to have the entire device dressed in a water proof or mackintosh material that can be easily wiped and dried for easier reuse.
Looking at the population of the the women in refugee camps, our target buyer is not the mother herself but rather the health care providers like antenatal and post natal clinics, health centres, ambulance services, and make shift medical camps. The current cost is $6 a unit but we believe we can still bring the costs lower through mass production.
However, if a mother can has been told she has a high risk of suffering from PPH wishes to purchase it for safety purposes, it will still be within the affordable range.
The design is simple and will have visual aids and illustrative instructions for use so that in absence of the technical expertise, it can still be applied.