​August 28, 2017

Despite having the world’s highest cesarean section rates for decades, there’s now evidence the country of Brazil can reverse this trend. Building on the work of a successful 18-month demonstration project, today the Institute for Healthcare Improvement (IHI) and Brazil’s Hospital Israelita Albert Einstein (HIAE) announced they have received $1.5 million in funding from Merck for Mothers for a continuation of Projeto Parto Adequado (PPA), which encourages vaginal birth among low-risk women in public and private hospitals in Brazil. Phase I of PPA successfully increased the rate of vaginal birth from 21.6% to 38% over 18 months in 26 public and private hospitals. With this new funding, Phase II will apply the methods used and lessons learned to expand the initiative to an additional 137 hospitals across Brazil.

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