Recommendations for scale-up of community-based misoprostol distribution programs. 
Community-based distribution of misoprostol for prevention of postpartum hemorrhage (PPH) in resource-poor settings has been shown to be safe and effective.  However, global recommendations for prenatal distribution and monitoring within a community setting are not yet available.  In order to successfully translate misoprostol and PPH research into policy and practice, several critical points must be considered.  A focus on engaging the community, emphasizing the safe nature of community-based misoprostol distribution, supply chain management, effective distribution, coverage, and monitoring plans are essential elements to community-based misoprostol program introduction, expansion, or scale-up.