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Preventing postpartum hemorrhage: Why quality improvement matters

K Hill | J Hermida | M Boucar | Y Tawfik | L Marquez
Organization: USAID Health Care Improvement Project/URC

Improvement Topics: Active management of the third stage of labor, Essential obstetric care, Post-partum hemorrhage

Region and Country: Ecuador, Niger

Ministries of Health of Niger and Ecuador

The failure of many health services worldwide to deliver evidence-based prevention and treatment of postpartum hemorrhage (PPH) where and when women need care is a major quality problem for maternal health.  This HCI short report describes how quality improvement approaches can accelerate scale-up of a high-impact intervention to reduce PPH--active management of the third stage of labor.  The report describes how quality improvement efforts in Niger and Ecuador led to remarkable gains in national coverage of this life-saving intervention. 

The report is also available in French and Spanish.