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.