Active management of third stage of labour saves facility costs in Guatemala and Zambia.

"The findings of the present study indicate that the proven clinical benefit of AMTSL is also associated with a distinct financial benefit to health facilities. We believe that these findings, although drawn from very cautious cost estimations, assumptions, and procedures, offer a compelling argument in support of the introduction of AMTSL as a clinical practice guideline, with both client and facility benefits as an outcome."

"This publication was made possible through support provided by the Maternal and Child Health Division, Office of Health, Infectious Diseases and Nutrition, Bureau for Global Health, U.S. Agency for International Development (USAID), under the terms of Award No. HRN-A-00-98-00043-00 for the Maternal and Neonatal Health Program. The opinions expressed herein are those of the authors and do not necessarily reflect those of the USAID. The authors wish to acknowledge the research and consultant staff and members of the expert panels in Guatemala and Zambia, who contributed to this research. The authors also thank Oscar Cordon and Rick Hughes, JHPIEGO country office directors of Guatemala and Zambia respectively, and the JHPIEGO MNH Program and its partners. The authors also thank Judith Robb-McCord and Harshad Sanghvi for their support and input throughout this project. This publication was made possible through support provided by the Maternal and Child Health Division, Office of Health, Infectious Diseases and Nutrition, Bureau for Global Health, U.S. Agency for International Development (USAID), under the terms of Award No. HRN-A-00-98-00043-00 for the Maternal and Neonatal Health Program. The opinions expressed herein are those of the authors and do not necessarily reflect those of the USAID. The authors wish to acknowledge the research and consultant staff and members of the expert panels in Guatemala and Zambia, who contributed to this research. The authors also thank Oscar Cordon and Rick Hughes, JHPIEGO country office directors of Guatemala and Zambia respectively, and the JHPIEGO MNH Program and its partners. The authors also thank Judith Robb-McCord and Harshad Sanghvi for their support and input throughout this project."