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BMJ Open Qual. 2018 Oct 3;7(4):e000204. doi: 10.1136/bmjoq-2017-000204. eCollection 2018.

Postpartum quality improvement strategy for increasing long-acting contraception uptake at a University Hospital in Haiti.

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Maternity, Hôpital Universitaire de Mirebalais, Mirebalais, Haiti.
Training and Research, Hôpital Universitaire de Mirebalais, Mirebalais, Haiti.
Strategic Information, Hôpital Universitaire de Mirebalais, Mirebalais, Haiti.


To address the gap in the uptake of long-acting contraception (LAC) methods among high-risk postpartum women who fail to return for a family planning method at HôpitalUniversitaire de Mirebalais in the Central Plateau Department of Haiti, contraceptive implant trainings were held for providers on the Labour and Delivery, Post-Partum and Internal Medicine inpatient wards. A very high maternal mortality rate affects large numbers of women in Haiti; however, contraceptive use can reduce maternal mortality significantly. A quality improvement strategy to offer LAC methods to immediate postpartum women at a University Hospital in rural Haiti was initiated in March 2016. This new strategy produced an average improvement from 5% to 32% of women delivering at the hospital, accepting a long-acting method (including bilateral tubal ligations) by the end of the project and which has proved sustainable at an average of 20% to date.


nurses; obstetrics and gynecology; quality improvement; women’s health

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