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BMJ Quality Improvement report
Postpartum quality improvement strategy for increasing long-acting contraception uptake at a University Hospital in Haiti
  1. Meredith Casella Jean-Baptiste1,
  2. Stephanie Louis1,
  3. Christophe Millien1,
  4. Erwine Dina Jeune1,
  5. Ornella Sainterant2,
  6. Jean Paul Joseph3
  1. 1Maternity, Hôpital Universitaire de Mirebalais, Mirebalais, Haiti
  2. 2Training and Research, Hôpital Universitaire de Mirebalais, Mirebalais, Haiti
  3. 3Strategic Information, Hôpital Universitaire de Mirebalais, Mirebalais, Haiti
  1. Correspondence to Meredith Casella Jean-Baptiste; mjeanbaptiste{at}pih.org

Abstract

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.

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

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjoq-2017-000204

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    Footnotes

    • Contributors MCJ-B and SL came up with the initial idea for the QI project. MCJ-B designed training, implementation of the protocol, data collection tools, wrote the statistical analysis plan, cleaned and analysed the data, and drafted and revised the paper. MCJ-B is responsible for the overall content as guarantor. SL and EDJ assisted in the staff training, motivation and supervision of correct implant placement. They also assured the successful realisation of the project. CM and JPJ added edits and comments to the working drafts of the manuscript. All authors have approved of the final version of this article while MCJ-B and OS did critical revision of the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Disclaimer The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies mentioned in or pertaining to this article.

    • Competing interests None declared.

    • Patient consent Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.