PT - JOURNAL ARTICLE AU - Meredith Casella Jean-Baptiste AU - Stephanie Louis AU - Christophe Millien AU - Erwine Dina Jeune AU - Ornella Sainterant AU - Jean Paul Joseph TI - Postpartum quality improvement strategy for increasing long-acting contraception uptake at a University Hospital in Haiti AID - 10.1136/bmjoq-2017-000204 DP - 2018 Oct 01 TA - BMJ Open Quality PG - e000204 VI - 7 IP - 4 4099 - http://bmjopenquality.bmj.com/content/7/4/e000204.short 4100 - http://bmjopenquality.bmj.com/content/7/4/e000204.full SO - BMJ Open Qual2018 Oct 01; 7 AB - 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.