Casella Jean-Baptiste Meredith, Louis Stephanie, Millien Christophe, Jeune Erwine Dina, Sainterant Ornella, Joseph Jean Paul
Maternity, Hôpital Universitaire de Mirebalais, Mirebalais, Haiti.
Training and Research, Hôpital Universitaire de Mirebalais, Mirebalais, Haiti.
BMJ Open Qual. 2018 Oct 3;7(4):e000204. doi: 10.1136/bmjoq-2017-000204. eCollection 2018.
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.
为解决海地中央高原省米雷巴莱大学医院高危产后妇女长效避孕（LAC）方法使用率低的问题，即这些妇女未能返回接受计划生育方法，医院为产科、产后及内科住院病房的医护人员举办了避孕植入培训。海地有大量妇女受极高孕产妇死亡率影响；然而，使用避孕药具可显著降低孕产妇死亡率。2016年3月，海地农村一家大学医院启动了一项质量改进策略，为产后即刻的妇女提供长效避孕方法。这一新策略使在该医院分娩的妇女接受长效避孕方法（包括双侧输卵管结扎）的比例从平均5%提高到了项目结束时的32%，且截至目前平均维持在20%，已证明具有可持续性。
