In Haiti, surviving pregnancy and childbirth is especially tenuous for young women, who are already marginalized. One of the four leading causes of death for women 20–24 years old is pregnancy- or childbirth-related. An important gap remains regarding youth perspectives of maternal health and well-being within their communities.

Objectives
In Haiti, efforts to improve maternal newborn child health must be tracked and monitored to measure their success. At a rural Haitian hospital, health system changes took place that resulted in the opening of a newly-constructed maternity unit, with increased personnel, and physical space. We aimed to determine if the new maternity led to improvements in maternal and newborn outcomes.
Methods