To read this story in French, please click here.Ensuring the quality of care in health institutions, especially of those in hard-to-reach areas, is a constant source of concern for public health authorities in Haiti. The Morne à Brûler health center, located in the third communal section of la Vallée de Jacmel, 100 km southwest of Port-au-Prince, is an example of this challenge.Although the health center should have been serving a catchment population of 10,267 inhabitants, it was nonoperational for three years.