The Don't Quit the Quit program, funded by a grant from the Foundation for Opioid Response Efforts (FORE), aims to increase access to treatment and recovery services for pregnant and postpartum women in rural and tribal communities. Started in 2020 and administered by the University of North Dakota (UND) in an eight county area, the program includes four main approaches:

• Recruiting clinics and medical staff, including certified nurse-midwives, to provide medication for opioid use disorder (MOUD), thus helping to close the OUD treatment gap for pregnant and postpartum women
• Collaborating with the state's Women, Infants, and Children (WIC) program to raise culturally sensitive awareness among WIC staff about OUD during pregnancy, reduce OUD-related stigma, and increase use of WIC services (e.g., health care, nutrition) by OUD-affected families
• Providing program participants with in-home care by doulas to demonstrate effective infant care skills, assist with household tasks, and support women in their recovery
• Educating affected women about OUD and maintaining family health by means of a free monthly webinar series

Local news coverage of Don't Quit the Quit can be found here and here, an issue brief by FORE on the program's rationale here, and an extensive video presentation on the program here. FORE, in collaboration with UND, gave a presentation on Caring for Pregnant and Parenting Women with OUD During the COVID-19 Pandemic, and a journal article on the role of midwives in delivering stigma-free care for women with substance use disorders can be found here.