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Bangladesh is one of the developing countries in the world. There has been substantial progress
in Bangladesh during the last decades, specially in maternal, neonatal and child health: It has achieved
considerable improvement in social and health indicators, like maternal mortality Ratio(MMR), Neonatal
mortality, Infant mortality and Total fertility rates (TFR),
Despite remarkable changes, and Bangladesh is in track to achieve MDG 4 and number of
initiatives have been taken to achieve MDG 5. Government of Bangladesh has given more emphasis and
priorities on particular issues, like Antenatal Care (ANC), safe delivery with Post Natal Care (PNC) and
neonatal care in HNPSP. Some special and innovative programs are undertaken on reproductive, neonatal
and child health along with other support programs under ESD, DGHS. National and international
agencies are optimistic that Bangladesh will be able to achieve the Governments policies like PRS,
HNPSP and MDG goals.
Present status:
Maternal Health:
• Maternal mortality ratio: 320/100,000 live births (in the year 2001)
• 18% births have been attended by skilled birth attendants
• 60% pregnant women receive at least one ANC.
• 22% mother and newborn receives post-natal care from a trained service provider within six
weeks of delivery
• 15% delivery conducted at the health facility
Newborn:
• Out of 3.8 million babies, 120,000 die within 28 days,
• Approximately, 100,000 babies are stillborn,
• Neonatal death rate 37/1000 LB,
66
1.4 31
22
201 201
1999-2000 2015 1999-2000 1999-2000
5 5
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National Programs on Maternal Health Care
EmOC: Obst. first Aid, Basic & comprehensive EmOC
59 District Hospitals
132 Upazila Health Complex (UHC)
70 MCWCs : 60 District level; 8 Upazila level and 2 union level.
Community-based Skilled Birth Attendant Program
Demand Side Financing: Maternal Health Voucher Scheme
• Joint Govt. - UN agencies MNH Program
• Safe Blood Transfusion Program,
• National Nutrition Program,
• Postnatal Care (PNC) with vitamin A supplementation
• Maternal nutrition (through Iron + Folic acid).
• Prevention of unsafe abortion through safe MR services and provision of post abortion
care (PAC),
Progress: DSF Maternal Health Voucher Program is being implemented in 35 Upazilla of 33 district and
more than 100,000 vouchers have already been distributed.
Challenges:
• Deficit in skilled manpower especially in anesthesia
• Retention of skilled manpower especially in peripheral areas,
• Filling up the vacant posts including consultants/specialists both in Obs-Gynae. and Anesthesia)
• Transfer without replacement
• Issues related to carrier planning
• Scarcity of specifically trained nurse midwife
• Inadequate medical audit/Maternal, Neonatal Death Audit
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• Strengthening Inter-program coordination and collaboration in GOB, NGO, private section in
MNCH field