TAILIEUCHUNG - Maternal, Neonatal and Child Health Programmes in Bangladesh Review of good practices and lessons learned

Although there has been considerable improvement in the health indicators, still more than 60% of the population has very little access to basic healthcare (MOHFW 2003). The number of qualified physicians and nurses in Bangladesh is quite low, compared to other low-income counties (Cockcroft et al. 2004). Around 26% of professional posts in rural areas remain vacant (Chaudhury and Hanner 2003). Despite modestly declining poverty and inadequate health services, Bangladesh has achieved substantial gains in the field of health in the three decades since independence in the ‘70s (GoB 2004; Mahmud 2004), as evidenced in mortality and fertility declines in this low income country compared to other South Asian. | Maternal Neonatal and Child Health Programmes in Bangladesh Review of good practices and lessons learned Hashima-e-Nasreen Senior Research Fellow Research and Evaluation Division BRAC Syed Masud Ahmed Research Coordinator Research and Evaluation Division BRAC Housne Ara Begum Assistant Professor Institute of Health Economics University of Dhaka Kaosar Afsana Associate Director Maternal Neonatal and Child Health Programme BRAC Health Programme BRAC July 2007 Reprint - April 2010 Research Monograph Series No. 32 Research and Evaluation Division BRAC 75 Mohakhali Dhaka 1212 Bangladesh Telephone 88-02 9881265 8824180 PABX Fax 88-02 8823542 E-mail research@ Website Copyright 2010 BRAC First edition July 2007 Reprint April 2010 Cover design Sajedur Rahman Printing and publication Altamas Pasha Design and Layout Md. Akram Hossain Published by BRAC BRAC Centre 75 Mohakhali Dhaka 1212 Bangladesh Telephone 88-02 9881265 8824180-87 Fax 88-02 8823542 8823614 E-mail research@ Website research BRAC RED publishes research reports scientific papers monographs working papers research compendium in Bangla Nirjash proceedings manuals and other publications on subjects relating to poverty social development health nutrition education gender environment and governance. Printed by BRACPrinters 87-88 old 41 new Block C Tongi Industrial Area Gazipur Bangladesh TABLE OF CONTENTS Acknowledgements v List of abbreviations vii Executive summary xi Introduction 1 Background 1 Objectives 2 Materials and methods 3 The country-specific context of maternal neonatal and child health 5 Demographic and socioeconomic profile 5 Status of maternal health 7 Status of child health 10 Healthcare delivery system for maternal and child health 13 Policy-making in the health and population sectors 16 Improving MNCH through health policy 16 Major interventions on MNCH in Bangladesh 19 MNCH interventions in .

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