Bangladesh : Readiness for Quality of Care Implementation


Population 160,996,000
Fertility rate per woman 2.1
Total maternal deaths in 2015 5,200
Neonatal Mortality Rate 28 per 1,000 live births
Stillbirth rate 24.5 per 1,000 births


National Policies

Midwives authorised for specific tasks 6 of 7
Maternal deaths notification Yes
Postnatal home visits in first week after birth Yes
Kangaroo mother care in facilities for low birth weight/preterm newborns Yes
Antenatal corticosteroids as part of the manage-ment of preterm labour Yes
International Code of Marketing of Breastmilk Substitutes Partial

Coverage of essential interventions %

Demand for family planning satisfied 82
Antenatal care (4 or more visits) 31
Skilled attendance at delivery 42
C-section rate 23
Early initiation of breastfeeding 44
Exclusive breastfeeding 55
Postnatal visit for baby (within 2 days) 32
Postnatal care for mother (within 2 days) 36

Readiness to improve quality of care

Functional Leadership Structure for Quality Improvement
Quality of Care Committees established in District Health Management Teams
Plans, strategies & standards
National Quality of Care Strategy for the Health Sector
National Strategy for Maternal and Newborn Health addresses Quality of Care
National Quality of Care Standards and Protocols
Maternal and newborn standards are in place
RMNCAH framework is drafted
National Situational Analysis for Quality of Care up to date
Assessment of Quality of Care in Health Facilities completed in the past two years
Supporting systems
Maternal and Perinatal Death Surveillance and Response System established
All Maternal and Newborn Lifesaving Commodities on the Essential Medicine List Implementation of maternal and newborn standards
Water Coverage in Health Care Facilities (%) 97%
Skilled attendance at delivery (%) 42%
National Availability of EmOC (% of recommended minimum) 184%
Not Started
No Data

Examples of Implementation