Since 1999, our goal in Bangladesh has been to protect women’s health.
- With the Obstetrical and Gynecological Society of Bangladesh, Jhpiego introduced use of injectable magnesium sulfate for management of severe pre-eclampsia (a condition of pregnancy characterized by high blood pressure and protein in the urine) and eclampsia (the onset of seizures in a woman with severe pre-eclampsia). This lifesaving intervention has been rolled out to 140 health care facilities.
- As a result of support under the MaMoni Health Services Strengthening project, 106 Union Health and Family Welfare Centers are now providing 24/7 delivery services in program areas (as compared to 11 at the beginning of the project)—thereby ensuring many more women deliver babies safely in health care facilities.
- To increase the access of postpartum women to long-term, reversible contraception, 492 Family Welfare Visitors, Family Welfare Assistants and Health Assistants had their capacity to provide postpartum family planning counseling increased, and 188 nurses, Family Welfare Assistants and Family Welfare Visitors were trained to provide postpartum IUD services.
Our Work in Bangladesh
As a partner on this project, led by Save the Children and funded by the U.S. Agency for International Development, Jhpiego supports the overall objective of increasing equitable utilization of high-quality maternal and newborn care (MNC) services. This objective is being achieved by: 1) strengthening district-level capacity, 2) improving the quality of MNC services and quality-of-care governance, 3) improving access and demand for MNC services and household practices, and 4) improving the government of Bangladesh’s capacity to deliver high-quality MNC services at scale.
Jhpiego is currently implementing the Accelerating Access to Postpartum Family Planning project in Bangladesh. The purpose of this project is to improve maternal, newborn and child health outcomes of vulnerable women and their children through increased access to quality postpartum family planning (PPFP) services and strengthened capacity of PPFP providers and facilities. This project, made possible with funding from Margaret A. Cargill Philanthropies, builds on the existing Government of Bangladesh and stakeholder commitments and momentum as a starting point to begin scale-up of PPFP. The project focuses on select underserved areas of districts in Dhaka, Chittagong and Sylhet Divisions of Bangladesh.
Under this program, Jhpiego is working to reduce unmet need for postpartum family planning in Bangladesh. It seeks to do this though a comprehensive advocacy effort to ensure availability of trained family planning providers and methods in the immediate postpartum period. Objectives are to: 1) secure a government mandate for the provision of family planning services by midwives and nurse-midwives; 2) facilitate development and implementation of a coordinated action plan among essential agencies to ensure shared ownership of and accountability for high-quality training of midwives and nurse-midwives in family planning and deployment of midwives to facilities; and 3) establish supply chain logistics to ensure availability of family planning commodities for midwives and nurse-midwives.
The purpose of this project is to improve maternal, newborn and child health outcomes through increased access to quality postpartum family planning (FP) services. With funding from UNFPA, Jhpiego is enhancing the capacity of six targeted upazilas within Cox’s Bazar District, to increase demand for, and supply of, FP information and services within integrated sexual and reproductive health care. The three overarching areas of focus are: 1) strengthening facilities to provide services; 2) building capacity of health care providers; and 3) creating demand for FP, with special attention on ensuring that counseling uses a rights-based approach and highlights the importance of women making choices best suited to their own needs and comfort. The project also supports implementation of a national FP program with quality service delivery of all FP methods at community, union, upazila and district levels in Cox’s Bazar. This includes tracking uninterrupted availability of supplies and commodities through an electronic logistics management information system and building the capacity of providers on FP clinical skills. To improve the quality of services in health facilities, this project promotes use of basic infection prevention measures and effective counseling in compliance with clinical standards. To identify eligible couples and promote FP use, the project uses mobilization of community-based skilled birth attendants, existing volunteers, community support groups and local government bodies, as well as establishing an effective referral system from community to the service delivery point with a sustainable mechanism for referral compliance tracking, monitoring and evaluation.