ISSN : 1997-1052 (Print)
227-202X (Online)
 
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An Overview of the Maternal and Neonatal Health Situation in Bangladesh and the Scopes for Improvement
Halima Akhter, Sumonkanti Das, Kazi Moriom Jahan
Abstract

This article has two objectives, to have an overview of the maternal health situation over time in Bangladesh especially, during and after deliver with a case study in Sylhet district and to find out scopes for further improvement. The main method was secondary resource analysis, for example reviewing books, journals and government agency reports. It is found that the Maternal Mortality Rate (MMR) in Bangladesh has decreased from 550 in 1990 to 143 in 2014 (per 100,000 live births) keeping an exception for  Sylhet region where maternal death is 678 per 100,000 live births. Still now, the postpartum care of the mother is less important to rural areas where majority of the respondents (42.4%) didn’t receive PNC at all. Maternal mortality occurs highly in postpartum period in Bangladesh. At present, postpartum hemorrhage (31%) is the leading cause of maternal death. So, in Bangladesh, postnatal care (PNC) of the mother and the infant is found as a neglected area, even for women who give birth in a health facility. As the Current Maternal Mortality Ratio in Bangladesh is 173 per 100,000 live births and we have been considerably much closer to meet the MDG target of 143 maternal deaths per 100,000 live births by 2015. However, this progress is not running equally throughout the country, specially the coastal areas, hill tracks and some conservative areas like Sylhet. Women and their family members generally do not perceive birth spacing as a priority, and most recently delivered women are not using contraceptives. Finally there are major gaps in human resources which affected the efficiency of the delivery of maternal and neonatal health services. This report can help policy makers and researchers to work in the specified areas for ensuring maternal and neonatal health in Bangladesh and beyond.

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