Strengthening union level facility for providing normal delivery and newborn care services: Workshop report

Abstract

In Bangladesh, a network of government health facilities providing maternal and child health services has been established. In rural areas, first-level fixed-facility service is provided at the union level through Health and Family Welfare Centers (HFWCs). These facilities are designed to improve maternal and child health by making services available to the people in rural areas, however a full range of reproductive health services for women is not available in those facilities. At present, no evidence exists to support whether or not HFWCs can safely and cost-effectively provide normal deliveries. There is a need for a policy research initiative that can draw upon concrete evidence to support the policy changes necessary for strengthening HFWCs so they can provide normal delivery and newborn care services. With financial support from the UK Department for International Development (DFID), the Population Council has undertaken a policy and systems study aimed at identifying possible mechanisms for strengthening HFWCs so that they can provide normal delivery and newborn care services. A workshop was organized at the onset of this study, and findings from that workshop are presented in this report.