Ways To Enhance Bangladesh’S Maternal Health?

Maternal mortality in Bangladesh remains high, despite a notable decline in recent decades. Canada is supporting Bangladesh to improve primary healthcare systems for women, children, and adolescents through its key messages. The government of Bangladesh is on its way to achieving the MDG 5 target of reducing the maternal mortality ratio by three-quarters between 1990 and 2015, but the annual rate of maternal deaths remains high. To reduce the maternal mortality ratio (MMR) by 2030, improvement of maternal healthcare services (MHS) is essential.

The Government of Bangladesh has committed to implement strategies targeting to enhance human resource capacities, expand maternal and child health services, and eliminate obstetric fistula. The goal of universal health coverage (UHC) is to provide all people with the health care they need without financial hardship. UNICEF and the United Kingdom Foreign, Commonwealth, and Development Office (FCDO) have teamed up to strengthen maternal and child health services in eight countries.

Recommendations to improve the quality of maternal healthcare services include expanding maternal health care, increasing facility delivery, ensuring 24/7 emergency neonatal and obstetric care, eliminating obstetric fistula, revitalizing family planning, strengthening other supportive services, and improving access to emergency obstetric and newborn care.

A comprehensive program to improve maternal health status in Bangladesh cannot ignore the contributions of NGOs, for-profit-private sector, and other stakeholders. Mothers could undergo various tests, including having their blood pressure and blood glucose checked under the supervision of Bangladeshi professionals.

In conclusion, Bangladesh needs to focus on improving maternal healthcare services, enhancing human resource capacities, and addressing the challenges faced by the urban poor in accessing emergency obstetric and newborn care.

What is the biggest health problem in Bangladesh?

Tuberculosis is a major public health issue in Bangladesh, primarily affecting slum dwellers living in unhygienic conditions. The disease is an airborne infection that spreads through coughing and is more prone to slum dwellers. It mainly infects the lungs (pulmonary tuberculosis) with symptoms such as persistent cough, evening fever, chest pain, weakness, weight loss, and hemoptysis. It can also infect other parts of the body (extrapulmonary tuberculosis) like the brain, kidneys, and bones. In most cases, patients infected with tuberculosis have other concomitant infections, such as HIV.

Bangladesh is one of the world’s 30 high TB burden countries, with a total population of 165 million and approximately 59170 deaths due to tuberculosis. In 2017, the WHO reported a total of 364, 000 TB patients, with 236, 000 males and 128, 000 females. The total number of new and relapse cases was 242639 in 2017.

HIV is considered the most deadly infectious disease globally due to its suppression of the body’s immune system, making it easy for any infection to infect an HIV-TB patient. In 2017, there were 540 patients with HIV positive tuberculosis, with 89 out of 540 receiving anti-retroviral therapy.

What are the 10 components of safe motherhood?

It is imperative that the policy framework be designed to promote comprehensive reproductive health services, including family planning, counseling, education on safe motherhood, maternal nutrition promotion, prenatal care, and adequate delivery assistance. These services are essential for overall health.

How can you strengthen the health care delivery system in Bangladesh?

The study explores the decentralized and unregulated healthcare system in Bangladesh, highlighting its challenges such as inadequate public health facilities, scarcity of skilled healthcare professionals, and healthcare inequity. Despite progress in health-related Millennium Development Goals, the COVID-19 pandemic highlighted shortcomings in testing, national coordination, and treatment equity. The study suggests solutions such as improving healthcare financing, enhancing healthcare worker training, and promoting public-private partnerships.

Recommendations include increasing government funding, improving rural healthcare facilities, and addressing healthcare inequity through a dynamic policy approach. The analysis aims to contribute to the discourse on advancing healthcare in Bangladesh towards Universal Health Coverage.

What is the SDG target for maternal mortality in Bangladesh?

Bangladesh is on track to meet the ambitious targets set out in Sustainable Development Goal 3, which aims to reduce the maternal mortality rate (MMR) and the number of neonatal deaths to less than 70 per 100, 000 live births by 2030.

What is the goal 5 improve maternal health?

Millennium Development Goal 5 (MDG 5) aims to improve maternal health by achieving two primary targets: 5A and 5B. Target 5A aims to reduce the global maternal mortality ratio by 75 percent, while Target 5B aims to achieve universal access to reproductive health. This is supported by research from the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), the Department of Reproductive Health and Research at the World Health Organization, the Department of Paediatrics at Ribeirão Preto Medical School, GLIDE Technical Cooperation and Research, and the Department of Social Medicine at Ribeirão Preto Medical School.

How can we improve health in Bangladesh?

The enhancement of fundamental healthcare in rural regions necessitates the recruitment of additional medical professionals, including doctors and frontline health workers. It is recommended that upazila-level service providers be retained through the implementation of career development incentives. Furthermore, accountability at the union level should be ensured through the implementation of various measures.

What are the best practices to prevent maternal mortality?

Prenatal care, regular visits to healthcare providers, and postpartum visits are crucial for preventing and treating pregnancy-related complications. Healthcare providers can assist patients in preparing for delivery and any potential issues during pregnancy, and can also identify urgent maternal warning signs that require immediate attention. This approach can help reduce the number of pregnancy-related deaths in the US.

What is the main cause of maternal mortality in Bangladesh?

Bangladesh has made significant progress in health outcomes, with a significant reduction in maternal mortality ratio from 2001 to 2010, with an average annual rate of 5. 1. However, the MMR showed an apparent stalling between 2010 and 2016, highlighting gaps in prioritization of interventions and health systems planning for maternal health. The study focuses on care-seeking practices and timing and place of deaths, revealing that women living in rural areas and those of poorer socioeconomic status are more likely to die due to maternal causes of deaths.

Most deaths occur on the day of and one day after delivery, with haemorrhage and eclampsia being major contributors. A large proportion of deaths occur in-transit with substantial shuttling for care seeking before their deaths.

The initial reduction in overall maternal mortality between 2001 and 2010 can be attributed to the Bangladeshi Government’s early enthusiasm in implementing strategies and programs at the beginning of the MDG era. However, further targets for mortality reductions remained unaccomplished. The MMR was higher in rural areas and among poor older women, possibly due to disparities in rural and urban health systems.

The proportion of home deliveries in rural Bangladesh is higher than in urban areas, and 51 of the deliveries were conducted in rural areas with the help of traditional birth attendants or unqualified providers, lowering the probability of safe birth in rural areas.

How can we improve maternal health in Bangladesh?

The objective should be to improve the current contraceptive prevalence rate, provide skilled birth attendants, implement emergency obstetric and neonatal care, establish referral systems, and offer sexual and reproductive health services for adolescents.

What are the ways to improve maternal health?

To optimize maternal and infant health outcomes, it is imperative to enhance access to care, transform the medical culture, modify social determinants, reinforce breastfeeding support, address complications, facilitate transportation to specialty care, and expand insurance coverage.

What is the current MMR in Bangladesh?

The 2022 Bangladesh Sample Vital Statistics report indicates a maternal mortality ratio of 156 per 100, 000 live births and a neonatal mortality rate of 20 deaths per 1, 000 live births in the country.