Government Policy

Service recipients for delivery increase sharply

DHAKA, May 24, 2017 (BSS) -The number of women taking medical services during their pre and post delivery periods became double as the government has set up delivery facilities up to rural areas.

The number of women taking pregnancy period medical services rose to 32 percent from 17 percent at present, according to a study conducted by Bangladesh Demographic and Health Survey (BDHS) in 2014.

Besides, the number of women taking medical services during the next 42 days after their delivery has reached 36 percent which was only 27 percent in the previous year.

Currently, 62 percent couple has taken the family planning method, the study said.

Director of Family Planning Department in Maternal Child Health (MCH) Dr Mohammad Sharif told BSS that the number of women taking medical services during their pre and post delivery periods rose significantly during the last couple of years.

"It has been possible due to different pragmatic steps have taken by the government to ensure safe motherhood in the country," he said.

Dr. Sharif said delivery services have been introduced in 3,500 upazila health complexes across the country so far and as a result, the poor and under-privileged women in the rural areas have been getting good services resulting to scaling down child and maternal mortality rate in Bangladesh.

Mamtaz Parvin ,24, a housewife having two children, came to Maternity and Child Health Training Institute (MCHTI) in the city's Azimpur area to take post delivery medical services. She also took pre-delivery medical services from the institute.

"I took medical services four times during pregnancy periods following doctor's advice...now I am taking post delivery services," Mamtaaz said.

Naznin Akhtar ,26, hailed from Kamrangirchar is now seven-month pregnant, said she had to come to the institute five times for health checkup following doctor's advice as she had to face some pregnancy related complications.

When asked about service standard in public hospital, she said we have to wait in a long queue for getting appointment or completing other formalities in taking the services in public health facilities. But overall the service is good especially those who are poor.

"It is very good especially for the poor women since they don't have pay any charge for taking the services," Naznin added.

When contacted Minister for Health and Family Welfare Mohammad Nasim said, despite socio-economic adversities, the Bangladesh's progress in family planning sector got worldwide appreciation.

"Maternal and child mortality rate has been reduced significantly in the country due to different pragmatic steps taken by the government of Prime Minister Sheikh Hasina," he added.

Since the government is committed to ensure health services of the people, the health minister said the health ministry has launched massive awareness campaign so that the pregnant women take medical services during their pre and post pregnancy periods to ensure a safe delivery.

According to statistic, a total of 3.1 million (31 lakh) delivery of women was carried out across the country every year and of which nearly 37.4 percent (11 lakh) delivery was conducted institutionally.

Experts opined that unwilling and next time pregnancy could have been avoided through bringing the mother under post delivery family planning programme immediately after their institutional delivery.

The women have to be encouraged to take permanent family planning methods (vasectomy, tubectomy and IUD) after three years of recess between the two children for a capable couple and in case of two children, the age of the second one has to be one year.

Dr. Syeda Taslima Begum, Medical officer of MCHTI, said they have been providing all sorts of medical services for the women and children in the institute. However, they are also providing pre and post delivery emergency services to the pregnant women.

She said it is very much important to conduct health checkup of women immediately after their delivery as because that time is crucial for them. Citing different statistics, she said maternal mortality rate within the seven days of their delivery is high in the country.

"The country's total maternal mortality rate would be reduced further if we can check the post delivery deaths of women," she opined. In this connection, she said the community clinics set up across the country have an important role to play to this end.

Halima Khatun, Family Welfare Officer of MCHTI in Azimpur told BSS that pregnancy and safe delivery related all sorts of medical services are being provided to the women from the health facility.

In terms of pregnancy related services, she said all kinds of medical check-up are carried out to a woman in the MCHTI.

After that, she said the patient has been provided a medical card for a pregnant mother to take medical services.

"The MCHTI has been playing an important role for providing medical services to the pregnant women to ensure their safe delivery resulting to reducing maternal and child mortality rate in the country," she added.

Source: Bangladesh Sangbad Sangstha (BSS)