Public MCH-FP service provision in Bangladesh has a number of distinguishing features. First, the pattern of service utilization is unbalanced, with low utilization of most facilities at the community level (upazila and below) and over utilization of facilities at the district and at teaching hospitals. Though the government EOC project has been proven as an effective way of maternal care by using three delays model, none even the district hospital is able to provide it. Upgrading the quality and coverage of safe motherhood services at formal facilities to ensure 24- hour EOC may have the largest payoff in averting deaths and reducing disability in women and children.
