Public MCH-FP service provision in Bangladesh has a number of distinguishing features. The pattern of service utilization is lopsided with low utilization of most facilities at the community level (upazila and below), and over utilization at the district and at teaching hospitals. The major reason for low utilization of primary level facilities is the poor service quality and negative perception of the community about the types of services available. Though the government EOC project has proven as an effective way of improved services for maternal care by using three delays model, not even the district hospital is fully capable of providing it in an effective manner
