Taking experiences of low resource setting into account, upgrading the quality and coverage of safe motherhood services (including neonatal care) will have the largest payoff in averting deaths and reducing disability among women and children in Bangladesh. For scaling up of these tasks, building a functioning primary healthcare system from community level to the first referral-level facilities is essential. Particular emphasis should be placed on developing human resources for health (HRH) in this sector, ., the trained TBAs/midwives for skilled assistance during delivery at home and community health volunteers/ workers for raising awareness, motivation, neonatal and IMCI care, etc. Coverage of essential obstetric care should be made universal and functional.