This study aimed to explore the stakeholders` knowledge in obstetric complications, role of MNCH intervention in accessing Emergency Obstetric Care (EmOC) and factors associated with delays. A community-based qualitative study carried out during May–June 2007 among 42 obstetrically complicated women and 18 community health workers (CHW) in three upazilas of Nilphamari district. The findings reveal that a substantial proportion of women pointed out at least three obstetric complications but family members` knowledge found inadequate, whereas the level of knowledge among CHWs found average. CHWs referred 36 women and assisted in accessing EmOC in the facility. Nineteen respondents delayed in deciding to seek care for financial constraints, informal treatment, failure to recognize the complication, absence of household head, and lack of emergency preparedness. Gender role found important in decision-making. Eleven women got delayed treatment at facility level due to lack of doctors trained in EmOC, operation facility, blood bank and poor performance of pathology and non-functional transport. The programme should give emphasis on educating pregnant women and their family members especially husbands. Capacity development of newborn health workers in assessing the severity of illness, appropriate referring, and making linkage with local transport facility to transfer patients during obstetric complications is needed.