Factors Influencing Utilization of Manoshi Delivery Centres in Urban Slums of Dhaka


BRAC introduced Manoshi � a community-based maternal, neonatal and child health initiative in urban slums of Bangladesh in 2007. Community delivery centres were established to provide appropriate management of delivery and essential newborn care long with referral facilities. A population and facility-based exploratory ualitative study, conducted during November 2007 to January 2008, aimed to identify factors effecting the use of delivery centres. Data were collected through in-depth interviews, focus group discussions, exit interviews, informal discussion with different service poviders and non-participant observations. Findings suggest that slum residents referred delivery centres because of free service, delivery attended by trained birth attendants, and management of complications through referral linkages. Preference of home delivery and essential newborn care were identified as an important factor that hindered the use of delivery centres though delivery at the centres was safer than the delivery at home. Other reasons for not using the delivery centres were preference for family birth attendants, facing no problem at home, and objection from mothers-in-law. The delivery-centre related factors, namely, absence of medical doctors, non availability of drugs and injections and fear for surgery were also found to be factors resisting use of delivery centres. Provision for salary or other incentives for health providers, quality performance, training of health providers on effective management of complications and good client-provider interaction may influence better use of delivery centres and play a significant role to continue Manoshi in urban slums without BRAC support.

Related information

  • Writer Name: Sarawat Rashid, Hashima-E-Nasreen, Mahmuda Akter Sarker
  • Published Date: Tuesday, 29 December 2009
  • Country: Bangladesh