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Health
Preliminary Exploration of Birthing Hut Facilities of MANOSHI Programme
Marufa Aziz Khan, Syed Masud Ahmed
December - 2006

This study was a preliminary exploration of the newly launched “birthing center” facilities in the slum areas of Dhaka city by BRAC’s MANOSHI programme. Four birthing centers at Koril, Shobujbag, Shampur and Tongi Ershad Nagar were included. The study explored the facilities available and services offered for delivery at the birthing centers, its acceptability by the local people, and service providers’ knowledge and perceptions of these birthing centers. Study population consisted of pregnant women and their family, local leaders and BRAC staff working at the centers. Study results revealed that the community expects ‘doctors’ to be providing services in formal setting of birthing hut. They also expect a complete health package one-stop service from birthing centers. Most of the mothers expressed that if birthing centers arranged Tetanus Toxoid (TT) vaccination and supportive medicines then it could be a better option for them. According to them, referral points were not sufficiently active for the centers patients. Among staff involved in services of the centers, Shasthya Shebika (SS) were not motivated enough to work for the centers and they expressed their dissatisfaction about remuneration, which was found to be the main underlying cause. Urban Birth Attendants (UBAs) expressed same feelings about remuneration. From the providers’ side POs expressed that they faced problems to motivate the pregnant mothers for registration and referral cost. One of the centers at Tongi Ershad Nagar was found less needed at that area because of the saturated services of Terre des Homes, Netherlands (TDH), an Non- government organization (NGO) from Netherlands for pregnant and lactating mothers.

 
 
 

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