Health Desk: 12 December 2017: Maternal mortality has stalled in Bangladesh which surely indicates improving of quality care. A survey recently published these findings.
Bangladesh Maternal Mortality and Health Care Survey 2016 was conducted by National Institute of Population Research and Training (NIPORT) with the support of Measure Evaluation, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), United States Agency for International Development (USAID), Department for International Development (DFID).
The survey report has presented some striking strengths and weaknesses of the health care delivery system in Bangladesh in their preliminary findings that generated sensation in the health and family welfare sector as a whole.
The findings posed challenges to the claims of the government in attaining successes in the health sector for which the Directorate General of Health Services (DGHS) has instantly contradicted some data as old and expressing their firm conviction that Bangladesh will achieve the targets of Sustainable Development Goals (SDG) 2030 within coming years.
The Maternal Mortality Rate (MMR) stalled during last few years arriving to 196/1000 live births in 2016, almost identical to the estimate of BMMS 2010. Between BMMS 2001 and BMMS 2010, MMR declined from 322 to 194 per 1000 live births indicating a significant progress whereas since 2010, the findings of 2016 survey indicates a challenge to achieve the target of 105 by 2022 as planned by the 4th The Health Nutrition and Population Sector Program (HPNSP) 2017-2022 and SDG goal of reducing the MMR to 70/1000 live births by 2030. It is quite impossible to bring down the MMR from 196 to 70 by 2030 within next 13 years while facts tell the story of the commercial attitude of facilities supported with money earning tendency of services providers.
Besides, delivery by cesarean section increased dramatically from 12% in 2010 to 31% in 2016 indicating to competition to earn money and profit by the facilities offering the opportunities. Cesarean section is becoming a common practice in private clinics accounting for 83% of the delivery whereas in government clinics, it is 35% only. At the same time, facility-based care for maternal complications has increased from 29% in 2010 to 46% in 2016.
This study has indicated the government to review their strategy and get prepared much well ahead of time to achieve the targets of SDG goal 3 by 2030.