Saira Parveen Jolly|Mahfuzar Rahman|Kaosar Afsana|Fakir Md Yunus|A Mushtaque R Chowdhury
Evaluation of Maternal Health Service Indicators in Urban Slum of Bangladesh
BRAC|BRAC|BRAC|BRAC|BRAC
continuous influx poor people urban slums poses challenge bangladeshs health system failed tackle maternal morbidity mortality brac largest nongovernmental organisation bangladesh brac working reduce maternal neonatal underfive children morbidity mortality slum dwellers cities brac work decade programme called manoshi programme provides doortodoor services beneficiaries community health workers chws normal delivery service delivery maternity centres brac started manoshi programme narayanganj city corporation 2011 address maternal neonatal child health problems facing slum dwellers investigated existing maternal healthservice indicators slums narayanganj city corporation compared findings nonintervention areathis crosssectional study conducted 2012 47 slums narayanganj city corporation intervention 10 slums narsingdi sadar municipality comparison area total 1206 married women aged 1549 years pregnancy outcome previous year included interview data sociodemographic characteristics reproductive maternal healthcare practices like use contraceptive methods antenatal care anc delivery care postnatal care pnc collected structured questionnaire chisquare test student test mann whitney utest factor analysis logbinominal test performed using stata statistical software analysing datathe activities brac chws significantly improved four anc 47 vs 21 p0000 pnc 48 vs 39 p001 coverage intervention slums compared comparison slums still half deliveries areas attended home unskilled birth attendants received pnc within 48 hours delivery poorest illiterate women received fewer maternal health services medically trained providers mtps poorest lower likelihood receiving services mtps delivery complicationsthe manoshi programme service coverage delivery care pnccheckup women prefer home delivery needs improved sustainable improvement maternal health outcomes urban slums programme needs facilitate access services poor illiterate women