Strengthening Health Systems and Services in Bangladesh with a Focus on SRHR

Reporting Organization:IBRD Trust Funds - World Bank
Total Budget ($CAD):$ 30,000,000
Timeframe: July 25, 2018 - July 25, 2023
Status: Implementation
Contact Information: Maria Eugenia Bonilla-Chacin
[email protected]

Partner & Funder Profiles

Reporting Organization

IBRD Trust Funds - World Bank

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Country - Total Budget Allocation

Bangladesh - $ 30,000,000.00 (100.00%)

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Areas of Focus

Health - Total Budget Allocation

Reproductive Health & Rights incl. Maternal Health (28 %)

Health Systems, Training & Infrastructure (25 %)

Primary Health Care (15 %)

Health Promotion & Education (12 %)

Nutrition (10 %)

Other - Total Budget Allocation

Law, Governance & Public Policy (5 %)

Sexual & Gender-based Violence (5 %)

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This SRHR-focused project is part of the Government of Bangladesh’s national program – the Fourth Health, Population and Nutrition Sector Program. This includes three components: (1) improve governance and accountability systems, including for citizen engagement; (2) health, nutrition and population systems strengthening; and (3) provision of quality health, nutrition and population services.

This project contributes to reducing maternal and child mortality rates and promoting gender equality through the provision of sexual and reproductive health and rights services. It particularly benefits over 14 million women, adolescents and children in two regions, Sylhet and Chittagong, including Cox’s Bazar district, where unmet needs are most significant. It also supports fiduciary oversight and accountability of the government’s health program, and strengthens financial and procurement management and efficiency of delivery systems. Project activities include: (1) providing maternal health care services, post-partum family planning and emergency obstetric care; (2) provide immunization for children and nutrition for infants and mothers; (3) provide services related to school based adolescent health and nutrition, family planning and sexual and reproductive health; and (4) budget planning, asset and procurement management.

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Target Population

Gender and age: Adult women Adult men Adolescent females Adolescent males Children, girls Children, boys Under-5 children Newborns
Descriptors: Urban Rural
Total Direct Population: 696,770
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Gender-disaggregated data from community clinics collected and analyzed
Midwives trained and recruited
School-based adolescent health and nutrition service delivered
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Results & Indicators

Expected Results

The expected outcomes for this project include: (1) strengthened Ministry of Health and Family Welfare systems that contribute to improving health service delivery; (2) inclusive, efficient and equitable gender-responsive essential health, sexual and reproductive health and nutrition services that meet the needs of girls and boys, women and men; and (3) strengthened and more transparent financial management and audit systems that reduce the financial and fiduciary risks in the health sector program.

Achieved Results

Results achieved by the World Bank through the support of the Government of Canada and other international donors as of December 2018 include: (1) 325,890 deliveries were conducted by skilled birth attendants, and 231,215 mothers with non-institutional deliveries received post-natal care from a medically trained provider within 2 days of delivery; (2) 139,665 forms of new Tuberculosis (TB) cases were notified; (3) 99.5% of the annual target was achieved for the immunization of children for measles and rubella in four districts of the Sylhet Division, and 97.8% of the annual target was attained in 11 districts of the Chattogram Division; (4) 20% of hospitals/health facilities were constructed/renovated to make them more gender- and disability-friendly ; and (5) 1,450 family welfare assistants, health assistants and sub-assistant community medical officials completed sexual and reproductive health and rights (SRHR) training.


SDG Goal 3. Ensure healthy lives and promote well-being for all at all ages
  • SDG 3.1.1 Maternal mortality ratio
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Associated Projects (If applicable)

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