Experiences of bangladeshi women on quality of care during their institutional delivery

This paper examines the status of quality of delivery care services provided at public facilities in Bangladesh. Quality delivery care is an important indicator to reduce the maternal mortality rate, where as only 23% delivery take place at institution in Bangladesh. This paper is based on a study that introduced performance based incentives to facility based maternal health care team for improving quality of services. Quality of care was assessed from 2 perspectives; institutional and client. P4P interventions increased the facility's quality of services from 54 to 77 percent. 110 in-depth interviews were conducted among the women, who received delivery care from the public-sector health facilities. The objective of the study was to explain the experiences of women who received delivery care at the public-sector health facilities on the quality of care as well as the benefits and challenges that they faced during their delivery service receiving. Sample size was selected randomly from the client who received delivery care from the study facilities. Findings suggested that, quality care at the institution can increase the number of institutional delivery and financial incentives to provider can increase the quality of care. Efforts must be undertaken to increase the level of quality care at institution to reduce home delivery.