There is a severe lack of healthcare facilities in rural areas in Bangladesh, therefore the high level (over 95%) of home deliveries and the lack of trained birth attendants result in mothers and babies dying during difficult labor or from infection. Mothers are attended by neighbors or relatives during child birth. They are not trained to recognize complications, use good hygiene, stop heavy bleeding or recognize when mothers need to be rushed to hospital for emergency care.
Trained birth attendants will provide health education in isolated villages(family planning, breastfeeding, nutrition, maternal and infant care). Mothers and children receive adequate care with recognition and referral of early signs of complications
Providing pregnant women with education, counseling, prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support help prevent maternity complications in Ramu that has the highest rate of maternal mortality.