For more than 35 years, we have partnered with the Government of Bangladesh to improve access to medicines; strengthen essential services for maternal, child, and reproductive health; and reduce mortality and transmission of TB through local governments, civil society, the private sector, and community leaders.

Young girls in Bangladesh

Ensuring Uninterrupted Access to Family Planning Supplies in Bangladesh

Before 2011, public health facilities in Bangladesh had sporadic stock-outs of contraceptives due to a lack of accurate and real-time supply logistics data, increasing the risk of unwanted pregnancies and endangering women’s and children’s lives. We helped establish an electronic logistics and information system that collects data on consumption and availability of family planning commodities from the district and sub-district levels. Pharmaceutical managers are now able to respond more efficiently to avoid stock-outs and overstock. At the close of the program in 2018, all 488 sub-district family planning stores reported stock status monthly using the system. The system helped reduce the time needed to procure products by 26 weeks, and the rate of stock-outs for the country’s 29,000 service delivery points was less than 1%.


Our work in Bangladesh has focused on improving procurement management systems for reproductive health commodities; strengthening the country’s pharmaceutical system to help eliminate stock-outs and shortages; promoting appropriate use of medicines and related products; and improving access to quality medicines and services through accredited retail drug outlets; and most recently, improving the quality of maternal, newborn, and child health and family planning services for young Bangladeshi women and their partners.

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Putting Women at the Center of the Health System in Bangladesh

Contemplating health systems strengthening means looking for ways to take down barriers to care. Midwives in Bangladesh are attempting to do just that using a person-centered, culturally appropriate, group-based model of antenatal care (ANC) in which women share their experiences in group settings, learn through peer-to-peer interaction, build relationships by participating in social activities and games, and receive individual routine checkups alongside other expectant mothers. Learn how the relationships they build increase access to care and lead to better health outcomes.

Saving Sabir 

Health and economic costs of tuberculosis (TB) are substantial. Bangladesh has the seventh highest burden of tuberculosis and the fourth highest number of people dying from TB in the world. The threat of TB is particularly high in cities like Dhaka, which is home to approximately 10 million people. The USAID-funded Challenge TB project worked to help children like Sabbir and their families to combat TB, and help prevent the spread of disease.
Five Years of Challenge TB in Bangladesh

Watch Samia, a little girl infected with TB, and her family journey through Bangladesh’s healthcare system to finally end up at the specialized TB center at the Dhaka Children’s Hospital. Every year about 120,000 patients with TB are missed and not treated in Bangladesh. Many are children. Challenge TB, USAID’s flagship global TB program worked to strengthen laboratory services in Bangladesh, build child-friendly TB centers, and utilize digital technology for prevention, diagnosis, and treatment.
Model Pharmacy and Model Medicine Shop TV Commercial

With support from the UK’s Department for International Development, and in collaboration with the Bangladesh Directorate General for Drug Administration, MSH helped to establish the country’s first-ever standards for retail drug outlets and implement an accreditation program to increase people’s access to safe, affordable, quality medicine, and to other pharmacy services such as patient counseling. The MSH-led Better Health in Bangladesh Project has trained more than 5,000 pharmacists, with the goal of accrediting 5,000 “model” pharmacy and medicine shops by 2021. The program has also developed this television commercial, aired on national T.V.