NGO Service Delivery Program in Bangladesh

Photo by T. Cody Swift

In Bangladesh, a group of women learn about reproductive health and their options for family planning.

As the lead organization on the nearly $60 million NGO Service Delivery Project (NSDP), implemented from 2002-2007, Pathfinder partnered with more than 30 local NGOs whose 318 Smiling Sun clinics reach approximately 20 million people in disadvantaged rural areas and urban slums.

At its peak, the project reached more than two million women and children a month.

Through this project, the NGOs provided free maternal health, infant care, and primary care services to the poorest of the poor. 

The NGOs were still able to increase their total number of customers and revenues from user fees of able-to-pay customers through an innovative performance-based reimbursement scheme, sale of health benefit cards, and expansion of income-generating services. NGOs used their revenue to purchase ambulances and construct 15 new clinics. 

NSDP also conducted counseling, training, and promotional campaigns, including a celebrity music video and a video explaining the benefits of permanent and long-term contraceptives.

The NSDP project built upon Pathfinder's highly successful Rural Service Delivery Program which, from 1997-2002, delivered integrated family planning and maternal-child health services in 216 sub-districts with a population of 10 million in rural Bangladesh.

The program cut operating costs, increased clinic and depot holder revenues and increased their market share of family planning and health services, decreased reliance on government-subsidized services, and encouraged NGOs to obtain their own clinic site.

It also implemented a highly-successful Newlywed Program that promoted smaller families, delayed first childbirths, adequate birth spacing, and antenatal care.  

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Related Projects

Photo by Pathfinder Bangladesh

Grameen Safe Motherhood and Infant Care Project

In 2007, Pathfinder began work on the Grameenphone Safe Motherhood and Infant Care Project, continuing Pathfinder's commitment to providing quality reproductive health services in Bangladesh that began in the early 1950s.

Mayer Shasthya: Reducing Maternal Morbidity and Mortality due to Postpartum Hemorrhage and Eclampsia in a Select Area of Bangladesh

Mayer Shasthya (Mother's Health) was a two year community-based intervention funded by Pathfinder and World Bank to save mother's lives in rural Bangladesh.

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NGO Health Service Delivery Project (NHSDP)

The NGO Health Service Delivery Project focuses on technical assistance and capacity building to local non-government organizations to manage and provide quality services reaching underserved populations in Bangladesh.

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