Using formative research to develop MNCH programme in urban slums in Bangladesh: experiences from MANOSHI, BRAC
Syed Masud Ahmed1, Awlad Hossain, Marufa Aziz Khan
1Research and Evaluation Division, BRAC 75 Mohakhali, Dhaka 1212, Bangladesh. ahmed.sm@brac.net
BMC Public Health
|November 4, 2010
Summary
Formative research in Bangladesh slums revealed inadequate Maternal, Neonatal and Child Health (MNCH) services and poor community knowledge. Interventions must address these gaps and cultural factors for better health outcomes.
Area of Science:
- Public Health
- Community Health
- Health Services Research
Background:
- MANOSHI program implements integrated Maternal, Neonatal and Child Health (MNCH) services in Bangladesh urban slums.
- Formative research aimed to understand slum context, resources, and refine intervention components.
Purpose of the Study:
- To assess existing Maternal, Neonatal and Child Health (MNCH) services and community perceptions in urban slums.
- To inform the development of a relevant and responsive MNCH intervention.
Main Methods:
- Utilized a mixed-methods approach including transect walks, observations, interviews, focus groups, and surveys.
- Mapped existing MNCH facilities, providers, practices, and community networks.
- Explored community perceptions of existing and planned MNCH services.
Main Results:
- Identified numerous MNCH providers but questioned their service quality and capacity.
- Community possesses limited MNCH knowledge, relying on informal, low-cost healthcare due to economic hardship and cultural beliefs.
- Perceptions of pregnancy and delivery varied between genders; expectations for 'one-stop' services were high.
- Social support networks for health were weak, with inadequate referral systems.
Conclusions:
- Formative research reduced uncertainty regarding slum-based MNCH resources and care.
- Findings guided the MANOSHI intervention to be contextually relevant and responsive to community needs.
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