Bangladesh

Health and Population Reform Program

Global Affairs Canada, $11.7M, 1995-2004

The Population and Health Reform Program (HPRP), led by Agriteam Canada with the University of Calgary, was part of a large-scale, multi-donor government-NGO collaborative program to improve family planning and health service delivery throughout Bangladesh. Using a sector-wide, integrated approach to service delivery, the project worked directly with the Bangladesh Ministry of Health and Family Welfare (MOHFW), as well as more than 50 local and international NGOs, academic institutions and pharmaceutical companies. This included building capacity in human resource development, government-NGO collaboration, procurement of contraceptive commodities, community capacity building/participatory methods, development of reproductive health-related behavior change communication (for example, produced birth planning cards on a large scale for wide distribution throughout the country). The project–Canada’s largest single health project and the overall project was the largest project of its kind in the world at the time– resulted in lower average number of births per woman, increased use of contraceptives, lower infant and child death rates, increased levels of full immunization for polio, TB, tetanus, diphtheria, whooping cough and measles, lower maternal deaths at birth, and higher average age at marriage.