The MAMOTA project successfully enhanced health-seeking behaviors and service quality through a dual approach targeting both supply-side infrastructure and demand-side community engagement. The end line evaluation by Innovision revealed that antenatal care (ANC) coverage of four or more visits increased from 23% at baseline to 35% at endline. Furthermore, postnatal care (PNC) for mothers rose significantly to 77.1%, compared to 59% in earlier stages, demonstrating the project's impact on reducing maternal and neonatal risks in targeted Upazilas.
The findings underscore the effectiveness of involving local government institutions, such as Union Parishads, to solve infrastructural challenges like facility electrification and emergency transportation. According to the end line evaluation, knowledge of family planning has become nearly universal in the intervention areas, with modern contraceptive usage reaching 74.7%. However, the report notes that while facility deliveries increased remarkably to 76.6% in recently intervened areas like Balaganj and Golapganj, maintaining these gains requires ongoing support and intense monitoring.
To ensure long-term sustainability, Innovision recommends institutionalizing the support of local government grants and increasing the recruitment of female paramedics to provide 24/7 delivery services. The lessons from the MAMOTA project provide a strategic roadmap for the Government of Bangladesh to achieve its 2030 Sustainable Development Goals for maternal and child mortality.
Read the full report here: Link
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