Underutilization of governmental medical facilities for child delivery, high risks in home delivery, and inappropriate weaning and breastfeeding practices related to child malnutrition are problems in maternal and child health in Bangladesh. We conducted five sessions of group interview to elucidate practices and preference about child delivery and breastfeeding in Dhamrai county, Dhaka district. Twenty-five women; 6 pregnant women, 4 mothers, 5 traditional birth attendants (TBAs), 4 family welfare assistants (FWAs), and 6 nurses, participated in the sessions. Interviews were conducted in Dhamrai Health Complex, which has a county hospital . Most of child deliveries in the area took place at home, and were attended mostly by TBAs . Recurrent training for TBAs, however, was not available in the county . Wishes to have child delivery in the county hospital existed but limited. Nurses in the county hospital were busy with medical treatment, and didn't have enough time for antenatal and postnatal care and consultation . The mothers interviewed gave colostrum to their babies and did exclusive breastfeeding in the first 5 months. Timings to start weaning and contents of weaning food, however, seemed not appropriate. Periodical check of children's weight was not popular in the area. FWAs are responsible for these activities. But, they mainly concentrated on family planning and immunization . Training of TBAs, FWAs, and nurses to improve their skills and services, monitoring of their activities, and collaboration and communication among them were needed for further improvement of maternal and child health in Bangladesh.
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