We are bringing access to healthcare — where it is extremely limited—by delivering essential maternal and child health services, including family planning, to the most remote and underserved areas. We collaborate with local partners and government health facilities to reach the most vulnerable populations, especially in the remote Char areas and hard-to-reach areas where community clinics are the closest health facility. Our tori (boat clinic) provides uninterrupted care by delivering health services directly to communities cut off by water due to extreme flooding and during time-sensitive emergencies. Immunization is the first line of defense against diseases. With this in mind, we distribute vaccines to some of the country’s remotest districts to protect children.

We build a stronger health workforce to increase efficiency against limited resources. Our approach focuses on enhancing the capacity of facilities and community-based providers through in-service training, on-the-job support, and mentorship. We partner with the Ministry of Health and Family Welfare (MOHFW), National Institute of Population Research and Training (NIPORT), academic institutions, and professional associations to drive sustainable improvement. Our support in rolling out the Human Resources Information System (HRIS) to build workforce planning and implementation through tech-driven solutions. 

Our social change behavior approach is tailored to the specific context of Rangpur and Gaibandha to increase awareness and encourage healthy practices for maternal and newborn health. Local courtyards become spaces for learning through entertainment, where our interactive theater, video shows, fairs, and folk songs bring mothers, daughters-in-law, and families together. We support health workers in harnessing the power of dialogue to engage stakeholders and community leaders and raise awareness of ANC, delivery, PNC, and family planning. These discussions foster an environment where informed decisions and positive behavior are established and put into practice. 

We collaborate with key stakeholders to consolidate our collective efforts in maternal and newborn health. Our partnership includes the Ministry of Health and Family Welfare (MOHFW), the Ministry of Local Government, Rural Development and Co-operatives (MOLGRD&C), United Nations (UN) agencies, and the EU. We advocate incorporating evidence-based interventions into policies and systems, drawing on our technical expertise and experience in large-scale programs. Our engagement as members of leading platforms in health and nutrition enables us to support policy development, strategic planning, and the scaling of effective solutions. These endeavors also focus on strengthening guidelines, supply chains, and service delivery to improve maternal health outcomes. 

We use WHO’s implementation research framework to generate evidence to inform program improvement, national advocacy, and scaling. We pilot and evaluate cost-effective, locally customized solutions to strengthen national health systems. Our pioneering systems, such as the Newborn Nursing Led (NNL) model and the Family-Centered Care approach, along with tools like the Vayu bubble CPAP and the pre-discharge counseling checklist for PNC, aim to improve efficiency amid limited capacity at the grassroots level.  Our research and learning have informed national health and nutrition program planning, such as the Health, Nutrition, and Population Sector Program (HNPSP).