Shibbir Ahmed, New York – Ziaur Rahman Foundation Vice-President and eminent physician Dr Zubaida Rahman on Thursday said Bangladesh is redesigning its primary healthcare system around prevention, early identification and continuity of care, with a stronger frontline workforce and professional midwives at the centre of the transformation.

“Our vision of a Healthy Bangladesh is to move from a treatment-centred system to one that emphasises prevention, early identification and continuity of care, with services closer to people’s homes,” she said.

Addressing a high-level side event titled “From Commitment to Action: Integrating Midwifery into Primary Health Care to End Preventable Maternal and Newborn Deaths” at United Nations Headquarters in New York, Zubaida outlined Bangladesh’s ongoing and planned initiatives to transform its Primary Health Care (PHC) system.

Bangladesh, she said, is working towards an integrated PHC network extending to rural unions and urban wards, supported by a stronger frontline workforce and digital health services.

“Women and children are at the centre of this transformation,” she said.

Zubaida said recruitment of 25,000 professional midwives has already begun, stressing that the initiative is aimed not merely at increasing their number but at integrating them into multidisciplinary PHC teams.

“Our objective is not simply to increase their numbers. We want to integrate them into multidisciplinary PHC teams and provide continuity of care from preconception and pregnancy through childbirth, postnatal and newborn care,” she said. The PHC model presented at the discussion places midwives at the centre of the maternal healthcare journey and seeks to move Bangladesh’s health system from fragmented services towards an integrated and accountable platform, she said.

The platform will connect households and communities with primary healthcare facilities and, when necessary, with secondary, tertiary and specialised care through a functioning referral system, Zubaida said. She said midwife-led PHC could advance three priorities for Bangladesh: better access, stronger financial protection and better value in healthcare.

“It can bring essential care closer to women, reduce unnecessary interventions and out-of-pocket expenditure, and ensure respectful care at the right place and at the right time,” she said. Zubaida said Bangladesh’s approach reflects its broader effort to put people at the centre of development and build a modern health system around prevention, dignity and access. The vision, she said, is to ensure that women receive continuous care throughout the maternal journey rather than accessing fragmented services at different stages.

“Every woman should have access to a skilled professional midwife as part of her PHC team, close to where she lives,” she said, outlining the ambition that guided the discussion. Zubaida said the approach is also intended to provide a model for countries to learn from one another while developing solutions suited to their respective health systems.

“Professional midwives save lives. Our task now is to build health systems that enable them to do so effectively, equitably and sustainably,” she said. Bangladesh looks forward to continuing its engagement with governments, UN agencies, development partners and the global health community to turn the dialogue into practical action, she said.

The discussion brought together health ministers and senior representatives from Sierra Leone, Nepal, Thailand, Indonesia, the Philippines and other countries, along with UN agencies, development partners, professional organisations, civil society representatives and members of the global health community. The event was organised in partnership with the Government of Sweden and the United Nations Population Fund (UNFPA).

Shibbir Ahmed, New York – Prime Minister Tarique Rahman on Thursday said his government wants to build a “Healthy Bangladesh” where healthcare begins at home and in the community, placing primary healthcare at the centre of the country’s health reform agenda with particular emphasis on women and children.

“My government is transforming our health system, guided by a simple principle: ‘Prevention is better than cure.’ We want to build a Healthy Bangladesh, where healthcare begins in the home and community,” he said.

The Prime Minister made the remarks while opening a high-level side event titled “From Commitment to Action: Integrating Midwifery into Primary Health Care to End Preventable Maternal and Newborn Deaths” at United Nations Headquarters in New York.

Bangladesh co-hosted the event with Sweden in partnership with the United Nations Population Fund (UNFPA) on the sidelines of the 81st session of the United Nations General Assembly. The event focused on integrating professional midwifery into primary healthcare to improve maternal and newborn care and reduce preventable deaths.

Tarique Rahman outlined plans to strengthen community-based primary healthcare and expand the role of professional midwives as members of multidisciplinary primary healthcare teams.

He said his government intends to recruit 100,000 additional health workers, 80 percent of whom will be women, to connect families with the health system, identify health risks at an early stage and facilitate timely care.

“One professional has a particularly important role in this continuum: the midwife,” he said.

“A professional midwife can become a woman’s trusted health professional from preconception through the postnatal period,” he added.

The Prime Minister said the government has decided to recruit 25,000 professional midwives across Bangladesh and that the process has already begun. He said the midwives would provide essential reproductive healthcare, support antenatal care, promote safe and respectful childbirth, identify complications early and facilitate referrals. They would also support mothers and newborns through breastfeeding, immunisation and healthy childhood development, he said.

Tarique Rahman said Bangladesh had built an important foundation for professional midwifery, including through professional midwifery education, stronger regulation and deployment of midwives at district, sub-district and union-level facilities.

“We now have more than 11,000 licensed midwives, with the objective of reaching 25,000 by 2030,” he said. He also acknowledged the contribution of Sweden and UNFPA to the development of professional midwifery in Bangladesh.

With UNFPA’s cooperation, Bangladesh has expanded midwifery-led care across 22 districts, where skilled midwives have supported more than 154,000 births and managed critical maternal cases, he said.

“These are not merely statistics. They represent mothers returning home safely, and newborns beginning life with hope,” the Prime Minister said. He also outlined the government’s plan to develop an integrated digital health ecosystem under which every citizen would have a Health Card linked to a digital health record and electronic referral system.

“For a woman in rural Bangladesh, her care can be registered close to home, her visits tracked, and her risk factors recorded. If referred to a higher-level hospital, the necessary information should travel with her,” he said.

The Prime Minister said the government’s vision for women’s health extends beyond pregnancy and childbirth and covers women’s health throughout the life course. This includes adolescent health, reproductive health and family planning, as well as prevention and early detection of cervical and breast cancers, he said. “Midwifery must therefore be part of a broader platform for women’s health within Primary Health Care,” Tarique Rahman said. He stressed that the next phase of the initiative should be driven by national ownership and sustainable domestic investment.

“As we open today’s discussion, I leave you with one ambition: Every woman should have access to a skilled professional midwife as part of her Primary Health Care team, close to where she lives,” he said.

“For Bangladesh, this means deploying midwives nationwide, strengthening community health services and referral pathways, and connecting citizens through a modern digital health system,” he added.

“Together, these steps will help us build a healthy, thriving Bangladesh. And this is how we move from commitment to action,” the Prime Minister said.

The event brought together ministers, UN agencies, development partners and health experts to discuss ways of translating commitments on midwifery and primary healthcare into sustainable investments and stronger health systems. UNFPA described the integration of midwifery into primary healthcare as a key strategy for expanding equitable, high-quality and dignified maternal and newborn care.