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Funding. United Nations Children's Fund (UNICEF) funded the P4P project under the project cooperative agreement number UNICEF/PCA/2010/004, with funding from the Australian Agency for International Aid (AusAID), Canadian International Development Agency (CIDA), the United Kingdom's Department for International Development (DfID), and European Union (EU). The views expressed herein are those of the authors, and do not necessarily reflect the views of the The Population Council confronts critical health and development issues—from stopping the spread of HIV to improving reproductive health and ensuring that young people lead full and productive lives. Through biomedical, social science, and public health research in 50 countries, we work with our partners to deliver solutions that lead to more effective policies, programs, and technologies that improve lives around the world. Established in 1952 and headquartered in New York, the Council is a nongovernmental, nonprofit organization governed by an international board of trustees. The United Nations Children's Fund (UNICEF) is the world's leading organization focusing on children and child rights. Established in 1946, UNICEF is active in 190 countries and territories through country programmes and National Committees. Headquartered in New York, UNICEF upholds the Convention on the Rights of the Child, and works to assure equality for those who are discriminated against, girls and women in particular. UNICEF works for the Millennium Development Goals and for the progress promised in the United Nations Charter. Striving for peace and security, UNICEF works to hold everyone accountable to the promises made for children. A pay-for-performance innovation integrating the quantity and quality of care in maternal, newborn and child health services in Bangladesh: P4P Final Report. " Dhaka: Population Council. Permission for reprint. Any part of this publication may be photocopied without permission from the publisher provided that copies are distributed without charge and that full source citation is provided. The Population Council would appreciate receiving a copy of any materials in which the text is used. SUMMARY I INTRODUCTION In spite of a commendable 40 percent reduction in the maternal mortality ratio over the last decade to 194 per 100,000 live births in 2010, improving maternal, newborn and child health (MNCH) care remains a key development priority given the high inequality that persists between the richest and the poorest quintiles in Bangladesh. The service delivery systems are met with both supply and demand side barriers. Recent consensus aims to reduce these barriers to improve basic and emergency obstetric care, …