Bangladesh is the tenth most densely populated country in the world.3 Despite its growing economy—it is expect- ed to become a middle-income country by 2020—the Government of Bangladesh (GOB) has not been able to invest sufficient resources in its health system. To close the gap, the Ministry of Health and Family Welfare (MOHFW) has formally integrated the non-governmen- tal organization (NGO) sector into the national health system. A significant proportion of this plan has included the Surjer Hashi (SH), or Smiling Sun, network, a group of NGOs supported by the United States Agency for In- ternational Development (USAID) and its implementing partners since 1997.
From 2012 to 2017, USAID supported the SH network through the NGO Health Service Delivery Project (NHSDP). The UK Department for International Devel- opment (DfID) provided additional funding beginning in the second project year. Led by Pathfinder International, NHSDP provided material and technical support to 25 NGOs, who served a catchment area of 26.3 million peo- ple through a network of 399 static and 10,872 satellite clinics and 11,842 community service providers.

This is the final report for this project and outlines the results from the project.