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In Bangladesh, first-level fixed-facility services—provided at the union level through Health and Family Welfare Centers (HFWCs)—are designed to improve maternal and child health by making services available in rural areas. However, most HFWCs do not have the capacity to provide normal delivery services. HFWCs could help women receive free normal delivery services within a convenient distance from their home, if they were strengthened with necessary human resources, infrastructure, and equipment. The Population Council, with financial assistance from the UK Department for International Development (DFID), carried out a policy and research systems study to strengthen union HFWC’s provision of normal delivery and newborn care services in rural areas of Bangladesh. Policy advocacy and situation analysis activities were undertaken. The main objective was to assess the present conditions of HFWCs regarding infrastructure, human resources, and equipment and supplies, and to identify what is needed to be able to provide normal delivery services. As described in this facilities assessment report, data were collected through a health facility assessment and in-depth interviews with managers and service providers.