evidence: In Bangladesh, current governmental initiatives to enhance healthcare facility management and infrastructure, as well as the increasing number of healthcare facilities, are on their way to increasing ANC service uptake, although there are challenges that need to be addressed to get best effectiveness of the healthcare facility. For example, a common challenge in Bangladesh is the lack of skilled and enough healthcare personnel. This low provider-patient ratio frequently increases waiting time in facilities, which becomes a burden for pregnant women during ANC check-ups. These circumstances altogether contribute to women dropping out of ANC services. Another significant barrier to ANC service uptake is healthcare facility readiness to provide ANC, which frequently arises as a result of lower governmental priorities to equip Upazila to community level healthcare facilities with required facilities. According to a recent study in Bangladesh, 54.6% of facilities that provide ANC services have at least one ANC-trained staff, while only 4.3% of facilities are fully prepared to provide ANC services [31]. Although, in total around 13,000 community clinics are available across rural areas of the country and only 33% of the facilities have considerably high preparedness for ANC services [31].