National maternal and perinatal death surveillance and responses (MPDSR) data of Bangladesh represents that 120 maternal deaths occurred in Moulvibazar district during 2014, 39.1% (47 maternal deaths) of which occurred in Tea Gardens catchment areas. Verbal autopsies conducted in those deaths also identified poor care seeking behaviour, access to services; availability and utilization of appropriate MNH services and family planning services including referral. Women living in the hard to reach tea gardens areas in Moulvibazar are straggling with early marriage, adolescent pregnancy, family planning and poor health seeking behaviour during gestational period.