This study covered case studies of 5 MOH units in selected three Districts. Case studies consisted of Identification of the Service offered and Characteristics of the Manager, Organization and the Management of the Services, Characteristics of the Environment. Focused group discussions were held with mothers who have delivered within the last 3 months and other users of the service. At the outset all mothers preferred western medicine for their maternal and child health problems as well as for their other health problems. Most of the mothers prefer to get treatment from government facilities while those who are rich, prefer to get treatment from private hospitals.