Decrmber 2019

Method-Mix for the month of December 2019

Per. Method National Per. Method Condom (Male) (Female) 9.4% 3.5% 9.5% I U D 3.4% Implant 6.1%

Injectable 19.5%

Oral Pill 48.6% Preface

I am very much delighted to publish the monthly report of December/2019 of Management Information System (MIS) of Directorate General of Family Planning (DGFP). This monthly report displays our continuous effort to preserve quality data which can be used as a major tool kit for better management and evidence based decision making. The report consists of several information on demographic data associated with family planning, maternal & child health, reproductive health and nutrition services across the country. The report is a regular monthly issue designed to incorporate monthly service statistical progress at district and upazila level. MIS Unit of Directorate General of Family Planning consists of three sub systems namely Service Statistics (SS), Logistic Management Information System (LMIS) and Human Resource Information System (HRIS). In the year 2011, MIS Unit has developed web-based software to collect, collate and compile service statistics from field level. Online reporting is already an established system at upazila level and we have a plan to scale up e-MIS report at all administrative tiers across the country under 4th sector program. It is important to mention that this monthly report provides mainly service statistics information received from field workers, service delivery points and NGOs. Generally, the objectives of MIS are to develop and strengthen reliable information management system. We are hopeful that this report will help the users at all levels to compare and analyze the latest information on family planning, maternal, child and adolescent health. Finally, I convey my sincere thanks to the personnel of MIS Unit who have made diligent effort to prepare this report in time. I cordially request all the users of this monthly report to provide their valuable suggestions and feedback (if any) through the e-mail address ([email protected]) for its further improvement.

Manoj Kumar Roy Joint Secretary, MEFWD And Director (MIS) & Line Director Directorate General of Family Planning Table of Contents

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1. At a glance of FP Performance for the month of November 2019 and December 2019 ………… 02 2. At a glance of the MCH and Reproductive Health Services for the month Nov.’19 and Dec.’19 … 03 3. At a glance of the Nutrition services for the month of November’19 and December’19 04 4. Introduction ……………………………………………………………………………...... 05 5. Family Planning Performance (CAR Related) ……………………………………………………. 05 6. MCH Performance ………………………………………………………………………………... 05 7. Nutrition Programs of the Directorate General of Family Planning ……………………………… 06 8. Highlights December 2019…………..……………………………………………………………. 06 9. Table Analysis ……………………………………………………………………………………. 07 10. Remarks …………………………………………………………………………………………… 09 11. Clarification about some information …………………………………………………………….. 09 12. Highest and Lowest Performing districts in clinical methods ……………………………………. 10 13. National Projection, Performance and Achievement Rate of Contraceptive Methods …………… 11 14. List of Division according to descending order of Achievement Rate against their projections of Clinical Methods for the period July 2019 to December 2019……………………………………. 11 15. List of 3(three) districts achieved the highest Achievement Rate of Clinical Methods against their Projections for the period July 2019 to December 2019.……..…………………………………… 11 16. List of 3(three) districts achieved the lowest Achievement Rate of Clinical Methods against their Projections for the period November 2019 to December 2019 11 17. Comparative Statement of contraceptives performance for the period between July2018 to December 2018, and July 2019 to December 2019.………….…………………………………….. 12 18. Performance & Distribution of Contraceptives by Method for the month of November 2019 and December 2019 ………………………………………………………………………………...... 12 19. Contribution of Government, NGOs and Multisectors in respect of Contraceptive Performance during December 2019 …………………………..…………….…………………………………. 12 20. Division wise and NGOs and Multisectors wise Contraceptive Performance for the month of Dec.’19 13 21. District wise Projection, Performance and Achievement Rate of Permanent and Long Acting Methods 17 22. District wise Projection, Performance and Achievement Rate of Short Acting Methods ……….. 19 23. Method wise Users (Normal & Postpartum as Old, New, Dropout, Postpartum Expire)and CAR by District at the end of December 2019 ………………………..……..…………………………. 21 24. Number of New and Total Acceptors up to the end of November 2019 and December 2019 …… 33 25. CAR (%) by Division up to the end of November 2019 and December 2019 33 26. District by Range of CAR up to the end of December 2019…………………………...... 34 27. District by Range of CAR up to the end of December 2019…………………………...... 34 28. List of Upaziala achieved CAR >70% up to the end of Decemberr 2019……….……….………… 35 29. List of Upaziala achieved CAR 60-70% up to the end of December 2019………………………… 38 30. Method wise numbers of Dropout and Switch Over by Division up to the end of Nov.’19 and Dec.’19 39 31. Contraceptive acceptors and acceptance Rate by Division up to the end of Nov.’19 and Dec.’19.... 39 32. Status of Contraceptive Method-Mix based on CAR at the end of the month of December 2019. 39 33. Pie-Chart of Method-Mix for the month of December 2019…………………….………………… 40 34. Performance by type of MCH services for the month of Nov.’19 and Dec.’19 ….………………. 41 35. Performance by type of Nutrition services for the month of Nov.’19 and Dec.’19.…………………. 42 36. Summary of the Couples and Acceptors by Month since July 2019… ……….…….…….………. 43 37. Performance of RH-EOC of MCWCs, MCHTI & MFSTC for the month of December 2019……. 45 38. City Corporation wise Contraceptive Acceptors and Acceptance Rate(CAR) (Partial) at the end of the month of December 2019…………………………………………………………… 47

Page # 1 Monthly Report of December 2019 At a glance of the FP Performance for the Month of November 2019 and December 2019

Indicators Nov.’19 Dec.’19 Number of Total Eligible Couples (including Part of the City 27449496 27442761 Number of Total Acceptors (including part of the City Corporations) 21485996 21522494 CAR % (Contraceptive Acceptance Rate) 78.2 78.4 Method specific acceptors (Cumulative) : Permanent Method (Male) Postpartum 3326 3155 Permanent Method (Male) Total 747319 746638 Permanent Method (Female) Postpartum 59812 61974 Permanent Method (Female) Total 2041998 2044599 Permanent Method Total(Male + Female) 2789317 IUD (Users) Postpartum 25394 26747 IUD (Users) Total 729063 736343 Implant (Users) Postpartum 66403 71152 Implant (Users) Total 1311396 1331752 Injectable (Users) Postpartum 164135 166806 Injectable (Users) Total 4199937 4205053 Oral Pill (acceptors) Postpartum 520003 527626 Oral Pill (acceptors) Total 10433461 10428128 Condom (acceptors) Postpartum 141671 145271 Condom (acceptors) Total 2022822 2029981 Method specific new acceptors : Permanent Method (Male) 2619 2417 Permanent Method (Female) 8966 9849 Permanent Method (Total) 11585 12289 IUD (Users) 11613 18231 Implant (Users) 36924 44052 Injectable (Users) 62448 71485 Oral Pill (acceptors) 126281 142270 Condom (acceptors) 47769 59492 Number of Districts reported 64 64 Number of Upazila reported 488 488 No. of Districts Range of CAR (%) Nov.’19 Dec.’19 00-59 0 0 60-69 0 0 70 & above 64 64 Contraceptive performance and distribution by methods (Absolute Performance) : Permanent Method (Male-cases) 3983 3873 Permanent Method (Female-cases) 9196 9703 Permanent Method (Total-cases) 13179 13576 IUD (Nos.) 18211 28017 Implant (Nos.) 36761 57660 Injectable (Doses) 871552 872886 Oral Pill (Cycles) 6751588 6764591 Condom (Pieces) 9361280 9406108

Page # 2 Monthly Report of December 2019 At a glance of the MCH and Reproductive Health Services for the Month of November 2019 and December 2019 Services Nov.’19 Dec.’19 Number of Pregnant Women 980289 952451 Number of High Risk Pregnant Women referred 6465 5944 1st visit (within 4 Month) 181597 168368 2nd visit (within 6 Month) 142149 132695 Antenatal 3rd visit (within 8 Month) 115074 109223 Care 4th visit (in 9th month) (including MCHTI, MFSTC & FWVTI- 100939 93103 Raj) Institutional Delivery Normal 51608 51924 (MCHTI, MFSTC, FWVTI-Raj, MCWC, C-section 46717 44408 UHC, UH&FWC & NGOClinics) Total 98325 96332 At Home by Trained Person 39437 38544 Non-institutional Delivery At Home by Non-Trained Person 12993 12625 Total 52430 *Total Live Births 125552 121175 PNC-1(Within 24 Hour) 47515 48013 Postnatal PNC-2 (within 2- 3 day) 41310 41548 Care PNC-3 (within 7 -14 day) 43537 44908 PNC-4 (within 42-48 day) (including MCHTI, MFSTC & FWVTI- 53435 54006 Raj) Postnatal Care by trained person (PNC1) till two days at home 6005 5984 No. of uses 7.1% chlorhexidine digluconate for umbilical cord care 39028 39046 1st dose 118232 113239 2nd dose 121417 130209 TT for Women 3rd dose 119126 115098 (15 - 49 years) 4th dose 111985 108214 5th dose 112882 110084 BCG 154234 137434 PCV 1 147828 151824 PCV 2 143057 151395 Immunization PCV 3 132025 147182 MR Vaccine 1st Dose 119562 127190 MR Vaccine 2nd Dose 154234 121199 Number of ECP acceptors 6356 7101 Number of MR done ( Both Govt. & NGOs) 1795 1795 General Treatment 2372207 2590008 Still Births ( including MCHTI, MFSTC & FWVTI-Raj) 341 268 Neonatal death ( 0-28 days ) 527 473 Infant Death (29 days-<1 yr.) 180 167 Child Death (1-<5 yrs.) 20 7 Death Maternal Death 87 102 Other Death 24888 28233 Total 25702 28982 No. of Health Education in UH&FWC 9387 9387

* Live birthsconductedatGovt. MCH, DH, MCWC, UHC, UH&FWC, NGOs& Home. The information iscollected by FWAsthroughfieldvisit.

Page # 3 Monthly Report of December 2019 At a glance of the Nutrition services for the Month of November 2019 and December 2019

Performance Services Nov.’19 Dec.’19

Counseling on IYCF, IFA, Vitamin-A and Hand washing 646202 659682

Received IFA & Calcium Tablet (0-23 months child mother) 132279 140566

Exclusive Breast feeding up to 6 months 176951 159783

No. of children (6-23Month) feeding complementary foods 179622 178123

Feeding Tablet Vitamin A (6-59 months Child) 3032 3736 59 months aged child and Mother and aged child months 59 - Received Tablet anti-helminthics (24-59months Child) 45817 48487

Feeding Zink pill with ORS suffering from diarrhoea 4527 6508

Identifying Suffering from MAM 9226 10035

Suffering from SAM & Referred 2513 2543

Identifying Child Stunting 3323 4163

Identifying Child Wasting 3564 3654

Nutrition Services for Pregnant Women, 0 Nutrition Pregnant for Services Identifying Child Under weight 4846 5211

Page # 4 Monthly Report of December 2019 SUMMARY Introduction is divided into eight administrative divisions: Dhaka, Chattogram, Rajshahi, Khulna, Barishal, Sylhet,RangpurandMymensingh. Each division is divided into several districts and each district into several upazilas. Each urban area in an upazila is divided into wards. Upazilas are divided into Union Parishads (UPs) and Pourasovas. These divisions allow the country as a whole to be separated into rural and urban areas.Management Information System (MIS) has been operational under the Directorate General of Family Planning (DGFP) for a long time. The report of the Contraceptive Performance, MCH, Reproductive Health and Nutrition servicesisused to be published each month from MIS Unit on the basis of Service Statistics received from the field workers, service delivery clinics and NGOs. Erstwhile Family Welfare Register, however, is the principal source of performance statistics. This report is prepared on the basis of FWA Registers (9th Edition) and Clinic Report. Most of the FWAs visit their working area once in every two months. It is a continuous process. FWA register is modified/updated in every three years. There is a reporting system to collect the information from the field. MIS Reporting Form-1 is filled up by the FWAs and submitted the same to FPIs. FPI fills up the MIS reporting Form-2 by compiling of all the FWAs (MIS Form-1) report and submits to UFPO office. MIS reporting Form-3 (clinical) is filled up by MO (clinic)/ (MCH-FP)/ (FW)/SACMO/ FWV and is submitted to UFPO office. NGOs of the respective area submit their report to UFPO office through MIS reporting Form-2 and 3 as their requirement. All the reporting Form-2 and 3 are compiled by UFPO office and filled up reporting Form-4 (union wise) and is entered in online web based software (SS). District FP Office reviews and submits that report. It provides information of contraceptive use status of eligible couples and different types of MCH, Reproductive Health and Nutrition services. MIS performance report is primarily used by different level of program managers and supervisors engaged in implementing the Family Planning, MCH, RH and Nutrition program in the country. Besides, different policy makers, decision makers, donor agencies, Development Partners, researchers and other users also use this report. Family Planning Performance (CAR related): Performance reports of December 2019 have been received from all the 64 districts of the country. During the month of December 2019 total numbers of eligible couple were found to be as 27442761 against 27449496 in the previous month. Performances of NGOs are also included in the report as reported by the Upazila Offices. A total of acceptors are 21522494 reported in the month of December’19as against 21485996 in november’19. The Contraceptive Acceptance Rate (CAR) achieved at the end of the reporting month for six modern methods (Permanent Method, IUD, Implant, Injectable, Oral Pill and Condom) is 78.4%whichwas 78.3%in November’19. Method Specific Acceptors (Cumulative), Method Specific New Acceptors and Contraceptive distribution by Methods are shown in the summary sheet. It may be noted that the contraceptive acceptance rate is an estimate, based on the client contact and the status of contraceptive acceptance as reported by the field workers based on the entries made in the FWA register. The Contraceptive Prevalence Rate (CPR), on the other hand, is based on periodic surveys that are made on precise statistical procedures. The acceptance rate is a tentative rate and varies from month to month because of reporting status and coverage. This rate is usually higher than the Contraceptive Prevalence Rate (CPR). CAR is generally used to monitor as a management tool ‘on-going’ program performance in the country. It is not so much used to evaluate the program impact or goals, which is done by periodical scientific surveys. MCH Performance:

In the month of December’19, 952451 pregnant women have been registered. Total number of 5944 pregnant women referred to hospital for their complications. Total no. 6436 patient received services for RTI/STI. Dose-wise TT for Women (15-49 yrs.) and OPV & Pentavalent vaccines were shown in the summary sheet. BCG vaccines were given to 137434 infants during December’19. Visit-wise Antenatal Care is also shown in the summary sheet both of November’19 and December’19. Postnatal Care is shown in the summary sheet both November’19 and December’19.Number of delivery conducted by the clinics is 96332. Total numbers

Page # 5 Monthly Report of December 2019 of delivery at home 38544 by trained personnel and 12625 by non-trained personnel. Still Birth is recorded 268 in December’19 and in the previous month it was 341. Neo-natal deaths (0-28 days) & Infant deaths (29 days–<1yr.) are recorded to be 473 and 167 in the month of December’19 where these were 527 and 180 in November’19respectively. A total of 7 child-deaths (1-<5 yrs.) have been reported in the month of December’19 as against 20 in November’19. Maternal deaths were reported 102 during the month of December’19 which was 87 in November’19. The other deaths were reported 28982 in December’19 but in November’19 the number of such deaths was 25702. General treatments were rendered to 2590008 and 2372207patients in the month of December’19 and November respectively. In December’19 number of ECP acceptors was 7101 but in November’19 it was 6390. MR done in the reporting month is 1795 but in November’19 it was 1612. Performance of MCHTI, MFSTC, MCWCs and FWVTI-Rajshahi is also included in the report. Nutrition Programs of the Directorate General of Family Planning Country wide nutrition service is going on through National Nutrition Services (NNS) Operational Plan of DGHS under Health Services Division of MOHFW. DGFP is also playing vital role for implementation of nutrition services whole over the country and is rending nutrition services at field level where activities like MCH services, Adolescent and Family Planning Program is going on. By this time coordination with IPHN and cooperation with “Global Alliance for Improved Nutrition (GAIN), UNICEF and Alive & Thrive” comprehensive nutrition services are running in 91 upazillas of 11 districts through MCH Services Unit of DGFP. Highlights December 2019 a) National Contraceptive Acceptance Rate (CAR) based on visited eligible Couples 27442761 is found to be 78.4%. Rajshahi division has achieved the highest acceptance rate 81.2%, followed by Rangpur division 80.0%. The CAR is found to be 79.8% achieved in Khulna division. The Contraceptive Acceptance Rate has been found to be rather low in Mymensingh79.3, Barishal79.0%, Sylhet77.8%, Dhaka 77.0% and Chattogram75.5%.

The highest numbers of Acceptors 4185976 have been reported from Dhaka division followed by 3845512 in Chattogram division, Rajshahi division reported 3416678 acceptors. Acceptors size is however, found much smaller in Rangpur, Khulna, Mymensingh and Sylhetwhich are 2888965, 2766499, 1774156 and 13454546 respectively and in Barishal division it is 1299254 . b) Out of 64 reporting districts, all districts have reported contraceptive acceptance rate of 70 percent and above, no district has reported CAR of 60 - 69 percent and no district has reported CAR of < 59 percent. c) Out of 488 Upazilas482 Upazilashave reported CAR at the level >70%and 6 Upazilas have reported CAR level 60-70 percent.

According to the performance of the reporting month (December’19) Joipurhat district recorded the highest achievement rate 265.6. Sherpur district has got the 2nd place with 148.1% and Noakhali district has secured the 3rd position with 99.5% of permanent method. Sherpur district has achieved first position with achievement rate 438.4%; Rajbari district has got the 2nd position with achievement rate 380.2% and Faridpur district has recorded the 3rd position with achievement rate 314.1% in IUD. In Implant Jashore district has recorded the highest achievement rate with 412.4%,Sherpur district has placed in 2nd position with achievement rate 372.6% and Rajbari district has got the 3rd position with achievement rate 281.9%.In Injectable Bhola district has recorded the highest achievement rate with 135.9%. In Oral Pill Sherpur District has recorded the highest achievement rate with 244.8% and Sherpur distric thas recorded the highest achievement rate 106.5% in Condom. d) SMC has reported distribution of 241144 vials Injectable, 3570337 cycles of Oral Pill and 26174057 pieces of Condom in December’19. MCHTI , Dhaka has performed highest 227 Caesarian Operations, MFSTC, Dhaka has performed highest 540 of total deliveries. MCHTI , Dhaka has performed 340, Gibandha,MCWC has performed 274 in the reporting month December’19.Dupchahia(Bogura),Sirajganj, Syedpur(Nilphamari), Kurigram, Lalmonirhat, Panchagar, Boda(Panchagar), Sherpur, Jamalpur, Narail, Jhenaidah, Meherpur, Bagerhat,Nalta(Kaliganj, Satkhira), Kushtia, Kumarkhali(Kushtia), Page # 6 Monthly Report of December 2019 Gouranadi(Barishal), Lalmohan(Bhola), Barguna, Bandarban, Nangalkot(Cumilla), Pauchuri(Patiya), Sylhet, Noakhaliand HabiganjMCWCs have not done any Caesarian Operationsin the reporting month November’19. It may be due to the vacancies of trained EOC doctors in those centers or Extension Works. Director (MCH-S) & Line Director (MC&RAH) should immediately look into the matter. e) (Table 21)In December’19National Nutrition services information collected by FP workers are as follows: Number of 140566 mothers received IFA, No. of 159783 babies(up to 6 months)exclusive breast feeding and No. of 178123 children (6-23 months) feeding complementary foods. No. of 10035 children suffering from MAM and 2543 suffering from SAM and referred. No. of Children Stunting, wasting and underweight are 4163, 3554 and 5211 respectively.

Table Analysis:

Table 1:Shows contraceptive performance and Achievement Rate in respect of Permanent, Long Acting and Short Acting methods for the reporting month (December’19) and reporting period (July’19to December’19) against their respective projections. In the reporting month the achievement rates of Permanent method(Male) 58.1%, Permanent method(Female) 96.6% and Permanent method (Total) 81.2%, IUD 132.7%, Implant 153.6%, Injectable 50.4%, Oral Pill 50.7% and Condom 39.1%. From July’19 to December’19 the achievement rates of Permanent method (Male) 51.7%, Permanent method (Female) 78.6% and Permanent method (Total) 67.9%, IUD 70.0%, Implant 102.6%, Injectable 52.3%, Oral Pill 50.7% and Condom 39.3%.

Table 2:Shows the divisions according to descending order of achievement rate against their projection of Permanent and Long Acting methods for the period July’19 to December’19.

Table 3:Showing the 3(three) districts which achieved the highest achievement rate against Permanent and Long Acting methods of their projections for the period July’19 to December’19.

Table 4:Shows 3(three) districts which achieved the lowest achievement rate of Permanent and Long Acting methods against their projections for the period July’19 to December’19.

Table 5:Comparative statement of contraceptive performance against their projection between the period July’18 to December’18 and July’19 to December’19. The Achievement Rate of Permanent Method (Male) was 33.4% in the period of July’18 to December’18 but it shows the higher rate 52.8% in the current period. So it is 19.3% increase than that of July’18 to December’18. Permanent Method (Female) was 55.1% in the period July’18 to December’18 but it shows the higher rate 81.6% in the current period. So it is 26.5%increase than that of July’18 to December’18. Permanent Method (Total) was 45.9% in the period July’18 to December’19 but it shows the higher rate 70.1% in the current period. So it is 24.2% increase than that of July’18 to December’18. IUD achieved the 70.5% in the reporting period July’18 to December’18 but it shows the higher rate 80.4% in the current period. So it is 10.0% increase than that of July’18 to Decemberr’18. Implant achieved the 81.9% in the reporting period July’18 to December’18 but it shows the higher rate 111.1% in the current period. So it is 29.2% increase than that of July’18 to December’18. Injectable achieved the 54.6% in the reporting period July’18 to December’18 but in the current period it shows 51.9%. So Injectable is decrease 2.7% than that of July’18 to December’18. Oral Pill achieved the55.1% in the reporting period July’18 to December’18but in the current period (July’19 to December’19) it shows 50.7%. In case of Oral Pill 4.5% decrease than that of July’18 to December’18. In case of Condom it achieved 35.6% in thereporting period July’18 to December’18 but in the current period (July’19 to December’19) itshows 39.7%,which is 4.1% increase than that of July’18 to December’18.

Table 6:Comparative status of performance and distribution of contraceptive by methods for the month of November’19 and December’19 based on field worker’s report. In comparison with that of previous month Permanent Method (male) 16.2%, Permanent Method (Female) 31.8%, Overall Permanent Method (total)26.9%, IUD 115.6%, Implant 56.9%, Injectable 0.2% Oral Pill 0.2% and Condom 0.5% lower over November’19.

Table 7:Shows the share of Government and NGOs and Multisectors by methods in the overall National performance. Government sector has contributed 62.4% in Permanent Method (Male), 87.0% in Permanent Method (Female), 80.0% in Permanent Method (Total), 89.0% in IUD, 92.1% in Implant, 80.0% in Injectable, 85.9% in Oral Pill and 76.6% in Condom in the reporting month December’19. On the other Page # 7 Monthly Report of December 2019 hand NGOs and Multisectors have contributed 37.6% in Permanent Method (Male), 13.0% in Permanent Method (Female), 20.0% in Permanent Method (Total), in IUD 11.0%, in Implant 7.9%, in Injectable 20%, in Oral Pill 14.1% and in Condom 23.4% in the reporting month December’19.

Table 8:Division wise and NGOs &Multisectoral wise Contraceptive Performance for the month of December’19 are shown in this table. BAVS of Dhaka division is in the highest position, BAVS of Rajshahi division is in the next and Marie Stopes of Dhaka division is in the 3rd position in Permanent method. By NGOs and Multisectorals performance of Total Permanent methods are 2643 in the reporting month, in which Males are 1436 and Females are 1207. Total IUD and Implant 2877 and 4078 are inserted in the reporting month December’19. Injectable 155848 vials, Oral Pill 840561 cycles and 2004111 of Condom are distributed by NGOs and Multisectorals in the reporting month.

Table 9:Shows the projection, performance and achievement rates of Permanent and Long Acting methods in the reporting month December’19 and in the reporting period July’19 to December’19. In the reporting month Joypurhat district has achieved the highest achievement rate of 265.6% and Jhinaidaha district is the next highest with182.7% in Permanent Method. In the reporting month Sherpur distict has achieved the highest achievement rate of 438.4% and Rajbari district is the next highest with 380.2% in IUD. In the reporting month Jashore district has achieved the highest achievement rate of 412.4%in Implant and Sherpur district has achieved the next second highest achievement rate with 372.6%. On the other hand, in the reporting period July’19 to December’19 Joypurhat district has achieved the highest achievement rate of 211.8% in Permanent Method, Sherpur district has achieved the highest achievement rate of 309% in IUD and Sherpur district has achieved the highest achievement rate of 262.2% in Implant.

Table10:Shows the projection, performance and achievement rates of Short Acting methods in the reporting month December’19 and in the reporting period July’19 to December’19. In the reporting month Bhola district has achieved the highest achievement rate of 135.9% and Sherpur district is the next highest with 115.8% in Injectable.Sherpur district has achieved the highest achievement rate of 244.8% in Oral Pill. Sherpur district has achieved the highest achievement rate of 115.5% in Condom. From July’19 to December’19 Bhola district has achieved the highest achievement rate of 132.6% and Sherpur district is the next highest with 115.8% in Injectable,Sherpur district has achieved the highest achievement rate of 244.8% in Oral Pill and Sherpur district has achieved the highest achievement rate of 106.5% in Condom.

Table 11:This table shows the Old acceptors, new acceptors and dropout (No method & switch over) cases by districts in the reporting month (December’19). This table is prepared on the basis of CAR report.

Table 12:This table shows the new and total acceptors of the current month in comparison with that of the previous month. The new acceptors of all the methods- Permanent Method(Female), Permanent Method(Male), Permanent Method(Total), Injectable, Oral Pill and Condom have shown decreasing trend but IUDandImplant have shown increasing trend. New acceptors are shown depending on the field workers report which collects from their visiting areas. In case of total acceptors Permanent Method (Male),Permanent Method (Female), Permanent Method (Total) have shown unchanged but IUD, Implant, Injectable, Oral Pill and Condom have shown increasing trend.

Table 13:This table shows that Rajshahi division had recorded the highest CAR of 81.1%, next Rangpur division 79.9%, Khulna division 79.7%, Mymensingh division79.2%,Barishal division 78.9%, Sylhet division 77.7%, Dhaka division 76.9% and Chattogram division 75.4% in the reporting month December’19. Graph-1 shows the division wise CAR for the current month and graph-2 shows the division wise CAR for the current month in comparison with that of previous month.

Table 14: Shows that 64 districts have achieved CAR level of 70.0% and above where no district has achieved CAR between 60%-69% and no district has achieved CAR between 0-59% in the reporting month December’19. The graph also shows the same in comparison with previous month.

Table 15:List of 481upazilas among the 488, which have achieved CAR >70.0% in the reporting month.

Table 16:List of 7upazilas which have achieved CAR 60-70% in the reporting month. Graph shows that 481upazilas out of 488 have achieved CAR level >70%, 7upazilashave achieved CAR level60%-70%and noupazila has achieved CAR level <60% in the current month. There is graphical presentation is also showing both of November’19 and December’19. Page # 8 Monthly Report of December 2019

Table 17:Shows the dropout and switch over by method and by division for the month of December’19.

Table 18:This table shows the Division-wise comparison of Couples, Contraceptive Acceptors and the Acceptance Rate up to the end of December’19. In the reporting month the highest number of Eligible Couples have been reported from Dhaka division which is 5439536, 2nd highest is Chattogram division which is 5098143, then Rajshahi, Rangpur, Khulna, Mymensingh, Sylhet and Barishal division, which are 4208243, 3614925, 3467322, 2238966, 1729737 and 1645889 respectively. In case of acceptors Dhaka division has been reported the highest number of acceptors which is 4185976 followed by Chattogram division 3845512, Rajshahi division 3416678, Rangpur division 2888965, Khulna division 2766499, Mymensingh division 1774156, Sylhet division 1345454 and Barishal division 1299254.

Table 19:This table shows the contraceptive method mix by division for the month of December. Sylhet division has contributed the highest rate in Permanent Method with 15.10% among the other divisions. Rangpur division has contributed 15.05%, then Khulna division 14.79% and then Rajshahi division13.81%. Chattogram division has recorded 4.70% in IUD which is the highest among the other divisions followed by Sylhet with 3.94% and Barishal division3.91%. Barishal division has contributed the highest rate in Implant with 7.57% followed by Sylhet division with 6.86%.Barishal division has also contributed the highest rate in Injectable with26.28% then Rangpur division21.72% and then Chattogram division21.18in CAR method mix among all the divisions. Mymensingh division has recorded the highest rate in Oral Pill with 55.69% followed by Dhaka division 49.60 %,Rangpur division 48.85% and Rajshahi division 48.54%. Dhaka division has recorded the highest rate in Condom with 11.74% followed by Rajshahi division 11.51% and Khulna division 11.22% in CAR method mix among all the divisions.

Pie Charts are showing the national and division wise Method-Mix for the month of December’19.

Table 20:This table shows the performance of MCH and Reproductive Health Services during the month of November’19 and December’19.

Table 21:This table shows the performance of Nutrition Services for the month November’19 and December’19 collected by family planning workers.

Annex A:Annex- A shows comparative summary key performances since July 2019 to December’19.

Annex B:Performance of RH-EOC of MCWC including MCHTI, MFSTC and FWVTI-Raj for the month of December’19.

Annex C:City Corporation wise Contraceptive Acceptors and Acceptance Rate(CAR) (Partial) at the end ofthe month of December’19.

Remarks:The achievement of Rangpur division, Chattogram division Dhaka division and Sylhet Division are good against their projection in permanent method, IUD and Implant respectively in the reporting month in comparison with that of other divisions.

Clarification about the information of summary sheet, table-2 and table-3:

Method Specific Acceptors: In the summary sheet, Method Specific Acceptors is shown based on the field workers’ (FWA) visit of the reporting month and also the previous month. These are the cumulative figure which includes previous month’s acceptors and reporting month’s new acceptors collected by the field workers within their working areas.

Page # 9 Monthly Report of December 2019 Contraceptive distribution by Method:

In the summary sheet, Contraceptive Performance by Method is prepared based on the performance and distribution of the reporting month. These figures are actual performance of the reporting month which is not comparable with the information written in method specific acceptors.

Table- 9, Table-10 and Table-11 Performance shown in the table-9 and 10 is the actual performance of the respective month but the new acceptors shown in the table-11 may not be the performance done in the same month. It may happen that the new acceptors accepted method in the previous month but field workers had shown that case in the next month due to their rounding schedule. So the performance of table-9, table-10 will not be the comparable with the new acceptor of table-11.

Clarification about the information of MCH and Reproductive Health Services:

• Information shown against ‘delivery’ which were done in MCHTI, MFSTC, MCWCs, UHCs & UH&FWCs is collected through the MIS reporting Form-3. This record is only for DGFP concerned facilities. Deliveries conducted in District Hospitals, Medical Colleges, Private Clinics and performances in the City Corporation (partial) are not included.

• Information shown against the ‘live births’ conducted at Govt. MCH, DH, MCWC, UHC, UH&FWC, NGOs & Homes is collected by FWAs through field visit. Field workers visit their units monthly and they submit their reports in every month.

Highest and Lowest performing districts in clinical methods

Highest performing 3(three) districts in the Month of December’19

Permanent Method IUD Implant Total E. Monthly Ach. In Ach. Total E. Monthly Ach. In Ach. Total Ach. In Ach. Monthly District Couple Projec. Reporting Rate District Couple Projec. Reporting Rate District E.Coupl Reporting Rate Projec. Month (%) Month (%) e Month (%) Joipurhat 211833 85 226 265.6 Sherpur 319159 163 715 438.4 Jashore 612662 302 1244 412.4 Jhenaidaha 391928 165 301 182.7 Rajbari 232353 84 320 380.2 Sherpur 319159 486 1811 372.6 Sherpur 319159 172 254 148.1 Faridpur 393641 184 579 314.1 Joipurhat 211833 400 1235 308.6

Congratulations: We congratulate the districts for their better performance in clinical methods against projections. We hope the officers and staffs who are involved with the activities will continue their better performance in future. Lowest performing 3(three) districts in the Month of December’19

Permanent Method IUD Implant Total Monthly Ach. In Ach. Total Monthly Ach. In Ach. Total Ach. In Ach. Monthly District E. Projec. Reporting Rate District E. Projec. Reporting Rate District E. Reporting Rate Projec. Couple Month (%) Couple Month (%) Couple Month (%) Lalmonir 102616 121 18 14.9 Narayanganj 533846 881 399 45.3 279489 709 477 67.2 Rangamati hat Narayan 334758 369 58 15.7 Laxmipur 334758 587 273 46.5 533846 854 609 71.3 Laxmipur ganj Khagrachhari 114020 200 34 17.0 Gazipur 423011 511 248 48.5 Laxmipur 334758 718 586 81.6 Unsatisfactory Performance:We are sorry for their unsatisfactory low performance in clinical methods against projections. We hope the officers and staffs are involved with the activities will try to overcome from this type of un-satisfactory performance in future.

Page # 10 Monthly Report of December 2019 Table-1: National Projection, Performance and Achievement Rate of Contraceptive Methods

Reporting Month July'19 to April'20 Yearly Projection Methods Performance (in Achi. Performance (in (2019-20) Achi. Rate(%) CYP) Rate (%) CYP) Permanent Method (Male) 80000 263 3.9 28742 43.1 Permanent Method (Female) 120595 1822 18.1 68928 68.6 Permanent Method (Total) 200595 2085 12.5 97670 58.4 IUD 253414 4951 23.4 144744 68.5 Implant 450448 1851 4.9 340867 90.8 Injectables 5197836 155808 36.0 2146674 49.6 Oral Pill 10669243 366954 41.3 4404777 49.5 Condom 1914992 42535 26.7 602454 37.8 Table-2: List of Divisions according to descending order of Achievement Rate against their projections of Clinical Methods for the period July 2019 to December 2019 Permanent Method (Cases) IUD (Cases) Implant (Cases) Sl. No. Division Division Division Performance Performance Performance Performance Achi. Rate (%) Achi. Rate (%) Achi. Rate (%) Achi. Yearly Projection Yearly Projection Yearly Projection Yearly 1 Rangpur 21836 14000 128.2 Chattogram 49702 36614 147.3 Khulna 41140 35619 173.2 2 Dhaka 56528 30700 108.6 Khulna 18928 12991 137.3 Barishal 31775 26495 166.8 3 Khulna 18401 10169 110.5 Dhaka 58112 35833 123.3 Chattogram 85432 65350 153.0 4 Rajshahi 22552 12008 106.5 Rajshahi 32865 17672 107.5 Dhaka 88517 66685 150.7 5 Barishal 13432 5904 87.9 Rangpur 34481 17833 103.4 Rajshahi 64710 47065 145.5 6 Chattogram 35641 13988 78.5 Barishal 19061 9065 95.1 Rangpur 70256 50824 144.7 7 Mymensingh 13790 5249 76.1 Sylhet 16118 6967 86.4 Sylhet 30496 21952 144.0 8 Sylhet 18415 5652 61.4 Mymensingh 24147 7769 64.3 Mymensing 38122 26877 141.0

Table-3: List of 3 (Three) Districts achieved the highest Achievement Rate of Clinical Method against their projections for the period July 2019 to December 2019 Permanent Method (Cases) IUD (Cases) Implant (Cases) Sl. No. Yearly Yearly Yearly Yearly District District District Projection Projection Projection Performance Performance Performance Achi. Rate (%) Achi. Rate (%) Achi. Rate (%) Achi. 1. Joipurhat 1021 1081 211.8 Sherpur 1957 3024 309.0 Sherpur 5832 7647 262.2

2. Sherpur 2058 2114 205.4 Rajbari 1010 1183 234.3 Rajbari 3520 3377 191.9

3. Noakhali 2568 2607 203.0 Faridpur 2212 2237 202.3 Jashore 3620 3360 185.6

Table-4: List of 3 (Three) Districts achieved the lowest Achievement Rate of Clinical Methods against their projections for the period July 2019 to December 2019 Permanent Method (Cases) IUD (Cases) Implant (Cases) Sl. No. Yearly Yearly Yearly Yearly District District District Projection Projection Projection Performance Performance Performance Achi. Rate (%) Achi. Rate (%) Achi. Rate (%) Achi.

1. Chattogram 4983 72 2.9 Jamalpur 4438 499 22.5 Kushtia 7075 1379 39.0

2. Cox's Bazar 4192 156 7.4 Laxmipur 7039 959 27.2 Meherpur 1706 355 41.6

3. Habiganj 6384 589 18.5 Narayanganj 10574 1570 29.7 Narail 2700 751 55.6

Monthly Report of November 2019...... Page # 11 Table-5: Comparative Statement of contraceptive performance for the period between July 2018 to December 2018 and July 2019 to December 2019

July 2018 to Dec.'18 July 2019 to Dec.'19 Change of Yearly Yearly July'19 to Methods Projection Projection Dec.'19 over Performance Performance (in Achi. (2018-2019) Achi. Rate (%) (2019-2020) July'18 to (in CYP) CYP) Rate (%) Dec.'18 Permanent Method (Male) 128842 21529 33.4 80000 21107 52.8 19.3

Permanent Method (Female) 174145 47984 55.1 120595 49189 81.6 26.5 Permanent Method (Total) 302987 69513 45.9 200595 70296 70.1 24.2 IUD 281572 99206 70.5 253414 101925 80.4 10.0 Implant 402396 164866 81.9 450448 250215 111.1 29.2 Injectables 5184823 1415852 54.6 5197836 1349855 51.9 -2.7 Oral Pill 10642531 2933393 55.1 10669243 2702807 50.7 -4.5 Condom 1910198 340264 35.6 1914992 380388 39.7 4.1

Table-6: Performance & Distribution of Contraceptives by Method for the month of November 2019 to December 2019

Performance % Change of Method December'19 over November'19 November'19 December'19 Permanent Method (Male, Cases) 3333 3873 16.2 Permanent Method (Female, Cases) 7361 9703 31.8 Total Permanent Method (Total, Cases) 10694 13576 26.9 I U D (Cases) 12993 28017 115.6 Implant (Cases) 36761 57660 56.9 Injectables (Doses) 871552 872886 0.2 Oral Pill (Cycles) 6751588 6764591 0.2 Condom (Pieces) 9361280 9406108 0.5

Table :7 Contribution of Government, NGOs and Multisectors in respect of Contraceptive Performance during December 2019

Performance Share of Contribution in Percentage Method NGOs & NGOs and Govt. Total Government Multisectors Multisectors Permanent Method (Male, Cases) 2416 1457 3873 62.4 37.6 Permanent Method (Female, Cases) 8443 1260 9703 87.0 13.0 Total Permanent Method (Cases) 10859 2717 13576 80.0 20.0 IUD (Cases) 24924 3093 28017 89.0 11.0 Implant (Cases) 53131 4529 57660 92.1 7.9 Injectable (Doses) 698301 174585 872886 80.0 20.0 Oral Pill (Cycles) 5813715 950876 6764591 85.9 14.1 Condom (Pieces) 7200842 2205266 9406108 76.6 23.4

Monthly Report of December 2019...... Page # 12 Table -8: Division wise and NGO & Multisector wise Contraceptive Performance for the month of November 2019 Sl. Permanent Method Oral Pill Condom Injectable IUD Implant No NGO and Multisectors (Nos.) (Cycles) (Pieces) (Vials) (Cases) (Nos.) . Male Female Total Rangpur Division 1 Family Planning Association of Bangladesh (FPAB) 18092 22287 2257 1 34 4 2 6 2 Marie Stopes Clinic 1374 7088 652 75 283 16 16 32 3 Palli Shisu Foundation (PSF) 42961 87836 7658 79 4 0 4 4 4 Sunflower 0 0 0 0 0 0 0 0 5 Shanirvar Bangladesh 3555 3410 483 2 0 0 0 0 6 Anirban Sangsad 45 84 0 0 0 0 0 0 7 CMH 741 10692 28 0 0 0 2 2 8 R. H. Steps 633 1328 90 6 0 0 0 0 9 MODEL CLINIC 102 1880 43 0 11 0 18 18 10 MOHILA-O-SHISHU SHASTHA KALLYAN SAMITY 1267 748 689 0 0 0 0 0 11 IPas Bangladesh 150 216 0 14 23 0 0 0 12 Surjer Hasi Clinic 12111 16774 3443 8 7 0 0 0 13 Friendship Bangladesh 3504 6155 158 0 0 0 0 0 14 Kanchan 17418 30396 1944 6 20 1 3 4 15 Dhaldanga Bohumukhi Samaj Unnayn Sangstha 7140 7700 1010 0 0 0 0 0 16 Lamb Hospital 27 0 51 0 25 0 7 7 17 KMSS 261 723 152 0 9 0 0 0 18 SAF 470 96 10 0 0 0 0 0 NGO Total 109851 197413 18668 191 416 21 52 73 1 BGB 168 2240 0 0 0 0 0 0 2 DGHS Health Clinic 70 50 0 0 0 0 0 0 Multisector Total 238 2290 0 0 0 0 0 0 NGO & Multisector Total 110089 199703 18668 191 416 21 52 73 Rajshahi Division 1 Family Planning Association of Bangladesh (FPAB) 34109 114417 3222 14 141 19 6 25 2 BAVS 198 5554 59 1 87 175 17 192 3 Marie Stopes Clinic 681 4814 148 75 105 29 4 33 4 Palli Shisu Foundation (PSF) 23750 48920 4799 34 4 0 1 1 5 Jatio Tarun Shanga 17207 34284 2580 14 0 0 0 0 6 Bamaneh 29186 46076 2564 7 4 1 0 1 7 Tilottoma 10294 46551 4128 23 19 2 4 6 8 Anonnya Somaj Kallyan Samity 2915 3646 1230 1 0 0 0 0 9 Shanirvar Bangladesh 4069 6084 509 12 48 0 0 0 10 Sromo Kallyan Shangstha 408 2112 0 0 0 0 0 0 11 R. H. Steps 590 4848 76 9 0 0 0 0 12 MR CLINIC 1656 2772 29 7 40 0 0 0 13 MODEL CLINIC 333 5784 115 0 8 0 43 43 14 SHEBA PROKALPO 0 0 0 0 0 0 0 0 15 POLLI SHISHU CLINIC 5992 8520 994 0 0 0 0 0 16 JTS-GONO UNNAYAN ACADEMY 15651 55188 4182 7 4 0 3 3 17 THANGAMARA 578 4552 215 5 23 0 4 4 18 SHASTO KALLYAN SHANGSTHA 0 0 0 0 0 0 0 0 19 Darpon 4338 5625 1221 5 0 0 0 0 20 IPas Bangladesh 717 3341 18 1 0 0 0 0 21 Surjer Hasi Clinic 2674 7728 963 1 11 0 3 3 22 Friendship Bangladesh 330 1200 0 0 0 0 0 0 23 Population Services & Training Centre (PSTC) 0 0 0 0 0 0 2 2 24 SORNALY 4486 6318 1163 3 0 0 0 0 25 Chardulai 3243 9708 1071 12 0 0 0 0 26 KMSS 0 0 0 0 0 0 0 0 NGO Total 163405 428042 29286 231 494 226 87 313 1 DGHS Health Clinic 255 250 16 1 5 0 74 74 Multisector Total 255 250 16 1 5 0 74 74 NGO & Multisector Total of Rajshahi Division 163660 428292 29302 232 499 226 161 387 Khulna Division 1 Family Planning Association of Bangladesh (FPAB) 36411 57728 2256 31 93 4 6 10 2 BAVS 228 1296 351 3 13 56 5 61 3 Marie Stopes Clinic 481 4042 103 51 39 2 3 5 4 Palli Shisu Foundation (PSF) 1599 7068 591 12 41 0 3 3 5 Paribarik Shastha Clinic 2736 9722 986 16 16 0 6 6 6 Jatio Tarun Shanga 10092 15307 2595 10 14 0 5 5 7 Paribar Kallyan Shangstha (PKS) 25816 76255 8759 37 62 1 26 27 8 PSTC 179 3420 713 2 22 0 0 0 9 BRAC 35 1200 52 0 0 0 0 0 10 Sromo Kallyan Shangstha 146 1160 0 0 0 0 0 0 11 Ad-Din Medical College Hospital 3937 4540 1452 0 5 0 34 34 12 CMH 104 2000 4 0 0 0 0 0 13 BWHC 69 20 30 0 0 0 0 0 14 R. H. Steps 1116 4656 160 11 0 0 0 0 15 VPKA (VP KENDRA) 3040 3000 1050 8 12 0 1 1 16 CRC 3483 6028 698 2 0 0 0 0

Monthly Report of December 2019...... Page # 13 Sl. Permanent Method Oral Pill Condom Injectable IUD Implant No NGO and Multisectors (Nos.) (Cycles) (Pieces) (Vials) (Cases) (Nos.) . Male Female Total 17 SGS 2880 6000 290 0 0 0 0 0 18 Police Hospital 54 1272 83 0 0 0 0 0 19 Surjer Hasi Clinic 4964 8684 1721 15 32 0 14 14 20 Friendship Bangladesh 555 2220 0 0 0 0 0 0 21 BNS TITUMIR 654 5950 0 0 0 0 0 0 22 COMUNITY CLINIC 264 1224 164 0 1 0 0 0 23 Peoples Development Community (PDC) 10500 9800 1005 0 0 0 0 0 24 Urban Health Care 1050 1871 415 12 34 0 4 4 25 KMSS 5682 9924 1423 0 3 0 3 3 NGO Total 116075 244387 24901 210 387 63 110 173 1 BGB 109 1993 30 0 0 0 0 0 2 Biman Bahini 63 3200 3 0 0 0 0 0 3 Paurasova 114 135 0 0 0 0 0 0 4 DGHS Health Clinic 58 558 5 10 0 0 10 10 5 Jessore Cantonmen 3172 10800 30 0 0 0 4 4 Multisector Total 3516 16686 68 10 0 0 14 14 NGO & Multisector Total 119591 261073 24969 220 387 63 124 187 Barishal Division 1 Family Planning Association of Bangladesh (FPAB) 6369 14412 1164 5 52 12 5 17 2 BAVS 298 7268 125 1 47 134 74 208 3 Marie Stopes Clinic 405 684 52 40 29 9 3 12 4 Paribarik Shastha Clinic 328 1025 382 1 7 0 0 0 5 Shanirvar Bangladesh 16290 29912 9844 31 0 0 0 0 6 BRAC 60 540 82 0 0 0 0 0 7 R. H. Steps 168 240 22 10 7 0 0 0 8 IPas Bangladesh 27 225 2 0 0 0 0 0 9 Surjer Hasi Clinic 679 1684 527 25 48 0 0 0 10 Desh Bangla 1319 1112 208 2 10 0 0 0 NGO Total 25943 57102 12408 115 200 155 82 237 1 Srama Kalyan Kendra 72 110 0 0 0 0 0 0 Multisector Total 72 110 0 0 0 0 0 0 NGO & Multisector Total of Barishal Division 26015 57212 12408 115 200 155 82 237 Dhaka Division 1 Family Planning Association of Bangladesh (FPAB) 20087 51114 1435 19 137 1 0 1 2 BAVS 1777 17750 458 30 233 459 30 489 3 Marie Stopes Clinic 6797 26127 1592 433 283 157 37 194 4 Paribarik Shastha Clinic 189 1116 14 1 0 0 0 0 5 Jatio Tarun Shanga 8770 26345 2727 33 74 0 4 4 6 Bamaneh 3560 11965 1012 31 0 0 0 0 7 Paribar Kallyan Shangstha (PKS) 0 0 0 0 0 0 0 0 8 PSTC 2268 607 798 27 88 0 0 0 9 Shanirvar Bangladesh 125506 177996 11930 164 113 0 12 12 10 BRAC 3430 18018 1129 81 82 0 0 0 11 Sromo Kallyan Shangstha 1706 8780 0 0 0 0 0 0 12 Ad-Din Medical College Hospital 1979 5028 215 7 10 0 41 41 13 BAPSA 5604 8462 364 48 47 0 0 0 14 Radda Barnen 390 6816 316 4 0 0 0 0 15 UTPS 4567 6408 644 40 48 1 4 5 16 PSKP 3490 5000 585 0 0 0 0 0 17 Anirban Sangsad 333 744 104 0 0 0 0 0 18 CMH 330 4500 32 0 0 0 8 8 19 Spire 4365 5400 564 0 0 0 0 0 20 Shimantik 3834 7026 810 33 30 10 8 18 21 Nagar Unnoyan Somaj Seba Shangstha 2445 3600 318 5 0 0 0 0 22 TDH CLINIC 1440 3200 42 1 8 0 1 1 23 ACORD 0 0 0 0 0 0 0 0 24 SHAKTTI FOUNDATION 823 3480 35 0 0 0 0 0 25 BWHC 212 1368 199 1 0 0 0 0 26 SUKHI PARIBAR SANGSTHA 0 0 0 0 0 0 0 0 27 Association in Training & Management (AITAM ) 64 924 22 0 0 10 6 16 28 MANOBIK SHAHAJJYA SAMITY 34 516 20 0 0 0 0 0 29 R. H. Steps 1295 4584 241 43 59 0 0 0 30 AL-FALAH MOJIN CLINIC 154 888 132 0 0 0 0 0 31 VPKA (VP KENDRA) 14276 61832 3333 26 3 3 0 3 32 MMKS 339 852 95 0 0 0 0 0 33 VFWA 2625 22718 1224 11 98 0 0 0 34 Nari Moytri 5409 11611 1080 17 14 1 2 3 35 SGS 1755 2410 0 0 0 0 0 0 36 CWFD 1577 6624 582 24 0 0 18 18 37 Aid For Poor People 2385 2604 300 0 0 0 0 0 38 Surjer Hasi Clinic 19954 44552 3603 45 21 2 2 4 39 Kumudini Hospital 562 1900 82 4 0 0 9 9

Monthly Report of December 2019...... Page # 14 Sl. Permanent Method Oral Pill Condom Injectable IUD Implant No NGO and Multisectors (Nos.) (Cycles) (Pieces) (Vials) (Cases) (Nos.) . Male Female Total 40 Family Welfare Assosiation 4638 3840 589 0 0 0 0 0 41 Population Services & Training Centre (PSTC) 18828 40337 2184 17 9 0 6 6 42 Jonoseba M&C W Songstha 1750 8232 361 9 0 0 0 0 43 Sazeda Foundation 500 1596 145 4 0 0 0 0 44 Adarsha Paribar Kalyan Shangsta 0 0 0 0 0 0 0 0 45 Rural Health Development Organization(RHDO) 48 264 16 1 0 0 0 0 46 NAGAR SASTHO KENDRO 541 3996 255 4 15 0 1 1 47 Urban Health Care 665 3600 201 4 7 0 4 4 48 Ideal Samaj Kallyan Sangatha 2550 4560 520 0 0 0 0 0 49 Sonali Din 4560 5130 505 0 0 0 0 0 50 Ahoshania Mission 2186 10812 499 30 46 0 0 0 51 Active Social Welfare Society 2826 4248 302 0 0 0 0 0 52 MISCS 4320 5510 567 0 0 0 0 0 53 Bashundhara Ad-din Medical College Hospital 97 1032 48 2 18 0 3 3 54 TMSS 0 0 0 0 0 0 0 0 55 Neer Seba Songtha 787 5238 205 0 0 0 0 0 56 Shishu Protiva Bikash Kendra (SPBK) 639 1200 50 0 0 0 0 0 NGO Total 299266 662460 42484 1199 1443 644 196 840 1 Biman Bahini 6 612 0 0 0 0 0 0 2 Sir Salimulla Medical College Hospital (Indoor) 110 0 100 85 150 0 0 0 3 BGME 4715 26407 872 0 0 0 0 0 4 DGHS Health Clinic 83 125 7 0 0 0 0 0 5 Victoria Hospital Narayanganj 107 0 5 4 12 0 0 0 6 Others Private Clinic 0 0 0 0 0 0 225 225 Multisector Total 5021 27144 984 89 162 0 225 225 NGO & Multisector Total 304287 689604 43468 1288 1605 644 421 1065 Mymensingh Division 1 Family Planning Association of Bangladesh (FPAB) 18395 28140 1046 3 38 0 0 0 2 BAVS 0 0 0 0 0 0 0 0 3 Marie Stopes Clinic 264 3370 92 42 70 0 0 0 4 Paribarik Shastha Clinic 0 0 0 0 0 0 0 0 5 Jatio Tarun Shanga 6645 11177 805 4 8 0 0 0 6 Bamaneh 4664 9768 1185 8 20 0 0 0 7 Sunflower 0 0 0 0 0 0 0 0 8 Shanirvar Bangladesh 18972 48866 2999 20 29 0 4 4 9 BRAC 75 120 65 0 8 0 0 0 10 BAPSA 42 108 15 0 0 0 0 0 11 Gono Shastha Kendra 0 0 0 0 0 0 0 0 12 CMH 0 0 0 0 0 0 0 0 13 MALANCHA SEBA SAMITY 0 0 0 0 0 0 0 0 14 SUPIRAT 0 0 0 0 0 0 0 0 15 R. H. Steps 39 240 11 11 6 0 0 0 16 MODEL CLINIC 451 2928 32 0 0 0 0 0 17 CHCP 0 0 0 0 0 0 0 0 18 NSDP 0 0 0 0 0 0 0 0 19 SHASTO KALLYAN SHANGSTHA 0 0 0 0 0 0 0 0 20 Krishi Bisho 10 48 0 0 0 0 0 0 21 IPas Bangladesh 440 1592 89 17 11 0 52 52 22 Surjer Hasi Clinic 7664 23600 1444 12 7 0 4 4 23 Friendship Bangladesh 150 86 0 0 0 0 0 0 24 Saya Path 0 0 0 0 0 0 0 0 25 Shastha Prokalpo 15 0 52 0 0 0 8 8 NGO Total 57826 130043 7835 117 197 0 68 68 1 BGB 643 221 0 0 0 0 0 0 2 BGME 1519 14016 110 0 0 0 0 0 Multisector Total 2162 14237 110 0 0 0 0 0 NGO & Multisector Total of Mymensingh Division 59988 144280 7945 117 197 0 68 68

Monthly Report of December 2019...... Page # 15 Sl. Permanent Method Oral Pill Condom Injectable IUD Implant No NGO and Multisectors (Nos.) (Cycles) (Pieces) (Vials) (Cases) (Nos.) . Male Female Total Chattogram Division 1 Family Planning Association of Bangladesh (FPAB) 21843 39877 2316 73 127 1 8 9 2 BAVS 135 5400 99 8 61 99 48 147 3 Concern Women for Family Planning (CWFP) 21 228 0 0 0 0 0 0 4 Marie Stopes Clinic 1397 9688 383 125 108 140 0 140 5 Paribarik Shastha Clinic 725 970 458 2 0 0 0 0 6 Bamaneh 2538 13260 765 11 0 0 0 0 7 Shanirvar Bangladesh 13263 38604 2080 33 0 0 0 0 8 BRAC 225 216 0 0 0 0 0 0 9 Sromo Kallyan Shangstha 246 96 38 0 0 0 0 0 10 BAPSA 586 1248 72 12 0 0 0 0 11 FDSR 25642 38287 4048 80 169 0 1 1 12 CMH 1169 9532 166 29 11 0 29 29 13 BWHC 126 360 35 2 0 0 0 0 14 SUPIRAT 8769 25472 4981 38 2 0 1 1 15 PROSHANTI 1880 2172 388 10 0 0 0 0 16 NISKRITY 1916 5868 836 1 1 0 0 0 17 IMAGE 2157 6722 849 8 27 0 5 5 18 MOMOTA 4388 14832 1270 65 184 0 30 30 19 SUS (TMA , NASIRABAD) 10539 22624 1108 5 2 0 0 0 20 ISDE 0 0 0 0 0 0 0 0 21 CUFL 85 840 0 0 0 0 0 0 22 JUSH 0 0 0 0 0 0 0 0 23 R. H. Steps 957 1736 246 27 7 0 0 0 24 MODEL CLINIC 1527 3204 34 47 47 0 50 50 25 BANDHAN 3221 9048 332 2 5 0 0 0 26 Ghasful 1116 14400 70 6 0 0 0 0 27 IPas Bangladesh 415 180 10 0 0 0 0 0 28 Surjer Hasi Clinic 13687 31184 3347 41 23 0 28 28 29 Saya Path 2496 12624 461 21 28 62 0 62 30 B.R.D.B 339 1476 68 0 0 0 0 0 31 RTMI 1407 4656 556 18 52 0 0 0 32 NAGAR MATRI SADAN 627 1380 390 11 37 2 1 3 33 Urban Health Care 1208 2184 335 2 12 0 0 0 34 Mission Hospital, Chandraghona 551 973 10 0 0 0 0 0 35 Smiling Sun Network 3020 3677 1178 11 24 0 0 0 NGO Total 128221 323018 26929 688 927 304 201 505 1 BGB 111 1842 4 0 0 0 0 0 2 Cantonment 540 5600 36 2 0 0 2 2 3 Biman Bahini 81 2304 3 1 0 0 0 0 4 Navy 471 9224 34 11 0 0 1 1 5 Railway Hospital 105 240 12 0 0 0 0 0 6 BGC Traust 3 132 0 0 0 0 0 0 7 BGME 60 84 0 0 0 0 0 0 8 DGHS Health Clinic 425 48 8 68 21 0 42 42 9 BKMEA 323 704 97 0 0 0 0 0 10 Others Private Clinic 0 0 0 0 0 0 22 22 Multisector Total 2119 20178 194 82 21 0 67 67 NGO & Multisector Total of Chattogram Division 130340 343196 27123 770 948 304 268 572 Sylhet Division 1 Family Planning Association of Bangladesh (FPAB) 744 18219 345 1 46 1 1 2 2 BAVS 693 1728 38 0 65 43 15 58 3 Marie Stopes Clinic 797 2462 112 56 7 0 39 39 4 BRAC 300 840 137 7 10 0 0 0 5 CMH 390 9700 386 0 0 0 0 0 6 Shimantik 28487 30807 3797 13 109 0 0 0 7 BWHC 1150 2582 1907 2 1 0 26 26 8 RED CRESCENT SANGSTHA 84 143 17 0 0 0 0 0 9 R. H. Steps 478 1276 27 2 0 0 0 0 10 VARD, SYLHET 0 0 0 0 0 0 0 0 11 Sylhet Samaj Kallyan Sangatha 1065 6055 3512 1 0 0 2 2 12 Surjer Hasi Clinic 1763 4740 318 4 0 0 0 0 13 SUPPS 0 0 0 0 0 0 0 0 14 TIL Welfare Division 30 192 0 0 0 0 0 0 15 Govt. Labour Welfare Center 0 0 0 0 0 0 0 0 NGO Total 35981 78744 10596 86 238 44 83 127 1 BGB 27 729 0 0 0 0 0 0 2 Srama Kalyan Kendra 84 189 0 0 0 0 0 0 3 DGHS Health Clinic 588 792 37 49 4 0 0 0 Multisector Total 699 1710 37 49 4 0 0 0 NGO & Multisector Total of Sylhet Division 36680 80454 10633 135 242 44 83 127 NGO & Multisector Grand Total of National 840561 2004111 155848 2877 4078 1436 1207 2643

Monthly Report of December 2019...... Page # 16 Table -9: District wise Projection, Performance and Achievement Rate of Permanent and Long Acting Methods

Permanent Method (Cases) IUD (Cases) Implant (Cases) Reporting Month July'19 to April'20 Reporting Month July'19 to April'20 Reporting Month July'19 to April'20 District Yearly Yearly Yearly Yearly Achi. Achi. Achi. Achi. Achi. Achi. Projection Projection Projection Rate(%) Rate(%) Rate(%) Rate(%) Rate(%) Rate(%) Perform. Perform. Perform. Perform. Perform. Perform.

Dinajpur 3851 366 114.0 2270 117.9 3257 571 210.4 2048 125.8 15257 1598 125.7 10725 140.6 Thakurgaon 1910 125 78.5 612 64.1 1843 161 104.8 640 69.5 5612 533 114.0 2146 76.5 Panchgarh 1127 50 53.2 342 60.7 1593 186 140.1 520 65.3 4361 398 109.5 2601 119.3 Nilphamari 2197 186 101.6 910 82.8 2813 615 262.4 1917 136.3 5950 822 165.8 4014 134.9 Rangpur 3621 373 123.6 2340 129.2 5609 532 113.8 2271 81.0 10276 1049 122.5 6185 120.4 Kurigram 2322 131 67.7 402 34.6 7436 579 93.4 1997 53.7 10058 1033 123.2 3444 68.5 Gaibandha 3600 428 142.7 2303 127.9 6040 550 109.3 1956 64.8 10230 1122 131.6 5353 104.7 Lalmonirhat 3208 137 51.2 685 42.7 5890 479 97.6 1369 46.5 8512 477 67.2 3073 72.2 Rangpur Div. 21836 1796 98.7 9864 90.3 34481 3673 127.8 12718 73.8 70256 7032 120.1 37541 106.9 Bogura 3973 300 90.6 1632 82.2 5145 522 121.7 2447 95.1 15083 1686 134.1 8526 113.1 Joipurhat 1021 226 265.6 1081 211.8 1317 227 206.8 635 115.7 4803 1235 308.6 4137 172.3 Naogaon 2078 198 114.3 954 91.8 2031 280 165.4 1299 153.5 9455 650 82.5 3924 83.0 Chapai Nawabganj 2856 182 76.5 1005 70.4 2689 157 70.1 749 66.9 3520 380 129.5 1428 81.1 Rajshahi 4543 244 64.5 1530 67.4 6050 249 49.4 1287 51.1 9978 835 100.4 4421 88.6 Natore 3137 216 82.6 1291 82.3 2856 223 93.7 997 83.8 7313 821 134.7 3986 109.0 Pabna 1844 49 31.9 302 32.8 4706 440 112.2 1952 99.5 5618 752 160.6 3400 121.0 Serajganj 3100 144 55.7 564 36.4 8071 824 122.5 2864 85.2 8940 1158 155.4 4075 91.2 Rajshahi Div. 22552 1559 83.0 8359 74.1 32865 2922 106.7 12230 74.4 8940 7517 1009.0 33897 758.3 Kushtia 1989 203 122.5 981 98.6 2207 140 76.1 405 36.7 7075 826 140.1 1379 39.0 Meherpur 907 84 111.1 444 97.9 542 70 155.0 195 72.0 1706 171 120.3 355 41.6 Chuadanga 1657 146 105.7 752 90.8 1205 190 189.2 619 102.7 3757 442 141.2 1700 90.5 Jhenaidaha 1977 301 182.7 957 96.8 1701 247 174.3 818 96.2 4717 819 208.4 2146 91.0 Magura 1604 120 89.8 529 66.0 1461 290 238.2 696 95.3 3672 649 212.1 1303 71.0 Narail 1000 66 79.2 272 54.4 1075 191 213.2 403 75.0 2700 491 218.2 751 55.6 Jashore 2496 185 88.9 936 75.0 3461 444 153.9 1502 86.8 3620 1244 412.4 3360 185.6 Khulna 2704 249 110.5 1265 93.6 3097 633 245.3 2992 193.2 8067 1172 174.3 3863 95.8 Bagerhat 1859 95 61.3 388 41.7 2199 342 186.6 966 87.9 4399 806 219.9 1986 90.3 Satkhira 2208 171 92.9 712 64.5 1980 222 134.5 772 78.0 4427 484 131.2 1810 81.8 Khulna Div. 18401 1620 105.6 7236 78.6 18928 2769 175.5 9368 99.0 44140 7104 193.1 18653 84.5 Barguna 1672 204 146.4 890 106.5 2340 278 142.6 708 60.5 5717 1026 215.4 3555 124.4 Patuakhali 2441 173 85.0 872 71.4 4037 480 142.7 1591 78.8 7056 1158 196.9 5552 157.4 Barishal 2307 244 126.9 1183 102.6 3355 393 140.6 1517 90.4 5968 980 197.1 3727 124.9 Jhalakati 2022 62 36.8 223 22.1 1175 108 110.3 325 55.3 2329 374 192.7 1174 100.8 Bhola 2818 209 89.0 761 54.0 5215 378 87.0 1172 44.9 7518 929 148.3 3356 89.3 Pirojpur 2172 105 58.0 404 37.2 2939 362 147.8 1172 79.8 3187 572 215.4 2480 155.6 Barishal Div. 13432 997 89.1 4333 64.5 19061 1999 125.8 6485 68.0 31775 5039 190.3 19844 124.9

Monthly Report of December 2019------Page # 17 Permanent Method (Cases) IUD (Cases) Implant (Cases) Reporting Month July'19 to April'20 Reporting Month July'19 to April'20 Reporting Month July'19 to April'20 District Yearly Yearly Yearly Yearly Achi. Achi. Achi. Achi. Achi. Achi. Projection Projection Projection Rate(%) Rate(%) Rate(%) Rate(%) Rate(%) Rate(%) Perform. Perform. Perform. Perform. Perform. Perform. #DIV/0! #DIV/0! Gopalganj 2099 212 121.2 992 94.5 1163 285 294.1 697 119.9 4190 707 202.5 2369 113.1 Madaripur 1218 108 106.4 459 75.4 1618 385 285.5 1120 138.4 5057 654 155.2 2746 108.6 Shariatpur 2470 74 36.0 360 29.1 2660 317 143.0 1137 85.5 3621 338 112.0 1895 104.7 Faridpur 3237 325 120.5 1514 93.5 2212 579 314.1 2237 202.3 6103 1504 295.7 5304 173.8 Rajbari 1020 101 118.8 528 103.5 1010 320 380.2 1183 234.3 3520 827 281.9 3377 191.9 Dhaka 12800 1262 118.3 6855 107.1 10729 1820 203.6 7035 131.1 12795 1889 177.2 7459 116.6 Gazipur 4980 205 49.4 912 36.6 6135 248 48.5 1097 35.8 7522 628 100.2 2627 69.8 Munshiganj 3604 114 38.0 500 27.7 3163 285 108.1 818 51.7 4829 394 97.9 1750 72.5 Narayanganj 3193 367 137.9 1848 115.8 10574 399 45.3 1570 29.7 10243 609 71.3 2951 57.6 Narshingdi 4516 422 112.1 2141 94.8 3681 481 156.8 1893 102.9 6081 627 123.7 2684 88.3 Manikganj 5162 528 122.7 2569 99.5 3373 223 79.3 695 41.2 5027 658 157.1 2929 116.5 Tangail 6903 342 59.5 1614 46.8 6979 798 137.2 2755 79.0 10073 1241 147.8 5755 114.3 Kishoreganj 5326 176 39.7 837 31.4 4815 445 110.9 1582 65.7 9456 999 126.8 4546 96.2 Dhaka Div. 56528 4236 89.9 606 2.1 58112 6585 136.0 23819 82.0 88517 11075 150.1 46392 104.8 Jamalpur 2402 99 49.5 1626 135.4 4438 185 50.0 499 22.5 8259 859 124.8 2924 70.8 Sherpur 2058 254 148.1 2114 205.4 1957 715 438.4 3024 309.0 5832 1811 372.6 7647 262.2 Mymensingh 7475 440 70.6 774 20.7 15271 1255 98.6 2943 38.5 15025 1955 156.1 6912 92.0 Netrokona 1855 122 78.9 705 76.0 2481 244 118.0 624 50.3 9006 763 101.7 5002 111.1 Mymensingh Div. 13790 915 79.6 2577 37.4 24147 2399 119.2 7090 58.7 38122 5388 169.6 22485 118.0 B. Baria 3018 91 36.2 1058 70.1 4889 451 110.7 1520 62.2 8529 1065 149.8 5088 119.3 Cumilla 5969 451 90.7 562 18.8 9394 1342 171.4 5413 115.2 11247 1316 140.4 6084 108.2 Chandpur 3228 260 96.7 1131 70.1 4268 668 187.8 2449 114.8 7374 1656 269.5 4763 129.2 Feni 2520 83 39.5 376 29.8 2987 370 148.6 1561 104.5 4679 422 108.2 2317 99.0 Noakhali 2568 213 99.5 2607 203.0 3260 598 220.1 2096 128.6 9864 1325 161.2 5147 104.4 Laxmipur 4427 58 15.7 590 26.7 7039 273 46.5 959 27.2 8621 586 81.6 2777 64.4 Chattogram 4983 486 117.0 72 2.9 9482 1576 199.5 7081 149.4 15487 2427 188.1 10511 135.7 Cox's Bazar 4192 147 42.1 156 7.4 4311 647 180.1 2005 93.0 10746 1543 172.3 6297 117.2 Rangamati 1454 18 14.9 156 21.5 1114 155 167.0 506 90.8 2989 291 116.8 1382 92.5 Khagrachhari 2396 34 17.0 2147 179.2 1140 261 274.7 892 156.5 3315 408 147.7 1859 112.2 Bandarban 886 36 48.8 589 133.0 1818 254 167.7 797 87.7 2581 299 139.0 1268 98.3 Chattogram Div. 35641 1877 63.2 9444 53.0 49702 6595 159.2 25279 101.7 85432 11338 159.3 47493 111.2 Sylhet 3750 265 84.8 2147 114.5 2200 278 151.6 1535 139.5 9000 809 107.9 4911 109.1 Habiganj 6384 123 23.1 589 18.5 3811 223 70.2 858 45.0 6977 818 140.7 3021 86.6 Moulavibazar 3099 68 26.3 456 29.4 3326 270 97.4 1284 77.2 6066 514 101.7 2363 77.9 Sunamganj 5182 120 27.8 1073 41.4 6781 304 53.8 1259 37.1 8453 1026 145.7 6511 154.1 Sylhet Div. 18415 576 37.5 4265 46.3 16118 1075 80.0 4936 61.2 30496 3167 124.6 16806 110.2 National 200595 13576 81.2 46684 46.5 253414 28017 132.7 101925 80.4 397678 57660 174.0 243111 122.3

Monthly Report of December 2019------Page # 18 Table-10: District wise Projection, Performance and Achievement Rate of Short Acting Methods Injectables Oral Pill Condom Reporting Month July'19 to April'20 Reporting Month July'19 to April'20 Reporting Month July'19 to April'20 District Yearly Yearly Yearly Yearly Achi. Achi. Achi. Achi. Achi. Achi. Projection Projection Projection Rate(%) Rate(%) Rate(%) (in CYP) (in CYP) (in CYP) Rate (%) Rate (%) Rate (%) Perform. Perform. Perform. Perform. Perform. Perform. Dinajpur 124862 3231 31.1 20491 32.8 256295 10477 49.1 61391 47.9 46002 876 22.9 4891 21.3 Thakurgaon 57105 2251 47.3 18108 63.4 117216 4448 45.5 28764 49.1 21039 280 16.0 1795 17.1 Panchgarh 44094 2406 65.5 15492 70.3 90508 4984 66.1 30761 68.0 16245 276 20.4 1757 21.6 Nilphamari 77921 3669 56.5 22526 57.8 159943 7898 59.3 46933 58.7 28708 427 17.8 2672 18.6 Rangpur 121279 6150 60.9 39638 65.4 248941 10930 52.7 63846 51.3 44682 951 25.5 6010 26.9 Kurigram 101175 5430 64.4 36683 72.5 207675 9340 54.0 53455 51.5 37275 904 29.1 5942 31.9 Gaibandha 104087 6647 76.6 40395 77.6 213651 11806 66.3 67986 63.6 38348 1211 37.9 7294 38.0 Lalmonirhat 52774 2914 66.3 18893 71.6 108325 4683 51.9 27515 50.8 19443 343 21.2 2094 21.5 Rangpur Div. 683296 32698 57.4 212226 62.1 1402554 64566 55.2 380651 54.3 251741 5268 25.1 32455 25.8 Bogura 145699 4018 33.1 26887 36.9 299066 11963 48.0 71482 47.8 53679 2272 50.8 13666 50.9 Joipurhat 40037 791 23.7 4479 22.4 82181 2661 38.9 16343 39.8 14750 403 32.8 2400 32.5 Noagaon 110993 2617 28.3 16401 29.6 227829 10496 55.3 63051 55.3 40892 1111 32.6 6683 32.7 Nawabganj 70947 1930 32.6 12363 34.9 145628 4341 35.8 25824 35.5 26138 1003 46.0 5954 45.6 Rajshahi 115903 3830 39.7 24739 42.7 237907 8498 42.9 52946 44.5 42701 2063 58.0 12728 59.6 Natore 77696 2238 34.6 13259 34.1 159481 6491 48.8 38413 48.2 28625 1164 48.8 7312 51.1 Pabna 110935 5235 56.6 31066 56.0 227709 10239 54.0 60944 53.5 40871 1470 43.2 8402 41.1 Serajganj 123356 6557 63.8 38950 63.2 253204 12727 60.3 77946 61.6 45447 2134 56.3 12762 56.2 Rajshahi Div. 795566 27216 41.1 168144 42.3 1633004 67416 49.5 406949 49.8 293103 11620 47.6 69907 47.7 Kushtia 86570 3105 43.0 21220 49.0 177697 5980 40.4 37362 42.1 31894 1099 41.3 6916 43.4 Meherpur 30652 1751 68.6 11682 76.2 62917 1390 26.5 8592 27.3 11293 355 37.7 2316 41.0 Chuadanga 48462 2505 62.0 16572 68.4 99475 3019 36.4 18637 37.5 17855 477 32.1 3122 35.0 Jhenaidaha 73673 2050 33.4 13833 37.6 151224 4896 38.9 28463 37.6 27143 685 30.3 4383 32.3 Magura 36637 1261 41.3 8167 44.6 75203 3158 50.4 18199 48.4 13498 402 35.7 2288 33.9 Narail 29508 901 36.6 5915 40.1 60569 2424 48.0 14043 46.4 10871 426 47.0 2636 48.5 Jashore 115970 5867 60.7 35274 60.8 238045 8580 43.3 50855 42.7 42726 1616 45.4 9832 46.0 Khulna 94014 4390 56.0 24031 51.1 192977 9900 61.6 55434 57.5 34637 1923 66.6 10926 63.1 Bagerhat 58241 1971 40.6 12842 44.1 119547 5771 57.9 38505 64.4 21457 852 47.6 5031 46.9 Satkhira 82439 2699 39.3 17125 41.5 169217 7378 52.3 44913 53.1 30372 1126 44.5 6774 44.6 Khulna Div. 656168 26500 48.5 166661 50.8 1346871 52496 46.8 315003 46.8 241746 8961 44.5 54224 44.9 Barguna 37401 1928 61.9 12064 64.5 76770 3238 50.6 19591 51.0 13779 250 21.8 1479 21.5 Patuakhali 63946 3606 67.7 22233 69.5 131258 5562 50.8 32037 48.8 23559 434 22.1 2463 20.9 Barishal 80113 4265 63.9 25330 63.2 164442 6394 46.7 38908 47.3 29515 718 29.2 4524 30.7 Jhalakati 21818 884 48.6 5531 50.7 44783 1615 43.3 9794 43.7 8038 162 24.2 1086 27.0 Bhola 69787 7901 135.9 46273 132.6 143247 4231 35.4 25320 35.4 25711 484 22.6 2858 22.2 Pirojpur 38471 1833 57.2 10745 55.9 78967 4497 68.3 26918 68.2 14174 538 45.5 3187 45.0 Barishal Div. 311535 20417 78.6 122176 78.4 639467 25537 47.9 152568 47.7 114776 2586 27.0 15597 27.2 #DIV/0! #DIV/0!

Monthly Report of December 2019------Page # 19 Injectables Oral Pill Condom Reporting Month July'19 to April'20 Reporting Month July'19 to April'20 Reporting Month July'19 to April'20 District Yearly Yearly Yearly Yearly Achi. Achi. Achi. Achi. Achi. Achi. Projection Projection Projection Rate(%) Rate(%) Rate(%) (in CYP) (in CYP) (in CYP) Rate (%) Rate (%) Rate (%) Perform. Perform. Perform. Perform. Perform. Perform. Gopalganj 41528 1297 37.5 7902 38.1 85242 4475 63.0 29126 68.3 15300 579 45.4 4181 54.7 Madaripur 44255 2301 62.4 13995 63.2 90840 4228 55.9 24600 54.2 16305 487 35.8 3047 37.4 Shariatpur 40587 1305 38.6 8163 40.2 83311 2961 42.7 18202 43.7 14953 413 33.1 2654 35.5 Faridpur 74597 2075 33.4 13278 35.6 153121 5676 44.5 35447 46.3 27483 1077 47.0 6875 50.0 Rajbari 43921 1757 48.0 10933 49.8 90154 3602 47.9 21652 48.0 16181 807 59.8 5917 73.1 Dhaka 138295 9000 78.1 50427 72.9 283869 16465 69.6 94725 66.7 50951 3983 93.8 22068 86.6 Gazipur 79864 1891 28.4 12191 30.5 163932 7108 52.0 42439 51.8 29424 1234 50.3 7123 48.4 Munshiganj 56960 1452 30.6 9912 34.8 116917 4715 48.4 31431 53.8 20985 674 38.5 4569 43.5 Narayanganj 100973 4688 55.7 29174 57.8 207260 9351 54.1 57718 55.7 37201 1294 41.7 8328 44.8 Narshingdi 82875 5026 72.8 32546 78.5 170113 7946 56.1 46168 54.3 30533 1153 45.3 6930 45.4 Manikganj 57679 1735 36.1 10505 36.4 118393 4680 47.4 28874 48.8 21250 931 52.6 5724 53.9 Tangail 160537 6149 46.0 35820 44.6 329523 17839 65.0 105146 63.8 59145 2194 44.5 12459 42.1 Kishoreganj 106430 3706 41.8 22865 43.0 218462 8712 47.9 53614 49.1 39211 1218 37.3 7551 38.5 Dhaka Div. 1028502 42382 49.4 257711 50.1 2111135 97758 55.6 589142 55.8 378922 16044 50.8 97426 51.4 Jamalpur 92055 2813 36.7 18385 39.9 188955 6633 42.1 38492 40.7 33915 684 24.2 3993 23.5 Sherpur 60391 5829 115.8 37018 122.6 123961 25290 244.8 149355 241.0 22249 1975 106.5 12144 109.2 Mymensingh 197852 3801 23.1 22901 23.1 406117 12974 38.3 76208 37.5 72893 1609 26.5 9230 25.3 Netrokona 79013 3437 52.2 20491 51.9 162184 10463 77.4 62772 77.4 29110 950 39.2 5597 38.5 Mymensingh Div. 429311 15880 44.4 98795 46.0 881217 55360 75.4 326827 74.2 158167 5218 39.6 30964 39.2 B. Baria 102750 3153 36.8 20924 40.7 210908 6032 34.3 37203 35.3 37855 1043 33.1 6309 33.3 Cumilla 212139 8357 47.3 51118 48.2 435444 12601 34.7 77855 35.8 78157 1849 28.4 11387 29.1 Chandpur 89117 4172 56.2 24970 56.0 182925 5146 33.8 31297 34.2 32833 599 21.9 3525 21.5 Feni 52811 2295 52.1 14082 53.3 108402 3170 35.1 19852 36.6 19457 719 44.3 4365 44.9 Noakhali 110735 3900 42.3 24557 44.4 227298 5766 30.4 34571 30.4 40797 830 24.4 5114 25.1 Laxmipur 63330 3828 72.5 22558 71.2 129993 2392 22.1 15050 23.2 23332 242 12.4 1464 12.5 Chattogram 200705 6966 41.6 42638 42.5 411974 13864 40.4 83335 40.5 73944 2213 35.9 13606 36.8 Cox's Bazar 79703 5274 79.4 32154 80.7 163600 6061 44.5 36472 44.6 29364 743 30.4 5244 35.7 Rangamati 19405 763 47.2 4934 50.9 39831 2308 69.5 14469 72.7 7149 301 50.5 1816 50.8 Khagrachhari 21543 1004 55.9 6101 56.6 44219 2679 72.7 16225 73.4 7937 242 36.6 1475 37.2 Bandarban 13835 773 67.0 3801 54.9 28397 1399 59.1 8601 60.6 5097 252 59.3 1520 59.6 Chattogram Div. 966073 40485 50.3 247837 51.3 1982991 61418 37.2 374930 37.8 355922 9033 30.5 55825 31.4 Sylhet 113519 6687 70.7 41181 72.6 233014 8527 43.9 49497 42.5 41823 1940 55.7 12090 57.8 Habiganj 74321 1494 24.1 9107 24.5 152554 6091 47.9 36887 48.4 27382 491 21.5 2854 20.8 Moulavibazar 63803 1915 36.0 11237 35.2 130965 4207 38.5 26175 40.0 23506 482 24.6 3023 25.7 Sunamganj 75742 2552 40.4 14789 39.1 155470 7596 58.6 44179 56.8 27905 1065 45.8 6024 43.2 Sylhet Div. 327386 12648 46.4 76314 46.6 672002 26421 47.2 156738 46.6 120616 3978 39.6 23991 39.8 National 5197836 218226 50.4 1349864 51.9 10669243 450972 50.7 2702808 50.7 1914992 62708 39.3 380389 39.7

Monthly Report of December 2019------Page # 20 Table -11: Method wise Users (Normal & Postpurtam as Old, New, Dropout, Postpurtam Expire) and CAR by District at the end of December 2019 Oral Pill Normal Postpartum Name of District Total Eligible Dropout Dropout Total Oral Pill Couple Old New Total Switch Old New Total Postpartum Expire No Method No Method Switch Over Over Dinajpur 659634 251418 1801 253219 1177 1421 14919 1176 16095 99 173 711 269314 Thakurgaon 302300 111002 1031 112033 566 517 4907 501 5408 263 72 246 117441 Panchgarh 233804 94412 1153 95565 568 629 3704 431 4135 21 54 262 99700 Nilphamari 411958 155894 1113 157007 587 776 7725 584 8309 67 81 432 165316 Rangpur 641174 229005 1932 230937 1102 1127 10052 719 10771 112 141 264 241708 Kurigram 535444 195059 2123 197182 1108 981 6250 758 7008 106 75 283 204190 Gaibandha 551122 204545 2807 207352 1603 1209 6108 696 6804 89 101 280 214156 Lalmonirhat 279489 93094 1085 94179 586 444 4912 409 5321 36 65 216 99500 Rangpur Div. 3614925 1334429 13045 1347474 7297 7104 58577 5274 63851 793 762 2694 1411325 Bogura 769624 298574 2267 300841 1803 1643 11640 1150 12790 140 176 600 313631 Joipurhat 211833 81329 780 82109 439 498 3072 275 3347 26 69 175 85456 Naogaon 587464 247450 2022 249472 1535 1162 8135 850 8985 55 108 380 258457 Chapai Nawabganj 375124 135406 927 136333 731 562 4484 431 4915 28 35 213 141248 Rajshahi 613175 201103 2876 203979 1539 1422 8931 759 9690 213 236 2271 213669 Natore 410766 156397 1600 157997 1023 914 6355 723 7078 53 158 327 165075 Pabna 586633 205319 1918 207237 1125 778 8067 754 8821 94 121 253 216058 Serajganj 653624 247138 2321 249459 1382 943 14499 1056 15555 141 156 911 265014 Rajshahi Div. 4208243 1572716 14711 1587427 9577 7922 65183 5998 71181 750 1059 5130 1658608 Kustia 456817 143751 1554 145305 767 695 5437 652 6089 67 89 183 151394 Meherpur 161706 44828 384 45212 173 212 860 105 965 9 8 21 46177 Chuadanga 256315 87297 888 88185 511 438 3831 391 4222 26 77 204 92407 Jhenaidaha 391928 146212 1296 147508 695 592 4387 496 4883 57 83 141 152391 Magura 194205 72292 728 73020 445 357 3825 411 4236 33 51 174 77256 Narail 153433 58225 1080 59305 481 396 2118 234 2352 59 54 41 61657 Jashore 612662 184675 1359 186034 882 740 6354 550 6904 98 128 278 192938 Khulna 496361 171064 2281 173345 1298 1158 4936 503 5439 72 90 168 178784 Bagerhat 308171 116779 1321 118100 814 692 5036 570 5606 128 130 170 123706 Satkhira 435724 170067 1383 171450 981 658 5403 488 5891 58 52 350 177341 Khulna Div. 3467322 1195190 12274 1207464 7047 5938 42187 4400 46587 607 762 1730 1254051 Barguna 197330 63848 1285 65133 582 693 4716 404 5120 82 145 180 70253 Patuakhali 338371 113032 1473 114505 755 847 7644 427 8071 145 139 195 122576 Barishal 422987 149422 1379 150801 903 556 7784 540 8324 97 65 321 159125 Jhalakati 114402 39731 476 40207 319 164 1754 177 1931 48 41 61 42138 Bhola 369189 105927 1382 107309 833 722 7003 726 7729 40 89 445 115038 Pirojpur 203610 74966 1130 76096 770 612 5671 727 6398 178 97 298 82494 Barishal Div. 1645889 546926 7125 554051 4162 3594 34572 3001 37573 590 576 1500 591624

Monthly Report of December 2019------Page # 21 Oral Pill Normal Postpartum Name of District Dropout Dropout Total E. Couple Total Oral Pill Old New Total Switch Old New Total Postpartum Expire No Method No Method Switch Over Over Gopalganj 219918 85577 1341 86918 695 849 4065 432 4497 96 117 140 91415 Madaripur 233015 81676 668 82344 486 378 4269 395 4664 80 67 200 87008 Shariatpur 214591 71716 716 72432 464 234 4481 340 4821 88 75 173 77253 Faridpur 393641 134353 1559 135912 927 802 5417 609 6026 150 109 207 141938 Rajbari 232353 78019 935 78954 552 459 4165 361 4526 170 65 171 83480 Dhaka 732452 235785 2863 238648 1398 1136 8968 1097 10065 135 179 378 248713 Gazipur 423011 172346 1328 173674 879 561 6151 576 6727 41 56 276 180401 Munshiganj 301437 102407 830 103237 424 482 5534 308 5842 258 71 141 109079 Narayanganj 533846 192882 2203 195085 1153 912 9416 925 10341 122 152 512 205426 Narshingdi 438439 155638 1841 157479 813 738 6614 676 7290 73 101 292 164769 Manikganj 305507 102453 1290 103743 946 589 4601 600 5201 130 86 291 108944 Tangail 847761 330767 2231 332998 1393 869 10450 887 11337 137 173 416 344335 Kishoreganj 563565 219341 3153 222494 1678 1565 9856 958 10814 202 210 381 233308 Dhaka Div. 5439536 1962960 20958 1983918 11808 9574 83987 8164 92151 1682 1461 3578 2076069 Jamalpur 486506 174072 1409 175481 759 631 8023 656 8679 57 77 268 184160 Sherpur 319159 122607 1282 123889 820 690 5628 564 6192 54 69 214 130081 Mymensingh 1015923 459017 3883 462900 2567 1613 25950 2246 28196 380 222 1281 491096 Netrokona 417378 171967 1770 173737 1139 866 8151 723 8874 109 81 442 182611 Mymensingh Div. 2238966 927663 8344 936007 5285 3800 47752 4189 51941 600 449 2205 987948 Brahmanbaria 527875 155995 1897 157892 1788 571 12196 1062 13258 221 70 518 171150 Cumilla 1121755 375699 2679 378378 2145 1136 25571 1601 27172 249 161 759 405550 Chandpur 471692 167540 1432 168972 1095 776 11408 881 12289 134 141 399 181261 Feni 279922 82582 921 83503 477 354 4954 444 5398 76 83 83 88901 Noakhali 586197 188583 1453 190036 1183 612 12919 817 13736 126 166 332 203772 Lakshmipur 334758 100086 776 100862 580 219 6389 428 6817 64 47 216 107679 Chattogram 1062533 380995 3722 384717 2159 1482 21034 1409 22443 214 224 674 407160 Cox's Bazar 423410 135005 1671 136676 1051 744 12521 1181 13702 233 156 403 150378 Rangamati 102616 38236 394 38630 232 191 1260 120 1380 6 11 53 40010 Khagrachhari 114020 44760 381 45141 236 194 1703 141 1844 24 17 80 46985 Bandarban 73365 20190 718 20908 407 347 1941 343 2284 42 64 95 23192 Chattogram Div. 5098143 1689671 16044 1705715 11353 6626 111896 8427 120323 1389 1140 3612 1826038 Sylhet 598993 177680 1799 179479 2198 511 12586 636 13222 142 63 336 192701 Habiganj 392839 148384 1399 149783 1117 436 10584 747 11331 138 89 253 161114 Moulavi Bazar 337431 116484 1182 117666 853 586 5308 666 5974 99 88 157 123640 Sunamganj 400474 128767 2751 131518 1842 1047 12356 1136 13492 244 280 380 145010 Sylhet Div. 1729737 571315 7131 578446 6010 2580 40834 3185 44019 623 520 1126 622465 National 27442761 9800870 99632 9900502 62539 47138 484988 42638 527626 7034 6729 21575 10428128

Monthly Report of December 2019------Page # 22 Condom Normal Postpurtam

Name of District Drop out Drop out Postpartum Total Condom Old New Total Old New Total Switch Expire No Methd Switch Over No Methd Over Dinajpur 29971 605 30576 320 334 2079 204 2283 25 25 92 32859 Thakurgaon 9758 252 10010 87 77 424 39 463 49 7 18 10473 Panchgarh 7312 283 7595 100 65 493 59 552 1 8 25 8147 Nilphamari 13240 251 13491 141 138 937 101 1038 20 11 28 14529 Rangpur 29546 578 30124 269 198 1945 182 2127 46 60 41 32251 Kurigram 23319 901 24220 356 192 1386 196 1582 14 17 56 25802 Gaibandha 25886 907 26793 378 299 1352 182 1534 29 39 38 28327 Lalmonirhat 10113 373 10486 299 85 1556 146 1702 15 22 21 12188 Rangpur Div. 149145 4150 153295 1950 1388 10172 1109 11281 199 189 319 164576 Bogura 57107 1048 58155 485 619 2356 205 2561 66 42 96 60716 Joipurhat 13949 284 14233 99 129 700 114 814 8 23 34 15047 Naogaon 31313 731 32044 350 258 1781 179 1960 33 34 93 34004 Nawabganj 42330 624 42954 976 190 2406 229 2635 15 26 137 45589 Rajshahi 74871 2289 77160 1034 381 5840 775 6615 287 271 83 83775 Natore 36174 823 36997 316 353 1976 218 2194 22 50 106 39191 Pabna 45604 952 46556 405 233 2410 193 2603 34 46 83 49159 Serajganj 60048 1094 61142 523 291 4364 293 4657 53 47 89 65799 Rajshahi Div. 361396 7845 369241 4188 2454 21833 2206 24039 518 539 721 393280 Kustia 49304 982 50286 389 268 2651 272 2923 41 44 78 53209 Meherpur 14810 246 15056 109 85 522 90 612 35 4 12 15668 Chuadanga 18228 377 18605 162 124 946 133 1079 11 21 61 19684 Jhenaidaha 28016 806 28822 233 165 1453 308 1761 23 34 56 30583 Magura 11724 328 12052 186 81 971 113 1084 15 22 31 13136 Narail 12462 517 12979 185 163 604 81 685 12 13 20 13664 Jashore 51182 764 51946 386 276 2866 239 3105 45 40 106 55051 Khulna 52789 1290 54079 807 269 1813 180 1993 29 24 238 56072 Bagerhat 21016 554 21570 286 190 1295 182 1477 34 37 28 23047 Satkhira 27823 677 28500 301 253 1659 179 1838 39 33 98 30338 Khulna Div. 287354 6541 293895 3044 1874 14780 1777 16557 284 272 728 310452 Barguna 5180 322 5502 111 132 481 58 539 15 21 19 6041 Patuakhali 12037 587 12624 194 214 1034 138 1172 21 23 41 13796 Barishal 26011 551 26562 617 216 2054 139 2193 24 20 66 28755 Jhalakati 5960 193 6153 116 59 445 57 502 22 13 17 6655 Bhola 12774 350 13124 262 63 715 71 786 19 22 45 13910 Pirojpur 10373 513 10886 236 154 769 124 893 28 12 64 11779 Barishal Div. 72335 2516 74851 1536 838 5498 587 6085 129 111 252 80936

Monthly Report of December 2019------Page # 23 Condom Normal Postpurtam

Name of District Drop out Drop out Postpartum Total Condom Old New Total Old New Total Switch Expire No Methd Switch Over No Methd Over Gopalganj 21897 732 22629 335 399 1642 158 1800 58 75 51 24429 Madaripur 14995 332 15327 213 141 1527 108 1635 28 33 63 16962 Shariatpur 18327 330 18657 278 79 1519 112 1631 25 27 43 20288 Faridpur 41788 968 42756 517 327 2414 268 2682 134 52 75 45438 Rajbari 19497 479 19976 256 165 1318 158 1476 24 25 38 21452 Dhaka 74320 1850 76170 769 596 4574 635 5209 64 77 154 81379 Gazipur 32813 680 33493 277 203 1931 226 2157 13 19 56 35650 Munshiganj 28506 464 28970 192 343 2347 223 2570 18 42 61 31540 Narayanganj 39593 1245 40838 487 403 3480 394 3874 33 63 175 44712 Narshingdi 30194 960 31154 331 250 2303 268 2571 32 59 59 33725 Manikganj 28775 714 29489 330 227 1537 212 1749 38 31 99 31238 Tangail 64797 1055 65852 468 289 3028 297 3325 57 37 69 69177 Kishoreganj 30860 1361 32221 692 598 2854 375 3229 102 97 57 35450 Dhaka Div. 446362 11170 457532 5145 4020 30474 3434 33908 626 637 1000 491440 Jamalpur 27050 562 27612 229 139 1664 145 1809 23 25 26 29421 Sherpur 15261 506 15767 561 122 998 170 1168 68 59 22 16935 Mymensingh 44728 1511 46239 915 403 4183 488 4671 105 37 138 50910 Netrokona 16346 746 17092 290 211 1579 206 1785 27 19 62 18877 Mymensingh Div. 103385 3325 106710 1995 875 8424 1009 9433 223 140 248 116143 Brahmanbaria 34094 762 34856 1028 237 2796 237 3033 63 23 123 37889 Cumilla 68229 1316 69545 1044 329 6496 527 7023 126 97 204 76568 Chandpur 22587 468 23055 270 215 2119 192 2311 45 49 115 25366 Feni 18679 535 19214 223 180 2019 199 2218 36 39 25 21432 Noakhali 38335 619 38954 470 145 3951 322 4273 73 56 95 43227 Lakshmipur 15111 252 15363 163 77 1499 136 1635 22 16 41 16998 Chattogram 73203 1641 74844 768 492 6584 562 7146 105 90 199 81990 Cox's Bazar 19556 579 20135 309 134 2330 277 2607 71 55 43 22742 Rangamati 5992 213 6205 99 55 250 31 281 2 3 14 6486 Khagrachhari 3620 164 3784 54 34 215 20 235 1 7 8 4019 Bandarban 3469 383 3852 184 175 375 64 439 14 11 11 4291 Chattogram Div. 302875 6932 309807 4612 2073 28634 2567 31201 558 446 878 341008 Sylhet 52090 916 53006 827 173 4407 315 4722 1979 23 101 57728 Habiganj 21514 486 22000 326 104 2253 173 2426 25 10 44 24426 Moulavi Bazar 18322 428 18750 281 202 1329 134 1463 26 20 22 20213 Sunamganj 24239 1384 25623 906 375 3668 488 4156 122 78 112 29779 Sylhet Div. 116165 3214 119379 2340 854 11657 1110 12767 2152 131 279 132146 National 1839017 45693 1884710 24810 14376 131472 13799 145271 4689 2465 4425 2029981

Monthly Report of December 2019------Page # 24 Injectable

Normal Postpurtam Name of District Total Injectable Drop out Drop out Postpartum Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Dinajpur 68944 937 69881 400 673 2950 221 3171 35 36 153 73052 Thakurgaon 58123 596 58719 290 341 1249 107 1356 36 5 45 60075 Panchgarh 39146 618 39764 215 374 841 84 925 3 35 56 40689 Nilphamari 67987 688 68675 366 505 2656 215 2871 20 42 107 71546 Rangpur 104261 1068 105329 655 595 3748 216 3964 76 72 49 109293 Kurigram 107703 1275 108978 621 627 1973 215 2188 54 25 89 111166 Gaibandha 95412 1739 97151 881 831 2326 219 2545 44 31 111 99696 Lalmonirhat 58225 778 59003 386 303 2734 186 2920 60 31 79 61923 Rangpur Div. 599801 7699 607500 3814 4249 18477 1463 19940 328 277 689 627440 Bogura 102982 1198 104180 733 687 2841 256 3097 51 32 117 107277 Joipurhat 23357 271 23628 113 349 512 82 594 5 16 26 24222 Naogaon 54421 1115 55536 422 361 1570 125 1695 12 30 54 57231 Nawabganj 51498 488 51986 307 267 1203 89 1292 17 13 44 53278 Rajshahi 85634 1880 87514 914 1015 4007 430 4437 381 151 69 91951 Natore 44955 805 45760 312 400 1302 142 1444 16 39 55 47204 Pabna 100282 932 101214 507 458 2752 176 2928 43 38 54 104142 Serajganj 117207 1436 118643 641 534 4596 254 4850 62 42 115 123493 Rajshahi Div. 580336 8125 588461 3949 4071 18783 1554 20337 587 361 534 608798 Kustia 69343 852 70195 383 458 2015 199 2214 23 34 55 72409 Meherpur 34157 259 34416 130 170 429 61 490 2 4 7 34906 Chuadanga 51011 511 51522 214 306 1306 125 1431 15 31 54 52953 Jhenaidaha 48006 579 48585 280 272 1363 159 1522 37 29 57 50107 Magura 25122 439 25561 295 215 1340 125 1465 26 30 61 27026 Narail 17158 530 17688 193 200 420 30 450 11 6 7 18138 Jashore 124088 900 124988 527 538 2996 204 3200 74 54 77 128188 Khulna 66778 1456 68234 1204 579 1490 194 1684 66 12 29 69918 Bagerhat 42473 836 43309 451 394 1210 121 1331 37 19 37 44640 Satkhira 64515 622 65137 336 298 1271 114 1385 30 20 61 66522 Khulna Div. 542651 6984 549635 4013 3430 13840 1332 15172 321 239 445 564807 Barguna 36814 928 37742 1249 570 1480 120 1600 20 34 49 39342 Patuakhali 69809 1044 70853 482 609 2666 167 2833 33 37 48 73686 Barishal 62179 835 63014 503 374 2817 139 2956 33 25 77 65970 Jhalakati 15854 307 16161 187 96 472 46 518 22 10 16 16679 Bhola 111195 1170 112365 583 507 3484 240 3724 44 52 125 116089 Pirojpur 27879 745 28624 388 281 970 107 1077 61 11 67 29701 Barishal Div. 323730 5029 328759 3392 2437 11889 819 12708 213 169 382 341467

Monthly Report of December 2019------Page # 25 Injectable Normal Postpurtam Name of District Drop out Drop out Postpartum Total Injectable Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Gopalganj 20197 1083 21280 236 268 790 106 896 50 22 15 22176 Madaripur 34568 464 35032 243 202 1603 93 1696 18 37 66 36728 Shariatpur 29839 393 30232 224 111 1210 102 1312 11 17 46 31544 Faridpur 43542 964 44506 467 426 1018 142 1160 55 19 44 45666 Rajbari 31524 621 32145 277 263 1032 99 1131 22 13 36 33276 Dhaka 89729 2033 91762 679 629 3424 454 3878 45 62 94 95640 Gazipur 39093 868 39961 285 193 1048 108 1156 7 8 19 41117 Munshiganj 31459 550 32009 196 262 1513 90 1603 73 20 19 33612 Narayanganj 70854 1265 72119 579 483 2801 279 3080 23 41 114 75199 Narshingdi 63663 1084 64747 477 401 2308 255 2563 27 26 39 67310 Manikganj 34421 689 35110 317 278 1025 142 1167 12 15 46 36277 Tangail 99143 1107 100250 483 426 2077 194 2271 56 90 80 102521 Kishoreganj 64358 1865 66223 844 744 2923 310 3233 71 70 69 69456 Dhaka Div. 652390 12986 665376 5307 4686 22772 2374 25146 470 440 687 690522 Jamalpur 84410 733 85143 336 295 2498 128 2626 39 27 72 87769 Sherpur 50853 781 51634 326 408 1307 154 1461 50 55 30 53095 Mymensingh 113419 2024 115443 842 672 5417 463 5880 100 42 208 121323 Netrokona 48446 1226 49672 454 437 2849 262 3111 63 102 75 52783 Mymensingh Div. 297128 4764 301892 1958 1812 12071 1007 13078 252 226 385 314970 Brahmanbaria 69720 950 70670 1137 319 3745 258 4003 37 33 145 74673 Cumilla 174230 1486 175716 1065 662 8194 499 8693 359 80 191 184409 Chandpur 74548 757 75305 566 530 3127 229 3356 41 29 89 78661 Feni 38940 633 39573 316 253 2042 191 2233 92 36 16 41806 Noakhali 93533 908 94441 659 365 6174 376 6550 80 52 129 100991 Lakshmipur 67962 579 68541 368 154 3704 183 3887 33 25 73 72428 Chattogram 112305 1908 114213 1027 707 6717 468 7185 79 75 136 121398 Cox's Bazar 87257 1255 88512 724 504 7092 550 7642 142 118 145 96154 Rangamati 13296 265 13561 131 141 339 39 378 0 7 16 13939 Khagrachhari 16618 196 16814 137 94 522 36 558 5 4 13 17372 Bandarban 11371 493 11864 279 239 776 107 883 41 18 21 12747 Chattogram Div. 759780 9430 769210 6409 3968 42432 2936 45368 909 477 974 814578 Sylhet 95705 1439 97144 1172 256 6153 278 6431 136 897 100 103575 Habiganj 41835 676 42511 481 212 3108 204 3312 28 17 45 45823 Moulavi Bazar 39528 667 40195 402 279 1264 129 1393 19 25 20 41588 Sunamganj 46271 1293 47564 786 439 3624 297 3921 69 75 71 51485 Sylhet Div. 223339 4075 227414 2841 1186 14149 908 15057 252 1014 236 242471 National 3979155 59092 4038247 31683 25839 154413 12393 166806 3332 3203 4332 4205053

Monthly Report of December 2019------Page # 26 IUD Normal Postpurtam Name of District Drop out Drop out Postpartum Total IUD Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Dinajpur 9719 318 10037 77 133 299 33 332 0 0 5 10369 Thakurgaon 1659 83 1742 57 5 41 18 59 3 8 4 1801 Panchgarh 3866 90 3956 20 24 53 5 58 0 0 0 4014 Nilphamari 5286 267 5553 79 69 182 49 231 3 0 10 5784 Rangpur 13077 218 13295 59 47 537 26 563 0 2 4 13858 Kurigram 11311 314 11625 90 48 122 30 152 8 0 5 11777 Gaibandha 16813 435 17248 112 87 269 23 292 0 2 13 17540 Lalmonirhat 2514 226 2740 55 44 110 20 130 9 7 0 2870 Rangpur Div. 64245 1951 66196 549 457 1613 204 1817 23 19 41 68013 Bogrua 19027 312 19339 147 116 208 15 223 3 4 6 19562 Joipurhat 3030 84 3114 21 30 44 9 53 0 2 2 3167 Naogaon 10128 142 10270 83 61 245 12 257 1 0 11 10527 Nawabganj 5173 66 5239 15 14 129 18 147 0 0 1 5386 Rajshahi 7069 98 7167 39 51 187 11 198 2 2 3 7365 Natore 7545 124 7669 37 43 169 12 181 3 2 9 7850 Pabna 21163 257 21420 143 58 415 14 429 9 2 4 21849 Serajganj 20144 472 20616 206 86 1455 27 1482 2 4 4 22098 Rajshahi Div. 93279 1555 94834 691 459 2852 118 2970 20 16 40 97804 Kustia 4692 80 4772 21 20 54 6 60 0 2 0 4832 Meherpur 2015 39 2054 4 5 24 7 31 1 1 0 2085 Chuadanga 4375 72 4447 17 19 81 12 93 1 2 4 4540 Jhenaidaha 7088 119 7207 23 26 124 21 145 5 3 2 7352 Magura 3552 149 3701 32 21 148 27 175 1 1 1 3876 Narail 4657 186 4843 46 25 57 12 69 1 0 1 4912 Jashore 16624 253 16877 89 78 305 32 337 1 2 8 17214 Khulna 12546 346 12892 137 63 426 37 463 4 3 7 13355 Bagerhat 10333 211 10544 342 44 196 47 243 12 5 8 10787 Satkhira 9228 144 9372 37 20 428 18 446 0 1 3 9818 Khulna Div. 75110 1599 76709 748 321 1843 219 2062 26 20 34 78771 Barguna 4134 211 4345 58 50 87 18 105 0 0 2 4450 Patuakhali 7852 336 8188 79 63 381 49 430 7 2 9 8618 Barishal 11897 229 12126 112 43 368 32 400 5 1 12 12526 Jhalakati 4504 81 4585 63 12 81 6 87 3 2 1 4672 Bhola 10625 191 10816 45 35 251 25 276 2 0 4 11092 Pirojpur 8923 288 9211 110 75 195 28 223 8 1 7 9434 Barishal Div. 47935 1336 49271 467 278 1363 158 1521 25 6 35 50792

Monthly Report of December 2019------Page # 27 IUD Normal Postpurtam Name of District Drop out Drop out Postpartum Total IUD Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Gopalganj 4114 195 4309 59 15 84 22 106 3 1 134 4415 Madaripur 7168 222 7390 76 44 234 29 263 1 4 6 7653 Shariatpur 8812 222 9034 109 31 261 25 286 3 2 5 9320 Faridpur 14330 328 14658 167 75 266 24 290 6 0 10 14948 Rajbari 5894 118 6012 33 29 92 13 105 0 0 3 6117 Dhaka 20011 671 20682 134 120 630 118 748 10 6 7 21430 Gazipur 8752 176 8928 35 22 126 10 136 4 1 2 9064 Munshiganj 7359 186 7545 24 30 332 25 357 16 5 14 7902 Narayanganj 11366 305 11671 90 48 333 39 372 9 2 7 12043 Narshingdi 14690 296 14986 101 82 344 47 391 5 3 5 15377 Manikganj 6863 132 6995 36 35 84 18 102 0 0 2 7097 Tangail 19866 488 20354 162 83 290 37 327 7 1 6 20681 Kishoreganj 18553 561 19114 134 116 564 77 641 7 4 16 19755 Dhaka Div. 147778 3900 151678 1160 730 3640 484 4124 71 29 217 155802 Jamalpur 14389 274 14663 84 57 237 32 269 3 10 6 14932 Sherpur 6692 85 6777 40 50 87 5 92 1 0 3 6869 Mymensingh 20430 441 20871 136 93 503 55 558 7 5 11 21429 Netrokona 7657 193 7850 327 50 383 11 394 2 1 4 8244 Mymensingh Div. 49168 993 50161 587 250 1210 103 1313 13 16 24 51474 Brahmanbaria 17695 290 17985 260 70 536 63 599 5 1 14 18584 Cumilla 36626 751 37377 311 134 1719 247 1966 32 20 25 39343 Chandpur 12475 354 12829 147 63 960 161 1121 11 12 21 13950 Feni 9645 224 9869 61 51 648 127 775 3 4 7 10644 Noakhali 17500 315 17815 103 38 1178 118 1296 179 13 17 19111 Lakshmipur 8027 75 8102 81 14 404 35 439 5 2 4 8541 Chattogram 41236 792 42028 278 175 1622 168 1790 7 14 44 43818 Cox's Bazar 11357 275 11632 114 25 1041 144 1185 10 3 8 12817 Rangamati 4903 127 5030 35 35 248 41 289 0 0 8 5319 Khagrachhari 3786 120 3906 43 13 178 30 208 4 6 8 4114 Bandarban 3846 214 4060 84 55 300 50 350 3 5 8 4410 Chattogram Div. 167096 3537 170633 1517 673 8834 1184 10018 259 80 164 180651 Sylhet 15730 120 15850 99 34 858 36 894 14 3 31 16744 Habiganj 9999 101 10100 67 12 683 92 775 1 3 7 10875 Moulavi Bazar 11069 197 11266 121 56 423 77 500 9 2 4 11766 Sunamganj 12701 197 12898 108 50 683 70 753 6 10 5 13651 Sylhet Div. 49499 615 50114 395 152 2647 275 2922 30 18 47 53036 National 694110 15486 709596 6114 3320 24002 2745 26747 467 204 602 736343

Monthly Report of December 2019------Page # 28 Implant Normal Postpurtam Name of District Drop out Drop out Postpartum Total Implant Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Dinajpur 38881 1027 39908 224 390 2233 260 2493 41 17 83 42401 Thakurgaon 13128 301 13429 56 98 260 36 296 245 2 19 13725 Panchgarh 12315 248 12563 76 124 222 31 253 1 2 10 12816 Nilphamari 18254 482 18736 105 176 890 116 1006 8 16 31 19742 Rangpur 31067 563 31630 213 195 1165 110 1275 17 10 32 32905 Kurigram 17912 666 18578 159 180 381 111 492 8 1 7 19070 Gaibandha 27168 1025 28193 288 240 833 103 936 21 18 22 29129 Lalmonirhat 12282 382 12664 175 95 382 84 466 13 5 19 13130 Rangpur Div. 171007 4694 175701 1296 1498 6366 851 7217 354 71 223 182918 Bogura 50418 1123 51541 440 396 2258 275 2533 10 31 74 54074 Joipurhat 13681 505 14186 78 150 603 110 713 4 9 18 14899 Naogaon 22243 463 22706 212 207 804 71 875 5 5 40 23581 Nawabganj 6421 245 6666 17 32 198 30 228 0 2 6 6894 Rajshahi 19638 474 20112 101 168 917 62 979 16 7 12 21091 Natore 19590 453 20043 114 214 955 137 1092 1 4 39 21135 Pabna 21837 518 22355 131 128 560 70 630 7 2 8 22985 Serajganj 19972 588 20560 115 151 981 99 1080 5 2 15 21640 Rajshahi Div. 173800 4369 178169 1208 1446 7276 854 8130 48 62 212 186299 Kustia 11377 407 11784 56 70 305 66 371 1 3 7 12155 Meherpur 3331 80 3411 10 27 50 15 65 0 1 0 3476 Chuadanga 8842 269 9111 50 72 254 38 292 0 4 11 9403 Jhenaidaha 15796 385 16181 101 91 521 69 590 2 3 9 16771 Magura 8783 448 9231 72 64 453 85 538 11 4 330 9769 Narail 5799 400 6199 61 58 185 58 243 0 1 0 6442 Jashore 27931 688 28619 158 193 940 117 1057 3 4 30 29676 Khulna 28792 794 29586 580 198 862 116 978 75 5 18 30564 Bagerhat 13408 469 13877 81 124 722 126 848 16 7 16 14725 Satkhira 15354 311 15665 88 93 520 38 558 2 3 6 16223 Khulna Div. 139413 4251 143664 1257 990 4812 728 5540 110 35 427 149204 Barguna 11778 550 12328 120 161 612 85 697 5 8 23 13025 Patuakhali 20490 860 21350 191 191 1013 137 1150 25 16 13 22500 Barishal 20194 529 20723 160 83 918 94 1012 6 2 28 21735 Jhalakati 6394 220 6614 46 44 259 23 282 181 67 2 6896 Bhola 21116 570 21686 96 97 681 86 767 4 1 22 22453 Pirojpur 10697 383 11080 137 97 497 120 617 3 3 42 11697 Barishal Div. 90669 3112 93781 750 673 3980 545 4525 224 97 130 98306

Monthly Report of December 2019------Page # 29 Implant Normal Postpurtam Name of District Drop out Drop out Postpartum Total Implant Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Gopalganj 8772 546 9318 68 73 503 111 614 6 4 13 9932 Madaripur 14845 441 15286 144 123 614 106 720 8 7 25 16006 Shariatpur 8256 242 8498 103 39 533 57 590 1 4 9 9088 Faridpur 18839 899 19738 171 131 784 132 916 10 3 28 20654 Rajbari 13979 473 14452 98 106 493 88 581 3 3 10 15033 Dhaka 26857 844 27701 170 180 1260 236 1496 9 9 20 29197 Gazipur 14428 389 14817 75 73 379 92 471 1 0 3 15288 Munshiganj 10166 283 10449 36 76 593 85 678 13 3 16 11127 Narayanganj 16622 519 17141 117 94 755 139 894 8 5 13 18035 Narshingdi 13087 416 13503 75 82 596 73 669 4 9 5 14172 Manikganj 13821 393 14214 116 128 425 66 491 6 2 23 14705 Tangail 38218 981 39199 325 267 1069 129 1198 5 6 25 40397 Kishoreganj 30483 944 31427 274 217 1561 254 1815 22 21 39 33242 Dhaka Div. 228373 7370 235743 1772 1589 9565 1568 11133 96 76 229 246876 Jamalpur 27993 655 28648 208 174 1037 116 1153 25 8 26 29801 Sherpur 18573 455 19028 1495 229 490 84 574 4 14 18 19602 Mymensingh 40121 1119 41240 234 254 1710 170 1880 9 8 53 43120 Netrokona 21301 566 21867 204 178 1525 153 1678 15 14 41 23545 Mymensingh Div. 107988 2795 110783 2141 835 4762 523 5285 53 44 138 116068 Brahmanbaria 22334 622 22956 259 75 2189 264 2453 27 9 87 25409 Cumilla 38389 837 39226 295 107 2614 350 2964 41 26 51 42190 Chandpur 17973 965 18938 274 173 1792 356 2148 10 6 69 21086 Feni 11434 298 11732 73 71 1215 147 1362 9 6 9 13094 Noakhali 24024 838 24862 211 70 2988 325 3313 18 6 47 28175 Lakshmipur 14504 330 14834 135 44 1169 99 1268 8 3 17 16102 Chattogram 54564 1516 56080 485 334 3073 371 3444 33 20 52 59524 Cox's Bazar 25860 980 26840 274 129 2274 302 2576 28 16 34 29416 Rangamati 9971 176 10147 40 23 360 48 408 13 1 5 10555 Khagrachhari 6570 249 6819 49 16 277 30 307 2 2 8 7126 Bandarban 6261 295 6556 116 118 548 61 609 5 4 33 7165 Chattogram Div. 231884 7106 238990 2211 1160 18499 2353 20852 194 99 412 259842 Sylhet 30777 527 31304 207 89 2638 164 2802 16 9 35 34106 Habiganj 13205 442 13647 90 39 1752 222 1974 10 1 21 15621 Moulavi Bazar 16917 361 17278 163 100 1046 121 1167 5 7 25 18445 Sunamganj 20759 781 21540 247 139 2212 315 2527 20 17 29 24067 Sylhet Div. 81658 2111 83769 707 367 7648 822 8470 51 34 110 92239 National 1224792 35808 1260600 11342 8558 62908 8244 71152 1130 518 1881 1331752

Monthly Report of December 2019------Page # 30 Permanent Method Male Female Total Name of District Postpartum Total Normal Postpurtam Total Normal Postpartum Total Permanent CAR(%) Expire Acceptors Male Female Method Old New Total Old New Total Old New Total Old New Total Dinajpur 44381 62 44443 79 5 84 44527 65628 105 65733 1540 128 1668 67401 0 111928 539923 81.9 Thakurgaon 14825 8 14833 5 0 5 14838 19268 28 19296 385 31 416 19712 0 34550 238065 78.8 Panchgarh 11675 10 11685 9 0 9 11694 12354 26 12380 256 33 289 12669 0 24363 189729 81.1 Nilphamari 19973 16 19989 80 0 80 20069 37868 61 37929 817 68 885 38814 0 58883 335800 81.5 Rangpur 34984 64 35048 180 0 180 35228 35079 64 35143 1982 35 2017 37160 0 72388 502403 78.4 Kurigram 16797 20 16817 7 0 7 16824 22030 49 22079 227 37 264 22343 0 39167 411172 76.8 Gaibandha 23049 185 23234 78 0 78 23312 34050 151 34201 851 115 966 35167 0 58479 447327 81.2 Lalmonirhat 12655 17 12672 9 1 10 12682 21751 50 21801 396 56 452 22253 0 34935 224546 80.3 Rangpur Div. 178339 382 178721 447 6 453 179174 248028 534 248562 6454 503 6957 255519 0 434693 2888965 79.9 Bogura 27178 55 27233 71 3 74 27307 51644 375 52019 1149 96 1245 53264 0 80571 635831 82.6 Joipurhat 15251 78 15329 12 0 12 15341 19125 38 19163 294 32 326 19489 0 34830 177621 83.8 Naogaon 18190 19 18209 17 0 17 18226 67704 79 67783 1613 114 1727 69510 0 87736 471536 80.3 Nawabganj 15868 11 15879 8 0 8 15887 31109 88 31197 795 81 876 32073 0 47960 300355 80.1 Rajshahi 9292 7 9299 21 0 21 9320 67981 100 68081 3735 78 3813 71894 0 81214 499065 81.4 Natore 4994 18 5012 54 2 56 5068 50976 68 51044 1112 95 1207 52251 0 57319 337774 82.2 Pabna 11985 8 11993 10 0 10 12003 36681 61 36742 573 51 624 37366 0 49369 463562 79.0 Serajganj 11294 13 11307 3 0 3 11310 20409 95 20504 993 83 1076 21580 0 32890 530934 81.2 Rajshahi Div. 114052 209 114261 196 5 201 114462 345629 904 346533 10264 630 10894 357427 0 471889 3416678 81.2 Kustia 4572 4 4576 29 0 29 4605 56441 73 56514 1513 137 1650 58164 0 62769 356768 78.1 Meherpur 547 0 547 0 0 0 547 23806 17 23823 387 49 436 24259 0 24806 127118 78.6 Chuadanga 1218 0 1218 0 0 0 1218 28543 46 28589 878 89 967 29556 0 30774 209761 81.8 Jhenaidaha 3101 6 3107 0 0 0 3107 43947 91 44038 997 133 1130 45168 0 48275 305479 77.9 Magura 2191 10 2201 5 0 5 2206 18723 40 18763 780 41 821 19584 0 21790 152853 78.7 Narail 2571 0 2571 0 0 0 2571 14034 35 14069 413 38 451 14520 0 17091 121904 79.5 Jashore 21563 15 21578 111 1 112 21690 47021 68 47089 738 64 802 47891 0 69581 492648 80.4 Khulna 17717 23 17740 8 1 9 17749 33379 105 33484 569 46 615 34099 0 51848 400541 80.7 Bagerhat 12401 16 12417 18 0 18 12435 20336 42 20378 295 34 329 20707 0 33142 250047 81.1 Satkhira 11529 9 11538 4 1 5 11543 36571 55 36626 870 99 969 37595 0 49138 349380 80.2 Khulna Div. 77410 83 77493 175 3 178 77671 322801 572 323373 7440 730 8170 331543 0 409214 2766499 79.8 Barguna 13241 50 13291 18 2 20 13311 8449 30 8479 327 48 375 8854 0 22165 155276 78.7 Patuakhali 9982 22 10004 9 1 10 10014 17523 39 17562 698 75 773 18335 0 28349 269525 79.7 Barishal 9544 20 9564 66 0 66 9630 26664 59 26723 787 81 868 27591 0 37221 325332 76.9 Jhalakati 4957 10 4967 3 0 3 4970 7295 30 7325 654 25 679 8004 0 12974 90014 78.7 Bhola 9509 42 9551 12 0 12 9563 9465 71 9536 101 20 121 9657 0 19220 297802 80.7 Pirojpur 6332 20 6352 3 1 4 6356 9386 9 9395 394 55 449 9844 0 16200 161305 79.2 Barishal Div. 53565 164 53729 111 4 115 53844 78782 238 79020 2961 304 3265 82285 0 136129 1299254 78.9

Monthly Report of December 2019------Page # 31 Permanent Method Male Female Total Total Name of District Postpartum CAR(%) Normal Postpurtam Normal Postpartum Total Permanent Acceptors Total Male Expire Old New Total Old New Total Old New Total Old New Total Female Method Gopalganj 2665 80 2745 11 3 14 2759 19646 63 19709 507 47 554 20263 0 23022 175389 79.8 Madaripur 2675 6 2681 4 0 4 2685 14600 53 14653 355 40 395 15048 0 17733 182090 78.1 Shariatpur 4166 4 4170 5 0 5 4175 11574 39 11613 373 34 407 12020 0 16195 163688 76.3 Faridpur 8150 32 8182 1 0 1 8183 36314 128 36442 887 86 973 37415 0 45598 314242 79.8 Rajbari 5987 32 6019 2 0 2 6021 17256 26 17282 262 29 291 17573 0 23594 182952 78.7 Dhaka 21277 442 21719 137 1 138 21857 48502 125 48627 1715 243 1958 50585 0 72442 548801 74.9 Gazipur 4620 26 4646 5 0 5 4651 33389 44 33433 472 81 553 33986 0 38637 320157 75.7 Munshiganj 2263 11 2274 11 0 11 2285 27387 81 27468 1086 104 1190 28658 0 30943 224203 74.4 Narayanganj 13166 191 13357 62 1 63 13420 32138 38 32176 1052 67 1119 33295 0 46715 402130 75.3 Narshingdi 3271 14 3285 3 0 3 3288 31902 80 31982 1418 165 1583 33565 0 36853 332206 75.8 Manikganj 4077 63 4140 4 1 5 4145 29167 52 29219 721 104 825 30044 0 34189 232450 76.1 Tangail 19418 20 19438 569 3 572 20010 58681 57 58738 1492 178 1670 60408 0 80418 657529 77.6 Kishoreganj 13855 22 13877 40 0 40 13917 43525 160 43685 1225 101 1326 45011 0 58928 450139 79.9 Dhaka Div. 105590 943 106533 854 9 863 107396 404081 946 405027 11565 1279 12844 417871 0 525267 4185976 77.0 Jamalpur 15160 12 15172 37 0 37 15209 26718 935 27653 812 78 890 28543 0 43752 389835 80.1 Sherpur 9016 15 9031 2 0 2 9033 16431 23 16454 542 69 611 17065 0 26098 252680 79.2 Mymensingh 32544 77 32621 57 1 58 32679 42104 84 42188 644 150 794 42982 0 75661 803539 79.1 Netrokona 15534 18 15552 185 3 188 15740 25350 33 25383 857 62 919 26302 0 42042 328102 78.6 Mymensingh Div. 72254 122 72376 281 4 285 72661 110603 1075 111678 2855 359 3214 114892 0 187553 1774156 79.2 Brahmanbaria 6366 14 6380 25 0 25 6405 42241 71 42312 1081 68 1149 43461 0 49866 377571 71.5 Cumilla 19162 68 19230 48 4 52 19282 85517 95 85612 3158 213 3371 88983 0 108265 856325 76.3 Chandpur 5420 22 5442 19 2 21 5463 34385 62 34447 1238 111 1349 35796 0 41259 361583 76.7 Feni 1795 7 1802 7 1 8 1810 23867 15 23882 1053 88 1141 25023 0 26833 202710 72.4 Noakhali 7441 20 7461 53 1 54 7515 39760 31 39791 1436 124 1560 41351 0 48866 444142 75.8 Lakshmipur 3497 4 3501 1 0 1 3502 14779 35 14814 1593 36 1629 16443 0 19945 241693 72.2 Chattogram 12387 97 12484 39 3 42 12526 60799 84 60883 1176 119 1295 62178 0 74704 788594 74.2 Cox's Bazar 12698 43 12741 126 0 126 12867 14697 32 14729 728 44 772 15501 0 28368 339875 80.3 Rangamati 3004 6 3010 0 0 0 3010 4774 18 4792 46 2 48 4840 0 7850 84159 82.0 Khagrachhari 4200 19 4219 212 0 212 4431 4990 8 4998 23 4 27 5025 0 9456 89072 78.1 Bandarban 4945 47 4992 14 0 14 5006 2951 0 2951 23 3 26 2977 0 7983 59788 81.5 Chattogram Div. 80915 347 81262 544 11 555 81817 328760 451 329211 11555 812 12367 341578 0 423395 3845512 75.4 Sylhet 14226 35 14261 92 2 94 14355 45659 96 45755 1408 49 1457 47212 0 61567 466421 77.9 Habiganj 14220 30 14250 185 5 190 14440 29962 48 30010 951 72 1023 31033 0 45473 303332 77.2 Moulavi Bazar 15397 22 15419 38 1 39 15458 30485 57 30542 734 66 800 31342 0 46800 262452 77.8 Sunamganj 15152 26 15178 178 4 182 15360 32827 87 32914 923 60 983 33897 0 49257 313249 78.2 Sylhet Div. 58995 113 59108 493 12 505 59613 138933 288 139221 4016 247 4263 143484 0 203097 1345454 77.8 National 741120 2363 743483 3101 54 3155 746638 1977617 5008 1982625 57110 4864 61974 2044599 0 2791237 21522494 78.4

Monthly Report of December 2019------Page # 32 Table -12: Number of New and Total Acceptors upto the end of November'19 and December'19 New Acceptors Total Acceptors % Change of % Change of December'19 December'19 Method November'19 December'19 over November'19 December'19 over November'19 November'19

Per.Method (Male) 2101 2417 15.0 747319 746638 -0.1

Per.Method (Female) 8404 9872 17.5 2041998 2044599 0.1 Per.Method (Total) 10505 12289 17.0 2789317 2791237 0.1 IUD 8923 18231 104.3 729063 736343 1.0 Implant 31425 44052 40.2 1311396 1331752 1.6 Injectables 60547 71485 18.1 4199937 4205053 0.1 Oral Pill 125535 142270 13.3 10433461 10428128 -0.1 Condom 46905 59492 26.8 2022822 2029981 0.4

Total 283840 347819 22.5 21485996 21522494 0.2

Table -13: CAR(%) by Division upto the end of November'19 and December'19

% Change of December'19 Division November'19 December'19 over November'19 Rangpur 79.77 79.92 0.15 Rajshahi 81.11 81.19 0.08 Khulna 79.61 79.79 0.18 Barishal 78.75 78.94 0.19 Dhaka 76.72 76.95 0.23 Mymensingh 79.14 79.24 0.10 Chattogram 75.26 75.43 0.17 Sylhet 77.74 77.78 0.04 National 78.27 78.43 0.16

Graph-1: National & Division wise CAR upto the end of Graph-2: National & Division wise CAR upto the end December2019 of November'19 and December'19

November'19 82 82 December'19 81.2 81.2 81.1 81 81 79.9 79.9 79.8 79.8 79.8 80 80 79.6 79.2 79.2 79.1 78.9 78.9 78.8 78.4 78.4 79

79 78.3 77.8 77.7 77.8 ------> 78

78 ------> 77.0 77.0 76.7 77 77 CAR (%) (%) CAR

76 75.4 CAR (%) (%) CAR 75.4 76 75.3 75 75 74 74 73

------73 < ------

< 72 72

<------Division------> <------Division------>

Monthly Report of December 2019------Page # 33 Table -14: District by Range of CAR upto the end of December 2019

Range Sl.No. District CAR (%) Range Nos of Districts CAR (%) 1 Joipurhat 83.7 64 2 Bogura 82.6 70% & above 3 Natore 82.2 60% - 69% 4 Dinajpur 81.8 Nil 5 Rangamati 81.7 0%-59% 6 Chuadanga 81.7 Nil 7 Nilphamari 81.4 8 Rajshahi 81.3 9 Bandarban 81.2 10 Serajganj 81.1 11 Bagerhat 81.0 12 Panchgarh 81.0 13 Gaibandha 80.9 14 Khulna 80.5 15 Bhola 80.5 16 Jashore 80.3 17 Naogaon 80.3 District position in CAR (%) upto the end of 18 Satkhira 80.2 November 2019 and December 2019 19 Lalmonirhat 80.1 20 Jamalpur 80.0 70 21 Nawabganj 80.0 64 64 22 Cox's Bazar 79.9 November'19 23 Kishoreganj 79.6 December'19 24 Faridpur 79.6 60 25 Patuakhali 79.5 26 Gopalganj 79.4 27 Sherpur 79.1 28 Mymensingh 79.1 50 29 Pabna 78.9 30 Pirojpur 78.9 31 Narail 78.8 32 Thakurgaon 78.6 40 33 Jhalakati 78.6 ------> 34 Meherpur 78.5 70% & above & 70% 35 Rajbari 78.4 36 Barguna 78.4 37 Netrokona 78.4 30 38 Magura 78.3 39 Rangpur 78.3 Districts Nos. of 40 Sylhet 78.1 41 Madaripur 78.0 20 42 Sunamganj 77.9 43 Khagrachhari 77.9 44 Kustia 77.9 45 Moulavi Bazar 77.8 10 46 Jhenaidaha 77.7

47 Tangail 77.4 ------< 0 0 0 0 48 Habiganj 77.0 49 Barishal 76.8 0 50 Chandpur 76.6 70% & above 60%-69% 0%-59% 51 Kurigram 76.5 52 Cumilla 76.3 <------Range ------> 53 Shariatpur 76.1 54 Manikganj 75.8 55 Narshingdi 75.6 56 Noakhali 75.6 57 Gazipur 75.4 58 Narayanganj 75.2 59 Dhaka 74.6 60 Chattogram 74.0 61 Munshiganj 73.8 62 Feni 72.0 63 Lakshmipur 72.0 64 Brahmanbaria 71.6

Monthly Report of December 2019------Page # 34 Table -15 : List of Upazila achieved CAR above 70% upto the end of December' 2019

Sl. Total Total Sl. Total Total CAR Name of District Name of Upazila CAR (%) Name of District Name of Upazila No. Couples Acceptors No. Couples Acceptors (%)

1 Joipurhat Panchbibi 54468 45912 84.3 77 Bhola Bhola Sadar 86474 70578 81.6 2 Joipurhat Joypurhat Sadar 65202 54773 84 78 Serajganj Rayganj 69345 56583 81.6 3 Joipurhat Khetlal 26323 22112 84 79 Lalmonirhat Aditmari 48555 39617 81.6 4 Mymensingh Mymensingh Sadar 110364 92548 83.9 80 Bandarban Naikhongchhari 11974 9769 81.6 5 Bogura Sariakandi 50282 42108 83.7 81 Cox's Bazar Moheshkhali 58693 47880 81.6 6 Bogura Dhunot 67460 56489 83.7 82 Serajganj Shazadpur 113610 92679 81.6 7 Bogura Kahaloo 55358 46345 83.7 83 Bandarban Alikadam 10236 8349 81.6 8 Joipurhat Akkelpur 31040 25948 83.6 84 Dinajpur Fulbari 36839 30045 81.6 9 Rajshahi Bagmara 87721 73258 83.5 85 Khulna Koyra 40996 33422 81.5 10 Cox's Bazar Chakaria 84749 70712 83.4 86 Bogura Bogra Sadar 94380 76913 81.5 11 Chuadanga Jiban Nagar 38029 31708 83.4 87 Dinajpur Nawabganj 51131 41662 81.5 12 Rangamati Naniarchar 9372 7804 83.3 88 Bhola Daulatkhan 34758 28321 81.5 13 Rangamati Kawkhali 12003 9986 83.2 89 Jamalpur Jamalpur Sadar 134518 109587 81.5 14 Bogura Sonatola 40121 33377 83.2 90 Rajshahi Boalia (Sadar) 102197 83209 81.4 15 Bandarban Bandarban Sadar 17380 14457 83.2 91 Jashore Monirampur 96603 78648 81.4 16 Naogaon Manda 91878 76394 83.1 92 Bagerhat Mongla 27204 22140 81.4 17 Rangamati Langadu 15817 13137 83.1 93 Rajshahi Durgapur 44189 35963 81.4 18 Bogura Shibganj 90488 75126 83 94 Kurigram Chilmari 31997 26033 81.4 19 Rangamati Belaichhari 5021 4167 83 95 Panchgarh Debiganj 55409 45068 81.3 20 Joipurhat Kalai 34800 28876 83 96 Jamalpur Melandaha 62869 51127 81.3 21 Bagerhat Bagerhat Sadar 54659 45335 82.9 97 Dinajpur Kaharole 35293 28695 81.3 22 Natore Gurudashpur 52572 43566 82.9 98 Tangail Modhupur 113566 92328 81.3 23 Serajganj Sirajganj Sadar 120461 99816 82.9 99 Khulna Dacope 31205 25362 81.3 24 Faridpur Modhukhali 45951 38068 82.8 100 Serajganj Ullahpara 122451 99509 81.3 25 Chuadanga Chuadanga Sadar 69903 57901 82.8 101 Satkhira Debhata 26979 21918 81.2 26 Natore Lalpur 67280 55728 82.8 102 Pirojpur Pirojpur Sadar 28279 22963 81.2 27 Bogura Dupchanchia 44115 36534 82.8 103 Manikganj Ghior 35734 29012 81.2 28 Bagerhat Kachua 20485 16953 82.8 104 Dinajpur Parbatipur 82430 66905 81.2 29 Dinajpur Birol 55136 45584 82.7 105 Faridpur Nagarkanda 38050 30870 81.1 30 Rangamati Rangamati Sadar 20224 16719 82.7 106 Patuakhali Golachipa 81465 66085 81.1 31 Dinajpur Hakimpur 21228 17547 82.7 107 Jashore Jessore Sadar 151588 122920 81.1 32 Nilphamari Nilphamari Sadar 104099 85996 82.6 108 Satkhira Kaliganj 66800 54166 81.1 33 Bogura Shajahanpur 80060 66123 82.6 109 Kishoreganj Katiadi 61636 49963 81.1 34 Dinajpur Chirir Bandar 65574 54157 82.6 110 Rajshahi Charghat 48627 39406 81 35 Dinajpur Dinajpur Sadar 101286 83525 82.5 111 Pabna Santhia 89713 72679 81 36 Bhola Lalmohan 64078 52835 82.5 112 Gaibandha Fulchhari 37039 29997 81 37 Gaibandha Sundarganj 113609 93674 82.5 113 Kishoreganj Austagram 29784 24119 81 38 Panchgarh Atowari 29053 23926 82.4 114 Kishoreganj Nikli 27171 22000 81 39 Bhola Monpura 15288 12590 82.4 115 Naogaon Porsa 30534 24702 80.9 40 Natore Natore Sadar 104624 86146 82.3 116 Gopalganj Gopalganj Sadar 56831 45975 80.9 41 Dinajpur Birganj 72152 59395 82.3 117 Barguna Patharghata 34049 27532 80.9 42 Kishoreganj Kishoreganj Sadar 72920 60009 82.3 118 Panchgarh Panchgarh Sadar 62441 50488 80.9 43 Satkhira Asasuni 57303 47135 82.3 119 Kishoreganj Tarail 30839 24922 80.8 44 Nilphamari Saidpur 55857 45944 82.3 120 Rangamati Baghaichhari 12733 10286 80.8 45 Nilphamari Domar 57625 47381 82.2 121 Lalmonirhat Hatibandha 51770 41817 80.8 46 Naogaon Niamatpur 58142 47773 82.2 122 Dinajpur Khanshama 43563 35186 80.8 47 Bogura Sherpur 84762 69645 82.2 123 Gaibandha Gaibandha Sadar 102827 83052 80.8 48 Bogura Nandigram 43036 35358 82.2 124 Manikganj Saturia 38508 31095 80.7 49 Khulna Digholia 94019 77232 82.1 125 Rajshahi Bagha 42567 34371 80.7 50 Khulna Dumuria 64738 53177 82.1 126 Manikganj Shibalaya 34905 28178 80.7 51 Rajshahi Poba 76865 63137 82.1 127 Jhenaidaha Harinakunda 43344 34984 80.7 52 Nawabganj Bholahat 25110 20622 82.1 128 Sherpur Jhenaigati 37687 30410 80.7 53 Natore Singra 86139 70729 82.1 129 Rangpur Pirganj 96100 77527 80.7 54 Bagerhat Fakirhat 30319 24874 82 130 Faridpur Char Bhadrashion 13523 10909 80.7 55 Natore Baraigram 69338 56866 82 131 Rangpur Pirgachha 75317 60742 80.6 56 Lalmonirhat Patgram 47817 39192 82 132 Cumilla Chouddagram 88168 71097 80.6 57 Dinajpur Bochaganj 34132 27967 81.9 133 Patuakhali Dashmina 27620 22267 80.6 58 Bagerhat Morralganj 63933 52383 81.9 134 Serajganj Belkuchi 71034 57246 80.6 59 Chuadanga Alamdanga 80727 66136 81.9 135 Rajshahi Puthiya 49257 39682 80.6 60 Khulna Batiaghata 38418 31467 81.9 136 Gaibandha Gobindaganj 111076 89472 80.6 61 Bogura Gabtali 74112 60698 81.9 137 Pabna Ishwardi 72284 58218 80.5 62 Jashore Keshobpur 59666 48862 81.9 138 Pirojpur Bhandaria 25022 20148 80.5 63 Bandarban Thanchi 4233 3466 81.9 139 Gopalganj Muksudpur 55809 44929 80.5 64 Nawabganj Nachol 33773 27644 81.9 140 Bandarban Lama 19315 15546 80.5 65 Gaibandha Palashbari 58869 48185 81.9 141 Gopalganj Kasiani 44324 35666 80.5 66 Gaibandha Sadullahpur 71709 58675 81.8 142 Rangamati Rajasthali 4683 3767 80.4 67 Bagerhat Sarankhola 21720 17768 81.8 143 Jamalpur Sharishabari 66384 53390 80.4 68 Rangamati Jurachhari 4499 3680 81.8 144 Habiganj Lakhai 29418 23658 80.4 69 Jashore Bagherpara 48069 39317 81.8 145 Nawabganj Gomostapur 64773 52071 80.4 70 Panchgarh Boda 57721 47181 81.7 146 Pabna Bera 57950 46577 80.4 71 Dinajpur Birampur 35463 28981 81.7 147 Cox's Bazar Teknaf 52822 42450 80.4 72 Rajshahi Tanore 45784 37410 81.7 148 Jashore Abhaynagar 54992 44183 80.3 73 Cox's Bazar Ramu 46330 37838 81.7 149 Rajshahi Godagari 72494 58236 80.3 74 Bogura Adamdighi 45450 37115 81.7 150 Naogaon Patnitola 54492 43764 80.3 75 Rangamati Barkal 7524 6144 81.7 151 Natore Bagatipara 30813 24739 80.3 76 Nilphamari Dimla 62354 50909 81.6 152 Bandarban Ruma 4784 3840 80.3 153 Pirojpur Indurkani 15764 12650 80.2 231 Rajbari Pangsha 89964 71328 79.3 154 Satkhira Shyamnagar 74689 59932 80.2 232 Cumilla Brahmanpara 41433 32850 79.3 155 Faridpur Alphadanga 22763 18264 80.2 233 Habiganj Habiganj Sadar 63465 50303 79.3 156 Sherpur Sribordi 57487 46113 80.2 234 Mymensingh Dhubaura 40920 32427 79.2 157 Naogaon Naogaon Sadar 62459 50101 80.2 235 Serajganj Chouhali 22373 17725 79.2 158 Nilphamari Jaldhaka 78185 62713 80.2 236 Sylhet Golapganj 48268 38234 79.2 159 Jashore Sarsa 79398 63685 80.2 237 Bagerhat Rampal 34247 27121 79.2 160 Cox's Bazar Pekua 32845 26343 80.2 238 Rangpur Rangpur Sadar 138281 109505 79.2 161 Sunamganj Jogonnathpur 34379 27570 80.2 239 Kishoreganj Karimganj 55387 43856 79.2 162 Kishoreganj Bhariab 60286 48340 80.2 240 Satkhira Tala 63295 50103 79.2 163 Netrokona Netrokona Sadar 68901 55247 80.2 241 Khulna Fultala 28383 22456 79.1

Monthly Report of December 2019------Page # 35 Sl. Total Total Sl. Total Total CAR Name of District Name of Upazila CAR (%) Name of District Name of Upazila No. Couples Acceptors No. Couples Acceptors (%)

164 Madaripur Madaripur Sadar 71444 57266 80.2 242 Rajshahi Mohanpur 43474 34393 79.1 165 Patuakhali Dumki 13433 10767 80.2 243 Shariatpur Goshairhat 30241 23919 79.1 166 Chattogram Banshkhali 81066 64975 80.2 244 Khulna Rupsha 38210 30218 79.1 167 Narail Kalia 44627 35762 80.1 245 Patuakhali Patuakhali Sadar 71186 56285 79.1 168 Bandarban Rowangchhari 5443 4361 80.1 246 Gaibandha Shaghata 55993 44272 79.1 169 Jamalpur Dewanganj 59622 47765 80.1 247 Patuakhali Mirzaganj 24417 19302 79.1 170 Cumilla Debidwar 92450 74030 80.1 248 Panchgarh Tentulia 29180 23066 79 171 Serajganj Tarash 46670 37371 80.1 249 Jhenaidaha Moheshpur 72292 57111 79 172 Khagrachhari Matiranga 25211 20182 80.1 250 Mymensingh Fulbaria 87468 69077 79 173 Naogaon Sapahar 39031 31243 80 251 Kishoreganj Bazitpur 45514 35943 79 174 Sherpur Nalitabari 57993 46405 80 252 Jamalpur Madarganj 54070 42686 78.9 175 Faridpur Faridpur Sadar 95736 76598 80 253 Kustia Kumarkhali 72903 57536 78.9 176 Khagrachhari Dighinala 17860 14289 80 254 Patuakhali Bauphal 67034 52884 78.9 177 Habiganj Baniachhong 58091 46476 80 255 Barguna Amtali 66225 52234 78.9 178 Pirojpur Nesarabad 40686 32547 80 256 Rangamati Kaptai 10740 8469 78.9 179 Bhola Charfashion 91057 72831 80 257 Lalmonirhat Lalmonirhat Sadar 78226 61681 78.8 180 Magura Magura Sadar 83041 66414 80 258 Mymensingh Ishwarganj 81041 63893 78.8 181 Netrokona Kalmakanda 51351 41056 80 259 Naogaon Rani Nagar 42337 33378 78.8 182 Sunamganj Chhatak 55562 44413 79.9 260 Kustia Bheramara 51605 40679 78.8 183 Netrokona Barhatta 34439 27523 79.9 261 Patuakhali Kalapara 53216 41935 78.8 184 Serajganj Kazipur 57198 45683 79.9 262 Sunamganj Sulla 20020 15766 78.8 185 Jhalakati Rajapur 23927 19110 79.9 263 Naogaon Badalgachhi 48572 38249 78.7 186 Chuadanga Damurhuda 67656 54016 79.8 264 Sherpur Sherpur Sadar 121929 96013 78.7 187 Thakurgaon Ranisankail 49390 39428 79.8 265 Mymensingh Gafargaon 87527 68918 78.7 188 Moulavi Bazar Rajnagar 41209 32890 79.8 266 Netrokona Kendua 58859 46323 78.7 189 Meherpur Mujibnagar 22425 17895 79.8 267 Kishoreganj Mithamoin 24177 19024 78.7 190 Dinajpur Ghoraghat 25407 20274 79.8 268 Rajbari Goalunda Ghat 25510 20071 78.7 191 Khulna Paikgachha 58444 46636 79.8 269 Sunamganj Dharmapasa 44120 34712 78.7 192 Kishoreganj Itna 32953 26295 79.8 270 Barishal Uzirpur 47418 37298 78.7 193 Serajganj Kamarkhand 30482 24322 79.8 271 Cox's Bazar Ukhiya 40721 32029 78.7 194 Pabna Bhangoora 29689 23688 79.8 272 Jashore Jhikarghachha 70182 55168 78.6 195 Gazipur Gazipur Sadar 97235 77570 79.8 273 Barishal Bakerganj 64668 50830 78.6 196 Narail Narail Sadar 61486 49048 79.8 274 Sylhet Jakiganj 36688 28820 78.6 197 Meherpur Meherpur Sadar 62036 49486 79.8 275 Satkhira Kolaroa 51822 40704 78.5 198 Barguna Bmna 14520 11582 79.8 276 Habiganj Bahubal 35565 27928 78.5 199 Khulna Khulna Sadar 75654 60328 79.7 277 Mymensingh Phulpur 123964 97296 78.5 200 Sylhet Sylhet Sadar 163548 130350 79.7 278 Tangail Tangail Sadar 120745 94741 78.5 201 Jhalakati Kathalia 21267 16949 79.7 279 Pabna Atghoria 35723 28016 78.4 202 Jhenaidaha Kotchandpur 31793 25330 79.7 280 Kurigram Char Rajibpur 23099 18114 78.4 203 Magura Shalikha 31765 25307 79.7 281 Kishoreganj Hossainpur 38905 30501 78.4 204 Bhola Tajumuddin 26877 21401 79.6 282 Rajbari Rajbari Sadar 71878 56347 78.4 205 Naogaon Mohadebpur 69063 54991 79.6 283 Narail Lohagara 47320 37094 78.4 206 Moulavi Bazar Moulavi Bazar Sadar 54849 43672 79.6 284 Gazipur Sreepur 102456 80276 78.4 207 Bagerhat Mollahat 27316 21748 79.6 285 Barishal Gournadi 36965 28956 78.3 208 Mymensingh Trisal 91749 73040 79.6 286 Naogaon Atrai 46561 36464 78.3 209 Nilphamari Kishoreganj 53838 42857 79.6 287 Cumilla Adarsho Sadar 112295 87942 78.3 210 Faridpur Saltha 34834 27717 79.6 288 Netrokona Durgapur 46374 36312 78.3 211 Nawabganj Chapai Nawabganj 119415 94998 79.6 289 Kustia Mirpur 77998 61066 78.3 212 Pirojpur Kawkhali 12383 9849 79.5 290 Rajbari Baliakandi 45001 35206 78.2 213 Pabna Chatmohor 74419 59188 79.5 291 Chandpur Chandpur Sadar 74263 58097 78.2 214 Satkhira Satkhira Sadar 94836 75422 79.5 292 Netrokona Mohonganj 31562 24689 78.2 215 Nawabganj Shibganj 132053 105020 79.5 293 Chandpur Faridganj 84147 65791 78.2 216 Khagrachhari Lakshmichhari 5648 4491 79.5 294 Sunamganj Sadar (South) 28902 22597 78.2 217 Lalmonirhat Kaliganj 53121 42239 79.5 295 Kurigram Rajarhat 47763 37314 78.1 218 Faridpur Boalmari 53326 42390 79.5 296 Chattogram Rawzan 63983 49969 78.1 219 Sylhet Gowainghat 53983 42906 79.5 297 Moulavi Bazar Barlekha 44156 34482 78.1 220 Netrokona Atpara 26104 20744 79.5 298 Habiganj Azmiriganj 20368 15891 78 221 Madaripur Shibchar 58541 46496 79.4 299 Brahmanbaria Ashuganj 28575 22287 78 222 Tangail Gopalpur 57896 45977 79.4 300 Jhalakati Nalchhiti 34063 26561 78 223 Rangpur Gangachara 68675 54506 79.4 301 Jhalakati Jhalakati Sadar 35145 27394 77.9 224 Thakurgaon Haripur 31656 25117 79.3 302 Sunamganj Tahirpur 37087 28905 77.9 225 Thakurgaon Thakurgaon Sadar 129854 103017 79.3 303 Sylhet Jaintapur 30520 23782 77.9 226 Tangail Bhuapur 43484 34489 79.3 304 Sunamganj Bishwamvarpur 27427 21367 77.9 227 Kishoreganj Kuliarchar 35787 28380 79.3 305 Jhenaidaha Kaliganj 63256 49277 77.9 228 Jamalpur Bakshiganj 41959 33272 79.3 306 Mymensingh Haluaghat 66843 52023 77.8 229 Sunamganj Sunamganj Sadar 42486 33688 79.3 307 Gopalganj Tungipara 19299 15017 77.8 230 Mymensingh Muktagacha 89913 71289 79.3 308 Mymensingh Gouripur 62748 48813 77.8 309 Kustia Daulatpur 109343 85043 77.8 387 Pabna Sujanagar 62991 48110 76.4 310 Kurigram Kurigram Sadar 72398 56301 77.8 388 Rangpur Kaunia 47169 36007 76.3 311 Gazipur Tongi 36905 28697 77.8 389 Cumilla Barura 89234 68112 76.3 312 Lakshmipur Ramgoti 42411 32975 77.8 390 Kishoreganj Pakundia 48206 36787 76.3 313 Rangpur Taraganj 35293 27439 77.7 391 Kurigram Nageswari 102621 78310 76.3 314 Faridpur Bhanga 55416 43080 77.7 392 Chandpur Matlab (South) 43320 33050 76.3 315 Mymensingh Nandail 83287 64742 77.7 393 Gazipur Kaliakair 60226 45945 76.3 316 Kurigram Fulbari 41626 32354 77.7 394 Netrokona Purbadhala 55425 42282 76.3 317 Khagrachhari Khagrachhari Sadar 19524 15171 77.7 395 Chandpur Kachua 81914 62475 76.3 318 Cumilla Titash 37211 28899 77.7 396 Chandpur Sharasti 48657 37109 76.3 319 Naogaon Dhamoirhat 44395 34477 77.7 397 Dhaka Tejgaon 147301 112216 76.2 320 Moulavi Bazar Juri 25379 19706 77.6 398 Jhenaidaha Sailkupa 81185 61814 76.1 321 Kustia Kushtia Sadar 114543 88894 77.6 399 Moulavi Bazar Komolganj 46586 35450 76.1 322 Magura Sripur 36921 28653 77.6 400 Kurigram Roumari 44728 34032 76.1 323 Madaripur Kalkini 55134 42769 77.6 401 Cumilla Laksham 56930 43290 76 324 Pabna Pabna Sadar 135930 105423 77.6 402 Sunamganj Jamalganj 29983 22783 76 325 Pirojpur Mathbaria 49074 38058 77.6 403 Netrokona Modan 27142 20619 76 326 Pabna Faridpur 27934 21663 77.6 404 Feni Parshuram 20194 15336 75.9 327 Jamalpur Islampur 67084 52008 77.5 405 Cumilla Muradnagar 111648 84770 75.9 328 Khagrachhari Panchhari 11675 9047 77.5 406 Sunamganj Dherai 40293 30574 75.9 329 Bhola Borhanuddin 50657 39246 77.5 407 Munshiganj Lohajong 32591 24720 75.8 330 Barguna Barguna Sadar 59296 45933 77.5 408 Manikganj Manikganj Sadar 65717 49843 75.8

Monthly Report of December 2019------Page # 36 Sl. Total Total Sl. Total Total CAR Name of District Name of Upazila CAR (%) Name of District Name of Upazila No. Couples Acceptors No. Couples Acceptors (%)

331 Narayanganj Bandar 67195 52037 77.4 409 Cumilla Meghna 22774 17257 75.8 332 Pirojpur Nazirpur 32402 25090 77.4 410 Kurigram Bhurungamari 66203 50159 75.8 333 Barguna Betagi 23240 17995 77.4 411 Narshingdi Raipura 112850 85463 75.7 334 Gopalganj Kotalipara 43655 33802 77.4 412 Noakhali Hatiya 76646 58031 75.7 335 Shariatpur Damoddya 23421 18130 77.4 413 Noakhali Sudharam (Sadar) 90640 68547 75.6 336 Kustia Khoksa 30425 23550 77.4 414 Shariatpur Naria 41162 31097 75.5 337 Faridpur Sadarpur 34042 26346 77.4 415 Chattogram Doublemooring 45081 34054 75.5 338 Meherpur Gagni 77245 59737 77.3 416 Noakhali Begumganj 112024 84613 75.5 339 Habiganj Nabiganj 59409 45943 77.3 417 Feni Feni Sadar 92236 69632 75.5 340 Narshingdi Narshingdi Sadar 123430 95379 77.3 418 Barishal Babuganj 26350 19888 75.5 341 Netrokona Khaliajhuri 17221 13307 77.3 419 Sylhet Companiganj 28166 21252 75.5 342 Tangail Ghatail 103447 79920 77.3 420 Barishal Barisal Sadar 83202 62753 75.4 343 Khagrachhari Manikchhari 11571 8938 77.2 421 Chattogram Sandwip 59483 44858 75.4 344 Cox's Bazar Kutubdia 24006 18543 77.2 422 Narshingdi Palash 43353 32684 75.4 345 Dhaka Keraniganj 144082 111289 77.2 423 Noakhali Sonaimuri 65759 49518 75.3 346 Sylhet Balaganj 49576 38285 77.2 424 Sylhet Biswanath 30472 22925 75.2 347 Thakurgaon Baliadangi 42696 32966 77.2 425 Shariatpur Palong (Sadar) 42180 31696 75.1 348 Tangail Basail 39653 30614 77.2 426 Chattogram Rangunia 75749 56921 75.1 349 Chandpur Hajiganj 63089 48692 77.2 427 Sylhet Biani Bazar 35541 26698 75.1 350 Khagrachhari Mahalchhari 9570 7383 77.1 428 Tangail Nagarpur 66526 49972 75.1 351 Mymensingh Bhaluka 90099 69473 77.1 429 Shariatpur Bhedarganj 44465 33400 75.1 352 Thakurgaon Pirganj 48704 37537 77.1 430 Narayanganj Rupganj 95643 71786 75.1 353 Narshingdi Belaboo 41548 32013 77.1 431 Barishal Hizla 25404 19028 74.9 354 Noakhali Chatkhil 45119 34758 77 432 Feni Sonagazi 54830 41045 74.9 355 Sylhet Kanaighat 47993 36957 77 433 Cumilla Comilla Sadar South 83626 62599 74.9 356 Khulna Terokhada 26294 20243 77 434 Kurigram Ulipur 105009 78555 74.8 357 Cox's Bazar Coxs Bazar Sadar 83244 64080 77 435 Cumilla Chandina 77368 57762 74.7 358 Barishal Banaripara 29229 22498 77 436 Lakshmipur Kamalnagar 34525 25761 74.6 359 Tangail Kalihati 90550 69683 77 437 Munshiganj Tongibari 38603 28801 74.6 360 Narayanganj Narayanganj Sadar 199166 153264 77 438 Tangail Shakhipur 68816 51304 74.6 361 Munshiganj Serajdikhan 58764 45217 76.9 439 Gazipur Kaliganj 55172 41125 74.5 362 Dhaka Savar 148312 114095 76.9 440 Narayanganj Sonargaon 87822 65459 74.5 363 Moulavi Bazar Kulaura 61431 47253 76.9 441 Manikganj Daulatpur 35021 26080 74.5 364 Jhenaidaha Jhenaidaha Sadar 100058 76963 76.9 442 Narshingdi Monohordi 58753 43693 74.4 365 Noakhali Subarna Char 53651 41246 76.9 443 Madaripur Rajoir 47896 35559 74.2 366 Shariatpur Janjira 33122 25446 76.8 444 Tangail Delduar 47690 35345 74.1 367 Rangpur Mithapukur 114279 87784 76.8 445 Rangpur Badarganj 66060 48893 74 368 Sylhet South Shurma 55604 42708 76.8 446 Cumilla Homna 40663 30093 74 369 Bagerhat Chitalmari 28288 21725 76.8 447 Dhaka Dhamrai 89539 66220 74 370 Moulavi Bazar Sreemongal 63821 48999 76.8 448 Chandpur Motlab (North) 57985 42875 73.9 371 Sunamganj Dowara Bazar 40215 30874 76.8 449 Chattogram Anwara 48127 35571 73.9 372 Habiganj Chunarughat 61775 47389 76.7 450 Khagrachhari Ramgarh 12961 9571 73.8 373 Tangail Mirzapur 95388 73156 76.7 451 Brahmanbaria Akhaura 30809 22739 73.8 374 Barishal Mehendiganj 50333 38584 76.7 452 Cumilla Nangolkot 77038 56812 73.7 375 Chattogram Panchlaish 32167 24658 76.7 453 Chandpur Haimchar 18317 13494 73.7 376 Barishal Muladi 31101 23831 76.6 454 Noakhali Companiganj 50446 37131 73.6 377 Cumilla Monohargonj 49987 38288 76.6 455 Munshiganj Srinagar 58662 43144 73.5 378 Sherpur Nakla 44063 33739 76.6 456 Narshingdi Shibpur 58505 42974 73.5 379 Noakhali Senbag 54922 42046 76.6 457 Chattogram Sitakunda 78659 57733 73.4 380 Chattogram Boalkhali 46950 35939 76.5 458 Cumilla Daudkandi 72993 53453 73.2 381 Chattogram Hathazari 74083 56691 76.5 459 Brahmanbaria Sarail 56654 41484 73.2 382 Barishal Agailjhara 28317 21666 76.5 460 Feni Fulgazi 24486 17925 73.2 383 Magura Mohammadpur 42478 32479 76.5 461 Lakshmipur Raipur 58856 43062 73.2 384 Lakshmipur Ramganj 61385 46915 76.4 462 Brahmanbaria Brahmanbaria Sadar 78897 57648 73.1 385 Jashore Chowgachha 52164 39865 76.4 463 Munshiganj Munshiganj Sadar 81417 59471 73 386 Noakhali Kabirhat 36990 28252 76.4 464 Manikganj Harirampur 32286 23511 72.8 465 Munshiganj Gazaria 31400 22850 72.8 474 Chattogram Chandanaish 45058 32440 72 466 Brahmanbaria Kashba 65602 47676 72.7 475 Chattogram Fatichhari 108487 78095 72 467 Chattogram Satkania 70713 51357 72.6 476 Chattogram Patiya 97589 70172 71.9 468 Brahmanbaria Nasirnagar 56839 41251 72.6 477 Dhaka Mirpur 84987 61022 71.8 469 Brahmanbaria Bijoy Nagar 51587 37426 72.5 478 Chattogram Lohagora 50677 35953 70.9 470 Sylhet Fenchuganj 18634 13504 72.5 479 Narayanganj Araihazar 84020 59584 70.9 471 Brahmanbaria Nabinagar 96436 69738 72.3 480 Habiganj Madhabpur 64748 45744 70.6 472 Cumilla Burichong 67937 49071 72.2 481 Manikganj Singair 63336 44731 70.6 473 Dhaka Nawabganj 70698 51063 72.2 482 Feni Dagonbhuiyan 53036 37404 70.5

Table-16: List of Upazila achieved CAR 60-70% up to the end of December 2019

Sl. Total Name of District Name of Upazila Total Acceptors CAR (%) No. Couples

1 Chattogram Mirsharai 84661 59208 69.9 2 Dhaka Dohar 47533 32896 69.2 3 Lakshmipur Lakshmipur Sadar 137581 92980 67.6 4 Gazipur Kapasia 71017 46544 65.5 5 Feni Chhagalnaiya 35140 21368 60.8

6 Brahmanbaria Bancharampur 62476 37322 59.7

Upazila position in CAR upto the end of November 2019 and December 2019

Monthly Report of December 2019------Page # 37 Sl. Total Total Sl. Total Total CAR Name of District Name of Upazila CAR (%) Name of District Name of Upazila No. Couples Acceptors No. Couples Acceptors (%)

Upazila position in CAR upto the end of November 2019 and December 2019

481 482

500 November'19 > 450 December'19 400 350 ------300 250 200 150

Nos. of Upazilas 100 7 6 0 0 50 ------

< 0 >70% 60%-70% <60

<------Range ------>

Monthly Report of December 2019------Page # 38 Table -17: Method wise Dropout and Switch Over by Division upto the end of December 2019 Number of Acceptors dropped out and Switch Over Oral Pill Condom Injectable IUD Implant Division No Switch Switch No Switch Switch No Switch No Method No Method Method Over Over Method Over Over Method Over

Rangpur 8090 7866 2149 1577 4142 4526 572 476 1650 1569 Rajshahi 10327 8981 4706 2993 4536 4432 711 475 1256 1508 Khulna 7654 6700 3328 2146 4334 3669 774 341 1367 1025 Barishal 4752 4170 1665 949 3605 2606 492 284 974 770 Dhaka 13490 11035 5771 4657 5777 5126 1231 759 1868 1665 Mymensingh 5885 4249 2218 1015 2210 2038 600 266 2194 879 Chattogram 12742 7766 5170 2519 7318 4445 1776 753 2405 1259 Sylhet 6633 3100 4492 985 3093 2200 425 170 758 401 National 69573 53867 29499 16841 35015 29042 6581 3524 12472 9076

Table -18: Contraceptive Acceptors and Acceptance Rate by Division upto the end of November 2019 and December 2019 Total Total Number of Acceptors Division Month Eligible Permanent CAR (%) IUD Implant Injectable Oral Pill Condom Total Couple Method Nov-19 3612245 434286 66680 180462 626885 1409678 163475 2881466 79.77 Rangpur Dec-19 3614925 434693 68013 182918 627440 1411325 164576 2888965 79.92 Nov-19 4204666 471198 97293 183963 607437 1659391 391218 3410500 81.11 Rajshahi Dec-19 4208243 471889 97804 186299 608798 1658608 393280 3416678 81.19 Nov-19 3463958 408325 77821 146324 563799 1252921 308604 2757794 79.61 Khulna Dec-19 3467322 409214 78771 149204 564807 1254051 310452 2766499 79.79 Nov-19 1644207 135627 50113 96267 341259 591076 80488 1294830 78.75 Barishal Dec-19 1645889 136129 50792 98306 341467 591624 80936 1299254 78.94 Nov-19 5433525 523378 153702 241826 687058 2073897 488704 4168565 76.72 Dhaka Dec-19 5439536 525267 155802 246876 690522 2076069 491440 4185976 76.95 Nov-19 2269220 190734 51920 117053 317666 1000249 118234 1795856 79.14 Mymensingh Dec-19 2238966 187553 51474 116068 314970 987948 116143 1774156 79.24 Nov-19 5093132 422853 178529 254353 814216 1822864 340374 3833189 75.26 Chattogram Dec-19 5098143 423395 180651 259842 814578 1826038 341008 3845512 75.43 Nov-19 1728543 202916 53005 91148 241617 623385 131725 1343796 77.74 Sylhet Dec-19 1729737 203097 53036 92239 242471 622465 132146 1345454 77.78 Nov-19 27449496 2789317 729063 1311396 4199937 10433461 2022822 21485996 78.27 National Dec-19 27442761 2791237 736343 1331752 4205053 10428128 2029981 21522494 78.43

Table -19: Status of Contraceptive Method-Mix based on CAR at the end of the Month of December 2019 Method Rangpur Rajshahi Khulna Barishal Dhaka Mymensingh Chattogram Sylhet National Permanent Method 15.05 13.81 14.79 10.48 12.55 10.57 11.01 15.10 12.97

I U D 2.35 2.86 2.85 3.91 3.72 2.90 4.70 3.94 3.42 Implant 6.33 5.45 5.39 7.57 5.90 6.54 6.76 6.86 6.19 Injectables 21.72 17.82 20.42 26.28 16.50 17.75 21.18 18.02 19.54 Oral Pill 48.85 48.54 45.33 45.54 49.60 55.69 47.48 46.26 48.45 Condom 5.70 11.51 11.22 6.23 11.74 6.55 8.87 9.82 9.43 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Monthly Report of December 2019------Page # 39 Method-Mix for the month of December 2019 Per.Method Per.Method Condom Per.Method (Male) Rangpur (Male) National Condom Per.Method 5.7% (Female) I U D 3.5% 6.2% 9.4% (Female) I U D 8.8% 2.3% 9.5% 3.4% Implant Implant 6.3% 6.1%

Injectable Injectable Oral Pill 19.6% 21.8% Oral Pill 48.9% 48.6%

Rajshahi Per.Method Khulna Per.Method Per.Method Condom (Male) Condom 11.5% 3.4% (Female) (Male) Per.Method 10.4% I U D 11.2% 2.8% (Female) 2.9% 12.0% I U D 2.8% Implant 5.4% Implant 5.3%

Injectable 17.8% Injectable 20.4% Oral Pill Oral Pill 48.7% 45.4% Per.Method Per.Method Barishal Condom (Male) Dhaka Per.Method 6.2% (Female) Condom (Male) Per.Method 4.2% I U D 6.3% 11.7% 2.6% (Female) 3.9% 10.0% I U D Implant 3.7% 7.4% Implant 5.8%

Oral Pill Injectable Oral Pill Injectable 49.8% 16.5% 45.7% 26.4%

Per.Method Chattogram Per.Method Sylhet Condom (Male) Per.Method (Female) 8.9% 2.1% Condom (Male) Per.Method 8.9% I U D 9.8% 4.5% (Female) 4.7% 10.7% I U D Implant 3.9% 6.6% Implant 6.8%

Oral Pill Injectable 47.6% Oral Pill Injectable 18.0% 21.3% 46.4%

Mymensingh

Per.Method Per.Method (Male) (Female) 4.1% 6.5% I U D 2.9% Condom 6.6% Implant 6.5%

Injectable Oral Pill 17.7% 55.7%

Monthly Report of December 2019------Page # 40 Table -20: Performance by type of MCH services for the month of November 2019 and December 2019 (in Number) Performance % Change of December'19 Services November'19 December'19 over November'19

Number of Pregnant Women 973568 952451 -2.17 No. of High Risk Pregnant Mother Referred 5916 5944 0.47 Treatment, Adviced & Referred Infertile Couple 118232 113239 -4.22 Treatment of RTI/STI (MCHTI, MFSTC, FWVTI-Raj & MCWCs) 6153 7606 23.61 st 1 visit (within 4 Month) 166536 168368 1.10 nd 2 visit (within 6 Month) 131760 132695 0.71 Antenatal Care rd 3 visit (within 8 Month) 111315 109223 -1.88 th th 4 visit (in 9 month) (including 94171 93103 -1.13 MCHTI, MFSTC & FWVTI-Raj) Delivery conducted in MCHTI, MFSTC, FWVTI- Normal 51212 51924 1.39 Rajshahi, MCWC, UHC, UH&FWC & NGO C-Section 46252 44408 -3.99 Clinics Total Delivery 97464 96332 -1.16 PNC-1 (within 24 Hour) 47515 48013 1.05

Postnatal Care (including MCHTI, MFSTC, FWVTI- PNC-2 (within 2- 3 day) 41310 41548 0.58 Raj, MCWC, UHC, UH&FWC) PNC-3 (within 7 -14 day) 43537 44908 3.15 PNC-4 (within 42-48 day) 51746 54006 4.37 1st dose 118232 113239 -4.22 2nd dose 121417 130209 7.24 TT for Women (15 - 49 Yrs.) 3rd dose 119126 115098 -3.38 4th dose 111985 108214 -3.37 5th dose 112882 110084 -2.48 BCG (Vaccine) 144358 137434 -4.80 PCV 1 150789 151824 0.69 PCV 2 146018 151395 3.68 Immunization PCV 3 144941 147182 1.55 MR Vaccine 1st Dose 133734 127190 -4.89 MR Vaccine 2nd Dose 121947 121199 -0.61 Number of ECP acceptors 6390 7101 11.13 Number of MR done ( Both Govt. & NGOs ) 1820 1574 -13.52 Total Live Births 125552 121175 -3.49 Still Births (Including MCHTI, MFSTC & FWVTI-Raj ) 341 268 -21.41 Neonatal Deaths (0 - 28 day) 527 473 -10.25 Infant Death (29 days -<1 Yr.) 180 167 -7.22 Child Death (1 - <5Yrs.) 20 7 -65.00 Death Maternal Deaths 87 102 17.24 Other Death 24888 28233 13.44 Total Death 25717 28982 12.70 No. of Health Education in UH&FWC 9363 9387 0.26

Monthly Report of December 2019------Page # 41 Table -21: Performance by type of Nutrition services for the month of November 2019 and December 2019 Performance % Change of December'19 Services November'19 December'19 over November'19

Counseling on IYCF, IFA, Vitamin-A and Hand washing 646202 659682 2.1

Received IFA & Calcium Tablet (0-23 months child mother) 132279 140566 6.3

Exclusive Breast feeding up to 6 months 176951 159783 -9.7

No. of children (6-23Month) feeding complementary foods 179622 178123 -0.8

Feeding Tablet Vitamin A (6-59 months Child) 3032 3736 23.2

Received Tablet anti-helminthics (24-59months Child) 45817 48487 5.8

Feeding Zink pill with ORS suffering form diarrhoea 4527 6508 43.8

Identifying Suffering from MAM 9226 10035 8.8

Suffering from SAM & Referred 2513 2543 1.2

Identifying Child Stunting 3323 4163 25.3

Identifying Child Wasting 3564 3654 2.5 Nutrition Services for Pregnant Women, 0-59 months aged child and Mother and child aged months 0-59 Women, Pregnant for Services Nutrition Identifying Child Under weight 4846 5211 7.5

Monthly Report of December 2019------Page # 42 Annex - A: Summary of the Couples and Acceptors by Month Since July 2019

Indicators July'19 August'19 Sept.'19 Oct.'19 Nov.'19 Dec.'19

Number of Total Couples 27373105 27395093 27416415 27424260 27449496 27442761

Number of Total Acceptors 21372482 21403833 21437055 21458343 21485996 21522494

CAR (Contraceptive Acceptance Rate) 78.08 78.13 78.19 78.25 78.27 78.43

Method Specific Acceptors(Cumilative) by Month Since July 2019

Permanent Method (Male)Total 745246 745908 745533 746982 747319 746638 Permanent Method (Female) Total 2023302 2027673 2034067 2037766 2041998 2044599 Permanent Method (Total) 2768548 2773581 2779600 2784748 2789317 2791237 IUD (Users)Total 724539 725187 726051 728346 729063 736343 Implant (Users) Total 1259330 1268998 1282826 1299466 1311396 1331752 Injectable (Acceptors) Total 4192214 4196320 4198750 4199292 4199937 4205053 Oral Pill (Acceptors) Total 10418044 10426587 10431287 10426602 10433461 10428128 Condom (Acceptors) Total 2009807 2013160 2018541 2019889 2022822 2029981 Number of Districts reported 64 64 64 64 64 64 Reporting Status Number of Upazilas reported 488 488 488 488 488 488 Method Specific Absolute Performance by Month Since July 2019

Indicators July'19 August'19 Sept.'19 Oct.'19 Nov.'19 Dec.'19

Permanent Method (Male, Cases) 3452 2921 3545 3983 3333 3873

Permanent Method (Female, Cases) 7949 6841 8139 9196 7361 9703

Permanent Method (Total, Cases) 11401 9762 11684 13179 10694 13576 I U D (in cases) 14818 13329 14557 18211 12993 28017 Implant (Cases) 36377 30521 41463 47433 36761 57660 Injectables (Doses) 953246 892747 882232 926757 871552 872886

Oral Pill (Cycles) 6824890 6623237 6822748 6755045 6751588 6764591

Condom (Pieces) 9835000 9346710 9643329 9465785 9361280 9406108 Performance by types of MCH services by month since July 2019

Services July'19 August'19 Sept.'19 Oct.'19 Nov.'19 Dec.'19

Number of Pregnant Women 989949 986853 989906 980289 973568 952451

No. of High Risk Pregnant Mother Referred 6468 10765 7116 6465 5916 5944

1st visit (within 4 Month) 186168 194785 204105 181597 166536 168368

2nd visit (within 6 Month) 138709 140259 141279 142149 131760 132695 Antenatal Care 3rd visit (within 8 Month) 117969 110106 126631 115074 111315 109223

4th visit (in 9th month) (including 95506 100906 97609 97805 94171 93103 MCHTI, MFSTC & FWVTI-Raj)

Monthly Report of December 2019------Page # 43 Services July'19 August'19 Sept.'19 Oct.'19 Nov.'19 Dec.'19 Institutional Normal 47549 47726 50184 51848 51212 51924 Delivery(MCHTI, MFSTC, FWVTI- Caesarian 43695 42600 47605 47387 46252 44408 Raj., MCWC, UHC, UH&FWC & NGO) Total 91244 90326 97789 99235 97464 96332

At Home by Trained Persons 41418 41074 40610 40550 39437 38544 Non-Institutional Delivery At Home by Non-Trained Persons 13729 13469 13129 13415 12993 12625 Total 55147 55147 55147 55147 55147 55147 Total Delivery 146391 145473 152936 154382 152611 151479 PNC-1 (within 24 Hour) 46702 44377 48688 48733 47515 48013 PNC-2 (within 2- 3 day) 40986 39548 42414 41828 41310 41548 Postnatal Care PNC-3 (within 7 -14 day) 42941 48190 43601 44432 43537 44908

PNC-4 (within 42-48 day) (including 50246 51211 51116 51800 51746 54006 MCHTI, MFSTC & FWVTI-Raj) Postnatal care by trained person till two days in Home 6713 6798 6302 5725 6005 5984 Delivery No. of uses 7.1% chlorhexidine digluconate for umbilical 35166 35987 38162 39105 39028 39046 cord care 1st dose 115616 130373 142259 118715 118232 113239

2nd dose 113129 119079 116197 119196 121417 130209 TT for Women 3rd dose 116392 117730 117334 120105 119126 115098 (15 - 49 Yrs.) 4th dose 109107 110433 110659 110519 111985 108214

5th dose 111537 111280 111369 112543 112882 110084 BCG (Vaccine) 140618 137144 137144 144358 144358 137434

PCV 1 156595 146589 146589 144358 150789 151824

PCV 2 154089 146849 146849 150789 146018 151395 Immunization PCV 3 145386 139918 139918 146018 144941 147182

MR Vaccine 1st Dose 129828 130167 130167 144941 133734 127190

MR Vaccine 2nd Dose 119814 117853 117853 133734 121947 121199

Number of ECP acceptors 7489 6277 6587 6587 6587 7101

Number of MR done ( Both Govt. & NGOs ) 1915 1523 1612 1612 1612 1795

General Treatment 2317244 2090700 2389444 2389444 2372207 2590008

*Total Live Births 122624 122345 126767 128916 125552 121175

Still Births (Including MCHTI, MFSTC & FWVTI-Raj) 341 331 333 316 341 268

Neonatal Death (0 - 28 day) 525 486 569 588 527 473

Infant Death (29 days -<1 Yr.) 162 145 201 208 180 167

Child Death (1 -< 5 Yrs.) 27 16 17 21 20 7 Death Maternal Death 97 94 142 114 87 102

Other Death 22777 21889 22885 23399 24888 28233

Total Death 23588 22630 23814 24330 25702 28982 * Live births conducted at Govt. MCH, DH, MCWC, UHC, UH&FWC, NGOs and Home. The information is colleted by FWAs through field visit.

Monthly Report of December 2019------Page # 44 Annex - B: Performance of RH-EOC of MCWCs, MCHTI, MFSTC & FWVTI-Raj for the month of December 2019

ANC ANC PNC Delivery Med. Child Care Immuni Tubect Condom MCWC Gen. Pt RTI/ STI SB IUFD MR NSV Implant IUD Injectable Oral pill 1st total total NVD C/S T.D treat. 0-1yr 1-5yr zation omy person Rajshahi Division 1 Bogra C- EOC 192 388 130 79 24 103 206 0 2 130 64 0 1 0 1300 4 0 45 6 21 50 59 2 Dupchacia, Bogra B-EOC 62 108 62 32 0 32 536 26 0 45 108 0 0 0 40 14 6 120 7 6 8 8 3 Naogaon C-EOC 130 272 96 25 0 25 463 35 1 63 133 0 0 0 88 46 0 68 4 4 180 55 4 Joypurhat C- EOC 179 330 137 60 7 67 598 21 13 109 190 0 0 8 780 9 0 80 26 11 33 31 5 Rajshahi C- EOC 196 571 45 25 20 45 865 26 32 100 146 0 0 0 0 6 0 28 6 13 18 51 6 Natore C- EOC 135 317 57 49 4 53 755 18 2 84 367 0 1 15 624 5 2 108 18 3 129 125 7 Pabna C- EOC 350 930 252 125 29 154 1366 38 3 319 239 0 0 3 133 6 0 44 7 29 169 38 8 Sirajganj C- EOC 166 406 150 70 0 70 598 58 3 52 251 0 2 17 767 0 0 13 22 17 67 10 9 Chapai-Nawabganj C- EOC 214 386 73 52 1 53 283 12 0 123 272 0 0 5 0 48 3 119 36 77 116 134 Rangpur Division 10 Rangpur C- EOC 487 854 244 37 27 64 460 0 0 46 89 0 0 0 0 10 17 180 30 207 134 66 11 Dinajpur C- EOC 150 393 110 25 14 39 508 30 4 20 125 0 0 10 698 2 0 20 16 56 67 20 12 Thakurgaon C- EOC 134 592 112 32 9 41 566 11 0 87 163 0 0 4 465 1 0 228 18 144 107 25 13 Gaibandha C-EOC 298 700 325 269 5 274 435 55 16 321 108 0 0 24 0 73 46 335 30 22 68 9 14 Nilphamari C- EOC 102 390 97 52 0 52 773 45 3 91 205 0 0 18 0 20 1 175 2 132 65 1 15 Syedpur, Nilphamari B- EOC 128 297 88 62 0 62 451 2 19 73 132 0 0 0 0 18 2 82 10 175 148 53 16 Kurigram C-EOC 192 315 87 43 6 49 376 14 112 67 67 1 0 3 368 13 11 229 10 65 132 86 17 Lalmonirhat C- EOC 222 222 120 24 0 24 483 49 6 52 303 0 0 3 367 12 1 157 8 68 47 18 18 Panchagore C-EOC 141 351 353 68 0 68 948 16 12 160 101 0 0 18 648 7 0 95 17 98 18 10 19 Boda, Panchagar C-EOC 46 144 41 27 0 27 360 10 10 21 75 0 0 0 0 16 0 139 1 128 50 13 Dhaka Division 20 Narayanganj C- EOC 222 467 141 32 13 45 373 27 0 259 146 0 1 0 0 2 5 21 6 116 132 65 21 Munshiganj C- EOC 225 482 94 43 7 50 232 16 0 62 144 0 0 15 304 36 2 118 20 120 89 45 22 Manikganj C- EOC 307 397 71 21 16 37 233 36 155 110 308 0 0 35 0 43 103 127 13 26 234 213 23 Narsingdi C-EOC 1360 1950 469 89 45 134 1920 72 65 295 900 0 0 10 587 7 1 129 20 70 165 12 24 Tangail C-EOC 200 276 230 48 22 70 2040 48 0 240 300 0 0 1 873 5 0 50 1 60 80 35 25 Sherpur C-EOC 271 501 130 90 1 91 361 31 0 263 243 0 0 2 0 40 9 371 15 80 119 14 26 Mymensingh C-EOC 62 423 214 85 8 93 1956 35 0 424 334 2 0 0 0 7 1 18 8 0 11 0 27 Kishoreganj C- EOC 136 390 155 80 5 85 601 34 0 117 157 0 1 26 61 111 1 492 20 126 428 226 28 Jamalpur C- EOC 112 307 117 42 0 42 581 38 2 85 165 0 0 14 323 38 4 166 12 133 174 154 29 Netrokona C-EOC 519 714 265 129 26 155 307 38 25 282 256 0 4 5 676 58 1 151 2 95 429 70 30 Rajbari C- EOC 203 428 92 37 27 64 1034 41 22 94 208 1 0 10 714 8 3 110 5 19 110 0 31 Faridpur C- EOC 149 289 118 39 19 58 150 55 0 134 120 0 0 14 211 2 1 40 17 208 344 82 32 Madaripur C- EOC 175 375 133 87 13 100 595 27 13 134 98 0 0 5 0 24 0 50 40 195 230 32 33 Gopalganj C- EOC 97 184 82 54 14 68 771 12 0 48 170 0 0 9 0 5 0 43 8 29 62 57

Monthly Report of December 2019------Page # 45 Khulna Division 34 Jessore C- EOC 139 282 111 37 8 45 184 12 8 43 7 0 0 10 458 2 4 71 10 25 38 33 35 Magura C- EOC 151 256 128 58 6 64 654 28 3 82 73 0 0 24 0 69 3 272 43 56 79 31 36 Narail C-EOC 137 153 50 39 4 43 559 41 3 130 184 0 1 0 190 4 0 255 5 17 26 31 37 Jhenaidah C-EOC 257 257 50 20 0 20 776 115 0 55 133 0 0 25 16 74 0 55 21 227 320 214 38 Meherpur C- EOC 62 114 31 19 0 19 768 4 35 41 257 0 0 0 127 49 0 62 9 4 19 39 39 Chuadanga C-EOC 177 447 130 51 14 65 600 15 15 126 165 0 0 0 355 65 0 118 25 32 32 30 40 Khulna C-EOC 144 384 74 30 16 46 163 0 2 0 0 0 0 0 320 16 2 19 13 44 81 72 41 Bagerhat C-EOC 42 122 44 40 1 41 711 38 10 754 717 0 0 12 592 28 3 102 17 28 70 24 42 Satkhira C- EOC 140 284 71 5 11 16 986 37 5 170 180 0 0 8 194 2 1 85 10 95 109 165 43 Nalta,Kaliganj,Satkhira B-EOC 90 233 86 47 0 47 132 8 0 54 148 0 2 0 55 9 0 16 8 28 28 10 44 Kustia C-EOC 157 310 80 28 0 28 717 32 7 73 127 0 1 15 85 2 1 93 21 14 29 48 45 Kumarkhali, Kustia C- EOC 70 128 91 32 0 32 447 24 0 98 150 0 0 0 334 15 0 158 7 8 61 49 Barisal Division 46 Barisal C-EOC 51 141 89 26 25 51 376 44 75 66 84 0 0 0 316 5 0 24 8 39 146 65 47 Gournadi, Barisal C-EOC 23 71 33 9 1 10 574 55 50 35 50 0 0 6 18 31 0 75 6 55 8 1 48 Bhola C-EOC 75 160 94 72 10 82 259 28 0 40 74 0 0 5 0 10 3 177 10 13 63 18 49 Lalmohon, Bhola C- EOC 188 440 480 158 0 158 340 70 8 200 254 1 2 14 0 3 1 171 25 102 50 12 50 Barguna C-EOC 24 80 82 21 0 21 595 40 0 70 240 0 0 1 80 26 8 250 16 40 46 14 51 Pirojpur C- EOC 180 285 105 31 8 39 1192 54 0 133 233 0 0 5 0 1 2 51 30 174 187 42 52 Jhalokhati C-EOC 32 128 122 21 9 30 813 10 1 227 142 0 1 33 216 19 1 125 12 227 239 53 53 Patuakhali C- EOC 223 467 104 16 22 38 451 32 0 225 169 0 2 29 230 26 2 178 37 146 133 45 Chittagong Division 54 Cox's Bazar C- EOC 370 1502 484 132 4 136 600 70 5 369 631 0 4 14 323 5 0 114 37 177 66 30 55 Khagrachari C- EOC 31 77 146 49 12 61 108 7 28 40 60 0 1 0 0 2 0 5 44 32 31 4 56 Bandarban C- EOC 42 113 89 41 1 42 176 19 8 14 44 0 1 6 140 1 5 34 22 107 502 107 57 Rangamati C- EOC 99 154 107 19 11 30 337 15 0 60 93 0 1 9 919 5 5 19 35 34 44 16 58 B. Baria C- EOC 399 579 109 56 4 60 550 9 0 72 115 0 0 0 1025 9 1 131 10 117 498 110 59 Comilla C- EOC 107 658 104 18 1 19 440 31 0 174 158 0 0 5 1855 3 2 17 8 68 93 34 60 Nangalkot, Comilla B-EOC 38 100 89 70 0 70 138 19 0 14 12 0 0 5 0 4 0 109 17 7 22 14 61 Feni C- EOC 326 550 115 91 6 97 279 50 0 191 186 0 0 0 13 1 2 41 21 23 41 23 62 Chandpur C- EOC 392 772 167 75 12 87 873 35 0 105 155 0 1 10 182 40 2 235 39 128 50 31 63 Laxmipur C- EOC 220 827 133 100 9 109 700 15 0 135 81 0 0 19 303 2 0 40 35 90 152 28 64 Noakhali C-EOC 71 121 69 22 0 22 324 10 0 42 70 0 1 2 0 0 1 118 13 33 35 22 65 Begumganj, Noakhali C-EOC 80 249 130 27 5 32 129 40 1 21 96 0 2 0 0 53 2 179 20 124 130 29 66 Pauchuria, Patiya C- EOC 133 265 105 63 0 63 501 19 0 61 88 0 0 4 0 1 0 11 30 30 16 3 67 Bakolia,Ctg C- EOC 94 129 111 56 18 74 980 25 8 185 390 1 1 0 0 4 1 19 4 37 45 7 Sylhet Division 68 Sylhet C-EOC 32 43 5 2 0 2 304 5 0 19 96 0 0 0 12 3 2 38 1 18 28 11 69 Hobiganj C- EOC 50 262 116 78 0 78 390 8 0 22 42 0 3 8 353 37 6 94 55 16 82 32 70 Sunamganj C-EOC 67 191 127 53 5 58 186 0 0 30 60 0 0 19 252 18 0 66 20 50 486 52 71 Moulavibazar C- EOC 216 329 137 52 13 65 474 16 13 171 254 0 5 3 297 18 1 43 19 172 184 44 Others : 72 MCHTI , Dhaka C-EOC 1165 3218 851 113 227 340 837 25 6 1751 1957 0 3 29 1433 15 113 91 93 64 176 265 73 MFSTC, Dhaka C-EOC 1958 5219 847 274 266 540 1803 65 0 2293 703 0 0 61 5144 42 162 214 119 28 18 39 74 FWVTI, Rajshahi C-EOC 100 300 91 16 14 30 488 21 7 23 49 0 0 2 2 8 1 14 11 37 59 128 Total 15914 35549 11077 4199 1105 5304 44098 2167 818 12924 15414 6 42 657 25866 1423 557 8140 1447 5319 8735 3842

Monthly Report of December 2019------Page # 46 Grand Total 31828 71098 22154 8398 2210 10608 88196 4334 1636 25848 30828 12 84 1314 51732 2846 1114 16280 2894 10638 17470 7684

Monthly Report of December 2019------Page # 47 Total 15914 35549 11077 4199 1105 5304 44098 2167 818 12924 #### 6 42 657 25866 1423 557 8140 1447 5319 8735 3842 Grand Total

Monthly Report of December 2019------Page # 48 Annex - C : City Corporation wise Contraceptive Acceptors and Acceptance Rate (CAR) (Partial) at the end of the month of December 2019

Eligible Permanent Method Total Name of the City Corporation Oral Pill Condom Injectable I U D Implant CAR(%) Couple Acceptors Male Female Total

Rangpur City Corporation 105312 37830 10031 17888 1169 5142 3384 4829 8213 80273 76.2

Rangpur Division 105312 37830 10031 17888 1169 5142 3384 4829 8213 80273 76.2

Rajshahi City Corporation 102197 27038 22643 13920 632 1484 573 3203 3776 69493 68.0

Rajshahi Division 102197 27038 22643 13920 632 1484 573 3203 3776 73269 68.0

Khulna City Corporation 134890 31479 28969 24776 4457 7552 4856 5439 10295 107528 79.7

Khulna Division 134890 31479 28969 24776 4457 7552 4856 5439 10295 117823 79.7

Barishal City Corporation 25318 10247 4399 2105 261 1594 241 890 1131 19737 78.0

Barishal Division 25318 10247 4399 2105 261 1594 241 890 1131 20868 78.0

Dhaka City Corporation 96440 28837 11927 13995 2730 4086 3408 5161 8569 70144 72.7

Gazipur City Corporation 110823 46429 9977 12355 2910 4464 1711 7563 9274 85409 77.1

Narayanganj City Corporation 112936 39786 12195 14910 2417 3968 3858 5512 9370 82646 73.2

Dhaka Division 320199 115052 34099 41260 8057 12518 8977 18236 27213 265412 82.9

Chattogram City Corporation 112936 39786 12195 14910 2417 3968 3858 5512 9370 82646 73.2

Cumilla City Corporation 32316 13045 2251 3624 764 2368 1516 2002 3518 29088 0.0

Chattogram Division 145252 52831 14446 18534 3181 6336 5374 7514 12888 121104 83.4

Sylhet City Corporation 80741 26273 10234 9216 3244 4477 1983 3552 5535 64514 79.9

Sylhet Division 80741 26273 10234 9216 3244 4477 1983 3552 5535 64514 79.9

Mymensing City Corporation 32316 13045 2251 3624 764 2368 1516 2002 3518 25570 79.1

Mymensing Division 32316 13045 2251 3624 764 2368 1516 2002 3518 25570 79.1

Total 946225 313795 127072 131323 21765 41471 26904 45665 72569 768833 81.3

Monthly Report of December 2019------Page # 47 Distribution (Not According to Seniority) A: 1. Principal Secretary to the Honorable Prime Minister, Prime Minister’s Office, Tejgaon, Dhaka. 2. Secretary, Medical Education & Family Welfare Division, Ministry of Health & Family Welfare, Bangladesh Secretariat, Dhaka. 3. Secretary, Finance Division, Ministry of Finance, Bangladesh Secretariat, Dhaka. 4. Secretary, Ministry of Planning, Planning Commission, Sher-e-Bangla Nagar, Dhaka. 5. Member, SEI Division, Planning Commission, Sher-e-Bangla Nagar, Dhaka. 6. Additional Secretary (Population, Family Welfare & Laws), Medical Education and Family Welfare, Ministry of Health & Family Welfare, Bangladesh Secretariat, Dhaka. 7. P. S. to the Honorable Prime Minister, Prime Minister’s Office, Tejgaon, Dhaka. 8. Divisional Commissioner, ______Division. 9. Joint Secretary (Project Implementation), Medical Education and Family Welfare, Ministry of Health & Family Welfare, Bangladesh Secretariat, Dhaka. 10. Joint Chief, Population Wing, Planning Commission, Sher-e-Bangla Nagar, Dhaka. 11. Deputy Commissioner, ______District. 12. P.S. to the Honorable Minister, Ministry of Planning, Sher-e-Bangla Nagar, Dhaka for kind information of the Honorable Minister. 13. P.S. to the Honorable Minister, Ministry of Health & Family Welfare, Bangladesh Secretariat, Dhaka, for kind information of the Honorable Minister. 14. Deputy Secretary (Development), Statistics Wing, Planning Division, Ministry of Planning, Sher-e- Bangla Nagar, Dhaka. 15. Deputy Chief (Planning Wing), Medical Education and Family Welfare, Ministry of Health & Family Welfare, Bangladesh Secretariat (Clinic Building), Dhaka B: 16. Director General, Directorate General of Medical Education, Mohakhali, Dhaka. 17. Director General, Directorate General of Health Services, Mohakhali, Dhaka. 18. Director General, Medical Services, Ministry of Defense, Dhaka Cantonment, Dhaka. 19. Director General, NIPORT, Azimpur, Dhaka. 20. Director General, Nursing and Midwifery, Agargaon, Dhaka. 21. Director (Administration/Finance/Logistics & Supply/Planning/Audit/MCH-S), Directorate General of Family Planning, 6, Kawran Bazar, Dhaka-1215. 22. Line Director (CCSDP), Directorate General of Family Planning, 6, Kawran Bazar, Dhaka-1215. 23. Director (IEM) with a request for taking necessary measures for publication of the report in the Media (News Papers, Radios & TVs), 6, Kawran Bazar, Dhaka-1215. 24. Divisional Director, Family Planning, Dhaka/ Chattogram/ Khulna/ Rajshahi/ Barisal/ Sylhet/ Rangpur/ Mymensingh Division. 25. Superintendent, MCHTI, Azimpur, Dhaka/Director MFSTC-Mohammadpur, Dhaka. 26. Additional Director, Central Ware House, Family Planning, Mohakhali, Dhaka.

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27. Deputy Director, Family Planning ______District. 28. Librarian, Medical Education and Family Welfare Division, Ministry of Health & Family Welfare, Bangladesh Secretariat, Dhaka. 29. Assistant Maintenance Engineer, MIS, DGFP (Requested to upload this report to DGFP website (www.dgfp.gov.bd). 30. Documentation Centre, IEM Unit, DGFP, 6, Kawran Bazar, Dhaka-1215. 31. P. A to Director General, Directorate General of Family Planning, 6, Kawran Bazar, Dhaka-1215. C: 1. Secretary, PPD, Block-F, Plot-17/B&c, Sehr-e-Bangla Nagar, Agargaon, Dhaka-1207. 2. Health Advisor and Chairperson, HNP Consortium, European Commission. House-7, Road # 84, Gulshan-2, Dhaka. 3. Task Team Leader, Health and Population Program Project, World Bank, E-32, Agargaon, Sher-e- Bangla Nagar, Dhaka-1207. 4. Chief, Population & Health, USAID (US Embassy), Madani Avenue, Gulshan-2, Dhaka. 5. Representative, UNFPA, IDB Bhaban, E/8 Begum Rokeya Sharani, Sher-e-Bangla Nagar, Dhaka- 1207. 6. Representative, WHO, House No-12, Road No. 7, Dhanmondi R/A, Dhaka. 7. Representative, UNICEF, 1 No. Mintu Road, Extension Building (Hotel Sheraton), Dhaka 8. Representative, Population Council, House No. CES (B)-21, Road 118, Gulshan, Dhaka. 9. Director General, FPAB, 2, Naya Paltan, Dhaka. 10. Director, ICDDR’B, Mohakhali, Dhaka-1212 11. Executive Director, BAVS, 7/5, Main Road, Mirpur-2, Dhaka. 12. Managing Director, Social Marketing Company (SMC), SMC Tower (6th, 7th & 8th floor) 33, Banani C/A, Dhaka-1213. 13. Executive Director, PSTC, New Circular Road, Dhaka. 14. Country Director, SPS/MSH, House No. 28, Flat W2, Road No. 63, Gulshan-2, Dhaka-1212. 15. Communication/Documentation Officer, Population Council, House # CES (B) 21, Road # 118, Gulshan, Dhaka.

Page # 49 Monthly Report of November 2019