Table of Contents

Contents Page No. Summary of FP Performance for the month of August 2018 & September 2018 ………………. 03 Summary of the MCH and Reproductive Health Services for the month of August 2018 & Sept.’18 04 Nutrition services for the month of August 2018 & September 2018 ………………………………… 05 Introduction …………………………………………………………………………………………… 06 Family Planning Performance (CAR Related) ………………………………………………………… 06 MCH Performance ……………………………………………………………………………………. 06 Highlights August 2018 & September 2018…………………………………………………………. 07 Table Analysis ………………………………………………………………………………………… 08 Remarks ……………………………………………………………………………………………… 10 Clarification about some information …………………………………………………………………. 10 Highest and Lowest Performing districts in clinical methods …………………………………………. 11 Table: 01 National Projection, Performance and Achievement Rate of Contraceptive Methods ……… 12 Table: 02 List of Division according to descending order of Achievement Rate against their projections of Clinical Methods for period July 2018 to September 2018 ……………………………… 12 Table: 03 List of districts achieved the highest Achievement Rate of Clinical Methods against their Projections for period July 2018 to September 2018 ……………………………………….. 12 Table: 04 List of districts achieved the lowest Achievement Rate of Clinical Methods against their Projections for period July 2018 to September 2018 ………………………………………. 12 Table: 05 Contraceptive Statement of contraceptives performance for the period between July 2017 to September 2017 and July 2018 to September 2018 ………….……………… 13 Table: 06 Performance & Distribution of Contraceptives by Method for the month of August 2018 & September 2018 ...... 13 Table: 07Contribution of Government, NGOs and Multisectors in respect of Contraceptive Performance during September 2018 ……………………………………. 13 Table: 08 NGO and Multisectors wise Contraceptive Performance for the month of Sept. 2018 …... 14 Table: 09 District wise Projection, Performance and Achievement Rate of Permanent and Long Acting Methods...... 18 Table: 10 District wise Projection, Performance and Achievement Rate of Short Acting Methods … 20 Table: 11 Old Users, New Users, Dropout and CAR by District at the end of August 2018 …….…… 22 Table: 12 Number of New and Total Acceptors up to the end of August 2018 & September 2018 .… 26 Table: 13 CAR(%) by Division up to the end of August 2018 & September 2018 …………………… 26 Table: 14 District by Range of CAR up to the end of September 2018 ………………………………. 27 Table: 15 List of Upaziala achieved CAR 70% and above up to the end of September 2018 ………… 28 Table: 16 List of Upaziala achieved CAR 60-69% and <59 up to the end of September 2018 ………. 31 Table: 17 Method wise numbers of Dropout and Switch Over by Division up to the end of August 2018 & September 2018...... 32 Table: 18 Contraceptive acceptors and acceptance Rate by Division up to the end of August 2018 & September 2018...... … ...... 32 Table: 19 Status of Contraceptive Method-Mix based on CAR at the end of the month of Sept. 2018 . . 32 Chart: Pie-Chart of Method-Mix for the month of September 2018 ……………………….……… 33 Table: 20 Performance by type of MCH services for the month of August 2018 & September 2018 … 34 Table: 21 Performance by type of Nutrition services for the month of August 2018 & September 2018 . 35 Annex: A Summary of the Couples and Acceptors by Month since April 2018 …………….……… 36 Annex: B Performance of RH-EOC of MCWCs, MCHTI & MFSTC for the month of September 2018 38 Annex: C City Corporation wise Contraceptive Performance for the month of September 2018 …….. 40 Annex: D Contraceptive Acceptors and Acceptance Rate (CAR) of part of the City Corporation area end of the month of September 2018. . .. …………………….……… 41 Annex: E City Corporation wise MCH Performance for the month of September 2018 …………… 42 Page 2 Performance Report September 2018 ……………….. At a glance of the FP Performance for the month of August 2018 and September 2018 Indicators August'18 Sept.’18 Number of Total Eligible Couples (including Part of the City Corporations) 27315469 27331382 Number of Total Acceptors (including part of the City Corporations) 21623496 21637629 CAR % (Contraceptive Acceptance Rate) 79.16 79.17 Method specific acceptors (Cumulative) : Permanent Method (Male) 804864 805970 Permanent Method (Female) 2117299 2121098 Permanent Method (Total) 2922163 2927068 IUD (Users) 783567 78172 Implant (Users) 1274526 1275179 Injectable (Users) 4287602 4288906 Oral Pill (acceptors) 10441945 10445192 Condom (acceptors) 1913693 1915112 Method specific new acceptors : Permanent Method (Male) 1970 2120 Permanent Method (Female) 5937 6857 Permanent Method (Total) 7907 8977 IUD (Users) 7982 10161 Implant (Users) 15468 14948 Injectable (Users) 57240 58663 Oral Pill (acceptors) 102268 108118 Condom (acceptors) 37080 39490 Number of Districts reported 64 64 Number of reported 488 488 No. of Districts Range of CAR (%) August'18 Sept.’18 00-59 0 0 60-69 0 0 70 & above 64 64 Contraceptive performance and distribution by methods (Absolute Performance) : Permanent Method (Male-cases) 3118 3441 Permanent Method (Female-cases) 6146 7584 Permanent Method (Total-cases) 9264 11025 IUD (Nos.) 13018 16101 Implant (Nos.) 15560 17085 Injectable (Doses) 933445 928746 Oral Pill (Cycles) 7130461 7458048 Condom (Pieces) 7876697 8601531

Page 3 Performance Report September 2018 ………………..

At a glance of the MCH and Reproductive Health Services for the month of August 2018 and September 2018 Services August'18 Sept.’18 Number of Pregnant Women 893324 904950 Number of High Risk Pregnant Women referred 4869 5153 1st visit (within 4 Month) 179049 196022 Antenatal 2nd visit (within 6 Month) 166533 175225 Care 3 rd visit (within 8 Month) 143674 153413 4 th visit (in 9 th month) (including MCHTI, MFSTC & FWVTI-Raj) 120429 125027 Delivery Normal 31056 32274 (MCHTI, MFSTC, FWVTI-Raj, MCWC, C-section 24745 27230 UHC, UH&FWC & NGO Clinics) Total Delivery 55801 59504 PNC-1 (within 24 Hour) 47689 53217 43309 46666 Postnatal PNC-2 (within 2- 3 day) 51226 55455 Care PNC-3 (within 7 -14 day) 69677 74011 PNC-4 (within 42-48 day) (including MCHTI, MFSTC & FWVTI-Raj) Referred Infertile Couple 7790 7790 Treatment of RTI/STI (MCHTI, MFSTC, FWVTI-Raj & MCWCs) 85515 81231 1st dose 122294 123068 2nd dose 117794 122265 TT for Women 3rd dose 117654 120098 (15 - 49 yrs) 4th dose 109660 111891 5th dose 110287 112827 BCG (Vaccine) 128483 130146 OPV & PCV-1 147423 151869 Pentavalent PCV-2 143055 140984 Immunization (DPT,Hep-B, Hib) 3 145545 139015 PCV-3 122245 138448 MR & OPV-4 136149 137405 Measles (Vaccine) 145187 113199 Number of ECP acceptors 4300 4808 Number of MR done ( Both Govt. & NGOs) 10277 10841 General Treatment 1962778 2202965 At Home by Trained Persons 37152 38571 Non-Institutional Delivery At Home by Non-Trained Persons 11071 12070 Total 48223 50641 * Total Live Births 104840 111376 Still Births ( including MCHTI, MFSTC & FWVTI-Raj) 222 202 Neonatal death ( 0-28 days ) 318 318 Infant Death (29 days-<1 yr.) 94 127 Child Death (1-<5 yrs.) 177 185 Death Maternal Death 87 85 Other Death 20528 22157 Total 21204 22872 No. of Health Education in UH&FWC 18633 17023

Page 4 Performance Report September 2018 ………………..

Nutrition services for the month of August 2018 and September 2018

Performance Services August'18 Sept.’18

Counseling on IYCF, IFA, Vitamin-A and Hand washing 166430 181562

Received IFA (Pregnant women & Lactating mother) 305366 367849

Received MNP Sachet (6-23 months) 11079 10574

Breast feeding within 1-hour of birth (0-<6 months child) 69087 72270

Exclusive Breast feeding (up to 6 months) 321055 105309

Complimentary feeding (after 6 months) 191488 196722 59 months aged child and Mother and child aged months 59 - Received Vitamin-A (6-59 months Child) 7583 7871

Received anti-helminthics Tablet (24-59 months Child) 37178 40997 Women, 0 Women,

Received Zink pill with ORS (Suffering form diarrhoea) 6831 6796

Suffering from MAM 6526 7095

Suffering from SAM & Referred 2393 2759

No. of Child Stunting 4761 5091

Nutrition Services for Pregnant Pregnant for Services Nutrition No. of Child Wasting 4482 5068

No. of Child Under weight 5663 6092

* Live births conducted at Govt. MCH, DH, MCWC, UHC, UH&FWC, NGOs & Home. The information is collected by FWAs through field visit.

Page 5 Performance Report September 2018 ……………….. SUMMARY Introduction is divided into eight administrative divisions: , , , , , , Rangpur and . Each division is divided into several districts and each district into several . 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. Contraceptive Performance, MCH, Reproductive Health and Nutrition service’s report are used 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 (8th Edition) and Clinic Report. Most of the FWAs visit their working area once in every two months. It is a continuous process. FWA register 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 review and Submit 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 September’18 have been received from all the 64 districts of the country. During the month of September’18 total numbers of eligible couple were found to be 27331382 as against 27315469 in the previous month. Performances of NGOs are also included in the report as reported by the Upazila Offices. A total of 21637629 acceptors are reported in the month of September’18 as against 21623496 in August’18. The Contraceptive Acceptance Rate (CAR) achieved at the end of the reporting month for six modern methods (Permanent Method, IUD, Implant, Injectables, Oral Pill and Condom) is 79.2 which was 79.2 in August’18. 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.

Page 6 Performance Report September 2018 ……………….. MCH Performance: In the month of September’18, 904950 pregnant women have been registered. Total number of 5153 pregnant women referred to hospital for their complications. Total no. of 82469 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 130146 infants and 2202965 infants received Measles vaccines during September’18. Visit-wise Antenatal Care is also shown in the summary sheet both of August’18 and September’18. Postnatal Care is shown in the summary sheet both August’18 and September’18. Number of delivery conducted by the clinics is 59504. Total numbers of delivery at home 38571 by trained personnel and 12070 by non-trained personnel. Still Birth is recorded 202 in September’18 and in the previous month it was 222. Neo-natal deaths (0-28 days) & Infant deaths (29 days–<1yr.) are recorded to be 318 and 127 in the month of September’18 where it were 318 and 94 in August’18 respectively. A total of 185 child-deaths (1-<5 yrs.) have been reported in the month of September’18 as against 177 in August’18. Maternal deaths were reported 85 during the month of September’18 which was 87 in August’18. The other deaths were reported 22157 in September’18 but in August’18 the number of such deaths were 20528. General treatments were rendered to 2202965 and 1967778 patients in the month of September’18 and August’18 respectively. In September’18 number of ECP acceptors was 4808 but in August’18 it was 4300. MR done in the reporting month is 10841 but in August’18 it was 10277. Performance of MCHTI, MFSTC, MCWCs and FWVTI-Rajshahi is also included in the report. Nutrition Programs of the Directorate General of Family Planning Since 2011, the MCH Services Unit of the DGFP has been implementing MYCNSIA (Maternal and Young Child Nutrition Security Initiatives in Asia) in collaboration with UNICEF in 22 upazilas of 10 districts. The initiatives taken include: counseling to mothers/caregivers about IYCF, distribution of Micro Nutrient Powder (MNP) among 6-23 months old children, counseling of pregnant and lactating mothers on feeding practice and Iron Folic Acid (IFA), food security intervention, and hand- washing/hygiene practice in the communities. For implementing the MYCNSIA, MCH Services Unit of DGFP trained officials at various levels (both TOT and core training), developed training materials, developed web-based MIS, conducted baseline survey, and procured and distributed MNP sachets, etc. MCH Services Unit of DGFP will scale up nutrition intervention in other upazilas and districts gradually. Service registers and reporting formats were revised to include nutrition information. The DGFP’s MIS is currently revisited for nutrition indicators and collected information at MIS formats from January 2016. Highlights August 2018 a) National Contraceptive Acceptance Rate (CAR) based on 27331382 eligible couple visited, is found to be 79.2%. has achieved the highest acceptance rate 81.6%, followed by 80.4%. The CAR is found to be 79.9% achieved in . The Contraceptive Acceptance Rate have been found to be rather low in Sylhet 79.4%, Mymensingh 79.3, Barisal 79.2%, Dhaka 78.3%, and Chittagong 76.5% division. b) The highest numbers of Acceptors 4284337 have been reported from followed by 3865739 in , Rajshahi division reported 3416537 acceptors. Acceptors size is however, found much smaller in Rangpur, Khulna, Mymensingh and Sylhet which are 2886029, 2788478, 1787873, 1313628 respectively and in it is 1295008. c) 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 have reported CAR of < 59 percent. d) Out of 488 Upazilas 486 have reported CAR at the level 70% and above, 2 Upazilas has reported CAR level 60-69 percent. e) In case of performance done in the reporting month (September’18), recorded the highest Achievement Rate 309.1%, Joypurhat has got the 2nd place with 168.3%, has occupied the 3rd position with 129.5% of permanent method. has shown Achievement Rate

Page 7 Performance Report September 2018 ……………….. 271.8% in IUD is the first position among the other districts and Rajbari has got the 2nd place with 225.6. Noakhali district has recorded the highest Achievement Rate 112.8 in Implant. district has recorded the highest Achievement Rate of 166.7, placed in 2nd position with 118.0 and has occupied the 3rd position with Achievement Rate 113.6. In Injectable has recorded the highest Achievement Rate 141.6 in Oral Pill Rangamti District has recorded the highest Achievement Rate 181.6 percent and has recorded the highest Achievement Rate 86.7 in Condom. f) SMC has reported distribution of 205817 vials Injectable, 3774664 cycles of Oral Pill and 12967360 pieces of Condom in September 2018. g) Lalmohan(Bhola) MCWC has performed highest 105 Caesarian Operations, Gaibandha MCWC has performed highest 343 of total deliveries. MCHTI, Dhaka has performed 291, MFSTC, Dhaka has performed 362 and FWVTI, Rajshahi has performed 8 C-Section deliveries in the reporting month September’18. Dupchahia(), , Rajshahi, Chapai Nawabganj, Syedpur(Nilphamari), Kurigam, Lalmonirhat, Panchagore, Boda(Panchagore), Munshiganj, Sherpur, , Magura, Meherpur, Nalta- Kaliganj(Satkhira), Kushtia, Kumarkhali(Kushia), Gouranadi(Barisal), Barguna, Pirojpur, Nangolkot(), Laxmipur, Begumganj(Noakhali), Pauchuri(Patiya) and Sylhet MCWCs have not done any Caesarian Operations In the reporting month September’18. It may be due to the vacancies of trained EOC doctors in those centers or Extension Works. Director (MCH-S) & Line Director (MC&RH) should immediately look into the matter. h) In Septembert’18 National Nutrition services information which collected by FP workers are as follows: Number of 367849 mothers received IFA, No. of 10574 child (6-23 months) received MNP sachet, No. of 72270 new born babies breast feeding within 1 hour after birth and No. of 0 to 6 months child 105309 exclusive breast feeding. No. of 7095 child suffering from MAM and 2759 suffering from SAM. No. of Child Stunting, wasting and underweight are 5091, 5068 and 5063 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 (September 2018) and reporting period (July’18 to September) against their respective projections. In the reporting month the achievement rates of Permanent method(Male) 32.0%, Permanent method(Female) 52.3% and Permanent method (Total) 43.7%, IUD 68.6%, Implant 50.9%, Injectables 53.7%, Oral Pill 56.1% and Condom 36.0%. From July’18 to September’18 the achievement rates of Permanent method (Male) 34.4%, Permanent method (Female) 51.6% and Permanent method (Total) 44.3%, IUD 62.8%, Implant 63.1%, Injectables 54.7%, Oral Pill 54.8% and Condom 34.0%. Table 2: Shows the divisions according to descending order of achievement rate against their projection of Permanent and Long Acting methods for the period July18 to September’18. Table 3: Showing the 3(three) districts achieved the highest achievement rate against Permanent and Long Acting methods of their projections for the period July’18 to August’18. Table 4: Shows 3(three) districts achieved the lowest achievement rate of Permanent and Long Acting methods against their projections for the period July’18 to September’18. Table 5: Comparative statement of contraceptive performance against their projection between the period July’17 to September’17 and July’18 to September’18. The Achievement Rate of Permanent Method (Male) was 37.5% in the period of July’17 to September’17 but it shows the lower rate 34.4% in the current period. So it is 3.1% decrease than that of Jul'17 to September’17, Permanent Method (Female) was 56.1% in the period July’17 to September’17 but it shows the higher rate 51.6% in the current period. So it is .5% increase than that of July’17 to September’17. Permanent Method (Total) was 47.6% in the period July’17 to September’17 but it shows the lower rate 44.3% in the current period. So it is 3.3% decrease than that of July’17 to Septembert’17. IUD achieved the 72.7% in the reporting period July’17 to September’17 but it shows the lower rate 62.8% in the current period. So it is 9.9% decrease than that of July’17 to September’17. Implant achieved the 106.7% in the reporting period July’17 to September’17 but it shows the lower rate 63.1% in the current period. So it is 43.6% decrease than that of July’17 to September’17. Injectable achieved the 55.7% in the current period but in the period July’17 to September’17 it shown 54.7%. So Injectable has shown 1.0% decrease than that of July’17 to September’17. Oral Pill achieved the 54.8% in the present period but in the period July’17 to September’17 it was 60.7%. In case of Oral

Page 8 Performance Report September 2018 ……………….. Pill is decrease 5.9% than that of July’17 to September’17. In case of Condom it achieved 34.0% in the current period but in July’17 to Septembert’17 it was shown 46.9%, which is 12.9% decrease than that of July’17 to September’17. Table 6: Compare the status of performance and distribution of contraceptive by methods for the month of August’18 and September’18 based on field worker’s report. In comparison with that of previous month Permanent Method(male) 10.4%, Permanent Method(female) 23.4%, Overall Permanent Method(total) 19.0%, IUD 23.7%, Implant 9.8%, Oral Pill 4.6 % and Condom 9.2% higher but Injectables 0.5% lower over August’18. Table 7: Shows the share of Government and NGOs and Multisectors by methods in the overall National performance. Government sector has contributed 60.3 percent in Permanent Method (Male), 88.8 percent in Permanent Method (Female), 79.9 percent in Permanent Method (Total), 83.8 percent in IUD, 90.3 percent in Implant, 77.3 percent in Injectable, 82.1 percent in Oral Pill and 74.91 percent in Condom in the reporting month September’18. On the other hand NGOs and Multisectors have contributed 39.7 percent in Permanent Method (Male), 11.2 percent in Permanent Method (Female), 20.1 percent in Permanent Method (Total), in IUD 16.2 percent, in Implant 9.7 percent, in Injectables 22.7 percent, in Oral Pill 17.9 percent and in Condom 25.1 percent in the reporting month September’2018. Table 8: Division wise Contraceptive Performance by methods of NGOs and Multisectors (September 2018) 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 Clinic of Chittagong division is in the 3rd position in Permanent method. By NGOs and Multisectors performance of Total Permanent methods are 2197 in the reporting month, in which Males are 1361 and Females are 836. Total IUD and Implant 2566 and 1613 are inserted in the reporting month September 2018. Injectables 209163 vials, Oral Pill 1315417 cycles and 2112627 of Condom are distributed by NGOs and Multisectors in this month. Table 9: Shows the projection, performance and achievement rates of Permanent and Long Acting methods in the reporting month September 2018 and in the reporting period July’18 to September’18. In the reporting month Rajbari district has achieved the highest achievement rate of 309.1 percent and is the next highest with 168.3 percent in Permanent Method. Noakhali district has achieved the highest achievement rate of 271.8 percent in IUD and Rajbari district achieved the highest achievement rate of 166.7 percent in Implant. And in the reporting period July’18 to September’18 Rajbar district has achieved the highest achievement rate of 248.5 percent and Sylhet is the next highest with 142.5 percent in Permanent Method. Rajbari has achieved the highest achievement rate of 199.2 percent in IUD and Rajbari also has achieved the highest achievement rate of 146.8 percent in Implant. Table 10: Shows the projection, performance and achievement rates of Short Acting methods in the reporting month September 2018 and in the reporting period July’18 to September’18. In the reporting month district has achieved the highest achievement rate of 141.6 percent and Cox’s Bazar is the next highest with 91.7 percent in Injectables. Rangamati district has achieved the highest achievement rate of 181.7 percent in Oral Pill. Dhaka district has achieved the highest achievement rate of 86.7 percent in Condom. From July’17 to September’18 Bhola district has achieved the highest achievement rate of 140.1 percent and Cox’s Bazar district is the next highest with 94.2 percent in Injectable. Rangamati district has achieved the highest achievement rate of 106.8 percent in Oral Pill and has achieved the highest achievement rate of 8.3 percent 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 (September 2018). This table is prepared on the basis of CAR report. Table 12: 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(Male), Permanent Method(Female), Permanent Method(Total), IUD, Implant, Injectables, Oral Pill and Condom have shown decreasing 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) and Implant have shown increasing trend; IUD, Injectables and Oral Pill have shown stable trend but Condom has shown decreasing trend. Page 9 Performance Report September 2018 ……………….. Table 13: This table shows that among the divisions. Rajshahi division had recorded the highest CAR of 81.6%, next Khulna division 80.4%, Rangpur division79.9%, 79.4%, Mymensingh 79.3, Barisal division 79.2%, Dhaka division 78.3% and Chittagong division 76.6% in the reporting month September 2018. 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 percent and above where no district has achieved CAR between 60-69 percent and no district has achieved CAR between 0-59 percent in the reporting month August 2018. The graph also shows the same in comparison with previous month. Table 15: List of 486 upazilas among the 488, which have achieved CAR 70.0% and above in the reporting month. Table 16: List of 2 upazilas which has achieved 60-69% CAR in the reporting month. Graph shows that out of 488 upazilas 486 achieved CAR level 70% and above, 2 upazilas achieved CAR level 60-69% in the current month. There are also showing graphical presentation both of July’18 and August’18. Table 17: Shows the dropout and switch over by method and by division for the month of August’18.

Table 18: This table shows the Division-wise comparison of Couples, Contraceptive Acceptors and the Acceptance Rate up to the end of July’18 and September’18. In the reporting month the highest number of Eligible Couples have been reported from Dhaka division, which is 5472013, 2nd highest is Chittagong division which is 5047559, then Rajshahi, Rangpur, Khulna, Mymensingh, Sylhet and Barisal division, which are 4187687, 3610741, 3467882, 2255553, 1654455 and 1635492 respectively. In case of acceptors Dhaka division has been reported the highest number which is 4284337 followed by Chittagong division 3865739, Rajshahi division 3416537, Rangpur division 2886029, Khulna division 2788478, 1787873, Sylhet division 1313628and Barisal division 1295008. Table 19: Shows the contraceptive method mix by division for the month of September 2018. Rangpur division has contributed the highest rate in Permanent Method 16.1% among its CAR method mix followed by Sylhet division is in 16.0%, then Khulna division 15.3% and then Rajshahi 14.3. Chittagong division has recorded 4.8% in IUD which is highest among the other divisions followed by Sylhet 4.4% and Barisal 4.1%. Barisal division has contributed the highest rate in Implant 7.1%, followed by Rangpur division with 6.3%, Barisal division has also contributed the highest rate in Injectable 26.7% then Chittagong 22.0 and Rangpur 21.8% in CAR method mix among all the divisions. Mymensingh division has recorded the highest rate in Oral Pill 55.4% followed by Dhaka division 49.1, Rajshahi division 48.8%, Rangpur division 48.3%. Rajshahi division has recorded the highest rate in Condom 10.6% followed by Khulna division 10.1% and Sylhet division 9.7%.

Pie Charts are showing the division wise Method-Mix for the month of September 2018. Table 20: This table shows the performance of MCH and Reproductive Health Services during the month of August 2018 and September 2018. Table 21: This table shows the performance of Nutrition Services for the month of August 2018 and September 2018 collected by family planning workers. Annex A: Annex- A shows comparative summary key performances since May 2018 to September 2018. Annex B: Performance of RH-EOC of MCWC including MCHTI, MFSTC and FWVTI-Raj for the month of September 2018. Annex C: Performance of Part of the City Corporation Area for the month of September 2018 (partial). Annex D: City Corporation wise Contraceptive Acceptors and Acceptance Rate(CAR) at the end of the month of September 2018. Annex E: City Corporation wise MCH Performance for the month of September 2018 (partial).

Remarks: The achievement of Sylhet division is good against their projection in permanent method in the reporting month in comparison with that of other division.

Page 10 Performance Report September 2018 ………………..

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. 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 shows in the table-9 and 10 is the actual performance of the respective month but the new acceptors show in the table-11 is 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 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 done in MCHTI, MFSTC, MCWCs, UHCs & UH&FWCs. This report is collected through the MIS reporting Form-3. So it is not the whole country’s delivery records. This report is absolutely excluding the city corporations.  Information shown against the ‘live births’ conducted at Govt. MCH, DH, MCWC, UHC, UH&FWC, NGOs & Home. The information 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 September 2018

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.Couple Reporting Rate Projec. Couple Month Couple Month Month Rajbari 231897 33 102 309.1 Noakhali 580386 246 668 271.8 Noakhali 580386 638 1063 166.7 Joipurhat 210903 101 170 168.3 Rajbari 231897 83 188 225.6 Natore 408390 542 639 118.0 Sylhet 527320 317 410 129.5 Dhaka 783410 762 1102 144.6 Chandpur 470292 492 559 113.6

Lowest performing 3(three) districts in the month of September 2018

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 Khagrachari 111616 208 23 11.1 393717 398 88 22.1 Moulavibazar 335219 375 10 2.7 Narail 155048 621 15 2.4 Laxmipur 335027 614 117 19.0 Nilphamari 414384 483 9 1.9 Chapai Kurigram 529774 1019 15 1.5 370974 480 77 16.1 Jamalpur 482349 625 0 0.0 Nawabganj 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. 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 11 Performance Report September 2018 ……………….. Table-1: National Projection, Performance and Achievement Rate of Contraceptive Methods

Reporting Month July'18 to Sept.'18 Yearly Projection (2018- Methods Performance Achi. Rate Performance 19) Achi. Rate(%) (in CYP) (%) (in CYP) Permanent Method (Male) 128842 3441 32.0 11078 34.4 Permanent Method (Female) 174145 7584 52.3 22482 51.6 Permanent Method (Total) 302987 11025 43.7 33560 44.3 IUD 281572 16101 68.6 44229 62.8 Implant 402396 17085 50.9 63498 63.1 Injectables 5184823 232187 53.7 709302 54.7 Oral Pill 10642531 497203 56.1 1457901 54.8 Condom 1910198 57344 36.0 162369 34.0 Table-2: List of Divisions according to descending order of Achievement Rate against their projections of Clinical Methods for period July 2018 to September 2018

Permanent Method (Cases) IUD (Cases) Implant (Cases)

Sl. No. Sl.

Division Division Division

Performance Performance Performance Performance

Achi. Rate (%)RateAchi. (%)RateAchi. (%)RateAchi.

Yearly Projection Yearly Projection Yearly Projection Yearly 1 Sylhet 22024 2964 53.8 Chittagong 56929 11553 81.2 Rajshahi 24316 11030 181.4 2 Chittagong 44176 5729 51.9 Dhaka 60024 10711 71.4 Dhaka 35500 12668 142.7 3 Dhaka 83279 10264 49.3 Khulna 23548 4026 68.4 Chittagong 55115 16620 120.6 4 Rajshahi 33519 3903 46.6 Barisal 19169 2773 57.9 Khulna 27477 5140 74.8 5 Khulna 27936 3183 45.6 Rajshahi 40884 5743 56.2 Barisal 44767 4443 39.7 6 Barisal 18741 2058 43.9 Rangpur 41232 5248 50.9 Rangpur 76221 5734 30.1 7 Rangpur 44200 3800 34.4 Sylhet 16128 1922 47.7 Mymensingh 73906 4317 23.4 8 Mymensingh 29112 1659 22.8 Mymensingh 23658 2253 38.1 Sylhet 65094 3546 21.8

Table-3: List of Districts achieved the highest Achievement Rate of Clinical Method against their projections for the period July 2018 to September 2018

Permanent Method (Cases) IUD (Cases) Implant (Cases)

Sl. No. Sl.

Yearly Yearly Yearly Yearly

District District District

Projection Projection Projection

Performance Performance Performance

Achi. Rate (%)RateAchi. (%)RateAchi. (%)RateAchi. 1. Rajbari 396 246 248.5 Rajbari 1000 498 199.2 Rajbari 1000 367 146.8 2. Sylhet 3800 1354 142.5 Noakhali 2949 1138 154.4 Noakhali 7653 2127 111.2 3. Joipurhat 1212 426 140.6 Dhaka 9148 3078 134.6 Chandpur 5907 1637 110.9

Table-4: List of Districts achieved the lowest Achievement Rate of Clinical Methods against their projections for the period July 2018 to September 2018

Permanent Method (Cases) IUD (Cases) Implant (Cases)

Sl. No. Sl.

Yearly Yearly Yearly Yearly

District District District

Projection Projection Projection

Performance Performance Performance

Achi. Rate (%)Rate Achi. (%)Rate Achi. (%)Rate Achi.

1. Laxmipur 9422 192 8.2 Lalmonirhat 7445 448 24.1 Lalmonirhat 7748 352 18.2

2. Narail 7457 72 3.9 Laxmipur 7373 328 17.8 Nilphamari 5800 209 14.4

3. Kurigram 12224 92 3.0 Chapai Nawabganj5755 226 15.7 Sherpur 6000 194 12.9

Performance Report September 2018 ...... 12 Table-5: Comparative Statement of contraceptive performance for the period between July 2017 to September 2017 and July 2018 to September 2018

Change of Yearly July 2017 to September 2017 July 2018 to Sept. 2018 Yearly July'18 to Projection Methods Projection September'18 (2017- Performance Achi. Rate Performance Achi. (2018-2019) over July'17 to 2018) (in CYP) (%) (in CYP) Rate (%) September'17 Permanent Method (Male) 150000 14058 37.5 128842 11078 34.4 -3.1 Permanent Method (Female) 180000 25240 56.1 174145 22482 51.6 -4.4 Permanent Method (Total) 330000 39298 47.6 302987 33560 44.3 -3.3 IUD 316000 57406 72.7 281572 44229 62.8 -9.8 Implant 400000 106662 106.7 402396 63498 63.1 -43.5 Injectables 5120355 713344 55.7 5184823 709302 54.7 -1.0 Oral Pill 10510202 1596160 60.7 10642531 1457901 54.8 -6.0 Condom 1886447 221016 46.9 1910198 162369 34.0 -12.9

Table-6: Performance & Distribution of Contraceptives by Method for the month of August 2018 and September 2018

Performance % Change of September'18 Method over August'18

August'18 September'18

Permanent Method (Male, Cases) 3118 3441 10.4 Permanent Method (Female, Cases) 6146 7584 23.4 Total Permanent Method (Total, Cases) 9264 11025 19.0 I U D (Cases) 13018 16101 23.7 Implant (Cases) 15560 17085 9.8 Injectables (Doses) 933445 928746 -0.5 Oral Pill (Cycles) 7130461 7458048 4.6 Condom (Pieces) 7876697 8601531 9.2

Table :7 Contribution of Government, NGOs and Multisector in respect of Contraceptive Performance during September 2018

Performance Share of Contribution in Percentage Method NGOs & Govt. Total Government NGOs and Multisector Multisector Permanent Method (Male, Cases) 2076 1365 3441 60.3 39.7 Permanent Method (Female, Cases) 6732 852 7584 88.8 11.2 Total Permanent Method (Cases) 8808 2217 11025 79.9 20.1 IUD (Cases) 13492 2609 16101 83.8 16.2 Implant (Cases) 15431 1654 17085 90.3 9.7 Injectable (Doses) 717958 210788 928746 77.3 22.7 Oral Pill (Cycles) 6122689 1335359 7458048 82.1 17.9 Condom (Pieces) 6438866 2162665 8601531 74.9 25.1

Performance Report September 2018 ...... 13 Table -8: NGO and Multisector wise Contraceptive Performance for the month of Sept. 2018 Permanent Method Sl. Oral Pill Condom Injectable IUD Implant NGO and Multisector (Nos.) No. (Cycles) (Pieces) (Vials) (Cases) (Nos.) Male Female Total 1 Family Planning Association of Bangladesh (FPAB) 23084 18892 2228 4 13 12 11 23 2 Marie Stopes Clinic 2012 8946 1085 136 4 33 35 68 3 Palli Shisu Foundation (PSF) 44482 70349 8664 101 11 9 13 22 4 Shanirvar Bangladesh 12557 8576 1173 6 6 0 0 0 5 Anirban Sangsad 93 144 68 0 0 0 0 0 6 CMH 705 7344 17 0 0 0 0 0 7 B.G.B 248 1677 0 0 0 0 0 0 8 R. H. Steps 662 608 182 7 0 0 0 0 9 Model Clinic 52 1008 40 0 7 0 14 14 10 Mohila-O-Shishu Shastha Kallyan Samity 1256 872 1059 0 0 0 0 0 11 Ipas Bangladesh (IPAS) 86 100 0 0 9 0 0 0 12 Surjer Hasi Clinic 23153 32301 5422 11 0 0 5 5 13 Friend Ship 1940 5950 184 0 0 0 0 0 14 Kanchan 26863 28886 4283 1 2 0 5 5 15 KMSS 147 456 133 0 8 0 1 1 16 Dhaldanga Bohumukhi Samaj Unnayn Sangstha 5605 3500 996 0 4 0 0 0 17 Lamb Hospital 27 70 73 0 23 0 11 11 18 Dhaldanga Youth Science Club 450 700 10 0 0 0 0 0 19 ESDO 0 0 0 0 0 0 0 0 20 Safiuddin Foundation 0 0 0 0 0 0 0 0 21 Multi Sector 138 3270 13 0 0 0 0 0 Rangpur Division 143560 193649 25630 266 87 54 95 149 1 Family Planning Association of Bangladesh (FPAB) 46596 85665 3476 16 67 19 22 41 2 BAVS 201 2874 79 3 18 129 51 180 3 Marie Stopes Clinic 682 4098 167 77 40 35 5 40 4 Palli Shisu Foundation (PSF) 24532 38512 4279 42 4 0 5 5 5 Jatio Tarun Shanga 19167 36800 2429 18 31 1 6 7 6 BAMANEH 30318 51944 2711 4 10 0 7 7 7 Tilottoma 21639 59482 5716 37 27 0 22 22 8 Anonnya Somaj Kallyan Samity 6626 7751 1202 9 0 0 0 0 9 Shanirvar Bangladesh 4347 5952 299 4 0 0 0 0 10 Sromo Kallyan Shangstha 348 2784 0 0 0 0 0 0 11 B.G.B 184 1202 0 0 0 0 0 0 12 R. H. Steps 440 4380 49 15 0 0 0 0 13 MR CLINIC 1554 3024 27 4 14 0 0 0 14 Palli Shishu Clinic 6875 9928 1139 3 0 0 0 0 15 JTS-Gono Unnayan Academy 18274 43498 4270 9 20 0 8 8 16 Thangamara 482 2912 189 2 15 0 6 6 17 Darpon 8706 7258 998 3 0 0 0 0 18 PAURASOVA 1590 0 67 0 3 1 11 12 19 Ipas Bangladesh (IPAS) 169 1200 0 0 1 0 0 0 20 Surjer Hasi Clinic 386 1524 598 1 4 0 6 6 21 Population Services & Training Centre (PSTC) 648 6144 616 1 2 1 2 3 22 KMSS 3295 2912 829 1 0 0 3 3 23 Sornaly 8893 7596 1040 4 0 0 0 0 24 Chardulai 3093 5404 978 6 0 0 0 0 Rajshahi Division 209045 392844 31158 259 256 186 154 340 1 Family Planning Association of Bangladesh (FPAB) 36294 46589 2085 11 32 13 5 18 2 BAVS 1095 772 331 0 4 114 0 114 3 Marie Stopes Clinic 595 5606 113 86 5 4 0 4 4 Palli Shisu Foundation (PSF) 6798 8540 978 7 0 0 4 4 5 Paribarik Shastha Clinic 7127 22392 1610 21 15 0 3 3 6 Jatio Tarun Shanga 18507 29864 3492 7 21 0 4 4 7 BAMANEH 790 1248 0 0 0 0 0 0 8 Paribar Kallyan Shangstha (PKS) 40974 104169 9854 32 15 2 21 23 9 PSTC 1588 9246 796 2 3 0 0 0 10 BRAC 242 900 63 0 0 0 0 0

Performance Report September 2018 ...... 14 Permanent Method Sl. Oral Pill Condom Injectable IUD Implant NGO and Multisector (Nos.) No. (Cycles) (Pieces) (Vials) (Cases) (Nos.) Male Female Total 11 Sromo Kallyan Shangstha 137 958 0 0 0 0 0 0 12 Ad-din Hospital 6008 5770 1905 0 2 0 17 17 13 CMH 120 2400 4 0 0 0 0 0 14 BWHC Clinic 138 80 57 0 0 0 0 0 15 B.G.B 154 600 7 0 0 0 0 0 16 R. H. Steps 1335 3576 166 3 0 0 0 0 17 VPKA 3520 1796 996 2 2 0 3 3 18 CRC 19020 17500 1366 7 1 0 0 0 19 FAIR FOUNDATION 3057 5532 661 7 0 0 0 0 20 Srijonee 572 6888 157 0 3 0 0 0 21 SGS 2953 6088 251 1 4 0 0 0 22 Palli Unnyan Sangstha 2 125 3 8 0 0 0 0 23 Police Hospital 60 3425 73 0 0 0 0 0 24 Surjer Hasi Clinic 8853 21441 2793 10 19 0 3 3 25 BNS TITUMIR 4095 7050 0 0 0 0 0 0 26 COMUNITY CLINIC 603 1900 207 0 0 0 0 0 27 KMSS 6726 15608 1628 18 0 1 5 6 28 Peoples Development Community (PDC) 14000 11500 1400 0 0 0 0 0 29 Urban Primary Health Care 404 532 367 2 0 0 2 2 30 Ad-din Akij Medical college Hospital 57 520 55 0 0 0 16 16 31 Multi Sector 1218 3500 0 0 0 0 0 0 Khulna Division 187042 346115 31418 224 126 134 83 217 1 Family Planning Association of Bangladesh (FPAB) 10977 19070 1309 0 13 7 0 7 2 BAVS 95 3708 41 1 9 103 1 104 3 Marie Stopes Clinic 531 2040 52 42 16 35 0 35 4 Paribarik Shastha Clinic 373 1051 431 0 0 0 0 0 5 Shanirvar Bangladesh 22034 36402 10981 19 7 0 0 0 6 BRAC 22 348 86 0 0 0 0 0 7 Sromo Kallyan Shangstha 66 155 0 0 0 0 0 0 8 R. H. Steps 255 240 72 7 0 0 0 0 9 Surjer Hasi Clinic 3065 7964 1037 18 6 0 3 3 10 Desh Bangla 1193 747 214 0 0 0 0 0 Barisal Division 38611 71725 14223 87 51 145 4 149 1 Family Planning Association of Bangladesh (FPAB) 18826 38592 1526 31 41 4 4 8 2 BAVS 1512 10572 184 4 36 328 8 336 3 Marie Stopes Clinic 7155 22924 1694 498 165 136 9 145 4 Jatio Tarun Shanga 13721 19295 3158 26 49 0 3 3 5 BAMANEH 10233 42990 1612 25 0 0 0 0 6 PSTC 9573 9120 1650 48 79 4 14 18 7 Shanirvar Bangladesh 154788 128338 14395 134 102 6 13 19 8 BRAC 2326 2998 281 10 5 0 0 0 9 Sromo Kallyan Shangstha 1317 2756 0 0 0 0 0 0 10 Ad-din Hospital 1536 1620 137 0 5 0 49 49 11 BAPSA 4777 20447 1316 14 14 18 0 18 12 Radda Barnen 297 2349 307 6 0 0 0 0 13 UTPS 1889 4620 720 52 0 1 5 6 14 PSKP 4346 12050 992 6 10 0 1 1 15 Anirban Sangsad 438 1044 95 0 0 0 0 0 16 ICDDR,B 0 0 4 0 0 0 0 0 17 CMH 578 5404 30 0 0 0 0 0 18 Spire 5406 4200 422 0 0 0 0 0 19 Shimantik 423 1368 140 9 0 0 8 8 20 Nagar Unnoyan Somaj Seba Shangstha 5508 4056 400 9 0 0 0 0 21 TDH Clinic 1440 3200 31 0 10 0 1 1 22 Shaktti Foundation 518 1200 52 0 0 0 0 0 23 BWHC Clinic 212 660 272 1 0 0 0 0 24 Association in Training & Management (AITAM ) 6 228 10 0 0 0 0 0 25 Manobik Shahahahajjya Samity 70 126 22 0 0 0 0 0

Performance Report September 2018 ...... 15 Permanent Method Sl. Oral Pill Condom Injectable IUD Implant NGO and Multisector (Nos.) No. (Cycles) (Pieces) (Vials) (Cases) (Nos.) Male Female Total 26 R. H. Steps 1414 3744 316 25 17 0 3 3 27 Al-Falah Model Clinic 29 288 38 0 0 0 0 0 28 VPKA 18841 82680 3778 21 4 3 8 11 29 MMKS 250 192 60 0 0 0 0 0 30 VFWA 1599 9222 1138 10 0 1 4 5 31 Nari Moytri 5372 10174 1182 9 27 0 1 1 32 SGS 12843 12784 945 5 0 0 0 0 33 CWFD 5297 16852 1739 9 2 0 3 3 34 Aid For Poor People 4752 4536 378 0 0 0 0 0 35 B G M E 182 864 11 0 0 0 0 0 36 Surjer Hasi Clinic 47223 67589 7362 44 36 1 7 8 37 Sayapath Clinic 4200 3600 305 0 0 0 0 0 38 Provti S K S Prishad 4737 4740 381 0 0 0 0 0 39 KUMUDINI HOSPATIL 723 100 64 0 9 0 0 0 40 HRDS 0 0 0 0 0 0 0 0 41 Family Welfare Assosiation 3942 3600 422 0 0 0 0 0 42 Biman Ghati 9 468 0 0 0 0 0 0 43 Population Services & Training Centre (PSTC) 28108 69121 4824 8 31 0 7 7 44 Faith & Hope 6290 4188 372 0 0 0 0 0 45 Jonoseba M&C W Songstha 1997 2016 169 8 0 0 0 0 46 KMSS 1092 4244 281 3 0 0 2 2 47 Sazeda Foundation 329 1320 95 3 0 0 0 0 48 khulna Mukti Seba 4872 6111 394 1 6 0 1 1 49 Sushastha Community Health Care 4200 3672 306 0 0 0 0 0 50 Rural Health Development Organization(RHDO) 57 312 15 0 0 0 0 0 51 Daridra Paribar Seba Songshta 7569 7152 607 0 0 0 0 0 52 Nagar Sastho Kendro 2103 12101 938 6 7 0 0 0 53 M S F Holland 34 0 31 0 0 0 0 0 54 Ucchatar Samaj Unnayan Songtha 8598 7056 600 0 0 0 0 0 55 Urban Primary Health Care 1156 3300 234 0 3 0 5 5 56 Nahar Health Services 250 504 74 0 0 0 0 0 57 Perticipatory Deveolopment Action 0 0 0 0 0 0 0 0 58 Ahoshania Mission 4594 1200 726 11 0 0 2 2 59 Active Social Welfare Society 1366 2026 182 0 0 0 0 0 60 Grameen Jibonman Unnoyan Songtha 2318 1800 280 0 0 0 0 0 61 Ma O Shishu Hitoushi 11868 9324 801 0 0 0 0 0 62 MISCS 6560 4790 451 0 0 0 0 0 63 Shu-Provat 420 1096 120 0 0 0 0 0 64 Ad-din Welfare center 201 96 39 0 5 0 11 11 Dhaka Division 452290 703019 59108 1036 663 502 169 671 1 Family Planning Association of Bangladesh (FPAB) 21925 28186 1406 13 36 3 6 9 2 BAVS 156 5096 18 0 30 97 36 133 3 Concern Women for Family Planning (CWFP) 208 0 159 0 0 0 0 0 4 Marie Stopes Clinic 1863 8224 414 145 106 121 25 146 5 Paribarik Shastha Clinic 2654 1996 685 3 5 0 0 0 6 BAMANEH 5936 11816 1798 16 3 0 0 0 7 Shanirvar Bangladesh 20926 21436 2300 28 6 0 0 0 8 BRAC 1084 1200 0 0 0 0 0 0 9 Sromo Kallyan Shangstha 141 84 44 0 0 0 0 0 10 BAPSA 1126 1608 87 2 0 0 0 0 11 ICDDR,B 1440 0 0 0 0 0 0 0 12 FDSR 46755 45959 5460 95 75 0 1 1 13 CMH 1286 11117 98 2 9 0 21 21 14 SUPIRAT 12386 27936 4866 28 12 0 2 2 15 Proshanti 2251 11716 1138 4 0 0 0 0 16 Bonophul (PKS) 177 1368 30 0 0 0 0 0 17 Niskrity 4890 10599 2454 5 0 0 0 0 18 IMAGE 3099 8640 1053 6 9 0 0 0

Performance Report September 2018 ...... 16 Permanent Method Sl. Oral Pill Condom Injectable IUD Implant NGO and Multisector (Nos.) No. (Cycles) (Pieces) (Vials) (Cases) (Nos.) Male Female Total 19 Momota 3672 13802 1420 18 42 1 20 21 20 Samonnita Unnyan Sangstha 0 0 0 0 0 0 0 0 21 SUS 15736 33047 1969 11 0 0 0 0 22 B.G.B 63 2144 2 0 0 0 0 0 23 CUFL 73 770 0 0 0 0 0 0 24 R. H. Steps 1452 2440 391 51 0 0 0 0 25 Model Clinic 1541 1344 24 53 3 0 59 59 26 Bandhan 13936 15950 1639 11 17 0 0 0 27 Ghasful 450 7200 46 0 0 0 0 0 28 Ipas Bangladesh (IPAS) 76 144 18 0 0 0 0 0 29 Surjer Hasi Clinic 9952 24277 2851 37 4 0 0 0 30 Sayapath Clinic 1803 6396 470 6 2 19 0 19 31 B.R.D.B 501 1980 111 2 0 0 0 0 32 RTMI 1578 3072 596 21 21 0 0 0 33 Nagar Matri Sadan 384 804 113 7 10 7 17 24 34 Nagar Sastho Kendro 1046 1059 383 6 18 0 0 0 35 Urban Primary Health Care 794 984 264 6 13 3 2 5 36 Mission Hospital, Chandraghona 133 119 10 0 0 0 0 0 37 Multi Sector 1101 11446 44 12 0 0 0 0 Chittagong Division 182594 323959 32361 588 421 251 189 440 1 Family Planning Association of Bangladesh (FPAB) 12892 3500 279 7 0 5 7 12 2 BAVS 31 0 3 0 0 0 25 25 3 Marie Stopes Clinic 1181 592 124 49 15 27 96 123 4 BRAC 113 0 18 0 0 0 0 0 5 CMH 3800 9708 540 0 0 0 2 2 6 Shimantik 36304 23122 5125 20 5 2 6 8 7 BWHC Clinic 173 20 67 0 0 0 0 0 8 Red Crescent Sangstha 91 130 11 0 0 0 0 0 9 B.G.B 70 956 0 0 0 0 0 0 10 R. H. Steps 187 180 28 6 0 0 0 0 11 Sylhet Samaj Kallyan Sangatha 3036 4698 3593 3 0 0 2 2 12 Surjer Hasi Clinic 1415 3136 250 9 0 0 0 0 13 SUPPS 72 48 3 0 0 0 0 0 14 TIL Welfare Division 9 48 0 0 0 0 0 0 15 Govt. Labour Welfare Center 35 75 0 0 0 0 0 0 16 RTM MCH Center 75 0 9 0 1 0 2 2 Sylhet Division 59484 46213 10050 94 21 34 140 174 1 Family Planning Association of Bangladesh (FPAB) 16614 14170 651 0 0 9 4 13 2 Marie Stopes Clinic 312 1850 24 0 20 50 0 50 3 Jatio Tarun Shanga 10944 9720 720 0 0 0 0 0 4 BAMANEH 2822 4102 801 6 0 0 0 0 5 Shanirvar Bangladesh 23693 33228 3208 27 0 0 0 0 6 Gono Shastha Kendra 0 0 0 0 0 0 0 0 7 B.G.B 29 1006 1 0 0 0 0 0 8 R. H. Steps 43 240 15 9 5 0 0 0 9 Model Clinic 451 3120 32 0 4 0 0 0 10 Krishi Bisho 90 100 0 0 0 0 0 0 11 Surjer Hasi Clinic 7720 17605 1333 13 0 0 2 2 12 Sayapath Clinic 0 0 0 0 0 0 0 0 13 Shastha Prokalpo 15 0 55 0 0 0 12 12 Mymensingh Division 62733 85141 6840 55 29 59 18 77 Total NGO and Multisectoral Performance 1335359 2162665 210788 2609 1654 1365 852 2217

Performance Report September 2018 ...... 17 Barisal Div. Pirojpur Bhola Jhalakati Barisal Patuakhali Barguna Div.Khulna Satkhira Bagerhat Khulna Jessore Narail Magura Jhenaidaha Chuadanga Meherpur Kushtia Rajshahi Div. Serajganj Pabna Natore Rajshahi Chapai Nawabganj Naogaon Joipurhat Bogra Div.Rangpur Lalmonirhat Gaibandha Kurigram Rangpur Nilphamari Panchgarh Thakurgaon Table -9: District wise Projection, Performance and Achievement Rate of Permanent and Long Acting Methods Methods Acting Long and of Permanent Rate Table -9:Achievement and District wise Projection, Performance Perfprmance Report September 2018 ------Perfprmance2018 Report September District 12224 33519 44200 18741 27936 Yearly 1500 5354 1890 3299 4498 2200 2629 2711 3765 3510 7457 1567 1971 1291 1100 1935 4680 4121 3162 5464 5687 1720 1212 7473 5989 9387 6598 2280 1074 2635 4013 Projection Reporting Month Month Reporting (Cases) Permanent Method

1028 1434 1167 Perform. 106 190 164 137 114 233 150 102 129 100 219 305 125 177 170 284 111 208 198 165 362 682 54 31 80 15 92 63 50 54 15 53 55

123.5 168.3 108.2 Achi. 43.7 43.2 23.8 19.7 69.1 43.8 74.7 44.2 52.0 35.4 74.3 51.3 70.5 38.4 94.8 54.5 80.0 51.3 25.6 15.7 83.1 67.0 26.4 45.6 31.7 22.2 26.6 36.0 86.8 59.2 25.0

2.4 1.5 Rate(%) July'18 Sept.'18 to 1169

2058 3183 3903 3800 Perform. 159 316 599 536 350 363 251 749 427 237 221 327 162 374 310 159 571 765 410 529 426 733 270 744 768 341 171 245 98 72 92

101.3 123.0 140.6 116.5 Achi. 43.9 42.4 23.6 20.7 72.6 47.7 63.6 45.6 55.2 37.0 79.6 48.7 60.5 44.9 58.9 77.3 46.6 26.5 15.4 72.2 56.0 28.8 39.2 34.4 18.0 31.7 46.6 59.8 63.7 37.2

3.9 3.0 Rate(%)

19169 23548 40884 41232 Yearly 3500 4347 1084 3696 3542 3000 2580 2494 5000 4912 1149 1422 2103 1500 1888 8743 6275 3034 7121 5755 2500 1429 6027 7445 8187 9307 6351 2830 1290 2089 3733

500 Projection

Reporting Month Reporting

1062 1367 1961 1913 Perform. 164 177 231 337 114 152 129 374 233 118 102 505 412 196 216 189 278 163 389 271 331 224 369 39 54 97 24 84 77 88 85 81 IUD (Cases)

114.2 118.6 Achi. 66.5 56.2 48.9 43.2 75.0 45.6 69.7 70.7 62.1 89.8 56.9 56.4 81.9 67.3 81.6 57.6 53.4 57.6 69.3 78.8 77.5 36.4 16.1 90.7 73.9 55.4 55.7 26.3 57.0 34.9 62.5 95.0 79.1 46.5 Rate(%) July'18 Sept.'18 to 1156 1558 1186 1109 1007

2773 4026 5743 5248 Perform. 465 501 122 643 722 320 417 381 660 170 252 384 289 225 511 638 226 550 275 799 448 719 951 549 246 219 92

107.9 Achi. 57.9 53.1 46.1 45.0 69.6 81.5 42.7 68.4 64.7 61.1 92.5 53.7 59.2 70.9 73.0 77.1 73.6 47.7 56.2 71.3 75.6 67.4 35.8 15.7 88.0 77.0 53.0 50.9 24.1 54.2 30.9 59.9 77.6 76.3 41.9 Rate(%) 10000 11232 12000

27477 44767 65094 55115 Yearly 3500 5500 1260 5371 6304 5542 4060 3612 7500 2500 2656 4439 3500 1500 5000 6957 6500 8313 6592 9000 4500 7748 7831 7603 8130 5800 4000 4098 9905 Projection Reporting Month Month Reporting

1281 3210 1129 Perform. 156 347 240 129 235 105 153 250 198 160 208 240 639 515 144 663 333 468 174 218 139 130 324 981 Implant (Cases) Implant 69 40 58 74 39 78 57 9 9

118.0 Achi. 42.8 53.5 75.7 65.7 53.6 24.6 34.3 69.5 34.9 18.4 40.0 27.8 53.5 25.4 31.2 38.4 59.2 22.2 41.4 74.3 26.2 88.4 88.8 46.8 24.6 26.9 33.4 12.3 41.7 38.1 39.3

8.7 4.1 8.4 1.9 Rate(%) July'18 Sept.'18 to 11030 1115 1004 1187 1215 1632 1523 1791 2491 2376 4443 5140 5734

681 232 979 824 612 770 578 621 262 259 751 195 137 563 326 865 352 498 489 657 209 676 477 Perform.

100.4 Achi. 64.7 77.8 81.1 73.7 72.9 52.3 44.2 45.9 75.9 64.0 24.8 53.5 41.9 39.0 67.7 22.3 36.5 45.0 67.8 42.3 69.9 73.3 19.8 79.6 76.9 83.0 41.6 18.2 25.4 25.7 32.3 14.4 67.6 46.6 96.0 Rate(%) 18 National Sylhet Div. Sunamganj Moulavibazar Habiganj Sylhet Div. Chittagong Bandarban Khagrachhari Rangamati Cox's Bazar Chittagong Laxmipur Noakhali Feni Chandpur Comilla B. Baria Mymensingh Sherpur Jamalpur Dhaka Div. Kishoreganj Manikganj Narshingdi Munshiganj Dhaka Rajbari Faridpur Shariatpur Madaripur Gopalganj Perfprmance Report September 2018 ------Perfprmance2018 Report September Mymensing Div. District 302987 11257 19662 11659 16030 29112 83279 22024 44176 Yearly 3467 3500 3800 1375 2494 1832 5283 5178 9422 2540 2805 3540 7009 2698 4057 2349 3044 6451 6151 6169 9638 6801 6000 3339 2143 3458 5044

396 Projection Reporting Month Month Reporting (Cases) Permanent Method 11025 1065

1781 3369 Perform. 271 117 149 410 423 201 165 511 118 122 301 122 309 262 360 271 246 110 102 224 179 947 617 40 23 19 95 89 97 72 91 79 71

129.5 309.1 Achi. 43.7 51.6 28.9 40.5 51.1 48.4 34.9 11.1 12.4 21.6 98.0 11.3 95.0 41.5 55.9 87.5 52.5 25.4 36.1 18.4 36.8 48.1 48.5 57.5 27.0 70.2 52.7 30.6 16.1 22.0 79.7 80.5 44.2 24.6 42.6 Rate(%) July'18 Sept.'18 to 33560 10264 1354 1136 2194 1013 1135 3015

2964 5729 1659 Perform. 743 371 496 328 192 530 270 473 404 345 811 187 316 742 804 839 249 355 246 756 207 196 707 89 65 48

142.5 125.2 248.5 Achi. 44.3 53.8 26.4 42.8 56.7 51.9 25.9 10.4 10.5 24.8 87.8 83.5 38.5 53.4 59.9 22.8 34.0 16.5 31.8 41.5 49.3 62.8 25.5 73.8 52.1 34.8 14.6 23.7 75.2 90.6 38.6 22.7 56.1

8.2 Rate(%) 281572 15000 10254 13496

16128 56929 23658 60024 Yearly 5723 3132 4773 2500 1312 3000 1465 3943 7373 2949 2968 4700 3965 3471 2104 4587 5104 7507 3168 4000 8132 3267 5890 9148 1000 4000 2277 3433 3098 Projection

Reporting Month Reporting 16101 1713 1102

4501 3858 Perform. 142 141 244 105 310 117 668 198 293 696 268 379 289 283 431 121 397 266 106 230 188 297 201 153 615 824 88 65 68 91 65 83 IUD (Cases)

117.1 137.0 271.8 119.1 144.6 225.6 105.9 Achi. 68.6 45.8 29.8 54.0 22.1 94.9 59.5 42.0 55.7 94.3 19.0 80.1 74.8 81.5 81.1 41.8 31.5 33.7 37.1 75.6 77.1 66.5 68.9 45.8 39.3 38.9 46.9 89.1 53.5 32.1 Rate(%) July'18 Sept.'18 to 44229 11553 10711 3460 1138 3062 1066 1223 1013 3078

1922 2253 Perform. 350 409 414 749 235 298 190 867 328 463 744 768 266 178 743 823 348 738 336 582 498 876 538 389 269

119.8 154.4 119.4 101.3 134.6 199.2 Achi. 62.8 47.7 24.5 52.2 34.7 81.2 71.6 39.7 51.9 88.0 92.3 17.8 62.4 63.3 77.5 38.1 30.7 31.6 33.8 64.8 71.4 64.5 65.2 43.9 36.3 41.1 39.5 87.6 94.5 45.3 34.7 Rate(%) 402396 15000 12308 15000 10000 10000 10000

24316 76221 35500 73906 Yearly 5587 4500 6229 8000 1312 2460 2500 8000 9081 7653 5000 5907 7000 7000 6000 7500 5044 6120 5317 3403 7260 1000 7500 2777 2594 2891 Projection Reporting Month Month Reporting 17085 1063 5027 1011 3783 Perform. 203 251 199 713 779 476 303 559 479 515 267 660 349 847 243 255 164 265 316 893 179 663 Implant (Cases) Implant 10 30 41 69 84 75 82 33 82 0

107.0 166.7 113.6 101.6 107.2 Achi. 50.9 32.7 43.6 48.4 29.9 79.1 27.4 20.0 33.1 62.3 62.9 72.7 46.7 88.3 34.2 45.8 52.8 16.8 61.4 41.9 57.8 50.0 37.0 93.4 52.2 90.0 28.6 35.4 15.3 34.0

2.7 0.0 Rate(%) July'18 Sept.'18 to 63498 16620 12668 1196 2114 2743 1386 2127 1637 3091 1591 1285 2395 1710 2235 1136 2721 3546 4317

990 549 811 188 474 407 862 194 443 971 845 618 617 367 504 342 353 249 Perform.

105.7 111.2 110.9 100.5 108.8 146.8 Achi. 63.1 58.3 70.9 48.8 52.1 59.8 87.2 57.3 77.1 65.1 73.1 61.1 69.0 90.9 48.6 73.4 63.9 12.9 23.6 68.6 68.4 89.4 77.0 55.2 46.5 72.5 62.6 26.9 49.3 54.4 34.5 Rate(%) 19 Barisal Div. Pirojpur Bhola Jhalakati Barisal Patuakhali Barguna Div.Khulna Satkhira Bagerhat Khulna Jessore Narail Magura Jhenaidaha Chuadanga Meherpur Kushtia Rajshahi Div. Serajganj Pabna Natore Rajshahi Nawabganj Noagaon Joipurhat Bogra Div.Rangpur Lalmonirhat Gaibandha Kurigram Rangpur Nilphamari Panchgarh Thakurgaon Dinajpur Table-10: Table-10: District Rate ofProjection, wise Short Achievement Performance Acting and Methods Performance Report September 2018 ------Performance 2018 Report September District 310392 658121 116218 795603 121590 112369 116044 111938 145851 684563 103748 100442 122010 125066

38057 68971 21680 79912 64415 37357 82614 58217 94084 29570 36363 73862 48902 30754 87536 77541 70281 39989 53233 78529 43657 57877 Yearly Projection Reporting Month Reporting

20725 28415 28007 35111 Perform. 1753 8140 4235 3733 1886 2757 2339 3993 6493 1037 1364 2489 2690 1846 3407 6600 5278 2189 4433 1979 2589 4227 3149 6972 6117 6186 3998 2453 2494 3742

978 712 (in CYP) Injectables

141.6 Achi. 80.1 55.3 54.1 63.6 69.5 60.6 51.8 40.0 48.2 50.9 67.0 42.1 45.0 40.4 66.0 72.0 46.7 42.2 65.1 56.4 33.9 45.8 33.8 27.8 21.4 34.8 61.5 71.0 80.6 73.1 60.8 61.1 67.4 51.7 35.9 Rate (%) July'18 Sept.'18 to 109439 61969 24154 12851 11159 89008 12246 19379 11339 87561 19358 16330 14268 13342 20772 18886 19874 12126 12014

5153 2854 5798 8836 7305 3145 4193 7680 8716 6169 7053 6913 8033 2264 9618 7515 8634 Perform.

Achi. 140.1 79.9 54.2 52.7 64.3 69.3 62.1 54.1 42.8 50.2 52.1 66.7 42.5 46.1 41.6 71.3 80.2 51.8 44.0 63.7 58.1 36.4 49.2 39.3 28.7 22.6 36.6 63.9 72.3 80.1 75.2 65.2 61.8 68.9 59.7 38.4 Rate(%) 1350880 1633081 1405155 637120 141573 164029 132221 169576 119497 193121 238554 151611 100378 179680 249579 230653 159164 238196 144262 229767 299379 109269 212956 206170 250442 161192 118800 256715

78117 44501 76679 60697 74640 63127 82083 89612 Yearly Projection

Reporting Month Reporting

27220 59175 10581 73144 13509 11679 10940 12553 69494 11965 10218 11291 11451 Perform. 4458 4362 1716 7311 5830 3543 8117 7499 9876 2783 3224 5655 3540 1779 6121 6946 9970 4799 2748 4697 8543 6092 5237 (in CYP) Oral Pill Achi. 51.3 68.5 37.0 46.3 53.5 52.9 55.4 52.6 57.4 75.3 65.7 49.7 55.0 51.8 44.8 42.3 33.8 40.9 53.7 65.0 60.8 52.4 50.2 39.9 57.1 40.2 50.3 59.3 51.6 67.4 59.5 54.1 63.6 81.6 52.9 53.5 Rate (%) July'18 Sept.'18 to 173720 217926 201408 80153 13128 12926 21315 17010 10821 23742 22358 31116 28989 16505 10586 17973 39938 34452 20784 29315 14503 33109 37579 13855 35074 29738 31604 24249 17313 15247 34328

4953 7749 9352 5350 8246 Perform.

Achi. 50.3 67.2 36.5 44.5 52.0 51.5 56.4 51.4 56.0 74.8 64.4 48.6 51.1 50.1 43.5 42.2 33.9 40.0 53.4 64.0 59.7 52.2 49.2 40.2 57.6 40.2 50.2 57.3 50.7 65.9 57.7 50.5 60.2 77.3 51.3 53.5 Rate(%) 114355 242466 293117 252207

14021 25410 29441 23732 13763 30437 21448 34663 42817 10894 13397 27212 18017 11331 32250 44796 41399 28568 42753 25893 41240 14733 53735 19612 38223 37005 44951 28932 16084 21323 46077 Yearly 7987 Projection Reporting Month Reporting 10294

2556 8676 1102 1822 1587 1776 1212 1156 1856 1018 2071 4734 1024 Perform. 460 473 173 808 400 242 927 460 306 718 481 351 922 876 329 342 763 842 431 275 280 777 (in CYP) Condom Achi. 26.8 39.4 22.3 26.0 32.9 20.2 21.1 42.9 43.4 51.9 63.1 44.5 50.7 27.4 31.7 32.0 37.2 34.3 42.1 47.6 35.1 48.6 52.1 40.6 29.6 26.8 46.2 22.5 20.9 32.1 24.7 22.5 17.9 20.5 15.8 20.2 Rate (%) July'18 Sept.'18 to 23995 29352 13407

7254 1310 1350 2275 1128 3153 2798 5127 4238 1302 2061 1191 1001 2219 5131 3439 3219 5389 2480 2932 5814 2920 2147 2345 1211 2272 Perform. 489 702 905 948 960 765 787

Achi. 25.4 37.4 21.3 24.5 30.9 19.0 20.4 39.6 41.4 52.2 59.2 39.6 47.8 27.0 30.3 26.4 35.3 27.5 40.1 45.8 33.2 45.1 50.4 38.3 28.4 25.7 43.3 21.3 19.6 30.6 23.2 20.9 16.7 19.0 14.8 19.7 Rate(%) 20 National Sylhet Div. Sunamganj Moulavibazar Habiganj Sylhet Div. Chittagong Bandarban Khagrachhari Rangamati Cox's Bazar Chittagong Laxmipur Noakhali Feni Chandpur Comilla B. Baria Mymensingh Div. Netrokona Mymensingh Sherpur Jamalpur Dhaka Div. Kishoreganj Tangail Manikganj Narshingdi Narayanganj Munshiganj Gazipur Dhaka Rajbari Faridpur Shariatpur Madaripur Gopalganj Performance Report September 2018 ------Performance 2018 Report September District 5184823 1038058 313365 956830 198720 109956 211687 100231 427891 197146 103358 159583 148412

75476 63572 74602 99715 13313 21140 19113 77741 63518 52164 89246 79568 59670 91507 58658 81198 99674 56426 83329 43997 74615 41374 43924 43510 Yearly Projection Reporting Month Reporting 232198

12892 43412 16041 47595 10883 Perform. 2429 1961 1518 6984 1031 5939 7435 3642 4179 2445 4226 8882 4156 3340 5899 2820 3982 3741 6934 2033 5516 5125 1770 2270 1774 2371 1326 2464 1388

722 755 (in CYP) Injectables

Achi. 53.7 49.4 38.6 37.0 24.4 84.0 54.4 65.1 58.5 47.4 91.7 44.9 68.8 45.6 56.2 56.8 50.3 49.8 45.0 50.4 35.9 56.7 52.2 55.0 43.4 52.1 41.6 81.5 61.7 37.6 32.7 88.0 48.4 38.1 38.5 67.3 38.3 Rate (%) July'18 Sept.'18 to 709313 132402 141400 38783 20892 18302 23254 11066 12399 12648 26894 12449 48751 17890 12233 11493 20491 16344 15279 31231

7105 6210 4576 2355 3116 2455 7464 9992 8636 6128 5529 7119 5624 6726 4022 7513 3901 Perform.

Achi. 54.7 49.5 37.7 39.1 24.5 83.8 55.4 70.8 59.0 51.4 94.2 46.8 69.7 45.1 57.2 56.7 50.8 49.7 45.6 50.2 36.3 57.9 53.5 54.5 44.5 51.4 41.8 80.5 61.3 39.2 34.2 84.2 51.1 36.1 38.9 68.4 35.9 Rate(%) 10642531 1964019 2130751 643223 154925 130489 153130 204678 159574 407899 130379 225699 107073 183190 434516 205738 878303 163324 404668 122481 187830 212156 327565 120403 166669 204594 115821 171045 304636 153157

27327 43393 39232 90309 84925 90160 89310 Yearly Projection

Reporting Month Reporting 497203 115320

29378 11282 71319 15176 13461 52153 10598 26379 12730 19857 10274 22485 Perform. 7281 4913 5902 1467 2725 5940 7270 2935 6227 3887 5473 6758 6178 8998 5261 8511 5927 8243 3832 6266 3092 4396 4446 (in CYP) Oral Pill Achi. 181.7 56.1 54.8 56.4 45.2 46.3 66.1 43.6 64.4 75.4 54.7 44.6 27.0 33.1 43.6 35.9 37.2 39.4 71.3 77.9 78.2 60.5 57.5 64.9 72.0 72.7 52.4 61.3 60.3 61.4 57.8 88.6 50.9 49.1 43.7 58.5 59.7 Rate (%) July'18 Sept.'18 to 1457903 207207 153172 337833 86484 21397 14764 17617 32706 10471 21595 44965 18680 11607 16218 41664 20730 31682 76846 18019 26625 37853 58327 15155 26449 30270 17552 24655 63118 11331 18361 12447 13205

4380 8026 8871 9110 Perform.

Achi. 106.8 54.8 53.8 55.2 45.3 46.0 63.9 42.2 64.1 74.0 54.1 44.1 27.2 33.1 43.4 35.4 38.4 40.3 69.8 77.6 76.0 58.8 56.7 63.4 71.4 71.2 50.3 63.5 59.2 60.6 57.7 82.9 50.2 48.0 42.9 55.2 59.1 Rate(%) 1910198 115450 352516 157644 382442

27807 23421 27485 36737 28641 73213 23401 40510 19218 32880 77990 36927 29315 72633 21984 33713 38079 58794 21611 29915 36722 20788 30700 54678 16209 27490 15243 16183 16030 Yearly 4905 7789 7042 Projection Reporting Month Reporting 57346 15445

3355 1547 8172 2126 1590 4114 1796 1384 1606 1174 1242 1293 3948 1166 Perform. 892 474 442 233 239 308 703 254 866 518 578 757 846 500 972 860 612 829 395 423 513 (in CYP) Condom Achi. 36.0 34.9 38.5 24.3 19.3 50.5 27.8 57.0 36.8 52.5 29.5 34.8 13.0 25.7 32.3 21.1 24.5 24.6 31.3 34.6 29.7 27.3 34.6 48.5 43.6 32.8 47.8 47.1 40.6 35.3 50.5 86.6 61.4 50.9 31.1 31.4 38.4 Rate (%) July'18 Sept.'18 to 162371 24146 11550 43546 10701

9121 2566 1394 1236 3925 2109 6210 2455 1469 1664 4806 2373 2544 4985 1403 2618 3892 4839 2376 3258 3423 1977 3622 2468 3227 1113 1167 1483 Perform. 704 713 872 771

Achi. 34.0 31.6 36.9 23.8 18.0 42.7 27.4 57.4 36.6 49.5 29.5 33.9 13.2 24.2 30.6 20.2 24.6 25.7 29.3 34.7 27.5 25.5 31.1 45.5 40.9 32.9 44.0 43.6 37.3 38.0 47.2 78.3 60.9 47.0 29.2 28.8 37.0 Rate(%) 21 Table -11: Method wise Old Users, New Users, Dropout and CAR by District at the end of September 2018 Oral Pill Condom Injectable Name of Total E. Dropout Dropout Dropout District Couple Old New Total No Switch Old New Total No Switch Old New Total No Switch Over Metho Over Metho Over Method Dinajpur 659452 260511 2366 262877 1046 1119 29825 643 30468 272 279 75016 1171 76187 485 618 Thakurgaon 305469 115640 1500 117140 666 640 10058 249 10307 106 130 60001 996 60997 351 461 Panchgarh 230523 96471 1180 97651 569 618 7367 239 7606 58 91 39965 724 40689 209 315 Nilphamari 414384 162329 1568 163897 861 753 13114 313 13427 132 131 71112 1046 72158 405 487 Rangpur 643075 236679 3066 239745 1446 1495 26795 754 27549 371 367 108026 1651 109677 825 743 Kurigram 529774 196387 2110 198497 1264 877 21306 808 22114 399 315 109404 1338 110742 823 632 Gaibandha 546963 211075 2921 213996 1717 1122 25099 954 26053 488 427 95884 1918 97802 973 871 Lalmonirhat 281101 96951 1501 98452 610 417 10046 381 10427 93 82 60861 847 61708 380 361 Rangpur 3610741 1376043 16212 1392255 8179 7041 143610 4341 147951 1919 1822 620269 9691 629960 4451 4488 Bogra 768388 316147 2925 319072 1804 1423 56658 1224 57882 454 640 106440 1274 107714 673 554 Joipurhat 210903 85578 707 86285 476 334 13664 191 13855 89 105 24988 229 25217 117 142 Naogaon 590306 261476 1837 263313 1509 745 29764 500 30264 260 171 55672 737 56409 360 281 Chapai Nawabganj 370974 140021 1357 141378 743 524 40813 577 41390 284 229 54011 563 54574 349 270 Rajshahi 611454 212628 3426 216054 2205 1800 75896 2653 78549 1538 1269 92328 2564 94892 1234 1111 Natore 408390 164128 1750 165878 1014 722 36435 781 37216 408 344 47020 627 47647 379 323 Pabna 585499 212025 1856 213881 1038 635 43565 655 44220 299 216 105695 847 106542 442 391 Serajganj 641773 259914 2535 262449 1265 830 56665 765 57430 403 274 122033 1092 123125 665 527 Rajshahi 4187687 1651917 16393 1668310 10054 7013 353460 7346 360806 3735 3248 608187 7933 616120 4219 3599 Kustia 461608 152835 1842 154677 979 784 47629 952 48581 455 368 75236 1054 76290 592 569 Meherpur 162056 46155 438 46593 193 172 14257 165 14422 94 131 36083 240 36323 134 158 Chuadanga 257710 94869 1292 96161 756 570 16987 420 17407 205 185 53981 946 54927 474 359 Jhenaidaha 389119 151667 1166 152833 750 344 26136 405 26541 215 140 50320 436 50756 288 195 Magura 191875 77156 714 77870 422 226 11709 304 12013 142 87 26597 391 26988 249 179 Narail 155048 61607 835 62442 359 191 12730 285 13015 137 106 19350 303 19653 145 128 Jessore 612107 191923 1619 193542 2057 627 48396 799 49195 634 279 129312 1022 130334 542 457 Khulna 495723 181696 2348 184044 1544 1393 50146 1533 51679 771 589 63898 1616 65514 617 552 Bagerhat 307003 122932 1515 124447 968 606 21713 626 22339 493 334 45090 963 46053 597 404 Satkhira 435633 176928 1666 178594 951 554 27492 613 28105 282 263 66756 709 67465 367 335 Khulna 3467882 1257768 13435 1271203 8979 5467 277195 6102 283297 3428 2482 566623 7680 574303 4005 3336 Barguna 196751 66771 1192 67963 545 431 5061 182 5243 98 71 39510 620 40130 323 321 Patuakhali 339374 120339 1213 121552 604 501 12585 296 12881 152 116 75133 874 76007 451 1278 Barisal 421072 155481 1687 157168 1011 548 26994 548 27542 327 167 65448 1021 66469 589 365 Jhalakati 114246 41010 458 41468 331 158 6220 151 6371 93 33 17421 360 17781 185 106 Bhola 363355 114180 1269 115449 686 465 13876 339 14215 149 121 114487 1125 115612 771 634 Pirojpur 200694 80079 1133 81212 567 436 10783 274 11057 139 104 29533 700 30233 344 262 Barisal 1635492 577860 6952 584812 3744 2539 75519 1790 77309 958 612 341532 4700 346232 2663 2966

Performance Report September 2018 ------22 Oral Pill Condom Injectable Name of Total E. Dropout Dropout Dropout District Couple Old New Total No Switch Old New Total No Switch Old New Total No Switch Over Metho Over Metho Over Method Gopalganj 229338 90588 1048 91636 d493 292 21730 677 22407 d228 124 25888 621 26509 193 132 Madaripur 231506 88654 656 89310 396 290 16441 361 16802 149 200 37673 574 38247 214 258 Shariatpur 217029 77853 763 78616 570 230 19126 276 19402 225 136 33843 404 34247 266 154 Faridpur 393425 139817 1701 141518 912 661 42231 889 43120 489 303 47491 902 48393 454 348 Rajbari 231897 81947 1256 83203 648 371 18838 505 19343 275 160 33458 542 34000 451 234 Dhaka 783410 272950 2725 275675 1328 904 81956 1494 83450 655 537 107433 1714 109147 635 539 Gazipur 439191 188487 1172 189659 859 448 37297 425 37722 301 174 44615 656 45271 340 188 Munshiganj 297296 106186 822 107008 398 347 28918 377 29295 217 197 33752 407 34159 191 202 Narayanganj 525780 199949 2257 202206 1171 892 39106 869 39975 449 387 76376 1161 77537 587 482 Narshingdi 428104 161902 1608 163510 863 594 31655 656 32311 287 243 69560 849 70409 429 362 Manikganj 309287 109146 1339 110485 794 487 28878 557 29435 290 211 38507 651 39158 335 245 Tangail 840734 342649 2481 345130 1470 925 65483 1012 66495 537 396 102769 1254 104023 641 479 Kishoreganj 545016 224104 2969 227073 1583 1226 32369 997 33366 605 480 67746 1451 69197 801 647 Dhaka 5472013 2084232 20797 2105029 11485 7667 464028 9095 473123 4707 3548 719111 11186 730297 5537 4270 Jamalpur 482349 179758 2010 181768 925 569 26935 499 27434 196 128 88362 926 89288 469 396 Sherpur 314539 126687 1288 127975 679 475 14921 422 15343 186 148 51920 651 52571 328 327 Mymensingh 1039205 492549 4569 497118 2624 1389 46995 1045 48040 587 321 121522 1926 123448 881 721 Netrokona 419460 182309 1583 183892 1200 615 17481 440 17921 264 168 51008 870 51878 508 305 Mymensingh 2255553 981303 9450 990753 5428 3048 106332 2406 108738 1233 765 312812 4373 317185 2186 1749 528667 171938 1730 173668 1079 441 43185 540 43725 407 139 83652 903 84555 637 221 Comilla 1116509 399357 3862 403219 2323 1263 73618 1460 75078 1469 566 191457 1938 193395 1133 739 Chandpur 470292 176038 1623 177661 912 593 23926 448 24374 264 178 85281 793 86074 554 377 Feni 275040 86685 874 87559 471 358 20104 380 20484 219 196 41417 603 42020 287 262 Noakhali 580386 202950 1546 204496 996 586 42717 542 43259 378 196 100618 950 101568 559 377 335027 112980 875 113855 602 316 17183 195 17378 126 81 74936 578 75514 396 251 Chittagong 1048068 403664 3633 407297 1998 1311 75684 1287 76971 691 499 125853 1751 127604 951 736 Cox's Bazar 410672 143560 1511 145071 869 585 20902 427 21329 243 139 92958 1076 94034 642 449 Rangamati 100865 39238 247 39485 147 132 6610 86 6696 71 43 14408 155 14563 116 75 Khagrachhari 111616 45347 430 45777 219 89 3824 80 3904 79 22 17738 187 17925 158 72 Bandarban 70417 20810 445 21255 212 164 3772 176 3948 111 91 12147 329 12476 142 118 Chittagong 5047559 1802567 16776 1819343 9828 5838 331525 5621 337146 4058 2150 840465 9263 849728 5575 3677 Sylhet 527320 170847 2453 173300 1384 875 48780 869 49649 551 259 76204 1243 77447 653 387 Habiganj 393717 169454 1639 171093 1170 446 25166 492 25658 317 117 48207 774 48981 577 182 Moulavi Bazar 335219 122052 1560 123612 794 620 20436 528 20964 293 234 43236 612 43848 426 270 Sunamganj 398199 143031 2451 145482 1462 885 29571 900 30471 633 354 53597 1208 54805 679 406 Sylhet 1654455 605384 8103 613487 4810 2826 123953 2789 126742 1794 964 221244 3837 225081 2335 1245 National 27331382 10337074 108118 10445192 62507 41439 1875622 39490 1915112 21832 15591 4230243 58663 4288906 30971 25330

Performance Report September 2018 ------23 IUD Implant Permanent Method Dropout Dropout Male Female Name of Total CAR District Old New Total No Switch Old New Total No Switch Acceptors (%) Old New Total Old New Total Method Over Method Over

Dinajpur 11422 228 11650 72 111 39322 411 39733 187 305 48341 65 48406 70244 203 70447 539768 81.9 Thakurgaon 1978 24 2002 22 16 14734 107 14841 78 164 17000 3 17003 20936 60 20996 243286 79.6 Panchgarh 4524 43 4567 12 20 13052 142 13194 51 68 12911 12 12923 13056 43 13099 189729 82.3 Nilphamari 5716 133 5849 48 51 18878 34 18912 85 181 22001 22 22023 41981 125 42106 338372 81.7 Rangpur 13987 199 14186 66 43 32445 86 32531 191 215 38102 59 38161 38445 98 38543 500392 77.8 Kurigram 11472 119 11591 81 26 18825 113 18938 110 94 18760 9 18769 23876 22 23898 404549 76.4 Gaibandha 17174 303 17477 103 56 28951 109 29060 176 131 24076 86 24162 34597 119 34716 443266 81.0 Lalmonirhat 2783 97 2880 38 37 14053 105 14158 116 133 14090 36 14126 24844 72 24916 226667 80.6 Rangpur 69056 1146 70202 442 360 180260 1107 181367 994 1291 195281 292 195573 267979 742 268721 2886029 79.9 Bogra 20413 176 20589 89 64 51172 488 51660 286 330 28468 44 28512 53959 142 54101 639530 83.2 Joipurhat 3458 63 3521 19 27 13497 196 13693 86 135 15521 61 15582 19696 53 19749 177902 84.4 Naogaon 12143 100 12243 34 39 23287 466 23753 129 133 20569 16 20585 72765 193 72958 479525 81.2 Nawabganj 5380 36 5416 14 17 6075 93 6168 46 34 16745 19 16764 31030 129 31159 296849 80.0 Rajshahi 8171 102 8273 49 42 21554 316 21870 122 150 9903 19 9922 74131 179 74310 503870 82.4 Natore 8408 92 8500 29 31 20612 350 20962 93 157 5342 11 5353 52766 173 52939 338495 82.9 Pabna 23080 192 23272 103 56 21740 270 22010 95 88 12888 16 12904 38286 91 38377 461206 78.8 Serajganj 21667 344 22011 102 71 19516 216 19732 91 81 12403 13 12416 21902 95 21997 519160 80.9 Rajshahi 102720 1105 103825 439 347 177453 2395 179848 948 1108 121839 199 122038 364535 1055 365590 3416537 81.6 Kustia 5648 45 5693 21 19 12757 107 12864 81 80 5018 10 5028 60536 163 60699 363832 78.8 Meherpur 2092 28 2120 5 5 3416 17 3433 13 11 615 0 615 24599 60 24659 128165 79.1 Chuadanga 5821 67 5888 24 50 9852 44 9896 70 112 1419 2 1421 30411 96 30507 216207 83.9 Jhenaidaha 7681 56 7737 29 17 16393 182 16575 107 67 3362 1 3363 45473 109 45582 303387 78.0 Magura 3968 60 4028 40 19 9638 35 9673 82 56 2345 4 2349 20061 69 20130 153051 79.8 Narail 5393 52 5445 33 22 6200 58 6258 26 21 2926 1 2927 15106 14 15120 124860 80.5 Jessore 18813 119 18932 111 69 28722 203 28925 184 118 24003 9 24012 50930 96 51026 495966 81.0 Khulna 13884 191 14075 119 60 30003 132 30135 176 138 19033 17 19050 34943 93 35036 399533 80.6 Bagerhat 11184 100 11284 81 48 12875 115 12990 99 50 13549 13 13562 20885 56 20941 251616 82.0 Satkhira 10047 90 10137 32 24 16161 168 16329 75 90 12416 5 12421 38704 106 38810 351861 80.8 Khulna 84531 808 85339 495 333 146017 1061 147078 913 743 84686 62 84748 341648 862 342510 2788478 80.4 Barguna 4698 92 4790 56 37 12131 54 12185 82 55 14263 27 14290 8907 40 8947 153548 78.0 Patuakhali 8462 256 8718 52 55 20377 135 20512 112 92 11059 63 11122 18930 81 19011 269803 79.5 Barisal 12743 137 12880 97 40 20462 216 20678 143 85 9866 17 9883 27763 94 27857 322477 76.6 Jhalakati 5140 29 5169 25 24 6572 75 6647 74 20 5259 5 5264 8377 32 8409 91109 79.7 Bhola 11622 114 11736 38 12 21495 295 21790 82 53 9994 13 10007 9619 10 9629 298438 82.1 Pirojpur 9920 133 10053 77 48 10474 142 10616 56 44 6657 3 6660 9753 49 9802 159633 79.5 Barisal 52585 761 53346 345 216 91511 917 92428 549 349 57098 128 57226 83349 306 83655 1295008 79.2

Performance Report September 2018 ------24 IUD Implant Permanent Method Name of Dropout Dropout Male Female Total CAR District Old New Total No Switch Old New Total No Switch Acceptors (%) Old New Total Old New Total Method Over Method Over Gopalganj 6262 65 6327 20 10 9175 58 9233 37 45 6825 69 6894 22867 65 22932 185938 81.1 Madaripur 7883 65 7948 43 21 16017 49 16066 81 37 2802 0 2802 14891 65 14956 186131 80.4 Shariatpur 11067 139 11206 91 42 9154 82 9236 94 42 4402 7 4409 12503 71 12574 169690 78.2 Faridpur 15676 191 15867 76 52 18267 148 18415 78 108 8577 38 8615 38087 167 38254 314182 79.9 Rajbari 6772 73 6845 40 28 15271 62 15333 113 89 6669 24 6693 18173 49 18222 183639 79.2 Dhaka 23796 470 24266 108 101 31088 609 31697 119 138 24060 318 24378 55245 301 55546 604159 77.1 Gazipur 10929 109 11038 61 28 15536 260 15796 99 127 5315 9 5324 38243 78 38321 343131 78.1 Munshiganj 7789 74 7863 28 28 9851 237 10088 46 43 2342 6 2348 28143 113 28256 219017 73.7 Narayanganj 13944 187 14131 74 42 18397 101 18498 125 81 14458 70 14528 35792 100 35892 402767 76.6 Narshingdi 17208 214 17422 86 75 13530 226 13756 67 63 3606 7 3613 33892 148 34040 335061 78.3 Manikganj 8205 99 8304 60 47 15406 254 15660 117 109 5408 101 5509 34104 102 34206 242757 78.5 Tangail 20450 320 20770 99 52 38516 736 39252 264 224 20075 20 20095 62560 213 62773 658538 78.3 Kishoreganj 19820 225 20045 133 85 30698 325 31023 197 166 14379 35 14414 44033 176 44209 439327 80.6 Dhaka 169801 2231 172032 919 611 240906 3147 244053 1437 1272 118918 704 119622 438533 1648 440181 4284337 78.3 Jamalpur 15321 220 15541 73 51 28475 44 28519 144 98 16021 8 16029 29069 91 29160 387739 80.4 Sherpur 7570 39 7609 27 17 19231 34 19265 63 88 9411 4 9415 17379 48 17427 249605 79.4 Mymensingh 23238 247 23485 135 88 45903 507 46410 255 394 36170 100 36270 47331 122 47453 822224 79.1 Netrokona 9046 53 9099 79 41 21110 263 21373 173 101 17071 13 17084 26957 101 27058 328305 78.3 Mymensingh 55175 559 55734 314 197 114719 848 115567 635 681 78673 125 78798 120736 362 121098 1787873 79.3 Brahmanbaria 22176 195 22371 114 26 21396 512 21908 137 75 6847 18 6865 45427 130 45557 398649 75.4 Comilla 41015 552 41567 243 147 40107 557 40664 210 190 20115 122 20237 90727 385 91112 865272 77.5 Chandpur 13392 209 13601 98 62 17095 535 17630 157 102 5573 21 5594 36739 124 36863 361797 76.9 Feni 10119 169 10288 72 38 10868 306 11174 88 67 1809 11 1820 24475 94 24569 197914 72.0 Noakhali 17943 528 18471 74 32 21691 953 22644 122 63 7647 14 7661 41657 120 41777 439876 75.8 Lakshmipur 10232 51 10283 51 18 15754 382 16136 110 34 4203 3 4206 17701 69 17770 255142 76.2 Chittagong 44494 1019 45513 220 173 56842 642 57484 394 323 12512 93 12605 65199 120 65319 792793 75.6 Cox's Bazar 12117 178 12295 78 42 24400 554 24954 145 89 12730 48 12778 15095 42 15137 325598 79.3 Rangamati 5059 62 5121 30 11 9982 72 10054 42 44 3052 12 3064 4974 7 4981 83964 83.2 Khagrachhari 3856 49 3905 44 21 5763 72 5835 42 34 4537 18 4555 5504 10 5514 87415 78.3 Bandarban 4523 66 4589 40 19 6379 29 6408 60 35 5327 51 5378 3264 1 3265 57319 81.4 Chittagong 184926 3078 188004 1064 589 230277 4614 234891 1507 1056 84352 411 84763 350762 1102 351864 3865739 76.6 Sylhet 17772 148 17920 91 48 28295 348 28643 215 126 15528 57 15585 50582 281 50863 413407 78.4 Habiganj 11595 78 11673 46 18 12526 243 12769 106 31 14905 31 14936 30673 141 30814 315924 80.2 Moulavi Bazar 12867 121 12988 91 57 17548 43 17591 127 71 16618 50 16668 31505 128 31633 267304 79.7 Sunamganj 14983 126 15109 77 29 20719 225 20944 133 100 15952 61 16013 33939 230 34169 316993 79.6 Sylhet 57217 473 57690 305 152 79088 859 79947 581 328 63003 199 63202 146699 780 147479 1313628 79.4 National 776011 10161 786172 4323 2805 1260231 14948 1275179 7564 6828 803850 2120 805970 2114241 6857 2121098 21637629 79.2

Performance Report September 2018 ------25 Table -12: Number of New and Total Acceptors upto the end of August 2018 and Sept. 2018

New Acceptors Total Acceptors % Change of % Change of Method September'18 September'18 August'18 September'18 over August'18 August'18 September'18 over August'18

Per.Method (Male) 1970 2120 7.6 804864 805970 0.1 Per.Method (Female) 5937 6857 15.5 2117299 2121098 0.2 Per.Method (Total) 7907 8977 13.5 2922163 2927068 0.2 IUD 7982 10161 27.3 783567 786172 0.3 Implant 15468 14948 -3.4 1274526 1275179 0.1 Injectables 57240 58663 2.5 4287602 4288906 0.0 Oral Pill 102268 108118 5.7 10441945 10445192 0.0 Condom 37080 39490 6.5 1913693 1915112 0.1

Total 227945 240357 5.4 21623496 21637629 0.1

Table -13: CAR(%) by Division upto the end of August 2018 and September 2018

Division August'18 September'18

Rangpur 79.93 79.93 0.00 Rajshahi 81.60 81.59 -0.01 Khulna 80.44 80.41 -0.03 Barisal 79.13 79.18 0.05 Dhaka 78.27 78.30 0.03 Mymensingh 79.28 79.27 -0.01 Chittagong 76.54 76.59 0.05 Sylhet 79.45 79.40 -0.05 National 79.16 79.17 0.01

Graph-1: National & Division wise CAR upto the end of Graph-2: National & Division wise CAR upto the

September 2018 end of August 2018 and September 2018

Sept.'18

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Performance Report September 2018 ------26 Table -14: District by Range of CAR upto the end of September 2018

Range Sl.No. District CAR (%) Range Nos of Districts CAR (%) 1 Joipurhat 84.35 64 2 Chuadanga 83.9 70% & above 3 Rangamati 83.24 60% - 69% 4 Bogra 83.23 Nil 5 Natore 82.89 0%-59% 6 Rajshahi 82.41 Nil 7 Panchgarh 82.3 8 Bhola 82.13 9 Bagerhat 81.96 10 Dinajpur 81.85 11 Nilphamari 81.66 12 Bandarban 81.4 13 Naogaon 81.23 14 Gopalganj 81.08 15 Gaibandha 81.04 District position in CAR (%) upto the end of August 16 Jessore 81.03 2018 and September 2018 17 Serajganj 80.89 18 Satkhira 80.77 19 Lalmonirhat 80.64 70 August'18 20 Kishoreganj 80.62 21 Khulna 80.6 64 64 September'18 22 Narail 80.53 23 Madaripur 80.4 24 Jamalpur 80.39 60

25 Habiganj 80.24

26 Nawabganj 80.02 > 27 Faridpur 79.86 28 Magura 79.77 50 29 Jhalakati 79.75 30 Moulavi Bazar 79.74 31 Thakurgaon 79.64 32 Sunamganj 79.61 40 33 Pirojpur 79.54

34 Patuakhali 79.5 ------70% above& 35 Sherpur 79.36 36 Cox's Bazar 79.28 37 Rajbari 79.19 30 38 Mymensingh 79.12 39 Meherpur 79.09 40 Kustia 78.82 Nos.Districts of 41 Pabna 78.77 20 42 Manikganj 78.49 43 Sylhet 78.4 44 Tangail 78.33 45 Khagrachhari 78.32 46 Netrokona 78.27 10 47 Narshingdi 78.27

48 Shariatpur 78.19 ------

49 Gazipur 78.13 < 0 0 0 0 50 Barguna 78.04 0 51 Jhenaidaha 77.97 70% & above 60%-69% 0%-59% 52 Rangpur 77.81 53 Comilla 77.5 54 Dhaka 77.12 55 Chandpur 76.93 <------Range ------> 56 Narayanganj 76.6 57 Barisal 76.58 58 Kurigram 76.36 59 Lakshmipur 76.16 60 Noakhali 75.79 61 Chittagong 75.64 62 Brahmanbaria 75.41 63 Munshiganj 73.67 64 Feni 71.96

Performance Report September 2018 ------27 Table -15 : List of Upazila achieved CAR 70% & above upto the end of September 2018

Sl. Name of Name of Total Total CAR Sl. Name of Name of Total Total CAR No. District Upazila Couples Acceptors (%) No. District Upazila Couples Acceptors (%) 1 Rangamati Kawkhali 12061 10311 85.5 73 Natore Singra 85632 70464 82.3 2 Joipurhat Khetlal 26050 22165 85.1 74 Gaibandha Sundarganj 109607 90121 82.2 3 Chuadanga Jiban Nagar 38193 32355 84.7 75 Lalmonirhat Aditmari 48776 40104 82.2 4 Joipurhat Joypurhat Sadar 65043 54942 84.5 76 Bagerhat Sarankhola 22100 18167 82.2 5 Joipurhat Akkelpur 31046 26216 84.4 77 Panchgarh Debiganj 54641 44912 82.2 6 Joipurhat Panchbibi 54108 45637 84.3 78 Pabna Santhia 91186 74894 82.1 7 Chuadanga Alamdanga 81651 68851 84.3 79 Bagerhat Fakirhat 30007 24641 82.1 8 Bogra Kahaloo 55280 46475 84.1 80 Nilphamari Dimla 62501 51321 82.1 9 Bagerhat Bagerhat Sadar 54509 45799 84 81 Panchgarh Panchgarh 61131 50192 82.1 10 Bogra Shibganj 90207 75647 83.9 82 Jessore Bagherpara 47441 38928 82.1 11 Bogra Dupchanchia 44098 36970 83.8 83 Rajshahi Mohanpur 42935 35223 82.0 12 Natore Natore Sadar 103829 87010 83.8 84 Dinajpur Birol 55698 45687 82.0 13 Chuadanga Chuadanga 69757 58456 83.8 85 Jessore Monirampur 96632 79262 82.0 14 Bogra Sariakandi 50609 42408 83.8 86 Bhola 34089 27959 82.0 15 Bogra Sonatola 40020 33530 83.8 87 Rajshahi Tanore 45106 36989 82.0 16 Bhola Lalmohan 63621 53181 83.6 88 Serajganj Ullahpara 122675 100514 81.9 17 Cox's Bazar Chakaria 81855 68410 83.6 89 Tangail Modhupur 113880 93262 81.9 18 Bhola Charfashion 88546 73987 83.6 90 Satkhira Kaliganj 66195 54209 81.9 19 Joipurhat Kalai 34656 28942 83.5 91 Nawabganj Nachol 33442 27386 81.9 20 Natore Lalpur 66765 55717 83.5 92 Nilphamari Syadpur 57021 46695 81.9 21 Rangamati Langadu 15278 12743 83.4 93 Serajganj Shazadpur 113917 93247 81.9 22 Naogaon Manda 92423 77075 83.4 94 Sunamganj Sadar (South) 28293 23154 81.8 23 Rajshahi Bagmara 89041 74251 83.4 95 Dinajpur Nawabganj 50540 41358 81.8 24 Bogra Adamdighi 45594 37978 83.3 96 Naogaon Porsa 30261 24758 81.8 25 Rangamati Rajasthali 4725 3935 83.3 97 Bandarban Naikhongchhari 11848 9687 81.8 26 Rangamati Belaichhari 4993 4157 83.3 98 Khulna Dumuria 64857 53016 81.7 27 Rangamati Jurachhari 4431 3689 83.3 99 Jessore Keshobpur 59173 48356 81.7 28 Rajshahi Poba (Sadar) 75331 62701 83.2 100 Khulna Koyra 40863 33381 81.7 29 Bhola Bhola Sadar 85581 71224 83.2 101 Dinajpur Birganj 70121 57275 81.7 30 Rangamati Naniarchar 9184 7643 83.2 102 Faridpur Nagarkanda 37035 30244 81.7 31 Panchgarh Boda 56416 46946 83.2 103 Dinajpur Bochaganj 35297 28824 81.7 32 Bogra Dhunot 66846 55574 83.1 104 Gaibandha Fulchhari 36788 30035 81.6 33 Naogaon Niamatpur 58431 48553 83.1 105 Kurigram Chilmari 31317 25568 81.6 34 Rajshahi Boalia 102487 85160 83.1 106 Dinajpur Khanshama 43009 35091 81.6 35 Bagerhat Kachua 20191 16773 83.1 107 Manikganj Shibalaya 35486 28953 81.6 36 Bogra Sherpur 84555 70232 83.1 108 Dinajpur Parbatipur 84798 69160 81.6 37 Chuadanga Damurhuda 68109 56545 83.0 109 Rajshahi Charghat 49435 40314 81.5 38 Bandarban Bandarban 16013 13294 83.0 110 Lalmonirhat Hatibandha 51500 41980 81.5 39 Habiganj Habiganj Sadar 63135 52402 83.0 111 Magura Shalikha 31521 25693 81.5 40 Satkhira Debhata 27090 22480 83.0 112 Gopalganj Muksudpur 60301 49135 81.5 41 Bogra Shajahanpur 79661 66081 83.0 113 Sunamganj Chhatak 54892 44719 81.5 42 Gaibandha Palashbari 58732 48701 82.9 114 Nawabganj Bholahat 24759 20170 81.5 43 Dinajpur Chirir Bandar 65021 53910 82.9 115 Naogaon Sapahar 38556 31409 81.5 44 Rajshahi Durgapur 44497 36886 82.9 116 Serajganj Sadar 114247 93035 81.4 45 Satkhira Asasuni 57436 47604 82.9 117 Comilla Chouddagram 87556 71286 81.4 46 Bogra Gabtali 73617 60984 82.8 118 Pirojpur Nazirpur 32375 26355 81.4 47 Manikganj Saturia 38105 31552 82.8 119 Barguna Patharghata 33399 27166 81.3 48 Rangamati Rangamati 20000 16558 82.8 120 Jamalpur Melandaha 62162 50550 81.3 49 Faridpur Modhukhali 45717 37825 82.7 121 Meherpur Mujibnagar 22688 18445 81.3 50 Gopalganj Gopalganj Sadar 59615 49287 82.7 122 Rajshahi Bagha 42544 34583 81.3 51 Nilphamari Domar 56920 47043 82.6 123 Naogaon Naogaon Sadar 62463 50772 81.3 52 Rangamati Barkal 7353 6072 82.6 124 Kishoreganj Itna 32739 26598 81.2 53 Panchgarh Atowari 29785 24594 82.6 125 Bandarban Ruma 4462 3625 81.2 54 Rangamati Baghaichhari 11707 9666 82.6 126 Sherpur Jhenaigati 37264 30267 81.2 55 Gaibandha Sadullahpur 71930 59384 82.6 127 Dinajpur Fulbari 36711 29814 81.2 56 Rangamati Kaptai 11133 9190 82.5 128 Jamalpur Jamalpur Sadar 134571 109247 81.2 57 Khulna Digholia 93976 77550 82.5 129 Madaripur Rajoir 47444 38515 81.2 58 Kishoreganj Nikli 26849 22155 82.5 130 Kishoreganj Katiadi 60249 48899 81.2 59 Rajshahi Puthiya 49264 40642 82.5 131 Jessore Jessore Sadar 151656 123048 81.1 60 Bogra Nandigram 43532 35910 82.5 132 Cox's Bazar Moheshkhali 57722 46809 81.1 61 Manikganj Ghior 36354 29980 82.5 133 Lalmonirhat Patgram 47486 38508 81.1 62 Natore Gurudashpur 52453 43233 82.4 134 Naogaon Atrai 47535 38524 81.0 63 Bagerhat Mongla 26676 21981 82.4 135 Bandarban Alikadam 9805 7944 81.0 64 Dinajpur Dinajpur Sadar 101244 83419 82.4 136 Sunamganj Dharmapasa 44432 35997 81.0 65 Kishoreganj Kishoreganj 72025 59341 82.4 137 Naogaon Mohadebpur 70211 56873 81.0 66 Bogra Bogra Sadar 94369 77741 82.4 138 Faridpur Alphadanga 22386 18122 81.0 67 Nilphamari Nilphamari 103742 85459 82.4 139 Khagrachhari Dighinala 17590 14239 80.9 68 Bagerhat Morralganj 64573 53159 82.3 140 Jessore Abhaynagar 55017 44530 80.9 69 Natore Baraigram 69064 56847 82.3 141 Jamalpur Dewanganj 59331 48018 80.9 70 Natore Bagatipara 30647 25224 82.3 142 Jhalakati Rajapur 23876 19316 80.9 71 Dinajpur Birampur 36095 29705 82.3 143 Kishoreganj Bhariab Bazar 56083 45353 80.9 72 Dinajpur Hakimpur 20782 17101 82.3 144 Panchgarh Tetulia 28550 23085 80.9

Performance Report September 2018 ------28 Sl. Name of Name of Total Total CAR Sl. Name of Name of Total Total CAR No. District Upazila Couples Acceptors (%) No. District Upazila Couples Acceptors (%) 145 Dinajpur Kaharole 34967 28271 80.9 219 Kishoreganj Bazitpur 44680 35646 79.8 146 Sherpur Jhenaigati 37268 30160 80.9 220 Khulna Khulna Sadar 75692 60432 79.8 147 Bandarban Rowangchhari 5145 4159 80.8 221 Tangail Bhuapur 43018 34344 79.8 148 Satkhira Kolaroa 52145 42134 80.8 222 Patuakhali Dashmina 26946 21508 79.8 149 Narail Lohagara 46485 37553 80.8 223 Satkhira Shyamnagar 74247 59253 79.8 150 Narail Narail Sadar 64580 52159 80.8 224 Naogaon Patnitola 55293 44121 79.8 151 Bhola Monpura 14601 11791 80.8 225 Mymensingh 80900 64548 79.8 152 Jessore Sarsa 78394 63258 80.7 226 Khulna Paikgachha 58217 46447 79.8 153 Moulavi Moulavi Bazar 54902 44300 80.7 227 Gopalganj Kotalipara 44627 35600 79.8 154 Madaripur Madaripur Sadar 70583 56949 80.7 228 Bagerhat Rampal 33876 27017 79.8 155 Mymensingh Mymensingh 140808 113583 80.7 229 Sherpur Nalitabari 57903 46177 79.7 156 Chittagong Banshkhali 79082 63791 80.7 230 Patuakhali Kalapara 52566 41919 79.7 157 Rajshahi Godagari 70814 57121 80.7 231 Gazipur 59995 47841 79.7 158 Pirojpur Indurkani 15410 12429 80.7 232 Kishoreganj Karimganj 53711 42814 79.7 159 Patuakhali Dumki 13395 10800 80.6 233 Madaripur Shibchar 58738 46804 79.7 160 Habiganj Baniachhong 57896 46657 80.6 234 Sunamganj Tahirpur 36805 29324 79.7 161 Narshingdi Belaboo 40737 32816 80.6 235 Jhenaidaha Kotchandpur 32027 25516 79.7 162 Pirojpur Bhandaria 24750 19937 80.6 236 Pabna Bera 57287 45625 79.6 163 Pirojpur Pirojpur Sadar 28029 22577 80.5 237 Khagrachhari Matiranga 24916 19838 79.6 164 Lalmonirhat Kaliganj 54848 44176 80.5 238 Patuakhali Bauphal 70640 56229 79.6 165 Kishoreganj Pakundia 44281 35662 80.5 239 Patuakhali Mirzaganj 24524 19519 79.6 166 Kishoreganj Austagram 29524 23773 80.5 240 Gazipur 36317 28903 79.6 167 Bandarban Lama 18980 15282 80.5 241 Patuakhali Golachipa 80904 64378 79.6 168 Jhenaidaha Harinakunda 43144 34728 80.5 242 Mymensingh Dhubaura 40932 32569 79.6 169 Jhalakati Nalchhiti 34873 28070 80.5 243 Mymensingh Muktagacha 89421 71144 79.6 170 Kishoreganj Tarail 29263 23552 80.5 244 Pirojpur Nesarabad 39423 31359 79.5 171 Satkhira Tala 64497 51907 80.5 245 Thakurgaon Pirganj 49772 39590 79.5 172 Khulna Dacope 31346 25227 80.5 246 Tangail Gopalpur 58286 46351 79.5 173 Magura Magura Sadar 82483 66374 80.5 247 Sunamganj Bishwamvarpur 26894 21387 79.5 174 Nilphamari Kishoreganj 56008 45067 80.5 248 Naogaon Badalgachhi 48940 38908 79.5 175 Gopalganj Kasiani 43842 35273 80.5 249 Jamalpur Bakshiganj 41047 32630 79.5 176 Serajganj Belkuchi 69545 55927 80.4 250 Comilla Titash 38665 30736 79.5 177 Cox's Bazar Ramu 45187 36330 80.4 251 Moulavi Bazar Kulaura 60478 48072 79.5 178 Sunamganj Jamalganj 29792 23936 80.3 252 Serajganj Kazipur 57950 46058 79.5 179 Habiganj Bahubal 35719 28693 80.3 253 Rajbari Rajbari Sadar 71062 56473 79.5 180 Jamalpur Sharishabari 66176 53150 80.3 254 Faridpur Boalmari 56229 44663 79.4 181 Nilphamari Jaldhaka 78192 62787 80.3 255 Gopalganj Tungipara 20953 16643 79.4 182 Gaibandha Gaibandha 102139 82012 80.3 256 Thakurgaon Haripur 31462 24986 79.4 183 Comilla Debidwar 91403 73383 80.3 257 Sylhet Gowainghat 52799 41928 79.4 184 Nawabganj Gomostapur 64098 51452 80.3 258 Moulavi Bazar Sreemongal 63677 50560 79.4 185 Moulavi Barlekha 43793 35150 80.3 259 Sylhet Sylhet Sadar 95175 75542 79.4 186 Serajganj Rayganj 68891 55293 80.3 260 Mymensingh Haluaghat 66815 53024 79.4 187 Rangpur Pirgachha 74736 59974 80.2 261 Gaibandha Gobindaganj 113230 89854 79.4 188 Habiganj Azmiriganj 20547 16486 80.2 262 Tangail Kalihati 86130 68341 79.3 189 Netrokona Kalmakanda 50931 40861 80.2 263 Khulna Fultala 27854 22093 79.3 190 Jamalpur Madarganj 53463 42871 80.2 264 Moulavi Bazar Komolganj 46608 36952 79.3 191 Naogaon Rani Nagar 42444 34035 80.2 265 Kustia Bheramara 51299 40659 79.3 192 Pabna Bhangoora 29567 23703 80.2 266 Faridpur Char 13492 10691 79.2 193 Moulavi Rajnagar 40682 32610 80.2 267 Rajbari 89646 71029 79.2 194 Bagerhat Chitalmari 27579 22100 80.1 268 Pabna Ishwardi 72115 57115 79.2 195 Madaripur Kalkini 54741 43863 80.1 269 Faridpur Saltha 34398 27225 79.1 196 Barguna Bmna 14356 11502 80.1 270 Gaibandha Shaghata 54537 43159 79.1 197 Habiganj Chunarughat 62443 50014 80.1 271 Netrokona Atpara 26827 21226 79.1 198 Serajganj Kamarkhand 29468 23601 80.1 272 Kustia Daulatpur 110883 87728 79.1 199 Kustia Kumarkhali 73370 58752 80.1 273 Jessore Chowgachha 54122 42814 79.1 200 Dinajpur Ghoraghat 25169 20153 80.1 274 Sylhet Jaintapur 29988 23722 79.1 201 Jessore Jhikarghachha 69672 55770 80.0 275 Nawabganj Chapai 118701 93879 79.1 202 Thakurgaon Ranisankail 49303 39458 80.0 276 Sylhet Balaganj 50436 39887 79.1 203 Habiganj Lakhai 29383 23513 80.0 277 Khagrachhari Mahalchhari 9207 7281 79.1 204 Rangpur Pirganj 95382 76310 80.0 278 Rajbari Goalunda Ghat 25538 20193 79.1 205 Comilla Brahmanpara 41105 32884 80.0 279 Shariatpur Naria 41079 32474 79.1 206 Kishoreganj Kuliarchar 33766 27011 80.0 280 Comilla Adarsho Sadar 112959 89269 79.0 207 Nawabganj Shibganj 129974 103962 80.0 281 Habiganj Nabiganj 60026 47428 79.0 208 Faridpur Faridpur Sadar 94704 75736 80.0 282 Lakshmipur Ramgoti 41709 32955 79.0 209 Thakurgaon Thakurgaon 131826 105391 79.9 283 Satkhira Satkhira Sadar 94023 74274 79.0 210 Bagerhat Mollahat 27492 21979 79.9 284 Comilla Burichong 67213 53088 79.0 211 Meherpur Meherpur Sadar 62139 49673 79.9 285 Shariatpur Palong (Sadar) 42664 33692 79.0 212 Bandarban Thanchi 4164 3328 79.9 286 Jhalakati Kathalia 20898 16502 79.0 213 Narail Kalia 43983 35148 79.9 287 Sylhet Golapganj 47990 37883 78.9 214 Serajganj Chouhali 19233 15369 79.9 288 Narshingdi Narshingdi 121117 95518 78.9 215 Netrokona Barhatta 33883 27071 79.9 289 Lalmonirhat Lalmonirhat 78491 61899 78.9 216 Sunamganj Jogonnathpur 34171 27293 79.9 290 Naogaon Dhamoirhat 43749 34497 78.9 217 Sherpur Sribordi 57105 45605 79.9 291 Sylhet Biswanath 30801 24287 78.9 218 Mymensingh Bhaluka 88481 70662 79.9 292 Sylhet South Shurma 55698 43907 78.8

Performance Report September 2018 ------29 Sl. Name of Name of Total Total CAR Sl. Name of Name of Total Total CAR No. District Upazila Couples Acceptors (%) No. District Upazila Couples Acceptors (%) 293 Kishoreganj Hossainpur 37968 29922 78.8 367 Jhenaidaha Jhenaidaha 97003 75452 77.8 294 Serajganj Tarash 45847 36116 78.8 368 Meherpur Gagni 77229 60047 77.8 295 Chittagong Rawzan 63694 50173 78.8 369 Narshingdi Raipura 109613 85216 77.7 296 Dhaka Tejgaon 177255 139621 78.8 370 Chandpur Hemchar 18899 14686 77.7 297 Patuakhali Patuakhali Sadar 70399 55450 78.8 371 Chandpur Hajiganj 63202 49062 77.6 298 Sunamganj Dowara Bazar 39424 31044 78.7 372 Netrokona Mohonganj 31348 24320 77.6 299 Rajbari Baliakandi 45651 35944 78.7 373 Cox's Bazar Teknaf 49360 38292 77.6 300 Sylhet Fenchuganj 18173 14308 78.7 374 Kurigram Bhurungamari 63046 48897 77.6 301 Sherpur Sherpur Sadar 118858 93557 78.7 375 Dhaka Dhamrai 89772 69590 77.5 302 Brahmanbar Ashuganj 28078 22101 78.7 376 Kurigram Roumari 44194 34258 77.5 303 Khagrachha Lakshmichhari 5590 4399 78.7 377 Narayanganj Narayanganj 197397 152924 77.5 304 Khulna Rupsha 38068 29957 78.7 378 Chittagong Boalkhali 45951 35582 77.4 305 Gazipur Gazipur Sadar 114675 90239 78.7 379 Shariatpur Bhedarganj 43976 34052 77.4 306 Kustia Mirpur 78340 61644 78.7 380 Manikganj Daulatpur 35946 27817 77.4 307 Jhalakati Jhalakati Sadar 34599 27221 78.7 381 Tangail Basail 39070 30229 77.4 308 Shariatpur Goshairhat 30443 23938 78.6 382 Comilla Monohargonj 49220 38063 77.3 309 Pirojpur Kawkhali 12193 9586 78.6 383 Tangail Delduar 47685 36871 77.3 310 Sylhet Jakiganj 35793 28136 78.6 384 Chandpur (South) 43726 33808 77.3 311 Khagrachha Khagrachhari 18975 14911 78.6 385 Faridpur Sadarpur 34654 26792 77.3 312 Habiganj Madhabpur 64568 50731 78.6 386 Chittagong 85343 65980 77.3 313 Mymensingh Gouripur 60949 47882 78.6 387 Comilla Barura 87759 67841 77.3 314 Thakurgaon Baliadangi 43106 33861 78.6 388 Rangpur Taraganj 35465 27410 77.3 315 Mymensingh Phulpur 122623 96303 78.5 389 Netrokona Khaliajhuri 17530 13536 77.2 316 Kurigram Rajarhat 47928 37636 78.5 390 Barisal Agailjhara 28366 21893 77.2 317 Mymensingh Fulbaria 86218 67692 78.5 391 Barisal Banaripara 29234 22556 77.2 318 Pabna Faridpur 27915 21912 78.5 392 Cox's Bazar Pekua 32183 24820 77.1 319 Bhola 49926 39182 78.5 393 Chittagong Panchlaish 31483 24274 77.1 320 Barisal Gournadi 36428 28586 78.5 394 Pirojpur Mathbaria 48514 37390 77.1 321 Narayanganj Bandar 66581 52230 78.4 395 Khulna Terokhada 26145 20140 77.0 322 Jhenaidaha Moheshpur 73487 57614 78.4 396 Kurigram Fulbari 40358 31079 77.0 323 Chandpur Chandpur Sadar 74008 58018 78.4 397 Rangpur Mithapukur 116088 89395 77.0 324 Moulavi Juri 25079 19660 78.4 398 Rangpur Rangpur Sadar 137225 105559 76.9 325 Magura Mohammadpur 41690 32671 78.4 399 Manikganj Manikganj 68458 52643 76.9 326 Gazipur Kaliganj 54625 42803 78.4 400 Barisal Mehendiganj 49797 38278 76.9 327 Gazipur Sreepur 103016 80710 78.3 401 Shariatpur Janjira 35643 27378 76.8 328 Netrokona Modan 27687 21688 78.3 402 Noakhali Kabirhat 36612 28121 76.8 329 Sherpur Nakla 43409 33999 78.3 403 Noakhali Sudharam 90430 69336 76.7 330 Sunamganj Dherai 40770 31931 78.3 404 Noakhali Senbag 54375 41644 76.6 331 Dhaka Mirpur 88523 69329 78.3 405 Lakshmipur Kamalnagar 36754 28147 76.6 332 Tangail Tangail Sadar 120012 93960 78.3 406 Narshingdi Shibpur 57107 43728 76.6 333 Barguna Amtali 65919 51594 78.3 407 Cox's Bazar Kutubdia 22914 17534 76.5 334 Comilla Meghna 22497 17606 78.3 408 Lakshmipur Ramganj 61038 46696 76.5 335 Mymensingh Trisal 90815 71067 78.3 409 Noakhali Sonaimuri 65174 49858 76.5 336 Magura Sripur 36181 28313 78.3 410 Khagrachhari Panchhari 11190 8557 76.5 337 Jhenaidaha Kaliganj 62029 48537 78.2 411 Lakshmipur Raipur 58327 44598 76.5 338 Dhaka Keraniganj 143384 112195 78.2 412 Comilla Muradnagar 113760 86983 76.5 339 Netrokona Durgapur 46054 36035 78.2 413 Cox's Bazar Coxs Bazar 83014 63463 76.4 340 Faridpur Bhanga 54810 42884 78.2 414 Barguna Betagi 23448 17922 76.4 341 Barisal Uzirpur 47127 36871 78.2 415 Comilla Homna 40430 30879 76.4 342 Bhola Tajumuddin 26991 21114 78.2 416 Chittagong Doublemooring 45016 34381 76.4 343 Rangpur Gangachara 68605 53659 78.2 417 Sunamganj Sunamganj 43024 32850 76.4 344 Mymensingh Gafargaon 87220 68199 78.2 418 Chittagong Hathazari 73492 56100 76.3 345 Netrokona Netrokona Sadar 69555 54384 78.2 419 Pabna Sujanagar 62112 47398 76.3 346 Shariatpur Damoddya 23224 18156 78.2 420 Chandpur Sharasti 48257 36807 76.3 347 Barisal Bakerganj 64314 50270 78.2 421 Noakhali Begumganj 111088 84707 76.3 348 Jamalpur Islampur 65599 51273 78.2 422 Sylhet Companiganj 27802 21189 76.2 349 Kurigram Char Rajibpur 22642 17697 78.2 423 Comilla Chandina 76248 58094 76.2 350 Narshingdi Monohordi 57684 45081 78.2 424 Chittagong Anwara 47563 36234 76.2 351 Narshingdi Palash 41846 32702 78.1 425 Munshiganj Serajdikhan 58172 44303 76.2 352 Chandpur Faridganj 83490 65233 78.1 426 Munshiganj Lohajong 32165 24496 76.2 353 Netrokona Kendua 58354 45591 78.1 427 Netrokona Purbadhala 57291 43593 76.1 354 Pabna Chatmohor 74408 58088 78.1 428 Barguna Barguna Sadar 59629 45364 76.1 355 Kustia Khoksa 30622 23894 78.0 429 Sylhet Kanaighat 47328 35998 76.1 356 Mymensingh Nandail 84023 65551 78.0 430 Khagrachhari Manikchhari 11426 8684 76.0 357 Dhaka Savar 167564 130691 78.0 431 Noakhali Subarna Char 52525 39899 76.0 358 Tangail Mirzapur 95444 74437 78.0 432 Comilla Laksham 55999 42478 75.9 359 Pabna Pabna Sadar 135518 105648 78.0 433 Pabna Atghoria 35391 26823 75.8 360 Sunamganj Sulla 19702 15358 78.0 434 Brahmanbaria Nabinagar 92757 70297 75.8 361 Tangail Ghatail 103000 80245 77.9 435 Chandpur Kachua 80900 61295 75.8 362 Kishoreganj Mithamoin 23878 18601 77.9 436 Kurigram Kurigram Sadar 75490 57152 75.7 363 Cox's Bazar Ukhiya 38437 29940 77.9 437 Narayanganj Rupganj 94157 71262 75.7 364 Kustia Kushtia Sadar 117094 91155 77.8 438 Narayanganj Sonargaon 86207 65239 75.7 365 Brahmanbar Brahmanbaria 93661 72876 77.8 439 Manikganj Singair 63207 47820 75.7 366 Rangpur Kaunia 49244 38306 77.8 440 Noakhali Hatiya 75162 56859 75.6

Performance Report September 2018 ------30 Sl. Name of Name of Total Total CAR Sl. Name of Name of Total Total CAR No. District Upazila Couples Acceptors (%) No. District Upazila Couples Acceptors (%) 441 Manikganj Harirampur 31731 23992 75.6 464 Brahmanbaria Kashba 64429 47973 74.5 442 Chittagong 75406 57006 75.6 465 Tangail Shakhipur 68395 50917 74.4 443 Jhenaidaha Sailkupa 81429 61540 75.6 466 Kurigram Nageswari 100780 74969 74.4 444 Feni Parshuram 19871 14999 75.5 467 Comilla Comilla Sadar 82858 61583 74.3 445 Comilla Daudkandi 73048 55129 75.5 468 Kurigram Ulipur 104019 77293 74.3 446 Chittagong Satkania 68874 51940 75.4 469 Chandpur Motlab (North) 57810 42888 74.2 447 Tangail Nagarpur 65814 49581 75.3 470 Brahmanbaria Bijoy Nagar 50291 37248 74.1 448 Sylhet Biani Bazar 35337 26620 75.3 471 Brahmanbaria Nasirnagar 55459 41035 74 449 Barisal Babuganj 27028 20333 75.2 472 Comilla Nangolkot 75789 55970 73.8 450 Chittagong Sandwip 59796 44964 75.2 473 Chittagong Lohagora 49313 36414 73.8 451 Noakhali Chatkhil 45067 33823 75.1 474 Munshiganj Srinagar 58002 42827 73.8 452 Rangpur Badarganj 66330 49779 75.0 475 Feni Feni Sadar 90811 67024 73.8 453 Narayanganj Araihazar 81438 61112 75.0 476 Munshiganj Tongibari 37799 27886 73.8 454 Chittagong Rangunia 74326 55740 75.0 477 Munshiganj Gazaria 30642 22574 73.7 455 Lakshmipur Lakshmipur 137199 102746 74.9 478 Brahmanbaria Akhaura 30333 22338 73.6 456 Barisal Barisal Sadar 82954 62069 74.8 479 Feni Fulgazi 23995 17531 73.1 457 Feni 53995 40390 74.8 480 Chittagong Chandlaish 44281 32258 72.8 458 Khagrachha Ramgarh 12722 9506 74.7 481 Chittagong Patiya 98587 71812 72.8 459 Brahmanbar Sarail 54562 40760 74.7 482 Dhaka Nawabganj 70265 51034 72.6 460 Barisal Hizla 25250 18854 74.7 483 Chittagong Fatichhari 105861 76144 71.9 461 Gazipur Kapasia 70563 52635 74.6 484 Noakhali Companiganj 49953 35629 71.3 462 Brahmanbar Bancharampur 59097 44021 74.5 485 Feni Dagonbhuiyan 51641 36639 70.9 463 Barisal Muladi 30574 22767 74.5 486 Munshiganj Munshiganj 80516 56931 70.7

Table-16: List of Upazila achieved CAR 60-69% and <60 up to the end of Sept. 2018

Name of Total Sl. No. Name of Upazila Total Acceptors CAR (%) District Couples 1 Dhaka Dohar 46647 31699 68.0 2 Feni 34727 21331 61.4

Upazila position in CAR upto the end of August 2018 and September 2018

Sept.'18

> 486 486 August'18 500

400 ------

300

200 Nos. ofUpazilasNos. 100 2 2 0 0

0

------< 70% & above 60%-69% 0%-59%

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

Performance Report September 2018 ------31 Sl. Name of Name of Total Total CAR Sl. Name of Name of Total Total CAR No. District Upazila Couples Acceptors (%) No. District Upazila Couples Acceptors (%)

Performance Report September 2018 ------32 Table -17: Method wise Dropout and Switch Over by Division upto the end of September 2018 Number of Acceptors droppedout and Switch Over Oral Pill Condom Injectable IUD Implant Division No Switch Switch No Switch No Switch No Switch No Method Metho Over Over Method Over Method Over Method Over d Rangpur 8179 7041 1919 1822 4451 4488 442 360 994 1291 Rajshahi 10054 7013 3735 3248 4219 3599 439 347 948 1108 Khulna 8979 5467 3428 2482 4005 3336 495 333 913 743 Barisal 3744 2539 958 612 2663 2966 345 216 549 349 Dhaka 11485 7667 4707 3548 5537 4270 919 611 1437 1272 Mymensingh 5428 3048 1233 765 2186 1749 314 197 635 681 Chittagong 9828 5838 4058 2150 5575 3677 1064 589 1507 1056 Sylhet 4810 2826 1794 964 2335 1245 305 152 581 328 National 62507 41439 21832 15591 30971 25330 4323 2805 7564 6828

Table -18: Contraceptive Acceptors and Acceptance Rate by Division upto the end of August 2018 and September 2018 Total Total Number of Acceptors Division Month Eligible Permanent CAR (%) IUD Implant Injectable Oral Pill Condom Total Couple Method Aug-18 3608204 463700 69856 182165 629237 1391406 147547 2883911 79.9 Rangpur Sep-18 3610741 464294 70202 181367 629960 1392255 147951 2886029 79.9 Aug-18 4185098 487117 103522 179554 615973 1668419 360464 3415049 81.6 Rajshahi Sep-18 4187687 487628 103825 179848 616120 1668310 360806 3416537 81.6 Aug-18 3466291 427079 85340 147667 574143 1271108 282889 2788226 80.4 Khulna Sep-18 3467882 427258 85339 147078 574303 1271203 283297 2788478 80.4 Aug-18 1635004 140452 53174 92424 346463 584097 77145 1293755 79.1 Barisal Sep-18 1635492 140881 53346 92428 346232 584812 77309 1295008 79.2 Aug-18 5469297 558364 171324 243769 729604 2104800 473084 4280945 78.3 Dhaka Sep-18 5472013 559803 172032 244053 730297 2105029 473123 4284337 78.3 Aug-18 2254354 199704 55703 116089 316973 990253 108541 1787263 79.3 Mymensingh Sep-18 2255553 199896 55734 115567 317185 990753 108738 1787873 79.3 Aug-18 5044016 435725 186627 232843 849948 1818506 337265 3860914 76.5 Chittagong Sep-18 5047559 436627 188004 234891 849728 1819343 337146 3865739 76.6 Aug-18 1653205 210022 58021 80015 225261 613356 126758 1313433 79.5 Sylhet Sep-18 1654455 210681 57690 79947 225081 613487 126742 1313628 79.4 Aug-18 27315469 2922163 783567 1274526 4287602 10441945 1913693 21623496 79.2 National Sep-18 27331382 2927068 786172 1275179 4288906 10445192 1915112 21637629 79.2

Table -19: Status of Contraceptive Method-Mix based on CAR at the end of the Month of September 2018 Method Rangpur Rajshahi Khulna Barisal Dhaka MymensinghChittagong Sylhet National Permanent Method 16.1 14.3 15.3 10.9 13.1 11.2 11.3 16.0 13.5

I U D 2.4 3.0 3.1 4.1 4.0 3.1 4.8 4.4 3.6 Implant 6.3 5.3 5.3 7.1 5.7 6.5 6.1 6.1 5.9 Injectables 21.8 18.0 20.6 26.7 17.1 17.7 22.0 17.1 19.8 Oral Pill 48.3 48.8 45.6 45.2 49.1 55.4 47.1 46.7 48.3 Condom 5.1 10.6 10.1 6.0 11.0 6.1 8.7 9.7 8.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Performance Report September 2018 ------32 Method-Mix for the month of September 2018

Per.Method Per.Method Condom Per.Method Rangpur (Male) National Condom (Male) Per.Method 5.1% (Female) 3.7% (Female) 6.8% 8.9% 9.3% Per. Method 9.8% Per. Method (Total) (Total) 13.5% 16.1%

I U D I U D 3.6% 2.4% Implant Implant 5.9% Oral Pill 6.3% Oral Pill 48.2% 48.3% Injectable Injectable 19.8% 21.8%

Rajshahi Per.Method Per.Method Khulna Condom (Male) Per.Method (Female) Condom Per.Method 10.6% 3.6% (Male) Per. Method 10.7% Per. Method 10.2% (Female) (Total) 3.0% 12.3% (Total) 14.3% 15.3% I U D 3.0% I U D 3.1% Implant Implant 5.3% 5.3%

Oral Pill Injectable Oral Pill Injectable 48.8% 18.0% 45.6% 20.6%

Per.Method Condom Per.Method(F Per.Method Barisal (Male) Dhaka Condom Per.Method Method-Mix for the Reporting month 6.0% emale) (Male) (Female) 4.4% 9.6% 6.5% Per. Method 2.8% 10.3% Per. Method Method (Total) (Total) 10.9% 13.1% Per.Method(Male) I U D 4.1% I U D 4.0% I U D Implant 5.7% Implant Implant 7.1% Injectable Oral Pill Injectable Oral Pill Injectable 49.1% Oral Pill 45.2% 17.0% 26.7% Condom

Chittagong Per.Method Sylhet Total Per.Method Per.Method Condom (Male) Per. Method Per.Method (Female) Condom (Male) (Female) 8.7% 2.2% (Total) 9.1% 9.7% 4.8% 11.2% 11.3% Per. Method (Total) 16.0% I U D 4.9% I U D 4.4% Implant 6.1% Implant 6.1% Oral Pill Oral Pill Injectable 47.1% Injectable 46.7% 17.1% 22.0% Mymensingh Per.Method Per.Method Condom (Female) (Male) Per. Method 6.1% 6.8% 4.4% (Total) 11.2% I U D 3.1% Implant 6.5%

Injectable 17.7% Oral Pill 55.4%

Performance Report September 2018 ------33 Table -20: Performance by type of MCH services for the month of August 2018 and September 2018 (in Number) Performance % Change of Services September'18 August'18 September'18 over August'18

Number of Pregnant Women 893324 904950 1.3 No. of High Risk Pregnant Mother Referred 4869 5153 5.8 1st visit (within 4 Month) 179049 196022 9.5 2nd visit (within 6 Month) 166533 175225 5.2 Antenatal Care 3rd visit (within 8 Month) 143674 153413 6.8 4th visit (in 9th month) (including MCHTI, 120429 125027 3.8 MFSTC & FWVTI-Raj) Delivery conducted in MCHTI, MFSTC, FWVTI- Normal 31056 32274 3.9 Rajshahi, MCWC, UHC, UH&FWC & NGO C-Section 24745 27230 10.0 Clinics Total Delivery 55801 59504 6.6 PNC-1 (within 24 Hour) 47689 53217 11.6

Postnatal Care (including MCHTI, MFSTC, FWVTI- PNC-2 (within 2- 3 day) 43309 46666 7.8 Raj, MCWC, UHC, UH&FWC) PNC-3 (within 7 -14 day) 51226 55455 8.3 PNC-4 (within 42-48 day) 69677 74011 6.2 Treatment of RTI/STI (MCHTI, MFSTC, FWVTI-Raj & MCWCs) 81231 82469 1.5 1st dose 122294 123068 0.6 2nd dose 117794 122265 3.8 TT for Women (15 - 49 Yrs.) 3rd dose 117654 120098 2.1 4th dose 109660 111891 2.0 5th dose 110287 112827 2.3 Immunization BCG (Vaccine) 122245 130146 6.5 PCV 1 136149 151869 11.5 OPV & Pentavalent (DPT,Hep-B,Hib) PCV 2 145187 140984 -2.9 3 138642 139015 0.3 PCV 3 135702 138448 2.0 MR & OPV-4 131432 137405 4.5 Measles (Vaccine) 1962778 2202965 12.2 General Treatment 110705 113199 2.3 Number of ECP acceptors 4300 4808 11.8 Number of MR done ( Both Govt. & NGOs ) 10277 10841 12.0 Total Live Births 104349 111376 6.7 Still Births (Including MCHTI, MFSTC & FWVTI-Raj ) 222 202 -9.0 Neonatal Deaths (0 - 28 day) 318 318 0.0 Infant Death (29 days -<1 Yr.) 94 127 35.1 Child Death (1 - <5Yrs.) 177 185 4.5 Death Maternal Deaths 87 85 -2.3 Other Death 20528 22157 7.9 Total Death 21204 22872 7.9 No. of Health Education in UH&FWC 18633 17023 -8.6

Performance Report September 2018------34 Table -21: Performance by type of Nutrition services for the month of August 2018 and September 2018 Performance % Change of Services September'18 August'18 September'18 over August'18

Counseling on IYCF, IFA, Vitamin-A & Hand washing 166430 181562 9.1

Received IFA (Pregnant women & Lactating mother) 305366 367849 20.5

Received MNP Sachet (6-23 months) 11079 10574 -4.6

Breast feeding within 1-hour of birth (0-<6 months child) 69087 72270 4.6

Exclusive Breast feeding (up to 6 months) 321055 105309 -67.2

Complimentary feeding (after 6 months) 191488 196722 2.7

Received Vitamin-A (6-59 months Child) 7583 7871 3.8

Received anti-helminthics Tablet (24-59 months Child) 37178 40997 10.3

Received Zink pill with ORS (Suffering form diarrhoea) 6831 6796 -0.5

Suffering from MAM 6526 7095 8.7

Suffering from SAM & Referred 2393 2759 15.3

No. of Child Stunting 4761 5091 6.9

Nutrition Services for Pregnant Women, 0-59 months aged child and Mother and child aged months 0-59 Women, Services Pregnant for Nutrition No. of Child Wasting 4482 5068 13.1

No. of Child Under weight 6364 5663 -11.0

Performance Report September 2018 ------35 Annex - A: Summary of the Couples and Acceptors by Month since April 2018

Indicators Apr'18 May'18 June'18 July'18 August'18 September'18

Number of Total Couples 27239523 27264958 27288541 27290005 27315469 27331382

Number of Total Acceptors 21550807 21567329 21588316 21598157 21623496 21637629 Method Specific Acceptors

Permanent Method (Male) 801865 803391 803606 803797 804864 804864

Permanent Method (Female) 2103421 2106007 2108756 2112556 2117299 2117299

Permanent Method (Total) 2905286 2909398 2912362 2916353 2922163 2922163

IUD (Users) 781467 780588 780283 781728 783567 783567

Implant (Users) 1254921 1260393 1263139 1271187 1274526 1274526

Injectable (Users) 4271198 4276298 4280964 4282729 4287602 4287602

Oral Pill (Acceptors) 10423930 10429573 10438279 10434690 10441945 10441945

Condom (Acceptors) 1914005 1911079 1913279 1911470 1913693 1913693

CAR (Contraceptive Acceptance Rate) 79.1 79.1 79.1 - 79.2 79.2

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 April 2018

Indicators Apr'18 May'18 June'18 July'18 August'18 September'18

Permanent Method (Male, Cases) 3218 2660 2406 4519 3118 3441

Permanent Method (Female, Cases) 6518 6315 5219 8752 6146 7584

Permanent Method (Total, Cases) 9736 8975 7625 13271 9264 11025

I U D (in cases) 10388 8803 8557 15110 13018 16101

Implant (Cases) 31935 19460 13592 30853 15560 17085

Injectables (Doses) 944282 940487 853709 975018 933445 928746

Oral Pill (Cycles) 6589590 6656363 6757409 7280007 7130461 7458048

Condom (Pieces) 6579709 6254242 6630889 7877110 7876697 8601531 Performance by types of MCH services by month since April 2018 Services Apr'18 May'18 June'18 July'18 August'18 September'18

Number of Pregnant Women 878223 888410 869923 881357 893324 904950

No. of High Risk Pregnant Mother Referred 4386 4470 4357 5102 4869 5153

st 1 visit (within 4 Month) 177313 183136 167121 198736 179049 196022

nd 2 visit (within 6 Month) 158033 166749 158589 174480 166533 175225 rd Antenatal Care 3 visit (within 8 Month) 137451 138946 135374 147450 143674 153413

th th 4 visit (in 9 month) (including 119251 120870 115874 127221 120429 125027 MCHTI, MFSTC & FWVTI-Raj)

Performance Report September 2018 ------36 Services Apr'18 May'18 June'18 July'18 August'18 September'18

Normal 30366 30997 28921 29729 31056 32274

Institutional Delivery* Caesarian 23626 25278 23821 24756 24745 27230

Total 53992 56275 52742 54485 55801 59504

At Home by Trained Persons 39566 39220 38141 37538 37152 38571 Non-Institutional At Home by Non-Trained Persons 12339 12315 11848 11257 11071 12070 Delivery Total 51905 51535 49989 48795 48223 50641

Total Delivery 105897 107810 102731 103280 104024 110145

PNC-1 (within 24 Hour) 48687 48368 46291 47466 47689 53217

PNC-2 (within 2- 3 day) 44351 44716 44390 42978 43309 46666

Postnatal Care PNC-3 (within 7 -14 day) 51404 52438 49696 52565 51226 55455

PNC-4 (within 42-48 day) (including 66732 69367 66328 70678 69677 74011 MCHTI, MFSTC & FWVTI-Raj)

Treatment of RTI/STI (MCHTI, MFSTC, FWVTI Raj. & 77291 73949 73930 85617 81231 82469 MCWCs) st 1 dose 129829 121689 117940 120964 122294 123068 nd 2 dose 121842 120290 116353 117468 117794 122265 TT for Women rd 117869 116719 114876 116824 117654 120098 (15 - 49 Yrs.) 3 dose th 4 dose 110276 109104 106603 109005 109660 111891 th 5 dose 108609 110766 106698 109482 110287 112827

Immunization

BCG (Vaccine) 126269 128087 120949 128483 122245 130146

PCV 1 140443 142782 135168 147423 136149 151869 OPV & Pentavalent PCV 2 144983 142142 136471 143055 145187 140984 (DPT,Hep-B,Hib) 3 145573 142911 136478 145545 138642 139015

PCV 3 143907 143099 133100 140203 135702 138448

MR & OPV-4 136530 142196 133817 141725 131432 137405

Measles (Vaccine) 120791 118511 112528 119693 110705 113199

Number of ECP acceptors 7310 5814 5045 5043 4300 4808

Number of MR done ( Both Govt. & NGOs ) 12734 12984 9980 11983 10277 10841

General Treatment 2023136 1886983 1744504 2162473 1962778 2202965

*Total Live Births 108766 109686 104710 104840 104349 111376

Still Births (Including MCHTI, MFSTC & FWVTI-Raj) 183 155 161 199 222 202

Neonatal Death (0 - 28 day) 248 253 229 233 318 318

Infant Death (29 days -<1 Yr.) 100 87 88 116 94 127

Child Death (1 -< 5 Yrs.) 129 188 180 226 177 185 Death Maternal Death 66 57 44 51 87 85

Other Death 21771 22143 19520 21923 20528 22157

Total Death 22314 22728 20061 22549 21204 22872 * Live births conducted at Govt. MCH, DH, MCWC, UHC, UH&FWC, NGOs and Home. The information is colleted by FWAs through field visit.

Performance Report September 2018 ------37 Annex - B: Performance of RH-EOC of MCWCs, MCHTI, MFSTC & FWVTI-Raj for the month of September 2018

ANC ANC Delivery Gen. RTI/ Child Care Immuni Tubec Oral pill Condom SL # Name of MCWC Status PNC Med. tr S.B IUFD MR NSV Implant IUD Injectable (1st visit) (total) NVD C/S Total Pt STI 0-1yr 1-5yr zation tomy (person) (person) Rajshahi Division 1 Bogra C- EOC 323 883 126 82 30 112 173 0 8 146 18 0 1 0 1036 1 0 51 3 12 52 70 2 Dupchacia, Bogra B-EOC 199 60 33 0 33 363 21 0 31 59 0 0 0 19 14 7 36 4 9 23 13 3 Naogaon C-EOC 409 46 31 4 35 433 16 11 36 82 0 0 0 97 61 2 86 4 2 141 30 4 Joypurhat C- EOC 114 443 106 44 11 55 620 44 27 130 240 0 0 5 523 50 0 118 17 19 41 54 5 Rajshahi C- EOC 393 826 65 42 20 62 715 52 11 60 119 0 0 0 0 11 0 3 7 15 26 29 6 Natore C- EOC 200 343 58 56 0 56 170 21 4 70 529 0 1 20 513 1 0 57 54 2 145 150 7 Pabna C- EOC 302 940 271 129 40 169 598 80 0 354 412 0 0 2 135 7 1 24 23 34 131 49 8 Sirajganj C- EOC 264 458 124 71 3 74 541 51 2 121 130 0 0 15 1169 1 1 16 8 18 62 35 9 Chapai-Nawabganj C- EOC 336 572 65 57 1 58 296 13 0 25 120 0 0 4 0 44 0 10 19 108 130 108 Rangpur Division 10 Rangpur C- EOC 143 586 226 45 26 71 494 200 494 49 149 0 0 10 0 0 149 13 20 250 148 85 11 Dinajpur C- EOC 580 390 50 15 65 490 0 0 63 140 0 0 10 469 2 0 25 8 60 47 30 12 Thakurgaon C- EOC 186 613 113 33 9 42 974 22 0 62 118 0 0 1 0 0 0 14 7 114 70 25 13 Gaibandha C-EOC 530 712 404 337 6 343 5252 62 22 363 116 0 2 20 0 9 35 35 7 37 75 29 14 Nilphamari C- EOC 146 476 95 70 1 71 771 26 20 93 190 0 1 11 0 2 3 1 4 79 58 3 15 Syedpur, Nilphamari B- EOC 101 181 102 68 0 68 322 12 12 164 134 0 0 3 0 3 0 0 16 217 120 45 16 Kurigram C-EOC 247 407 96 58 0 58 190 27 5 60 11 0 0 9 280 2 0 0 3 50 97 17 17 Lalmonirhat C- EOC 199 470 105 24 0 24 450 27 4 155 125 0 0 5 385 1 0 0 1 93 82 24 18 Panchagore C-EOC 104 412 331 53 0 53 725 0 15 86 52 0 0 22 360 18 0 65 7 100 24 4 19 Boda, Panchagar C-EOC 55 119 110 32 0 32 379 80 50 50 90 0 0 14 0 12 0 0 0 190 70 4 Dhaka Division 20 Narayanganj C- EOC 187 379 59 12 11 23 0 15 0 236 111 0 0 0 302 2 0 13 9 68 73 47 21 Munshiganj C- EOC 200 437 41 21 0 21 248 5 0 46 98 0 0 8 464 41 0 20 5 24 76 34 22 Manikganj C- EOC 402 629 44 16 10 26 0 18 446 165 225 0 0 38 318 1 79 0 2 58 660 300 23 Narsingdi C-EOC 900 2049 454 70 36 106 1383 75 4 669 651 0 0 0 0 3 0 65 27 101 118 0 24 Tangail C-EOC 250 301 143 22 3 25 1740 398 0 100 175 0 0 0 681 45 0 20 1 78 105 35 25 Madaripur C- EOC 77 580 119 70 18 88 229 25 11 164 51 0 0 7 0 27 0 0 14 246 329 58 26 Rajbari C- EOC 220 524 60 22 23 45 687 46 9 82 158 0 1 11 615 32 3 0 15 5 49 18 27 Faridpur C- EOC 169 275 101 26 14 40 296 22 0 55 112 0 0 8 228 2 0 25 15 285 321 102 28 Kishoreganj C- EOC 92 437 166 55 14 69 267 12 0 137 192 0 0 22 69 46 1 20 10 138 613 261 29 Gopalganj C- EOC 154 30 17 11 28 720 8 0 38 147 0 0 10 0 20 0 0 0 31 138 0 Mymensingh Division 30 Jamalpur C- EOC 360 103 53 6 59 712 38 2 78 209 0 0 17 35 40 0 0 8 57 200 131 31 Netrokona C-EOC 876 131 63 11 74 365 63 5 216 313 0 0 6 766 51 7 39 1 108 220 79 32 Mymensingh C-EOC 83 554 215 94 21 115 1079 25 0 284 316 0 0 0 0 4 53 74 22 41 92 62 33 Sherpur C-EOC 120 500 136 102 0 102 320 26 0 131 235 0 0 7 0 32 1 76 2 52 97 20 Khulna Division 34 Jessore C- EOC 419 34 18 0 18 234 25 31 31 34 0 0 6 337 19 2 32 3 29 26 27 35 Magura C- EOC 216 326 97 42 0 42 212 20 4 44 35 0 1 32 0 64 1 9 12 100 129 30 36 Narail C-EOC 172 280 50 39 5 44 626 14 237 309 0 0 0 201 0 0 0 2 21 35 42 37 Jhenaidah C-EOC 150 332 55 14 0 14 1006 138 1 47 158 0 0 52 14 3 0 26 9 184 270 156

Performance Report September‚ 2018---- 38 ANC ANC Delivery Gen. RTI/ Child Care Immuni Tubec Oral pill Condom SL # Name of MCWC Status PNC Med. tr S.B IUFD MR NSV Implant IUD Injectable (1st visit) (total) NVD C/S Total Pt STI 0-1yr 1-5yr zation tomy (person) (person) 38 Meherpur C- EOC 69 109 20 6 0 6 561 9 18 93 148 0 0 0 102 17 0 15 0 8 14 37 39 Chuadanga C-EOC 141 409 104 35 17 52 571 7 8 51 146 0 0 5 0 54 1 0 10 51 28 38 40 Khulna C-EOC 227 514 57 19 22 41 662 5 21 242 127 0 0 0 314 6 0 6 14 43 77 67 41 Bagerhat C-EOC 59 163 128 55 6 61 611 98 13 1186 1358 1 1 15 433 2 0 4 3 51 117 38 42 Satkhira C- EOC 102 460 87 11 11 22 917 71 9 93 271 0 0 15 143 32 0 28 3 91 148 150 43 Nalta,Kaliganj,Satkhira B-EOC 54 286 62 31 0 31 314 9 0 36 11 0 0 4 36 10 0 8 11 16 26 16 44 Kustia C-EOC 206 378 109 40 0 40 650 68 10 242 363 0 0 3 130 2 0 32 17 20 28 56 45 Kumarkhali, Kustia C- EOC 120 197 73 30 0 30 320 26 0 59 90 0 0 0 248 19 3 44 15 7 53 45 Barisal Division 46 Barisal C-EOC 92 132 29 19 3 22 280 10 29 27 84 0 0 0 251 3 1 11 11 47 231 79 47 Gournadi, Barisal C-EOC 53 16 9 0 9 223 21 0 20 23 0 0 6 29 16 1 28 3 62 6 124 48 Bhola C-EOC 75 146 70 55 7 62 247 18 0 5 88 0 0 0 0 7 0 49 2 10 108 15 49 Lalmohon, Bhola C- EOC 32 119 118 15 105 120 105 620 40 188 194 0 1 2 17 3 6 81 10 27 43 5 50 Barguna C-EOC 46 118 69 15 0 15 626 12 0 111 178 0 0 1 77 16 2 0 0 38 62 10 51 Pirojpur C- EOC 97 232 22 20 0 20 666 5 0 21 141 0 0 3 0 1 1 46 28 167 294 32 52 Jhalokhati C-EOC 30 125 114 14 8 22 956 12 2 226 263 0 1 6 125 16 1 0 13 223 229 77 53 Patuakhali C- EOC 581 116 11 30 41 733 25 1 124 185 0 1 18 241 28 0 36 33 179 144 30 Chittagong Division 54 Cox's Bazar C- EOC 319 922 318 95 6 101 782 99 50 402 193 1 0 18 426 5 6 70 13 168 103 40 55 Khagrachari C- EOC 20 46 54 43 9 52 0 5 8 53 67 0 0 0 0 1 1 2 24 17 27 4 56 Bandarban C- EOC 62 102 54 25 2 27 337 50 0 63 39 0 0 5 168 1 11 1 3 127 513 132 57 Rangamati C- EOC 67 93 39 15 3 18 346 8 0 38 53 0 0 8 1061 3 3 3 0 60 54 10 58 B. Baria C- EOC 357 556 82 50 4 54 394 17 1 413 77 0 0 1236 8 0 94 14 100 263 5 59 Comilla C- EOC 130 935 148 23 29 52 377 138 0 115 124 0 0 8 1852 15 8 41 17 66 90 35 60 Nangalkot, Comilla B-EOC 47 74 84 84 0 84 116 13 0 15 34 0 0 4 0 32 0 5 10 6 70 14 61 Feni C- EOC 475 1040 107 81 5 86 321 20 4 248 230 0 0 10 53 0 1 17 5 27 60 36 62 Chandpur C- EOC 435 933 97 37 11 48 232 35 0 97 91 0 0 7 125 28 0 142 20 101 221 64 63 Laxmipur C- EOC 280 761 292 81 0 81 320 0 0 95 12 0 0 27 358 38 1 42 8 133 387 105 64 Noakhali C-EOC 60 77 24 10 2 12 361 5 0 40 40 0 0 5 29 3 0 137 11 23 25 13 65 Begumganj, Noakhali C-EOC 185 62 46 0 46 82 28 1 14 26 0 0 2 0 46 0 236 15 236 97 23 66 Pauchuria, Patiya C- EOC 241 105 60 0 60 421 6 0 18 66 0 0 1 0 0 0 6 0 20 7 0 67 Bakolia,Ctg C- EOC 0 135 89 23 6 29 1105 12 9 225 227 0 0 2 0 0 0 0 8 34 26 16 Sylhet Division 68 Sylhet C-EOC 28 3 0 0 0 162 0 0 6 90 0 0 0 0 2 0 11 0 24 38 1 69 Hobiganj C- EOC 70 238 104 78 4 82 295 5 8 32 33 0 0 7 252 8 5 44 25 22 56 24 70 Sunamganj C-EOC 71 240 142 41 4 45 311 42 4 38 80 0 0 12 283 27 3 57 18 33 568 68 71 Moulavibazar C- EOC 207 339 101 34 11 45 700 15 5 129 319 0 0 12 178 21 1 10 4 197 158 38 Others : 72 MCHTI , Dhaka C-EOC 1557 4908 1059 122 291 413 1350 23 1260 1457 0 0 0 0 1725 22 258 44 66 60 208 235 73 MFSTC, Dhaka C-EOC 1931 898 164 362 526 1393 51 0 1615 575 0 0 36 4157 36 184 0 76 45 14 46 74 FWVTI, Rajshahi C-EOC 147 423 71 21 8 29 500 17 14 26 162 0 0 4 3 7 0 5 10 52 45 75 Total 12535 37270 10058 3589 1315 4904 ##### 3944 2727 12741 ##### 2 11 621 23068 1206 843 2328 889 5626 9731 4009

Performance Report September‚ 2018---- 39 Annex - C : City Corporation wise Contraceptive Performance (Part of the City Corporation) for the month of September 2018

Permanent Method Name of the City Corporation Oral Pill (Cycles) Condom (Pieces) Injectable (Vials) IUD (Cases) Implant (Nos) Male Female Total

Rangpur City Corporation 20448 23452 3291 66 33 20 58 78

Rangpur Division 20448 23452 3291 66 33 20 58 78

Rajshahi City Corporation 12492 38897 3113 56 35 13 139 152

Rajshahi Division 12492 38897 3113 56 35 13 139 152

Khulna City Corporation 34950 90513 5044 189 15 79 21 100

Khulna Division 34950 90513 5044 189 15 79 21 100

Barisal City Corporation 9599 22524 1336 54 46 56 44 100

Barisal Division 9599 22524 1336 54 46 56 44 100

Dhaka City Corporation 38843 123137 7835 261 144 123 165 288

Gazipur City Corporation 37703 94713 4188 136 120 29 13 42

Narayanganj City Corporation 26486 35244 3505 28 13 0 5 5

Dhaka Division 103032 253094 15528 425 277 152 183 335

Chittagong City Corporation 27459 94377 8224 391 214 156 102 258

Comilla City Corporation 8442 14239 1173 64 31 43 19 62

Chittagong Division 35901 108616 9397 455 245 199 121 320

Sylhet City Corporation 8365 13074 839 1 1 0 3 3

Sylhet Division 8365 13074 839 1 1 0 3 3

Total 224787 550170 38548 1246 652 519 569 1088

Performance Report September 2018----- 40 Annex - D : Contraceptive Acceptors and Acceptance Rate (CAR) of part of the City Corporation area end of the month of September 2018 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 104491 37570 8282 18546 1198 5013 3442 6257 9699 80308 76.9

Rangpur Division 104491 37570 8282 18546 1198 5013 3442 6257 9699 80308 76.9

Rajshahi City Corporation 102487 32628 27151 16191 717 1877 585 6011 6596 85160 83.1

Rajshahi Division 102487 32628 27151 16191 717 1877 585 6011 6596 85160 83.1

Khulna City Corporation 135121 39423 27694 19980 4676 7759 4905 5456 10361 109893 81.3

Khulna Division 135121 39423 27694 19980 4676 7759 4905 5456 10361 109893 81.3

Barisal City Corporation 25390 10395 4490 2170 237 1461 223 843 1066 19819 78.1

Barisal Division 25390 10395 4490 2170 237 1461 223 843 1066 19819 78.1

Dhaka City Corporation 116601 37748 15381 18700 3764 5586 5031 7083 12114 93293 80.0

Gazipur City Corporation 127923 53275 13212 14563 3841 5209 2088 8635 10723 100823 78.8

Narayanganj City Corporation 111374 41061 12429 15630 2659 3981 3975 5797 9772 85532 76.8

Dhaka Division 355898 132084 41022 48893 10264 14776 11094 21515 32609 279648 78.6

Chittagong City Corporation 80003 27668 10815 9529 3191 4510 2014 3627 5641 61354 76.7

Comilla City Corporation 40607 12456 3778 8113 2528 3381 1604 1391 2995 33251 81.9

Chittagong Division 40607 12330 4218 8027 2312 3105 1504 1285 2789 32781 80.7

Sylhet City Corporation 30257 11437 3746 3533 528 1463 780 2483 3263 23970 79.2

Sylhet Division 30257 11437 3746 3533 528 1463 780 2483 3263 23970 79.2 Total 794251 275867 116603 117340 19932 35454 22533 43850 66383 631579 79.5

Performance Report September 2018------41 Annex - E: City Corporation wise MCH Performance (Part of the City Corporation) for the month of September 2018 Antenatal Care Live Birth Delivery Postnatal Care

Total by Non- PNC-3 (in PNC-4 (in Name of the City Corporation Pregnant 1st visit (in 2nd visit 3rd visit 4th visit (in 9 by Trained PNC-1 (in PNC-2 (in 2nd- trained Normal C-Section 7th-14th 42 -48 Mother 4 month) (in 6 month) (in 8 month) month) Person 24 Hour) 3rd day) Person day) day)

Rangpur City Corporation 3147 1302 931 905 634 98 0 119 100 244 160 246 337

Rangpur Division 3147 1302 931 905 634 98 0 119 100 244 160 246 337

Rajshahi City Corporation 5094 2138 1814 2035 1892 0 0 206 146 554 409 251 223

Rajshahi Division 5094 2138 1814 2035 1892 0 0 206 146 554 409 251 223

Khulna City Corporation 13564 2858 4192 3949 3445 318 7 254 554 1473 1475 1504 1509

Khulna Division 13564 2858 4192 3949 3445 318 7 254 554 1473 1475 1504 1509

Barisal City Corporation 2762 208 255 194 148 6 2 45 12 82 42 61 62

Barisal Division 2762 208 255 194 148 6 2 45 12 82 42 61 62

Dhaka City Corporation 2027 846 708 852 1038 84 5 80 37 14 26 118 193

Gazipur City Corporation 2491 1314 1099 948 1043 118 14 149 272 341 352 310 220

Narayanganj City Corporation 1616 434 320 283 207 42 4 29 30 54 37 31 76

Dhaka Division 6134 2594 2127 2083 2288 244 23 258 339 409 415 459 489

Chittagong City Corporation 934 3959 3680 3100 3851 15 0 540 492 1969 1989 2426 2153

Comilla City Corporation 1201 374 623 735 299 6 0 109 35 223 62 144 182

Chittagong Division 2135 4333 4303 3835 4150 21 0 649 527 2192 2051 2570 2335

Sylhet City Corporation 1062 60 74 50 46 17 2 32 28 15 29 34 8

Sylhet Division 1062 60 74 50 46 17 2 32 28 15 29 34 8

Total 33898 13493 13696 13051 12603 704 34 1563 1706 4969 4581 5125 4963

Performance Report September 2018------42 TT for Woman (15-49 Yrs.) No. of immunized Child

OPV & Pentavalent (DPT,Hab-B,Hib) Name of the City Corporation

1st dose 2nd dose 3rd dose 4th dose 5th dose Acceptor

PCV 1 PCV 2 3

BCG(Vaccine)

No.of done MR

No.of Misoprostol

No. of ECP Acceptor No.of ECP Treatmentof RTI/STI

Rangpur City Corporation 114 105 97 98 112 5 52 211 933 222 273 259 265

Rangpur Division 114 105 97 98 112 5 52 211 933 222 273 259 265

Rajshahi City Corporation 346 303 319 273 288 23 207 136 569 484 620 604 544

Rajshahi Division 346 303 319 273 288 23 207 136 569 484 620 604 544

Khulna City Corporation 715 817 841 785 708 1 84 25 1548 902 1295 1150 1078

Khulna Division 715 817 841 785 708 1 84 25 1548 902 1295 1150 1078

Barisal City Corporation 88 94 77 63 55 0 0 278 274 118 127 94 87

Barisal Division 88 94 77 63 55 0 0 278 274 118 127 94 87

Dhaka City Corporation 59 181 111 115 1834 34 290 62 93 0 0 0 0

Gazipur City Corporation 1078 963 918 798 808 16 177 266 966 1429 1393 1260 1115

Narayanganj City Corporation 439 419 391 331 315 37 74 16 74 348 462 431 395

Dhaka Division 1576 1563 1420 1244 2957 87 541 344 1133 1777 1855 1691 1510

Chittagong City Corporation 1443 1422 934 935 4 181 458 4240 1533 2203 1690 1862 1612

Comilla City Corporation 204 217 161 147 3 0 224 978 241 440 381 245 306

Chittagong Division 1647 1639 1095 1082 7 181 682 5218 1774 2643 2071 2107 1918

Sylhet City Corporation 166 148 135 113 91 2 34 0 8 152 167 152 118

Sylhet Division 166 148 135 113 91 2 34 0 8 152 167 152 118

Total 4652 4669 3984 3658 4218 299 1600 2236 6239 6298 6408 6057 5520

Performance Report September 2018------43 Rajshahi Division CityRajshahi Corporation DivisionRangpur Rangpur City Corporation Sylhet Division Sylhet City Corporation Division Chittagong Comilla City Corporation Chittagong City Corporation Dhaka Division Narayanganj City Corporation Gazipur City Corporation CityDhaka Corporation Barisal Division Barisal City Corporation DivisionKhulna Khulna City Corporation Name of the City the Name of Corporation Performance 2018------Report September Total 5775 1862 1563 1694 1358 1401 1401 157 157 299 336 374 374 208 208 79 79 0 PCV 3 No. of immunized Child immunized of No.

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MR & OPV-4 3780 1225 1029 1348 196 360 988 581 581 290 290 155 155 91 91 90 90 0 Measles (Vaccine) 4038 1079 1172 1172 135 135 150 929 890 190 513 187 352 352 345 345 65 65 Total live birth 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 Still birth

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Child (0-28) days

2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 Child (29 days to < 1 year) No. of Death Death of No.

2 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 No. of death child (1- 5year)

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Maternal Death 255 140 13 13 30 30 57 52 31 35 35 29 29 0 0 0 8 8 No. of Others Death General Patient 124839 37671 32368 19227 13129 29650 29650 25503 25503 10977 10977 5303 1417 4681 1665 1665 146 146 44