REPORT February 2018

Method-Mix for the month of February 2018 National

Per.Method (Male)Per.Method 3.7% (Female) Condom 9.7% 8.9% I U D 3.6% Implant 5.7%

O ral Pill Injectable 48.5% 19.9%

FAMILY PLANNING, MATERNAL & CHILD HEALTH, REPRODUCTIVE HEALTH AND NUTRITION SERVICES

Management Information System (MIS) Services and Personnel (FP) Directorate General of Family Planning 6 Kawran Bazar, - 1215 Government of the People's Republic of Management Information Systems (MIS) Directorate General of Family Planning 6, Kawran Bazar, Dhaka-1215 www.dgfp.gov.bd No. DGFP/MIS/2004/35/324 Date: 18/04/2018 Secretary Medical Education & Family Welfare Division Ministry of Health & Family Welfare Bangladesh Secretariat, Dhaka. Sub: Monthly Progress Report on Performance of Family Planning, MCH, Reproductive Health and Nutrition Services Sir, Progress Report on Performance of Family Planning, Maternal & Child Health, Reproductive Health and Nutrition Services for the month of August 2017 is submitted herewith for your kind information. Yours obediently,

(Kazi Mustafa Sarwar) Director General Directorate General of Family Planning Phone: 9118903 No. DGFP/MIS/2004/ 35/799/1(210) Date: 18/04/2018 Distribution (A): 28. Librarian, Medical Education and Family Welfare Division, Ministry of 1. Principal Secretary to the Honorable Prime Minister, Prime Minister’s Health & Family Welfare, Bangladesh Secretariat, Dhaka. Office, Tejgaon, Dhaka. 29. P.A to Director General, Directorate General of Family Planning, 6, 2. Senior Secretary, Finance Division, Ministry of Finance, Bangladesh Kawran Bazar, Dhaka-1215. Secretariat, Dhaka. 30. Documentation Centre, IEM Unit, DGFP, 6, Kawran Bazar, Dhaka-1215. 3. Secretary, Ministry of Planning, Planning Commission, Sher-e-Bangla Distribution (C): Nagar, Dhaka. 1. Mr. Peter Herzig, Health Advisor and Chairperson, HNP Consortium, 4. Member, SEI Division, Planning Commission, Sher-e-Bangla Nagar, European Commission. House-7, Road#84, Gulshan-2, Dhaka. Dhaka. 2. Task Team Leader, Health and Population Program Project, World Bank, 5. P. S. to the Honorable Prime Minister, Prime Minister’s Office, Tejgaon, Dhaka. E-32, Agargaon, Sher-e-Bangla Nagar, Dhaka-1207. 6. Additional Secretary, Medical Education & Family Welfare, Ministry of 3. Chief, Population & Health, USAID (US Embassy), Madani Avenue, Health & Family Welfare, Bangladesh Secretariat, Dhaka. Gulshan-2, Dhaka. 7. Divisional Commissioner, ______Division. 4. Representative, UNFPA, IDB Bhaban, E/8 Begum Rokeya Sharani, Sher-e- 8. Joint Secretary (FW & Program), Medical Education and Family Welfare, Bangla Nagar, Dhaka-1207. Ministry of Health & Family Welfare, Bangladesh Secretariat, Dhaka. 5. Representative, WHO, House No-12, Road No. 7, Dhanmondi R/A, Dhaka. 9. Joint Chief, Population Wing, Planning Commission, Sher-e-Bangla Nagar, 6. Representative, UNICEF, 1 No. Mintu Road, Extension Building (Hotel Dhaka. Sheraton), Dhaka 10. Joint Chief (Planning), Medical Education and Family Welfare, Ministry of 7. Representative, Population Council, House No. CES(B)-21, Road 118, Gulshan, Health & Family Welfare, Bangladesh Secretariat (Clinic Building), Dhaka. Dhaka. 11. Joint Chief (Planning), Monitoring and Evaluation Unit, Medical Education 8. Director General, FPAB, 2, Naya Paltan, Dhaka. and Family Welfare, Janashakhya Bhaban, Azimpur, Dhaka. 9. Director, ICDDR’B, Mohakhali, Dhaka-1212 12. Deputy Commissioner, ______District. 10. Executive Director, BAVS, 7/5, Main Road, Mirpur-2, Dhaka. 13. P.S. to the Honorable Minister, Ministry of Planning, Sher-e-Bangla Nagar, 11. Managing Director, Social Marketing Company (SMC), SMC Tower (6th, Dhaka for kind information of the Honorable Minister. 7th & 8th floor) 33, Banani C/A, Dhaka-1213. 14. P.S. to the Honorable Minister, Ministry of Health & Family Welfare, Bangladesh 12. Executive Director, PSTC, New Circular Road, Dhaka. Secretariat, Dhaka, for kind information of the Honorable Minister. 15. P.S. to the Honorable State Minister, Ministry of Health & Family Welfare, Bangladesh 13. Country Director, SPS/MSH, House No.28, Flat W2, Road No. 63, Gulshan-2, Dhaka- Secretariat, Dhaka, for kind information of the Honorable State Minister. 1212. 16. Deputy Secretary (Development), Statistics Wing, Planning Division, 14. Country Representative, Engender Health, House No. 40 (New), Road No. Ministry of Planning, Sher-e-Bangla Nagar, Dhaka. 16(New)/27 (Old), Concord Royal Court (5th floor), Dhanmondi R/A., Distribution (B): Dhaka. 17. Director General, Directorate General of Health Services, Mohakhali, 15. Communication/Documentation Officer, Population Council, House # Dhaka. CES(B) 21,Road#118,Gulshan,Dhaka. 18. Director General, Medical Services, Ministry of Defense, Dhaka Cantonment, Dhaka. 19. Director General, NIPORT, Azimpur, Dhaka. 20. Director(Administration/Finance/Logistics & Supply/Planning/Audit), Directorate General of Family Planning, 6, Kawran Bazar, Dhaka-1215. 21. Director (MCH-S), Directorate General of Family Planning, 6, Kawran Bazar, Dhaka-1215. (Suleman Khan) 22. Line Director (CCSDP), Directorate General of Family Planning, 6, Kawran Director (MIS) Bazar, Dhaka-1215. 23. Director (IEM) with a request for taking necessary measures for publication & of the report in the newspaper and other Media (News Paper, Radio & Line Director (MIS-FP) T.Vs)6 Kawran Bazar, Dhaka-1215. 24. Divisional Director, Family Planning, Dhaka// / / Phone: 9146262; Mail: [email protected] / Division. 25. Superintendent, MCHTI, Azimpur, Dhaka/Director MFSTC- Mohammadpur, Dhaka. 26. Additional Director, Central Ware House, Family Planning, Mohakhali, Dhaka. 27. Deputy Director, Family Planning ………..District. Table of Contents

Contents Page No. Summary of FP Performance for the month of January 2018 and February 2018 …………………………….. 03 Summary of the MCH and Reproductive Health Services for the month of January 2018 & February 2018 … 04 Nutrition services for the month of January 2018 & February 2018 …………………………………………… 05 Introduction ………………………………………………………………………………………………………. 06 Family Planning Performance (CAR Related) …………………………………………………………………… 06 MCH Performance ………………………………………………………………………………………………. 06 Highlights February 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 2017 to February 2018 ………………………………………. 12 Table: 03 List of districts achieved the highest Achievement Rate of Clinical Methods against their projections for period July 2017 to February 2018 …………………………………………………… 12 Table: 04 List of districts achieved the lowest Achievement Rate of Clinical Methods against their projections for period July 2017 to February 2018 …………………………………………………… 12 Table: 05 Contraceptive Statement of contraceptives performance for the period between July 2016 to February 2017 and July 2017 to February 2018 ……………….…………………… 13 Table: 06 Performance & Distribution of Contraceptives by Method for the month of January 2018 and February 2018 ………………………………………………………………….. 13 Table: 07 Contribution of Government, NGOs and Multisectors in respect of Contraceptive Performance during February 2018 …………………………………………………… 13 Table: 08 NGO and Multisectors wise Contraceptive Performance for the month of February 2018 …….... 14 Table: 09 District wise Projection, Performance and Achievement Rate of Permanent and Long Acting Methods …………………………………………………………….. 17 Table: 10 District wise Projection, Performance and Achievement Rate of Short Acting Methods ……………. 19 Table: 11 Old Users, New Users, Dropout and CAR by District at the end of February 2018 …………………. 21 Table: 12 Number of New and Total Acceptors up to the end of January and February 2018 …………………. 25 Table: 13 CAR(%) by Division up to the end of January and February 2018 …………………………………… 25 Table: 14 District by Range of CAR up to the end of February 2018 …………………………………………… 26 Table: 15 List of Upaziala achieved CAR 70% and above up to the end of February 2018 …………………. 27 Table: 16 List of Upaziala achieved CAR 60-69% and <59 up to the end of February 2018 …………………… 30 Table: 17 Method wise number of Dropout and Switch Over by Division up to the end of January and February 2018 ………………………………………………………………………….. 31 Table: 18 Contraceptive acceptors and acceptance Rate by Division up to the end of January and February 2018 …………………………………………………………………………….. 31 Table: 19 Status of Contraceptive Method-Mix based on CAR at the end of the month of February 2018 …….. 31 Chart: Pie-Chart of Method-Mix for the month of February 2018 ……………………………………………. 32 Table: 20 Performance by type of MCH services for the month of January and February 2018 ………………… 33 Table: 21 Performance by type of Nutrition services for the month of January and February 2018……………… 34 Annex: A Summary of the Couples and Acceptors by Month Since September 2017 …………………………… 35 Annex: B Performance of RH-EOC of MCWCs, MCHTI & MFSTC for the month of February 2018 ………… 37 Annex: C City Corporation wise Contraceptive Performance for the month of February 2018 ………………….. 39 Annex: D Contraceptive Acceptors and Acceptance Rate (CAR) of part of the City Corporation area end of the month of February 2018 …………………………………………………………………….. 40 Annex: E City Corporation wise MCH Performance for the month of February 2018 …………………………… 41

Page 2 Performance Report February 2018 ……………….. At a glance of the FP Performance for the month of January 2018 & February 2018 Indicators Jan'18 Feb'18 Number of Total Eligible Couples (including Part of the City Corporations) 27170424 27196997 Number of Total Acceptors (including part of the City Corporations) 21462898 21484262 CAR % (Contraceptive Acceptance Rate) 79.0 79.0 Method specific acceptors (Cumulative) : Permanent Method (Male) 798149 799807 Permanent Method (Female) 2089913 2094464 Permanent Method (Total) 2888062 2894271 IUD (Users) 774435 776259 Implant (Users) 1207656 1223859 Injectable (Users) 4265910 4265570 Oral Pill (acceptors) 10413671 10412985 Condom (acceptors) 1913164 1911318 Method specific new acceptors :

Permanent Method (Male) 3274 2700 Permanent Method (Female) 8698 6929 Permanent Method (Total) 11972 9629 IUD (Users) 16722 10142 Implant (Users) 40475 30936 Injectable (Users) 71152 60576 Oral Pill (acceptors) 135064 114073 Condom (acceptors) 53001 41065 Number of Districts reported 64 64 Number of reported 488 488 No. of Districts Range of CAR (%) Jan'18 Feb'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) 5060 3705 Permanent Method (Female-cases) 9327 6855 Permanent Method (Total-cases) 14387 10560 IUD (Nos.) 25226 14908 Implant (Nos.) 52679 35086 Injectable (Doses) 958416 923410 Oral Pill (Cycles) 7344515 7046117 Condom (Pieces) 9155700 8014656

Page 3 Performance Report February 2018 ……………….. At a glance of the MCH and Reproductive Health Services for the month of January 2018 & February 2018 Services Jan’18 Feb’18 Number of Pregnant Women 880878 877798 Number of High Risk Pregnant Women referred 4783 4279 1st visit (within 4 Month) 176496 173591 2nd visit (within 6 Month) 160247 159764 Antenatal Care 3 rd visit (within 8 Month) 142960 139288 4 th visit (in 9 th month) (including MCHTI, MFSTC & FWVTI-Raj) 123031 113762 Delivery Normal 33573 30756 (MCHTI, MFSTC, FWVTI-Raj, MCWC, C-section 26345 24573 UHC, UH&FWC & NGO Clinics) Total Delivery 59918 55329 PNC-1 (within 24 Hour) 50399 48475 Postnatal Care PNC-2 (within 2- 3 day) 45841 43411 (MCHTI, MFSTC, FWVTI-Raj, MCWC, PNC-3 (within 7 -14 day) 54568 51767 UHC, UH&FWC) PNC-4 (within 42-48 day) 73189 70132 Referred Infertile Couple 7861 7218 Treatment of RTI/STI (MCHTI, MFSTC, FWVTI-Raj & MCWCs) 76325 74828 1st dose 122461 124095 2nd dose 119171 120175 TT for Women 3rd dose 119313 117514 (15 - 49 yrs) 4th dose 110684 109205 5th dose 112623 110399 BCG (Vaccine) 138274 135649 OPV & PCV-1 153313 151912 Pentavalent PCV-2 150722 151043 Immunization (DPT,Hep-B, Hib) 3 150508 148789 PCV-3 147553 146390 MR & OPV-4 184650 141478 Measles (Vaccine) 124642 124570 General Treatment 2088815 2022812 Number of ECP acceptors 7877 7738 Number of MR done ( Both Govt. & NGOs) 12846 12183 At Home by Trained Persons 43836 41987 Non-Institutional Delivery At Home by Non-Trained Persons 13895 13430 Total 57731 55417 *Total Live Births 119926 113426 Still Births ( including MCHTI, MFSTC & FWVTI-Raj) 229 187 Neonatal death ( 0-28 days ) 386 308 Infant Death (29 days-<1 yr.) 205 158 Child Death (1-<5 yrs.) 172 152 Death Maternal Death 54 57 Other Death 31614 27906 Total 32431 28581 No. of Health Education in UH&FWC 17916 16978

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Page 4 Performance Report February 2018 ……………….. Nutrition services for the month of January 2018 & February 2018 Performance Services Jan'18 Feb'18

Counseling on IYCF, IFA, Vitamin-A and Hand washing 173624 182815

Received IFA (Pregnant women & Lactating mother) 342905 351528

Received MNP Sachet (6-23 months) 16140 12699

Breast feeding within 1-hour of birth (0-<6 months child) 69944 69450

Exclusive Breast feeding (up to 6 months) 107920 100352

Complimentary feeding (after 6 months) 189088 192046 59 months aged child and Mother and aged child months 59 - Received Vitamin-A (6-59 months Child) 10844 22796

Received anti-helminthics Tablet (24-59 months Child) 34129 33538

Received Zink pill with ORS (Suffering form diarrhoea) 8090 7535

Suffering from MAM 7535 7693

Suffering from SAM & Referred 2402 2357

No. of Child Stunting 5228 5581

No. of Child Wasting 4692 4668 Nutrition Services for Pregnant Women, 0 Women, Pregnant for Services Nutrition

No. of Child Under weight 4043 5968 *Live births (clinic) conducted at Govt. MCH, DH, MCWC, UHC, UH&FWC, NGOs & Private clinics.

Page 5 Performance Report February 2018 ……………….. SUMMARY Introduction Bangladesh is divided into seven administrative divisions: Dhaka, Chittagong, Rajshahi, Khulna, Barisal, Sylhet and Rangpur. 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 February’18 have been received from all the 64 districts of the country. During the month of February’18 total numbers of eligible couple were found to be 27196997 as against 27170424 in the previous month. Performances of NGOs are also included in the report as reported by the Upazila Offices. A total of 21484262 acceptors are reported in the month of February’18 as against 21462898 in January’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 79.0 which was 79.0 as January’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 February 2018 ……………….. MCH Performance: In the month of February’18, 877798 pregnant women have been registered. Total number of 4279 pregnant women referred to hospital for their complications. Total no. of 74917 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 135649 infants and 124570 infants received Measles vaccines during January’18. Visit-wise Antenatal Care is also shown in the summary sheet both of January’18 and February’18. Postnatal Care is shown in the summary sheet both January’18 and February’18. Number of delivery conducted by the clinics is 55329. Total numbers of delivery at home 41987 by trained personnel and 13430 by non-trained personnel. Still Birth is recorded 187 in February’18 and in the previous month it was 229. Neo-natal deaths (0-28 days) & Infant deaths (29 days–<1yr.) are recorded to be 308 and 158 in the month of February’18 where it were 386 and 205 in January’18 respectively. A total of 152 child- deaths (1-<5 yrs.) have been reported in the month of February’18 as against 172 in January’18. Maternal deaths were reported 57 during the month of February’18 which was 54 in January’18. The Other deaths were reported 27906 in February’18 but in January’18 the number of such deaths were 31614. General treatments were rendered to 2022812 and 2088815 patients in the month of February’18 and January’18 respectively. In February’18 Number of ECP acceptors was 7738 but in January’18 it was 7877. MR done in the reporting month is 12163 but in January’18 it was 12846. 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 February 2018

a) National Contraceptive Acceptance Rate (CAR) based on 27196997 eligible couple visited, is found to be 79.0%. has achieved the highest acceptance rate 81.5%, followed by 80.4%. The CAR is found to be 79.8% achieved in . The Contraceptive Acceptance Rate have been found to be rather low in Sylhet 79.2%, Barisal 79.0%, Dhaka 78.4%, and Chittagong 76.3% compared to other three divisions. b) The highest numbers of Acceptors 6029420 have been reported from followed by 3828161 in , Rajshahi division reported 3400202 acceptors. Acceptors size is however, found much smaller in Rangpur, Khulna, Barisal, which are 2860812, 2777440, 1287981 respectively and in it is 1300246. 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 (February’18), district recorded the highest Achievement Rate 89.5, Joypurhat has got the 2nd place with 85.2 and has Page 7 Performance Report February 2018 ……………….. occupied the 3rd position with 83.9 of permanent method. has shown Achievement Rate 144.7 in IUD is the first position among the other districts and has got the 2nd place with 139.4. district has recorded the highest Achievement Rate 261.3 in Implant. has recorded the highest Achievement Rate of 131.1, Dhaka placed in 2nd position with 98.8 and Cox's Bazar district has occupied the 3rd position with Achievement Rate 92.2 in Injectable. has recorded the highest Achievement Rate 224.0 in Oral Pill and has recorded the highest Achievement Rate 64.2 in Condom. f) SMC has reported distribution of 219880 vials Injectable, 3905197 cycles of Oral Pill and 10434154 pieces of Condom in February 2018. g) Narsingdi MCWC have performed highest 42 Caesarian Operations, Gaibandha MCWC has performed highest of 203 total deliveries. MCHTI, Dhaka has performed 179, MFSTC, Dhaka has performed 213 and FWVTI, Rajshahi has performed 6 C-Section deliveries in the reporting month February’18. Madaripur, Satkhira(Nalta, Kaliganj), Kushtia, Kushia(Kumarkhali), Bhola(Lalmohan), Barguna, Rangamati, (Langalkot), Laxmipur, Noakhali, Noakhali(Begumganj), Chittagong(Patiya), Sylhet, Bogra(Dupchachia), Naogaon, Thakurgaon, Lalmonirhat, Panchagore(Boda), Munshiganj, Sherpur, Faridpur, Magura and Jhenaidah MCWCs have not done any Caesarian Operations. It may be due to the vacancies of trained EOC doctor in those centers or Extension Works. Director (MCH-S) & Line Director (MC&RH) should immediately look into the matter. h) In February’18 National Nutrition services information which collected by FP workers are as follows: Number of 351528 mother received IFA, No. of 12699 child (6-23 months) received MNP sachet, No. of 69450 new born babies breast feeding within 1 hour after birth and No. of 0 to 6 months child, 100352 exclusive breast feeding. No. of 7693 child suffering from MAM and 2357 suffering from SAM. No. of Child Stunting, wasting and underweight are 5581, 4668 and 5968 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 (February 2018) and reporting period (Jul’17 to Feb’18) against their respective projections. In the reporting month the achievement rates of Permanent method(Male) 29.6%, Permanent method(Femaale) 45.7% and Permanent method (Total) 38.4%, IUD 56.6%, Implant 105.3%, Injectables 54.1%, Oral Pill 53.6% and Condom 34.0%. From Jul’17 to Feb’18 the achievement rates of Permanent method (Male) 43.4%, Permanent method (Female) 64.2% and Permanent method (Total) 54.7%, IUD 83.1%, Implant 133.4%, Injectables 62.6%, Oral Pill 67.4% and Condom 49.5%. Table 2: Shows the divisions according to descending order of achievement rate against their projection of Permanent and Long Acting methods for the period Jul’17 to Feb’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 Jul’17 to Feb’18. Table 4: Shows the districts achieved the lowest achievement rate of Permanent and Long Acting methods against their projections for the period Jul’17 to Feb’18. Table 5: Comparative statement of contraceptive performance against their projection between the period Jul’16 to Feb’17 and Jul’17 to Feb’18. The Achievement Rate of Permanent Method (Male) was 45.5% in the period of Jul’16 to Feb’17 but it shows the lower rate 43.4% in the current period. So it is 2.0% decrease than that of Jul'16 to Feb’17, Permanent Method (Female) was 55.1% in the period Jul’16 to Feb’17 but it shows the higher rate 64.2% in the current period. So it is 9.1 increase than that of Jul'16 to Feb’17. Permanent Method (Total) was 50.8% in the period Jul’16 to Feb’17 but it shows the higher rate 54.7% in the current period. So it is 4.0% increase than that of Jul’16 to Feb’17. IUD achieved the 79.6% in the reporting period in Jul'16 to Feb’17 but it shows the higher rate 83.1% in the current period. So it is 3.5% increase than that of Jul’16 to Feb’17. Implant achieved the 133.4% in the reporting period but in Jul'16 to Feb’17 it shows 109.1%, in that case Implant has shown 24.3% increase in the reporting period. Injectable Page 8 Performance Report February 2018 ……………….. achieved the 62.6% in the current period but in the period Jul'16 to Feb’17 it shown 72.6%. Injectable has shown 10.0% decrease than that of Jul’16 to Feb’17. Oral Pill achieved the 67.4% in the present period but in the period Jul'16 to Feb’17 it was 72.7%. In case of Oral Pill decrease 5.40% than that of Jul'16 to Feb’17. In case of Condom it achieved 49.5% in the current period but in Jul'16 to Feb’17 it shown 58.4%, which is 8.9% decrease than that of Jul’16 to Feb’17. Table 6: Compare the status of performance and distribution of contraceptive by methods for the month of January’18 and February’18 based on field worker’s report. In comparison with that of previous month Permanent Method(male) 36.6%, Permanent Method(female) 36.1%, Overall Permanent Method(total) 36.2%, IUD 69.2%, Implant 50.1%, Injectables 3.8% higher but Oral Pill 4.2% and Condom 14.2% lower than that of January’18. Table 7: Shows the share of Government and NGOs and Multisectors by methods in the overall National performance. Government sector has contributed 55.4 percent in Permanent Method (Male), 90.2 percent in Permanent Method (Female), 78.0 percent in Permanent Method (Total), 82.2 percent in IUD, 86.8 percent in Implant, 77.0 percent in Injectable, 86.4 percent in Oral Pill and 75.3 percent in Condom. On the other hand NGOs and Multisectors have contributed 44.6 percent in Permanent Method (Male), 9.8 percent in Permanent Method (Female), 22.0 percent in Permanent Method (Total), in IUD 17.8 percent, in Implant 13.2 percent, in Injectables 23.0 percent, in Oral Pill 13.6 percent and in Condom 24.7 percent in the reporting month February 2018. Table 8: Division wise Contraceptive Performance by methods of NGOs and Multisectors (February 2018) are shown in this table BAVS of Dhaka division is in the highest position, Marie Stopes Clinic of Dhaka 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 2320 in the reporting month, in which Males are 1651 and Females are 669. Total IUD and Implant 2649 and 4640 are inserted in the reporting month February 2018. Injectables 212169 vials, Oral Pill 958469 cycles and 1981395 pieces 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 February 2018 and in the reporting period July’17 to February’18. In reporting month Dinajpur district has achieved the highest achievement rate of 89.5 percent and Joipurhat district is the next highest with 85.2 percent in Permanent Method. Khulna district have achieved the highest achievement rate of 144.7 percent in IUD and Kishoreganj district achieved the highest achievement rate of 261.3 percent in Implant. And in the reporting period July’17 to February’18 Joipurhat district has achieved the highest achievement rate of 129.8 percent and Dinajpur is the next highest with 119.5 percent in Permanent Method. Khulna has achieved the highest achievement rate of 157.5 percent in IUD and Bandarban has achieved the highest achievement rate of 239.8 percent in Implant.

Table 10: Shows the projection, performance and achievement rates of Short Acting methods in the reporting month February 2018 and in the reporting period July’17 to February’18. In reporting month Bhola district has achieved the highest achievement rate of 131.1 percent and Dhaka is the next highest with 98.8 percent in Injectables. Dhaka district have achieved the highest achievement rate of 224.0 percent in Oral Pill. Rajbari district has achieved the highest achievement rate of 64.2 percent in Condom. From July’17 to February’18 Bhola district has achieved the highest achievement rate of 156.2 percent and Dhaka is the next highest with 109.9 percent in Injectable. Dhaka has achieved the highest achievement rate of 121.7 percent in Oral Pill and Sylhet has achieved the highest achievement rate of 92.5 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 (February 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 all the methods, Permanent Method(Male), Permanent Method(Female), Permanent Method(Total), IUD, Implant, Injectables

Page 9 Performance Report February 2018 ……………….. and Oral Pill have shown increasing trend also except Condom. Table 13: This table shows that among the divisions. Rajshahi had recorded the highest CAR of 81.5%, next Khulna division 80.4%, Rangpur 79.8%, Sylhet division 79.2%, 79.0%, Dhaka division 78.4%, and Chittagong division 76.3% in the reporting month February 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 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 February 2018. The graph also shows the same in comparison with previous month. Table 15: List of 486 upazila among the 488, which have achieved CAR 70.0% and above in the reporting month. Table 16: List of 1 upazila which has achieved 60-69% CAR in the reporting month. And 1 upazila has achieved <59% CAR in the reporting month. Graph shows that out of 488 upazila 486 achieved CAR level 70% and above, 1 upazila achieved CAR level 60-69 percent and 1 upazila that achieved CAR level <59 percent in the current month. There are also showing graphical presentation both of January’18 and February’18. Table 17: Shows the dropout and switch over by method and by division for the month of February’18. Table 18: This table shows the Division-wise comparison of Couples, Contraceptive Acceptors and the Acceptance Rate up to the end of January’18 and February’18. In the reporting month the highest number of Eligible Couples have been reported from Dhaka division, which is 7694671, 2nd highest is Chittagong division, which is 5017999, then Rajshahi, Rangpur, Khulna, Sylhet and Barisal division, which are 4170268, 3584882, 3456032, 1642796 and 1630349 and 1640937 respectively. In case of acceptors Dhaka division has been reported the highest number, which is 6029420 followed by Chittagong division 3828161, Rajshahi division 3400202, Rangpur division 2860812, Khulna division 277440, Sylhet division 1300246 and Barisal division 1286854. Table 19: Shows the contraceptive method mix by division for the month of February 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 14.2. Chittagong division has recorded 4.8% in IUD which is highest among the other divisions followed by Sylhet 4.4% and Barisal 4.2%. Barisal division has contributed the highest rate in Implant 7.0%, followed by Rangpur division with 6.2%, Barisal division has also contributed the highest rate in Injectable 26.9% then Chittagong 22.2 and Rangpur 21.8% in CAR method mix among all the divisions. Dhaka division has recorded the highest rate in Oral Pill 51.3% followed by Rajshahi 49.0%, Rangpur 48.5%. Rajshahi division has recorded the highest rate in Condom 10.6% followed by Khulna 10.1% and Sylhet division 9.9%. Pie Charts are showing the division wise Method-Mix for the month of Febuary 2018. Table 20: This table shows the performance of MCH and Reproductive Health Services during the month of January 2018 and February 2018. Table 21: This table shows the performance of Nutrition Services for the month of January 2018 and February 2018 collected by family planning workers. Annex A: Annex- A shows comparative summary key performances since September 2017 to February 2018. Annex B: Performance of RH-EOC of MCWC including MCHTI, MFSTC and FWVTI-Raj for the month of February 2018.

Annex C: Performance of Part of the City Corporation Area for the month of February 2018 (partial) Annex D: City Corporation wise Contraceptive Acceptors and Acceptance Rate (CAR) end of the month of February 2018 (partial). Annex E: City Corporation wise MCH Performance for the month of February 2018 (partial). Remarks The achievement of Khulna division is good against their projection in permanent method in the reporting month in comparison with that of other divisions.

Page 10 Performance Report February 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 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. Therefore, it is not the whole country’s delivery records. This report is absolutely excluding the city corporations.  Information shown against the ‘live births’ based on field workers (FWA) report. Live births (clinic) are conducted at different types of clinic (MCH, DH, MCWCs, UHC, UH&FWC, NGO & Private clinics). Field workers visit their units monthly and they submit their report in every month.

Highest and Lowest performing districts in clinical methods Highest performing districts in the month of February 2018 Permanent Method IUD Implant Remarks District Ach. Rate District Ach. Rate District Ach. Rate Dinajpur 89.5 Khulna 144.7 Kishoreganj 261.3 Joipurhat 85.2 Joipurhat 139.4 Bandarban 260.4 Naogaon 83.9 Bandarban 139.2 Naogaon 193.0 Lowest performing districts in the month of February 2018 Permanent Method IUD Implant Remarks District Ach. Rate District Ach. Rate District Ach. Rate Kurigram 6.1 30.3 Nawabganj 28.9 Khagrachhari 8.3 Netrakona 31.2 Jhalokathi 32.2 Rangamati 9.1 Sunamganj 34.3 Habiganj 34.9

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 February 2018 ……………….. Table-1: National Projection, Performance and Achievement Rate of Contraceptive Methods

Reporting Month Jul'17 to Feb'18 Yearly Projection Methods Performance Achi. Rate Performance (2017-18) Achi. Rate(%) (in CYP) (%) (in CYP) Permanent Method (Male) 150000 3705 29.6 37982 38 Permanent Method (Female) 180000 6855 45.7 67364 56 Permanent Method (Total) 330000 10560 38.4 105346 48 IUD 316000 14908 56.6 153199 73 Implant 400000 35086 105.3 311280 117 Injectables 5120355 230853 54.1 1869729 55 Oral Pill 10510202 469741 53.6 4130462 59 Condom 1886447 53431 34.0 544703 43 Table-2: List of Divisions according to descending order of Achievement Rate against their projections of Clinical Methods for period July 2017 to February 2018 Permanent Method (Cases) IUD (Cases) Implant (Cases) Sl. No. Yearly Yearly Yearly Division Division Division Projection Projection Projection Performance Performance Performance Achi. Rate (%) Achi. Rate (%) Achi. Rate (%) 1 Khulna 27322 11061 60.7 Rajshahi 37979 20879 82.5 Dhaka 93768 89547 143.2 2 Rajshahi 35995 12954 54.0 Khulna 29385 15642 79.8 Rangpur 59683 53652 134.8 3 Dhaka 112761 39356 52.4 Barisal 21221 10696 75.6 Rajshahi 62511 47528 114.0 4 Rangpur 43938 13727 46.9 Chittagong 61687 30873 75.1 Chittagong 74462 52328 105.4 5 Sylhet 29991 7788 39.0 Dhaka 106028 49020 69.3 Sylhet 26792 17127 95.9 6 Chittagong 55778 14425 38.8 Rangpur 41483 18806 68.0 Khulna 51500 31894 92.9 7 Barisal 24215 6035 37.4 Sylhet 18217 7283 60.0 Barisal 31284 19204 92.1

Table-3: List of Districts achieved the highest Achievement Rate of Clinical Method against their projections for the period July 2017 to February 2018 Permanent Method (Cases) IUD (Cases) Implant (Cases) Sl. No. Yearly Yearly Yearly District District District Projection Projection Projection Performance Performance Performance Achi. Rate (%) Achi. Rate (%) Achi. Rate (%) 1. Joipurhat 1620 1227 113.6 Khulna 4005 3680 137.8 Bandarban 1332 1863 209.8 2. Dinajpur 4973 3467 104.6 Serajganj 6641 5293 119.6 Kishoreganj 5983 7958 228.0 3. Jhenaidaha 1873 1212 97.1 Dinajpur 4450 3385 114.1 Faridpur 4507 5738 218.3

Table-4: List of Districts achieved the lowest Achievement Rate of Clinical Methods against their projections for the period July 2017 to February 2018

Permanent Method (Cases) IUD (Cases) Implant (Cases) Sl. No. Yearly Yearly Yearly District District District Projection Projection Projection Performance Performance Performance Achi. Rate (%) Achi. Rate (%) Achi. Rate (%) 1. Kurigram 10016 526 7.9 Netrokona 4500 892 29.7 Nawabganj 6637 1476 33.4 2. Khagrachhari 4349 277 9.6 Laxmipur 6818 1416 31.2 Laxmipur 8138 3178 58.6 3. Rangamati 1846 164 13.3 Kushtia 2739 634 34.7 Munshiganj 5000 2170 65.1

Performance Report February 2018------12 Table-5: Comparative Statement of contraceptive performance for the period between July 2016 to February 2017 and July 2017 to February 2018

July 2016 to February 2017 July 2017 to February 2018 Change of Yearly Yearly Jul'17 to Methods Projection Performance Achi. Rate Projection Performance Achi. Rate Feb'18 over (2016-2017) (in CYP) (%) (2017-2018) (in CYP) (%) Jul'16 to Feb'17 Permanent Method (Male) 164883 43715 39.8 150000 37982 38.0 -1.8 Permanent Method (Female) 204355 65649 48.2 180000 67364 56.1 7.9 Permanent Method (Total) 369238 109364 44.4 330000 105346 47.9 3.5 IUD 348911 162032 69.7 316000 153199 72.7 3.1 Implant 423674 269701 95.5 400000 311280 116.7 21.2 Injectables 5072079 2147320 63.5 5120355 1869729 54.8 -8.7 Oral Pill 10411110 4416484 63.6 10510202 4130462 58.9 -4.7 Condom 1868661 636434 51.1 1886447 544703 43.3 -7.8

Table-6: Performance & Distribution of Contraceptives by Method for the month of January 2018 and February 2018 Performance % Change of Feb'18 Method Jan'18 Feb'18 over Jan'18

Permanent Method (Male, Cases) 5060 3705 -36.6 Permanent Method (Female, Cases) 9327 6855 -36.1 Total Permanent Method (Total, Cases) 14387 10560 -36.2 I U D (Cases) 25226 14908 -69.2 Implant (Cases) 52679 35086 -50.1 Injectables (Doses) 958416 923410 -3.8 Oral Pill (Cycles) 7344515 7046117 -4.2 Condom (Pieces) 9155700 8014656 -14.2

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

Performance Share of Contribution in Percentage Method NGOs & Govt. Total Government NGOs and Multisector Multisector

Permanent Method (Male, Cases) 2054 1651 3705 55.4 44.6 Permanent Method (Female, Cases) 6186 669 6855 90.2 9.8 Total Permanent Method (Cases) 8240 2320 10560 78.0 22.0 IUD (Cases) 12259 2649 14908 82.2 17.8 Implant (Cases) 30446 4640 35086 86.8 13.2 Injectable (Doses) 711241 212169 923410 77.0 23.0 Oral Pill (Cycles) 6087648 958469 7046117 86.4 13.6 Condom (Pieces) 6033261 1981395 8014656 75.3 24.7

Performance Report February 2018------13 Table -8: NGO and Multisector wise Contraceptive Performance for the month of February 2018 Sl. Oral Pill Condom Injectable IUD Implant Permanent Method (Nos.) NGO and Multisector No. (Cycle) (Pieces) (Vial) (Cases) (Nos.) Male Female Total 1 Family Planning Association of Bangladesh (FPAB) 29331 17383 2111 3 96 2 6 8 2 Marie Stopes Clinic 2293 4596 2442 92 375 39 37 76 3 Palli Shisu Foundation (PSF) 17494 26964 6760 79 67 36 30 66 4 Shanirvar Bangladesh 12797 4362 925 5 21 1 0 1 5 CMH 521 4394 24 0 0 0 1 1 6 B.G.B 151 3628 0 0 0 0 0 0 7 R. H. Steps 570 2368 189 11 0 0 0 0 8 Model Clinic 48 1070 43 0 9 0 19 19 9 Mohila-O-Shishu Shastha Kallyan Samity 848 520 1015 0 0 0 0 0 10 Ipas Bangladesh (IPAS) 32 0 0 2 5 0 0 0 11 Surjer Hasi Clinic 20356 20831 5636 11 69 0 8 8 12 Friend Ship 1482 3084 141 0 2 0 0 0 13 Kanchan 17497 24586 4377 1 12 0 6 6 14 KMSS 271 504 502 1 7 0 3 3 15 Dhaldanga Bohumukhi Samaj Unnayn Sangstha 1155 2800 846 0 8 0 0 0 16 Lamb Hospital 9 0 60 0 51 0 4 4 17 ESDO 0 0 0 0 0 0 0 0 18 Safiuddin Foundation 784 120 30 0 0 0 0 0 19 Multi Sector 228 1092 21 0 0 0 0 0 Rangpur Division 105867 118302 25122 205 722 78 114 192 1 Family Planning Association of Bangladesh (FPAB) 34049 42504 4465 19 112 23 16 39 2 BAVS 147 2584 65 3 46 79 37 116 3 Marie Stopes Clinic 2078 9936 1244 133 202 114 16 130 4 Palli Shisu Foundation (PSF) 21567 25552 4637 31 0 1 5 6 5 Jatio Tarun Shanga 21862 32232 2912 18 29 2 7 9 6 BAMANEH 32080 39804 2654 11 27 1 2 3 7 Tilottoma 16667 37487 4585 27 34 0 12 12 8 Anonnya Somaj Kallyan Samity 6836 408 1367 0 0 0 0 0 9 Shanirvar Bangladesh 4309 5996 289 3 24 0 0 0 10 Sromo Kallyan Shangstha 366 360 0 0 0 0 0 0 11 B.G.B 137 1010 1 0 0 0 0 0 12 R. H. Steps 97 1140 117 8 0 0 0 0 13 MR CLINIC 1167 2736 30 22 7 0 0 0 14 Palli Shishu Clinic 6908 9850 1147 6 0 0 0 0 15 JTS-Gono Unnayan Academy 20104 44824 4170 10 16 1 4 5 16 Thangamara 390 425 129 1 12 0 4 4 17 Darpon 8393 457 1302 3 0 0 0 0 18 PAURASOVA 201 260 72 9 6 0 4 4 19 Ipas Bangladesh (IPAS) 145 840 0 0 1 0 4 4 20 Surjer Hasi Clinic 451 744 446 1 1 0 1 1 21 Population Services & Training Centre (PSTC) 691 5404 484 1 4 0 2 2 22 KMSS 3931 3590 669 0 1 0 5 5 23 Sornaly 6599 1003 1222 3 0 0 0 0 24 Chardulai 3100 3834 1199 0 3 0 0 0 Rajshahi Division 192275 272980 33206 309 525 221 119 340 1 Family Planning Association of Bangladesh (FPAB) 11012 50305 1999 14 104 3 5 8 2 BAVS 763 2756 305 0 4 121 3 124 3 Marie Stopes Clinic 1176 8879 1204 111 76 21 6 27 4 Palli Shisu Foundation (PSF) 205 7162 931 12 3 0 4 4 5 Paribarik Shastha Clinic 7152 23256 1547 24 14 0 8 8 6 Jatio Tarun Shanga 13490 39847 3388 15 39 0 3 3 7 BAMANEH 280 1077 0 0 0 0 0 0 8 Paribar Kallyan Shangstha (PKS) 12612 86499 7234 18 58 0 19 19 9 PSTC 1650 13340 699 1 16 0 1 1 10 BRAC 100 200 80 0 0 0 0 0 11 Sromo Kallyan Shangstha 18 140 0 0 0 0 0 0 12 Ad-din Hospital 3470 4960 1796 0 3 0 12 12 13 CMH 130 1200 4 0 0 0 0 0 14 BWHC Clinic 108 70 52 0 0 0 0 0 15 B.G.B 52 1404 3 0 0 0 0 0 16 R. H. Steps 605 4344 308 4 0 0 0 0 17 VPKA 1550 4072 1021 2 4 0 2 2 18 CRC 11810 17800 1378 5 1 3 0 3 19 FAIR FOUNDATION 0 9360 1104 11 5 6 0 6 20 Srijonee 719 9672 245 0 1 0 0 0 21 SGS 3503 13384 892 3 21 1 2 3 22 Palli Unnyan Sangstha 0 0 20 8 0 0 0 0 23 Police Hospital 28 440 105 0 0 0 0 0 24 Surjer Hasi Clinic 8344 20134 2506 9 29 0 5 5 25 BNS TITUMIR 850 6500 0 0 0 0 0 0 26 COMUNITY CLINIC 576 1900 198 0 0 0 0 0 27 KMSS 1950 7260 866 19 72 0 5 5 28 Peoples Development Community (PDC) 170 3000 1138 0 0 0 0 0 29 Urban Primary Health Care 265 2859 398 2 16 0 0 0 30 Ad-din Akij Medical college Hospital 72 380 45 6 0 0 11 11 31 Multi Sector 243 700 0 0 0 0 0 0

Performance Report February 2018------14 Sl. Oral Pill Condom Injectable IUD Implant Permanent Method (Nos.) NGO and Multisector No. (Cycle) (Pieces) (Vial) (Cases) (Nos.) Male Female Total Khulna Division 82903 342900 29466 264 466 155 86 241 1 Family Planning Association of Bangladesh (FPAB) 6144 20516 1154 3 24 1 3 4 2 BAVS 36 3492 26 4 26 97 0 97 3 Marie Stopes Clinic 880 2308 290 53 2 13 0 13 4 Paribarik Shastha Clinic 169 1031 476 1 7 0 0 0 5 Shanirvar Bangladesh 20648 56116 10019 49 21 0 0 0 6 BRAC 13 240 87 0 0 0 0 0 7 R. H. Steps 141 120 48 5 0 0 0 0 8 Is-O-Foundation 666 548 38 4 0 0 0 0 9 Surjer Hasi Clinic 1788 7639 716 13 26 0 0 0 10 UPHCP 2356 3740 414 0 0 0 0 0 Barisal Division 32841 95750 13268 132 106 111 3 114 1 Family Planning Association of Bangladesh (FPAB) 22183 55489 2166 12 153 0 9 9 2 BAVS 610 11120 182 9 95 492 6 498 3 Marie Stopes Clinic 10417 39693 3909 516 810 186 13 199 4 Jatio Tarun Shanga 16312 62741 3097 47 70 9 2 11 5 BAMANEH 11430 41088 2253 27 7 1 3 4 6 PSTC 5908 7234 2671 71 172 5 8 13 7 Shanirvar Bangladesh 101343 149509 14813 190 179 3 23 26 8 BRAC 1309 4248 675 29 34 0 0 0 9 Sromo Kallyan Shangstha 1258 2332 0 0 0 0 0 0 10 Ad-din Hospital 1368 800 167 1 11 0 36 36 11 BAPSA 5059 10796 1267 29 13 16 4 20 12 Radda Barnen 356 1548 332 4 0 0 0 0 13 UTPS 1593 2400 495 15 41 1 2 3 14 PSKP 1895 12208 1030 8 21 25 2 27 15 Gono Shastha Kendra 0 0 0 0 0 0 0 0 16 Anirban Sangsad 444 600 124 0 0 0 0 0 17 ICDDR,B 0 0 0 0 0 0 0 0 18 CMH 408 3500 26 0 0 0 11 11 19 Spire 1440 1500 621 0 0 0 0 0 20 Shimantik 537 1500 174 3 8 1 2 3 21 Nagar Unnoyan Somaj Seba Shangstha 4260 468 603 2 0 0 0 0 22 TDH Clinic 1030 3200 63 0 17 0 2 2 23 Shaktti Foundation 351 100 43 0 0 0 0 0 24 BWHC Clinic 368 1060 419 2 0 0 0 0 25 B.G.B 15 870 0 0 0 0 0 0 26 Association in Training & Management (AITAM ) 37 408 5 0 3 7 3 10 27 Manobik Shahahahajjya Samity 33 544 20 0 0 0 0 0 28 R. H. Steps 1161 3780 384 40 30 3 1 4 29 Al-Falah Model Clinic 75 300 71 0 0 0 0 0 30 VPKA 15002 83412 4388 18 50 1 7 8 31 Model Clinic 133 576 44 0 1 0 0 0 32 MMKS 31 36 218 0 0 0 0 0 33 VFWA 981 7808 1180 9 22 1 3 4 34 Nari Moytri 3317 4071 1308 17 8 0 2 2 35 SGS 1670 10340 718 16 5 0 0 0 36 CWFD 5108 14798 1732 13 3 9 0 9 37 Krishi Bisho 63 144 0 0 0 0 0 0 38 Aid For Poor People 1440 1500 572 0 0 0 0 0 39 B G M E 552 1296 39 0 0 0 0 0 40 Surjer Hasi Clinic 43475 128987 7795 65 45 1 8 9 41 Sayapath Clinic 1535 1705 640 0 0 0 0 0 42 Provti S K S Prishad 1440 1500 638 0 0 0 0 0 43 KUMUDINI HOSPATIL 608 1560 74 3 0 0 13 13 44 HRDS 0 0 0 0 0 0 0 0 45 Family Welfare Assosiation 1746 116 615 0 0 0 0 0 46 Population Services & Training Centre (PSTC) 20012 64460 4581 22 56 0 5 5 47 Faith & Hope 1440 1500 577 0 0 0 0 0 48 Jonoseba M&C W Songstha 2114 1140 281 7 0 0 0 0 49 KMSS 1089 1550 332 1 0 0 1 1 50 Shastha Prokalpo 6 0 76 0 0 0 6 6 51 Sazeda Foundation 270 840 87 4 0 0 0 0 52 khulna Mukti Seba 4527 8604 534 1 1 0 0 0 53 Sushastha Community Health Care 1575 1848 615 0 0 0 0 0 54 Rural Health Development Organization(RHDO) 39 312 7 0 0 0 0 0 55 Daridra Paribar Seba Songshta 2772 3000 1219 0 0 0 0 0 56 Nagar Sastho Kendro 2160 15360 693 9 26 0 0 0 57 M S F Holland 149 1506 264 0 0 0 0 0 58 Ucchatar Samaj Unnayan Songtha 2883 3024 1200 0 0 0 0 0 59 Urban Primary Health Care 788 1550 205 3 6 0 6 6 60 Nahar Health Services 123 360 44 0 0 0 0 0 61 Perticipatory Deveolopment Action 1624 648 157 0 0 0 0 0 62 Ahoshania Mission 2506 1038 633 35 50 0 1 1 Performance63 Active Social Report Welfare February Society 2018------175 734 117 0 0 0 0 15 0 Sl. Oral Pill Condom Injectable IUD Implant Permanent Method (Nos.) NGO and Multisector No. (Cycle) (Pieces) (Vial) (Cases) (Nos.) Male Female Total 64 Grameen Jibonman Unnoyan Songtha 0 0 0 0 0 0 0 0 65 Ma O Shishu Hitoushi 1440 1500 661 0 0 0 0 0 66 MISCS 1440 1500 722 0 0 0 0 0 67 Shu-Provat 390 476 85 0 0 0 0 0 68 Ad-din Welfare center 45 407 36 2 3 0 0 0 Dhaka Division 315868 788242 68697 1230 1940 761 179 940 1 Family Planning Association of Bangladesh (FPAB) 25604 24515 1662 18 88 3 5 8 2 BAVS 180 2976 17 0 14 73 22 95 3 Concern Women for Family Planning (CWFP) 0 0 0 0 0 0 0 0 4 Marie Stopes Clinic 4221 8204 1508 140 180 125 9 134 5 Paribarik Shastha Clinic 2102 2134 479 1 0 0 0 0 6 BAMANEH 9953 24956 1823 14 7 6 3 9 7 Shanirvar Bangladesh 21846 12704 2224 32 1 0 2 2 8 BRAC 1268 1326 0 0 0 0 0 0 9 Sromo Kallyan Shangstha 158 388 62 0 0 0 0 0 10 BAPSA 1009 1788 115 0 0 0 0 0 11 ICDDR,B 3867 4300 1000 0 0 0 0 0 12 FDSR 43265 50618 6404 21 57 0 3 3 13 CMH 635 8624 172 6 19 0 17 17 14 SUPIRAT 11069 37911 3785 35 3 1 3 4 15 Proshanti 3124 7668 1056 7 0 0 0 0 16 Bonophul (PKS) 129 755 39 0 0 0 0 0 17 Niskrity 4082 7948 2623 1 3 0 0 0 18 IMAGE 2244 7304 1194 2 27 0 0 0 19 Momota 3722 14039 1315 9 76 0 7 7 20 SUS 18638 33102 1954 3 0 0 0 0 21 B.G.B 54 874 4 0 0 0 0 0 22 CUFL 60 1030 0 0 0 0 0 0 23 R. H. Steps 1842 2052 284 27 0 0 0 0 24 Model Clinic 434 1692 1 11 41 0 12 12 25 Bandhan 14516 5347 1507 14 5 0 0 0 26 Ghasful 630 7500 62 0 0 0 0 0 27 Ipas Bangladesh (IPAS) 30 0 3 0 0 0 0 0 28 Surjer Hasi Clinic 10595 24937 2805 34 37 0 1 1 29 Sayapath Clinic 1153 2508 336 8 6 0 0 0 30 B.R.D.B 360 1692 82 0 0 0 0 0 31 RTMI 1159 4296 612 9 0 0 0 0 32 Nagar Matri Sadan 261 0 46 6 8 4 9 13 33 Nagar Sastho Kendro 1008 0 367 7 24 0 0 0 34 Urban Primary Health Care 1371 144 365 6 13 0 2 2 35 Multi Sector 997 9692 37 7 0 0 0 0 Chittagong Division 191586 313024 33943 418 609 212 95 307 1 Family Planning Association of Bangladesh (FPAB) 11392 9560 466 1 60 0 5 5 2 BAVS 23 0 17 0 34 87 8 95 3 Marie Stopes Clinic 731 2503 120 50 128 26 54 80 4 CMH 150 10344 498 0 0 0 0 0 5 Shimantik 16014 16740 3976 29 44 0 3 3 6 BWHC Clinic 420 600 55 0 0 0 0 0 7 Red Crescent Sangstha 30 20 5 0 0 0 0 0 8 B.G.B 189 1092 0 0 0 0 0 0 9 R. H. Steps 264 468 20 5 0 0 0 0 10 Sylhet Samaj Kallyan Sangatha 3124 2108 2803 4 6 0 3 3 11 Surjer Hasi Clinic 2190 4934 399 2 0 0 0 0 12 SUPPS 2559 1732 107 0 0 0 0 0 13 TIL Welfare Division 0 0 0 0 0 0 0 0 14 Govt. Labour Welfare Center 19 48 0 0 0 0 0 0 15 RTM MCH Center 24 48 1 0 0 0 0 0 Sylhet Division 37129 50197 8467 91 272 113 73 186 Total NGO and Multisectoral Performance 958469 1981395 212169 2649 4640 1651 669 2320

Performance Report February 2018------16 Table -9: District wise Projection, Performance and Achievement Rate of Permanent and Long Acting Methods

Permanent Method (Cases) IUD (Cases) Implant (Cases) Reporting Month Jul'17 to Feb'18 Reporting Month Jul'17 to Feb'18 Reporting Month Jul'17 to Feb'18

District Yearly Yearly Yearly Achi. Achi. Achi. Achi. Achi. Achi. Projection Projection Projection Rate(%) Rate(%) Rate(%) Rate(%) Rate(%) Rate(%) Perform. Perform. Perform. Perform. Perform. Perform.

Dinajpur 4973 371 89.5 3467 104.6 4450 408 110.0 3385 114.1 15000 1743 139.4 13780 137.8 Thakurgaon 2728 122 53.7 975 53.6 2387 90 45.2 744 46.8 4500 414 110.4 4477 149.2 Panchgarh 3594 68 22.7 534 22.3 2672 128 57.5 969 54.4 4300 279 77.9 3575 124.7 Nilphamari 2641 103 46.8 1107 62.9 3055 239 93.9 1767 86.8 5000 724 173.8 6355 190.7 Rangpur 7844 369 56.5 3488 66.7 6072 440 87.0 3604 89.0 8611 732 102.0 8930 155.6 Kurigram 10016 51 6.1 526 7.9 9532 359 45.2 2775 43.7 7922 502 76.0 4368 82.7 Gaibandha 8500 337 47.6 2852 50.3 7152 558 93.6 4005 84.0 6500 794 146.6 7881 181.9 Lalmonirhat 3642 75 24.7 778 32.0 6163 218 42.4 1557 37.9 7850 441 67.4 4286 81.9 Rangpur Div. 43938 1496 40.9 13727 46.9 41483 2440 70.6 18806 68.0 59683 5629 113.2 53652 134.8 Bogra 6575 206 37.6 2216 50.6 6738 409 72.8 3422 76.2 15000 1295 103.6 12641 126.4 Joipurhat 1620 115 85.2 1227 113.6 1739 202 139.4 1294 111.6 4500 317 84.5 4228 140.9 Naogaon 2847 199 83.9 1798 94.7 3186 281 105.8 2204 103.8 7000 1126 193.0 8185 175.4 Nawabganj 3803 140 44.2 1427 56.3 3411 123 43.3 938 41.2 6637 160 28.9 1476 33.4 Rajshahi 6958 273 47.1 2393 51.6 5678 285 60.2 2125 56.1 8000 603 90.5 5386 101.0 Natore 3005 111 44.3 1330 66.4 2937 216 88.3 1791 91.5 6500 453 83.6 5313 122.6 5963 158 31.8 1421 35.7 7649 448 70.3 3812 74.8 8374 462 66.2 4649 83.3 Serajganj 5224 124 28.5 1142 32.8 6641 656 118.5 5293 119.6 6500 583 107.6 5650 130.4 Rajshahi Div. 35995 1326 44.2 12954 54.0 37979 2620 82.8 20879 82.5 62511 4999 96.0 47528 114.0 Kushtia 2306 102 53.1 943 61.3 2739 84 36.8 634 34.7 4000 238 71.4 2077 77.9 Meherpur 1810 62 41.1 525 43.5 1160 44 45.5 443 57.3 2000 77 46.2 885 66.4 Chuadanga 1652 98 71.2 1031 93.6 1945 140 86.4 1033 79.7 3000 266 106.4 2560 128.0 Jhenaidaha 1873 108 69.2 1212 97.1 3457 210 72.9 1799 78.1 5500 266 58.0 3638 99.2 Magura 3000 89 35.6 822 41.1 1438 103 86.0 862 89.9 4000 237 71.1 2333 87.5 Narail 2200 45 24.5 377 25.7 830 80 115.7 591 106.8 2000 191 114.6 1533 115.0 4662 174 44.8 1532 49.3 6537 541 99.3 3567 81.8 10000 791 94.9 6586 98.8 Khulna 3765 242 77.1 2429 96.8 4005 483 144.7 3680 137.8 10000 621 74.5 6759 101.4 Bagerhat 2223 120 64.8 1085 73.2 3071 233 91.0 1688 82.4 5000 341 81.8 2591 77.7 Satkhira 3831 128 40.1 1105 43.3 4203 155 44.3 1345 48.0 6000 305 61.0 2932 73.3 Khulna Div. 27322 1168 51.3 11061 60.7 29385 2073 84.7 15642 79.8 51500 3333 77.7 31894 92.9 Barguna 2770 140 60.6 1224 66.3 3410 171 60.2 1288 56.7 4000 444 133.2 3710 139.1 Patuakhali 4171 181 52.1 1458 52.4 3535 245 83.2 2126 90.2 6000 485 97.0 3583 89.6 Barisal 3936 162 49.4 1638 62.4 3729 271 87.2 2156 86.7 7000 513 87.9 4605 98.7 Jhalakati 2454 19 9.3 327 20.0 942 53 67.5 458 72.9 2500 67 32.2 1231 73.9 Bhola 9384 102 13.0 859 13.7 6605 294 53.4 2513 57.1 8284 349 50.6 3690 66.8 Pirojpur 1500 46 36.8 529 52.9 3000 305 122.0 2155 107.8 3500 293 100.5 2385 102.2 Barisal Div. 24215 650 32.2 6035 37.4 21221 1339 75.7 10696 75.6 31284 2151 82.5 19204 92.1

Performance Report February 2018------17 National Sylhet Div. Sunamganj Moulavibazar Habiganj Sylhet Div.Chittagong Bandarban Khagrachhari Rangamati Cox's Bazar Chittagong Laxmipur Noakhali Feni Chandpur Comilla B. Baria Div.Dhaka Netrokona Kishoreganj Sherpur Jamalpur Tangail Manikganj Narshingdi Munshiganj Dhaka Rajbari Faridpur Shariatpur Madaripur Gopalganj District Performance Report February 2018------Report Performance 330000 112761

29991 11418 55778 14601 19733 Yearly 3484 6650 8439 1293 4349 1846 6083 8662 5175 9558 2777 3938 8469 3628 2856 8202 2568 4397 8652 7064 6072 8860 5000 4970 3584 4841 3257 3458 4646 Projection Permanent Method (Cases) Permanent Method Reporting Reporting Month 11809 1768 4594 1258

807 176 142 403 105 390 184 105 169 524 118 352 328 368 477 194 395 151 251 284 Perform. 86 32 30 14 97 90 67 81 71 94 61 72

Achi. 42.9 32.3 18.5 48.9 15.5 57.3 38.0 29.7 20.7 54.0 22.5 23.1 45.4 51.5 74.2 39.0 48.9 37.8 51.5 27.0 31.3 22.1 51.0 81.0 38.3 53.5 17.0 36.5 76.5 31.5 62.2 22.5 25.0 73.4

8.3 9.1 Rate(%) Jul'17 to Feb'18 105346 14425 39356 10455 2300 7788 1891 1268 1230 3399 1236 2959 1397 1330 4158 1135 1053 3125 2515 2812 3928 2416 2915 1454 2075

289 277 164 714 766 604 907 778 796 666 557 Perform. 74.3 47.9 39.0 24.8 54.6 27.7 60.4 38.8 33.5 13.3 30.5 51.2 20.7 21.9 41.4 50.7 73.6 46.9 52.4 55.3 57.2 25.8 35.3 30.9 48.8 83.4 59.7 49.4 23.3 43.9 79.5 33.3 64.3 30.7 24.2 Achi. 9.6 Rate(%) 316000 106028 18217 61687 11038 11867 14129 11178 10174 14219 3884 6158 3014 5196 3849 1233 1929 1126 7480 6818 7403 3067 4683 5043 4500 5903 2479 5619 3376 5137 6277 5000 3980 3898 2842 3433 Yearly Projection Reporting Reporting Month 20101 3991 1039 6757 1326 231 881 176 225 131 349 143 143 342 213 244 269 219 998 287 117 528 641 121 365 585 158 559 439 224 371 250 354 226 262 Perform. 94 IUD IUD (Cases)

108.8 139.2 100.2 113.0 105.2 100.9 107.3 130.6 111.9 109.0 Achi. 71.4 76.3 58.0 34.3 89.6 30.3 77.6 89.0 54.9 37.5 39.6 56.1 68.3 76.5 31.2 54.4 58.6 77.9 62.8 56.2 51.8 42.8 89.0 75.4 95.4 91.6 Rate(%) Jul'17 to Feb'18 153199 30873 49020 1390 7283 1753 1568 1429 2533 2603 7542 1416 2406 1733 1949 7998 2600 3392 4294 3404 4318 1256 3634 2944 2109 2821 9615 1916 2755 1588 1752

928 945 753 892 940 Perform.

112.9 100.3 102.5 101.1 106.1 101.4 106.0 Achi. 72.7 60.0 42.7 78.0 41.3 98.7 75.1 73.5 52.2 31.2 48.8 84.8 62.4 77.3 69.3 29.7 86.2 45.6 56.9 90.9 57.9 55.8 43.4 50.4 84.6 72.2 83.8 76.6 53.7 Rate(%) 400000 26792 74462 15559 11327 93768 10000 10000

8000 5000 6292 7500 1332 1731 2500 9882 8138 8481 3141 6090 6281 7185 5983 4306 5899 8268 4191 6000 6000 5000 4885 3357 4507 2593 2594 3000 Yearly Projection Reporting Reporting Month 35393 11186

1706 6389 1566 1303 1485 1029 1334 Perform. 601 270 183 652 289 137 319 774 269 682 459 495 938 461 515 551 580 347 522 601 233 664 443 642 251 356 330 Implant (Cases)

106.2 104.3 103.0 260.4 153.1 120.8 175.4 143.2 261.3 178.2 153.6 118.0 149.3 104.4 120.2 163.1 160.1 158.4 170.9 116.2 164.7 132.0 Achi. 76.4 90.2 64.8 34.9 95.0 94.0 39.7 96.5 97.5 99.4 88.1 86.0 99.4 55.9 Rate(%) Jul'17 to Feb'18 311280 17127 52328 11809 89547 10483 11210 4929 3343 2822 6033 1863 1488 2071 6018 3178 5700 3321 3876 8142 4862 5516 7958 4418 5864 8106 3403 3699 4852 2170 4801 3920 5738 2075 3184 2150 Perform. 18 116.7 100.3 120.7 105.4 209.8 128.9 124.3 113.8 100.8 158.6 107.8 116.1 143.2 131.6 199.5 157.2 153.9 149.1 147.1 121.8 121.3 147.4 168.2 175.2 191.0 120.0 184.1 107.5 Achi. 95.9 92.4 67.3 91.3 58.6 95.5 92.5 65.1 Rate(%) Kushtia Rajshahi Div. Serajganj Pabna Natore Rajshahi Nawabganj Noagaon Joipurhat Bogra Rangpur Div. Lalmonirhat Gaibandha Kurigram Rangpur Nilphamari Panchgarh Thakurgaon Dinajpur Barisal Div. Pirojpur Bhola Jhalakati Barisal Patuakhali Barguna Khulna Div. Satkhira Bagerhat Khulna Jessore Narail Magura Jhenaidaha Chuadanga Meherpur Table-10: District wise Projection, PerformanceMethods Projection, Acting of Shortwise and Rate Achievement District Table-10: District Performance Report February 2018------ReportFebruary Performance 144867 674930 102698 120760 123750 308019 652667 115194 786700 120000 110128 114769 110854

37639 68471 21560 79240 63950 37158 81840 57785 93366 29099 35913 73197 48557 30569 87146 76999 69484 39599 52549 99547 77550 42451 55624 Yearly Projection Reporting Month 29613 34659 19660 29312

1673 7480 4176 3534 1934 2814 2504 3515 6650 1105 1309 2865 2806 1974 3770 6589 5731 2613 4794 2305 2562 4290 2900 6346 5650 6539 3898 2311 2901 4114 Perform. 729 863 (in CYP) Injectables

131.1 Achi. 76.6 53.3 48.0 63.2 66.3 62.5 53.9 41.3 52.0 45.2 69.3 45.6 43.7 47.0 69.3 77.5 51.9 45.2 65.9 62.4 40.7 50.1 39.8 27.7 22.1 35.5 61.6 66.2 74.2 68.1 65.0 60.3 65.3 62.6 39.9 Rate (%) Jul'17 to Feb'18 161043 244786 237958 271091 13694 62371 33009 28188 16380 24058 19730 31611 53953 10497 24642 23313 17335 30750 52933 41158 20625 38314 18664 21402 38448 23001 47009 43737 50520 30763 19228 23526 33307 7401 8897 6414 Perform. 136.6

78.4 54.6 51.5 62.5 66.1 66.1 56.3 44.1 51.2 50.8 70.3 45.9 43.8 50.5 72.0 85.1 52.9 45.4 66.2 56.1 40.2 50.1 40.3 29.0 24.3 39.8 60.2 65.7 68.7 65.9 62.8 59.5 67.9 63.4 40.4 Achi. Rate(%) 1339684 1614805 1385383 632249 140546 162650 131267 167988 118610 191647 236450 150246 178878 246315 226051 158051 235579 142625 227543 297359 107864 210801 204333 247875 159182 114176 254014

77259 44255 76271 59730 73717 99669 62748 81283 87137 Yearly Projection Reporting Month 24590 46731 72856 12722 10844 11707 12874 65478 11765 11006

3825 4247 1369 5974 5465 3710 6743 6208 7523 6096 2157 2215 5187 3293 1906 5403 7413 9715 4734 2847 4958 9762 8982 8229 5586 5190 Perform. (in CYP) Oral Pill Oral

Achi. 46.7 59.4 36.3 37.1 44.1 50.0 58.4 41.9 48.2 62.8 47.1 30.9 43.3 36.1 41.4 39.6 36.5 36.2 54.1 62.0 57.6 56.3 49.5 39.8 61.7 42.0 52.0 56.7 55.2 55.6 52.7 57.0 62.0 76.9 54.5 52.0 Rate (%) Jul'17 to Feb'18 218675 481528 600181 109044 103433 618445 104350 100524 108595 34864 37058 14289 59317 44202 28945 64848 58000 83280 74797 23103 28320 51346 29676 16115 52043 94410 59808 78126 37409 93906 24045 41935 73064 48524 44543 96910 Perform.

51.9 67.7 39.6 48.4 54.7 50.5 56.9 53.9 57.9 73.3 65.2 47.4 58.0 57.6 51.3 44.7 38.5 43.6 55.8 66.4 62.6 56.8 49.7 39.3 61.9 44.4 52.2 67.0 58.3 74.3 73.8 65.7 68.8 83.5 58.5 57.2 Achi. Rate(%) 113481 240456 289837 248658

13867 25226 29194 23561 13690 30152 21289 34398 42440 10721 13231 26967 17889 11262 32106 44210 40573 28368 42283 25599 40841 14589 53372 19360 37836 36675 44490 28571 15640 20493 45592 Yearly 7943 Projection Reporting Month

2677 8599 1094 1042 1763 1333 8535 1389 1061 1698 1532 3672 Perform. 434 603 169 798 395 278 464 326 729 492 416 940 963 805 847 240 262 679 585 722 343 204 230 647 (in CYP) Condom

Achi. 28.3 37.6 28.7 25.5 32.8 20.1 24.4 42.9 43.5 58.7 61.5 37.7 51.9 29.6 32.4 33.0 44.3 35.1 35.3 37.7 28.5 44.9 48.2 37.7 24.9 19.7 34.4 17.7 16.2 21.5 19.1 19.5 14.4 15.7 13.5 17.0 Rate (%) Jul'17 to Feb'18 22864 80477 17606 13562 88844 16209 10645 19146 15419 42990 3677 5206 1664 6852 3317 2148 9307 8473 3894 2637 6700 4830 3840 9628 9915 6740 8227 2543 2722 9073 7908 8188 4144 2387 2137 6431 Perform. 30.2 39.8 31.0 31.4 35.2 21.1 23.5 50.2 46.3 59.7 76.8 47.9 54.5 29.9 37.3 40.5 51.1 45.0 46.0 55.0 39.4 52.4 67.9 39.5 30.2 26.1 43.3 25.9 21.1 36.0 32.3 27.6 21.8 22.9 15.6 21.2

19 Achi. Rate(%) Chandpur Comilla Baria B. Dhaka Div. Netrokona Kishoreganj Mymensingh Sherpur Jamalpur Tangail Manikganj Narshingdi Narayanganj Munshiganj Gazipur Dhaka Rajbari Faridpur Shariatpur Madaripur Gopalganj National Sylhet Div. Sunamganj Moulavibazar Habiganj Sylhet Chittagong Div. Bandarban Khagrachhari Rangamati Cox's Bazar Chittagong Laxmipur Noakhali Performance Report February 2018------ReportFebruary Performance 5120355 1449331 158508 145105 309123 939586 196492 108069 204505 102036 195217

74438 62935 73494 98257 13058 20798 18859 76120 62765 51485 88501 98934 78846 59224 90806 58146 79893 98186 55744 82358 43506 73740 40994 43700 43320 Yearly Projection Reporting Month 230858 62979 11943 12121 42514

2335 2076 1671 6039 1031 5849 7582 3179 3952 2462 4046 8799 3995 3150 3699 5893 2763 3637 6322 1856 5385 4972 1775 2414 1988 2214 1227 2524 1217 Perform. 776 843 (in CYP) Injectables

Achi. 54.1 47.1 37.6 39.6 27.3 73.8 54.3 71.3 59.5 53.6 92.2 46.3 60.8 43.9 57.4 54.9 51.6 48.5 52.1 47.9 43.5 36.2 56.0 48.1 47.9 38.3 80.9 60.8 38.2 35.2 98.8 54.8 36.0 35.9 69.3 33.7 Rate (%) Jul'17 to Feb'18 1869739 100289 342555 512017 19162 17935 12632 50560 45030 63234 24777 32678 19173 33794 68819 33149 24742 30251 48450 24534 31771 51019 16102 43080 39650 14336 19489 93029 15720 18493 10376 19884 11091 6546 8636 6719 Perform. 68.3 38.4 54.8 48.7 38.6 42.7 25.8 77.2 54.7 75.2 62.3 53.4 88.7 48.3 59.2 45.4 55.9 57.3 50.5 50.3 53.0 47.1 44.5 37.2 62.1 52.5 48.3 41.5 80.9 60.6 38.6 35.5 96.2 54.2 37.6 38.0 Achi. Rate(%) 10510202 1928623 2974943 634516 152793 129182 150855 201685 156246 403326 128833 221827 105679 181661 419773 203074 161842 209443 400709 121566 186392 325359 119352 163991 201539 114423 169051 297847 151361 89700 88920 26804 42691 38710 89302 84146 Yearly Projection Reporting Month 469738 164238 26650 69195 15008 14796 12825 15093 10101 55605 2951 3076 6116 5040 5969 9525 1473 2581 2309 7169 2959 6316 3952 5475 7157 5357 7728 4295 7716 5162 9132 6073 8204 3155 5210 2555 Perform. (in CYP) Oral Pill Oral

224.0 Achi. 39.5 41.5 53.6 50.4 48.0 46.8 47.5 56.7 43.1 65.9 72.5 71.6 55.1 44.7 27.6 34.2 44.9 36.2 42.3 42.3 66.2 39.7 44.3 38.4 42.4 49.7 55.7 51.9 66.8 60.1 63.7 58.2 42.4 41.3 36.4 Rate (%) Jul'17 to Feb'18 4130463 1401539 238661 571434 125099 121189 102301 210092 154168 211449 40600 41367 59648 41801 52332 84880 11696 21370 19603 57203 25726 51931 32355 45916 59346 77775 50097 79939 42131 71337 85866 46781 74180 31427 54358 27671 Perform. 106.5

58.9 56.4 58.6 48.5 52.0 63.1 44.4 65.5 75.1 76.0 54.9 46.5 30.0 35.1 45.9 37.9 43.3 43.8 70.7 72.1 73.3 78.6 61.8 64.3 71.1 52.9 65.3 63.9 61.3 65.8 52.8 53.9 49.3 67.9 69.8 Achi. Rate(%) 1886447 113887 346163 533964

27424 23187 27077 36200 28044 72392 23124 39815 18968 32606 75344 36449 29049 37592 71922 21819 33455 58398 21422 29434 36174 20537 30343 53460 16029 27167 15103 16100 15960 Yearly 4811 7662 6948 Projection Reporting Month 53429 18236

3032 1357 8678 2060 1919 1096 1093 1462 1560 1152 1556 1541 2809 1166 Perform. 793 472 410 237 250 348 752 249 758 372 637 699 379 764 909 877 858 376 470 565 (in CYP) Condom

Achi. 34.0 31.9 34.7 24.4 18.2 45.0 30.1 59.1 39.2 60.1 32.2 34.1 12.9 22.8 23.5 23.4 30.6 36.1 41.0 28.9 34.9 24.4 20.8 27.4 32.1 50.9 47.0 51.6 51.2 60.9 63.1 64.2 51.5 29.9 35.0 42.5 Rate (%) Jul'17 to Feb'18 544703 182430 37491 19535 89607 20554 20472 12924 12450 16911 10350 16882 10719 14034 13893 28762 10685 8769 4668 4519 1583 2165 2902 6520 2772 7983 5875 5857 6937 5235 7797 6946 6886 3685 4475 5783 Perform. 43.3 49.4 48.0 30.2 25.0 80.9 38.8 49.4 42.4 62.7 34.9 42.6 18.0 30.1 46.5 26.9 40.8 53.2 51.2 35.8 49.7 35.3 36.0 46.4 43.4 54.6 54.6 58.2 50.7 68.7 80.7 64.4 59.0 36.6 41.7 54.4

20 Achi. Rate(%) Table -11: Method wise Old Users, New Users, Dropout and CAR by District at the end of February 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 Method Switch Over Method Over Method Over Dinajpur 656348 259276 2455 261731 1163 1380 29428 631 30059 290 300 75048 1132 76180 506 817 Thakurgaon 296090 111720 1817 113537 902 870 9047 278 9325 163 151 57708 946 58654 531 601 Panchgarh 228934 95475 1584 97059 701 616 7178 227 7405 80 140 39091 803 39894 253 284 Nilphamari 411871 162018 1713 163731 913 928 12913 344 13257 152 189 70490 979 71469 434 582 Rangpur 640450 236705 3483 240188 1627 1763 26829 767 27596 367 410 107141 1991 109132 932 1026 Kurigram 527086 196077 2218 198295 1222 986 21013 779 21792 434 321 108713 1463 110176 926 647 Gaibandha 545039 212143 2929 215072 1709 1774 25176 832 26008 568 1101 94282 1881 96163 927 871 Lalmonirhat 279064 96973 1349 98322 544 495 9805 373 10178 92 67 60396 642 61038 359 513 Rangpur 3584882 1370387 17548 1387935 8781 8812 141389 4231 145620 2146 2679 612869 9837 622706 4868 5341 Bogra 766514 318053 3121 321174 2010 1372 56733 1078 57811 763 419 106195 1368 107563 719 673 Joipurhat 209902 86103 717 86820 470 371 13775 203 13978 112 101 25197 238 25435 100 116 Naogaon 587879 261379 2072 263451 1300 910 29365 525 29890 275 198 55127 721 55848 377 405 Nawabganj 368180 139660 1253 140913 771 571 40656 615 41271 324 279 53733 526 54259 345 351 Rajshahi 608844 212391 3617 216008 1963 1684 76094 2956 79050 1589 1315 91746 2542 94288 1116 1393 Natore 408177 164193 2213 166406 1259 996 36477 932 37409 426 397 47112 1143 48255 622 593 Pabna 583340 210011 1835 211846 1017 775 42974 664 43638 322 279 105229 907 106136 544 466 Serajganj 637432 257557 2717 260274 1495 1017 56298 804 57102 401 321 122125 1211 123336 643 569 Rajshahi 4170268 1649347 17545 1666892 10285 7696 352372 7777 360149 4212 3309 606464 8656 615120 4466 4566 Kustia 459876 152245 1987 154232 1091 806 46928 1119 48047 581 403 74958 1202 76160 657 474 Meherpur 161631 45854 450 46304 254 212 14313 215 14528 106 85 36180 303 36483 168 151 Chuadanga 256967 94767 1351 96118 785 560 17043 507 17550 241 249 53699 888 54587 533 379 Jhenaidaha 387912 150805 1710 152515 879 624 25680 490 26170 243 194 50334 654 50988 329 353 Magura 190945 77028 614 77642 391 241 11395 195 11590 116 80 26762 318 27080 194 155 Narail 154403 61508 765 62273 385 304 12646 309 12955 99 81 19283 468 19751 198 126 Jessore 610556 191543 1485 193028 884 730 48063 703 48766 375 309 129228 1011 130239 535 533 Khulna 494078 186648 2270 188918 1519 1584 49218 1492 50710 795 657 60824 1561 62385 555 662 Bagerhat 305940 122995 1464 124459 804 644 22061 683 22744 371 298 45141 805 45946 462 378 Satkhira 433724 176150 1487 177637 828 596 27051 578 27629 251 258 66478 624 67102 397 321 Khulna 3456032 1259543 13583 1273126 7820 6301 274398 6291 280689 3178 2614 562887 7834 570721 4028 3532 Barguna 196337 65489 1466 66955 606 568 5005 244 5249 127 96 39766 762 40528 424 433 Patuakhali 338056 118730 1302 120032 583 511 12340 224 12564 140 102 75697 817 76514 368 351 Barisal 419741 154320 1940 156260 1182 686 26795 626 27421 394 188 65275 1078 66353 785 365 Jhalakati 113954 41023 491 41514 295 149 6236 157 6393 102 50 17510 313 17823 208 82 Bhola 362500 113509 1329 114838 865 612 14434 439 14873 194 153 114278 1272 115550 715 523 Pirojpur 199761 79217 1237 80454 615 449 10543 298 10841 128 102 29258 600 29858 375 278 Barisal 1630349 572288 7765 580053 4146 2975 75353 1988 77341 1085 691 341784 4842 346626 2875 2032

Performance Report February 2018------21 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 Method Switch Over Method Over Method Over Gopalganj 228807 91550 932 92482 509 348 22460 429 22889 234 140 25924 408 26332 202 167 Madaripur 230982 88523 779 89302 559 287 16389 450 16839 380 95 37323 469 37792 328 147 Shariatpur 217269 78127 698 78825 517 230 19389 277 19666 181 78 34192 346 34538 328 186 Faridpur 391686 138887 1778 140665 966 996 40918 1299 42217 489 429 47248 930 48178 459 402 Rajbari 231055 81107 1184 82291 700 606 18397 653 19050 295 220 33545 690 34235 320 293 Dhaka 777508 271826 2752 274578 1401 970 81569 1521 83090 700 483 104629 1727 106356 648 476 Gazipur 437470 188774 1322 190096 851 498 37198 596 37794 294 207 43977 670 44647 297 190 Munshiganj 296051 104929 1131 106060 539 448 28770 545 29315 280 213 33169 499 33668 223 228 Narayanganj 522576 198629 2595 201224 1267 958 38869 938 39807 484 373 75655 1278 76933 630 572 Narshingdi 424668 162151 1670 163821 816 669 31700 755 32455 314 276 69013 972 69985 425 407 Manikganj 307973 108231 1527 109758 833 567 28230 608 28838 311 260 37862 689 38551 358 333 Tangail 838569 342183 3311 345494 1571 1044 65133 855 65988 547 1197 102532 1209 103741 632 511 Jamalpur 480681 180275 1626 181901 895 576 27321 365 27686 165 172 89282 648 89930 379 343 Sherpur 313535 126514 1100 127614 726 581 14910 357 15267 218 194 52221 590 52811 380 390 Mymensingh 1034966 491182 3870 495052 2611 1502 46571 927 47498 535 305 119365 2005 121370 891 621 Kishoreganj 542986 223872 2924 226796 1866 1523 32819 1150 33969 595 585 67250 1468 68718 727 655 Netrokona 417889 182574 1664 184238 1027 806 17611 405 18016 251 164 50184 1003 51187 476 358 Dhaka 7694671 3059334 30863 3090197 17654 12609 568254 12130 580384 6273 5391 ###### 15601 1038972 7703 6279 525590 169595 1940 171535 1236 475 43460 614 44074 554 204 82944 978 83922 731 266 Comilla 1110464 396801 4190 400991 2607 1327 75679 1428 77107 1242 615 191679 2094 193773 1316 843 Chandpur 468908 175373 1940 177313 1146 694 23676 620 24296 262 188 86330 940 87270 684 476 Feni 273616 85717 1033 86750 550 384 20201 393 20594 241 190 40973 606 41579 358 265 Noakhali 576557 202133 1813 203946 1393 636 42520 613 43133 467 217 100309 1008 101317 758 395 Lakshmipur 333414 112441 963 113404 658 334 17102 251 17353 152 85 74667 661 75328 338 190 Chittagong 1042234 399423 3817 403240 2112 1394 74778 1352 76130 778 637 124223 1885 126108 988 715 Cox's Bazar 406647 142005 1721 143726 984 643 20465 481 20946 287 131 92237 1294 93531 804 521 Rangamati 100141 39514 258 39772 120 145 6853 73 6926 53 52 14652 130 14782 84 102 Khagrachhari 110818 44893 474 45367 277 103 4032 78 4110 98 48 17784 232 18016 109 67 Bandarban 69610 20675 323 20998 159 95 3797 144 3941 90 49 11910 298 12208 128 106 Chittagong 5017999 1788570 18472 1807042 11242 6230 332563 6047 338610 4224 2416 837708 10126 847834 6298 3946 Sylhet 522679 168134 2503 170637 1255 895 49670 781 50451 613 389 75328 1151 76479 643 402 Habiganj 390803 168168 1745 169913 1180 441 25420 381 25801 352 111 47633 707 48340 552 163 Moulavi Bazar 333590 120950 1676 122626 820 686 20645 509 21154 327 257 43722 691 44413 399 375 Sunamganj 395724 142191 2373 144564 1551 881 30189 930 31119 709 306 53228 1131 54359 785 413 Sylhet 1642796 599443 8297 607740 4806 2903 125924 2601 128525 2001 1063 219911 3680 223591 2379 1353 National 27196997 10298912 114073 10412985 64734 47526 1870253 41065 1911318 23119 18163 ###### 60576 4265570 32617 27049

Performance Report February 2018------22 IUD Implant Permanent Method Total Name of Dropout Dropout Male Female CAR Acceptor District Old New Total No Switch Old New Total No Switch (%) Old New Total Old New Total s Method Over Method Over Dinajpur 11314 244 11558 86 89 36284 1306 37590 221 343 47982 96 48078 69216 288 69504 534700 81.5 Thakurgaon 1867 49 1916 14 21 13049 523 13572 70 89 16929 29 16958 20577 75 20652 234614 79.2 Panchgarh 4391 65 4456 20 22 12264 326 12590 58 102 12886 20 12906 12810 63 12873 187183 81.8 Nilphamari 5643 125 5768 53 61 17885 699 18584 117 183 21947 30 21977 41536 111 41647 336433 81.7 Rangpur 13584 235 13819 94 64 31353 885 32238 198 239 37747 95 37842 37948 107 38055 498870 77.9 Kurigram 11289 145 11434 68 35 18357 505 18862 102 124 18803 17 18820 23717 46 23763 403142 76.5 Gaibandha 16922 262 17184 122 72 28420 575 28995 221 183 23531 113 23644 33734 178 33912 440978 80.9 Lalmonirhat 2786 117 2903 31 33 13413 370 13783 62 93 14032 14 14046 24566 56 24622 224892 80.6 Rangpur 67796 1242 69038 488 397 171025 5189 176214 1049 1356 193857 414 194271 264104 924 265028 2860812 79.8 Bogra 20202 218 20420 81 77 48860 1172 50032 281 392 28394 67 28461 53559 146 53705 639166 83.4 Joipurhat 3345 73 3418 14 24 12796 331 13127 89 102 15440 26 15466 19501 40 19541 177785 84.7 Naogaon 11989 160 12149 51 59 21001 942 21943 131 122 20501 25 20526 71931 174 72105 475912 81.0 Nawabganj 5313 72 5385 23 8 5731 208 5939 23 22 16817 11 16828 30304 150 30454 295049 80.1 Rajshahi 8137 119 8256 38 53 21023 371 21394 132 200 10071 9 10080 73810 184 73994 503070 82.6 Natore 8350 121 8471 62 65 19794 529 20323 110 225 5353 11 5364 52561 145 52706 338934 83.0 Pabna 23145 224 23369 135 77 20661 490 21151 116 105 12906 62 12968 37959 93 38052 457160 78.4 Serajganj 20746 446 21192 125 77 16820 663 17483 81 79 12343 6 12349 21257 133 21390 513126 80.5 Rajshahi 101227 1433 102660 529 440 166686 4706 171392 963 1247 121825 217 122042 360882 1065 361947 3400202 81.5 Kustia 5605 64 5669 24 15 12697 254 12951 78 97 5018 6 5024 59812 172 59984 362067 78.7 Meherpur 2052 17 2069 5 7 3240 107 3347 14 22 619 0 619 24301 61 24362 127712 79.0 Chuadanga 5801 86 5887 24 34 9678 290 9968 64 89 1427 1 1428 29877 116 29993 215531 83.9 Jhenaidaha 7591 88 7679 42 30 15654 390 16044 109 88 3383 4 3387 44829 176 45005 301788 77.8 Magura 3864 39 3903 37 15 9411 230 9641 77 142 2334 1 2335 19757 79 19836 152027 79.6 Narail 5341 54 5395 30 13 5705 162 5867 44 27 2907 1 2908 15002 18 15020 124169 80.4 Jessore 19137 220 19357 91 88 28036 539 28575 101 120 24338 17 24355 51233 121 51354 495674 81.2 Khulna 13632 231 13863 97 89 27670 978 28648 191 171 19045 31 19076 34621 110 34731 398331 80.6 Bagerhat 11228 96 11324 48 41 12084 303 12387 494 56 13493 39 13532 20692 51 20743 251135 82.1 Satkhira 9764 104 9868 42 24 15688 289 15977 94 89 12468 7 12475 38163 155 38318 349006 80.5 Khulna 84015 999 85014 440 356 139863 3542 143405 1266 901 85032 107 85139 338287 1059 339346 2777440 80.4 Barguna 4834 102 4936 58 58 11563 296 11859 118 123 14286 39 14325 8854 47 8901 152753 77.8 Patuakhali 8703 117 8820 64 50 20658 201 20859 130 117 10929 30 10959 18945 59 19004 268752 79.5 Barisal 12806 119 12925 137 67 19701 372 20073 171 108 9814 24 9838 27477 93 27570 320440 76.3 Jhalakati 5292 44 5336 26 12 6532 66 6598 46 20 5253 2 5255 8234 24 8258 91177 80.0 Bhola 11358 151 11509 52 18 20732 313 21045 80 57 9945 12 9957 9529 10 9539 297311 82.0 Pirojpur 9802 153 9955 74 2837 10073 211 10284 57 54 6536 6 6542 9571 43 9614 157548 78.9 Barisal 52795 686 53481 411 3042 89259 1459 90718 602 479 56763 113 56876 82610 276 82886 1287981 79.0

Performance Report February 2018------23 IUD Implant Permanent Method Total Name of Dropout Dropout Male Female CAR Acceptor District Old New Total No Switch Old New Total No Switch (%) Old New Total Old New Total s Method Over Method Over Gopalganj 6357 84 6441 21 6 8644 267 8911 2214 30 6247 84 6331 22433 107 22540 185926 81.3 Madaripur 7729 94 7823 55 27 15509 310 15819 71 81 2785 2 2787 14600 48 14648 185010 80.1 Shariatpur 11152 121 11273 98 45 9021 209 9230 110 49 4388 8 4396 12303 77 12380 170308 78.4 Faridpur 15418 194 15612 113 50 17160 562 17722 106 105 8436 25 8461 37240 168 37408 310263 79.2 Rajbari 6604 103 6707 43 31 14980 390 15370 111 98 6606 26 6632 17957 68 18025 182310 78.9 Dhaka 22304 457 22761 138 87 28916 692 29608 173 124 22466 336 22802 53959 278 54237 593432 76.3 Gazipur 10821 136 10957 47 32 14981 270 15251 65 49 5251 23 5274 37817 94 37911 341930 78.2 Munshiganj 7571 89 7660 55 27 9271 241 9512 56 45 2313 11 2324 27663 115 27778 216317 73.1 Narayanganj 13743 225 13968 96 50 17828 407 18235 105 94 14285 92 14377 35419 80 35499 400043 76.6 Narshingdi 16925 263 17188 101 62 12864 339 13203 60 87 3581 14 3595 33071 152 33223 333470 78.5 Manikganj 8213 132 8345 63 44 14854 363 15217 92 102 4956 514 5470 33807 128 33935 240114 78.0 Tangail 19839 297 20136 134 91 36721 861 37582 263 228 20072 33 20105 61820 184 62004 655050 78.1 Jamalpur 14689 273 14962 68 49 27159 655 27814 111 70 15999 23 16022 28648 98 28746 387061 80.5 Sherpur 7573 68 7641 35 21 18397 448 18845 79 55 9423 12 9435 17198 76 17274 248887 79.4 Mymensingh 22803 288 23091 110 84 44412 967 45379 232 265 35792 90 35882 46812 127 46939 815211 78.8 Kishoreganj 19733 319 20052 124 92 29346 829 30175 229 196 14305 34 14339 43064 197 43261 437310 80.5 Netrokona 9262 77 9339 81 36 19420 666 20086 178 104 17098 12 17110 26719 83 26802 326778 78.2 Dhaka 220736 3220 223956 1382 834 339483 8476 347959 4255 1782 194003 1339 195342 550530 2080 552610 6029420 78.4 Brahmanbaria 22044 176 22220 160 31 19515 554 20069 166 67 6770 17 6787 44695 137 44832 393439 74.9 Comilla 39775 543 40318 331 188 35806 997 36803 314 173 19551 104 19655 89559 330 89889 858536 77.3 Chandpur 13378 148 13526 96 58 16051 499 16550 125 94 5521 22 5543 36477 96 36573 361071 77.0 Feni 10065 157 10222 53 34 9752 312 10064 70 59 1796 4 1800 24290 73 24363 195372 71.4 Noakhali 17764 153 17917 115 35 19517 683 20200 104 54 7655 15 7670 41309 97 41406 435589 75.6 Lakshmipur 10391 51 10442 58 15 14793 281 15074 84 36 4259 1 4260 17539 67 17606 253467 76.0 Chittagong 43915 517 44432 254 142 55066 987 56053 335 260 11986 114 12100 64653 118 64771 782834 75.1 Cox's Bazar 11892 150 12042 76 40 22335 631 22966 105 81 12509 41 12550 14810 45 14855 320616 78.8 Rangamati 4956 56 5012 20 16 9288 246 9534 44 72 3016 10 3026 4978 3 4981 84033 83.9 Khagrachhari 3849 46 3895 42 7 5002 210 5212 41 59 4536 13 4549 5474 4 5478 86627 78.2 Bandarban 4524 45 4569 42 19 6020 153 6173 67 42 5343 25 5368 3319 1 3320 56577 81.3 Chittagong 182553 2042 184595 1247 585 213145 5553 218698 1455 997 82942 366 83308 347103 971 348074 3828161 76.3 Sylhet 17668 175 17843 110 40 26066 739 26805 218 128 15386 51 15437 49560 245 49805 407457 78.0 Habiganj 11288 80 11368 82 17 11641 261 11902 77 24 14832 15 14847 30017 95 30112 312283 79.9 Moulavi Bazar 13115 125 13240 97 71 16698 419 17117 126 121 16654 45 16699 31187 114 31301 266550 79.9 Sunamganj 14924 140 15064 83 41 19057 592 19649 121 92 15813 33 15846 33255 100 33355 313956 79.3 Sylhet 56995 520 57515 372 169 73462 2011 75473 542 365 62685 144 62829 144019 554 144573 1300246 79.1 National 766117 10142 776259 4869 5823 1192923 30936 1223859 10132 7127 797107 2700 799807 2087535 6929 2094464 21484262 79.0

Performance Report February 2018------24 Table -12: Number of New and Total Acceptors upto the end of January 2018 and February 2018

New Acceptors Total Acceptors % Change of % Change of Method Feb'18 over Feb'18 over Jan'18 Feb'18 Jan'18 Jan'18 Feb'18 Jan'18

Per.Method (Male) 3274 2700 -17.5 798149 799807 0.2 Per.Method (Female) 8698 6929 -20.3 2089913 2094464 0.2 Per.Method (Total) 11972 9629 -19.6 2888062 2894271 0.2 IUD 16722 10142 -39.3 774435 776259 0.2 Implant 40475 30936 -23.6 1207656 1223859 1.3 Injectables 71152 60576 -14.9 4265910 4265570 0.0 Oral Pill 135064 114073 -15.5 10413671 10412985 0.0 Condom 53001 41065 -22.5 1913164 1911318 -0.1 Total 328386 266421 -18.9 21462898 21484262 0.1

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

Change of Feb'18 over Division Jan'18 Feb'18 Jan'18 Rangpur 79.8 79.8 0.0 Rajshahi 81.5 81.5 0.0 Khulna 80.4 80.4 0.0 Barisal 79.0 79.0 0.0 Dhaka 78.3 78.4 0.0 Chittagong 76.3 76.3 0.0 Sylhet 79.2 79.2 -0.1 National 79.0 79.0 0.00

National & Division wise CAR upto the end of January 2018 and February 2018

Feb'18 81.53 82 81.52

82 81.52

> Jan'18 81 80.37 81 80.36 80.36 79.81 79.80 80 79.81 80 79.23 79.23 79.15 79.00 79.00 78.99 78.99 78.99 79.00 79 79 78.36 78.34 78.34 Dhaka ------78 78 Chittagong Sylhet 77 77 CAR CAR (%) 76.29 76.29 76.29 CAR CAR (%) 76 76

75 75

74 74 ------< > ------< 73 73

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

Performance Report February 2018------25 Table -14: District by Range of CAR upto the end of February 2018

Range Sl.No. District CAR (%) Range Nos of Districts CAR (%) 1 Joipurhat 84.7 64 2 Rangamati 83.9 70% & above 3 Chuadanga 83.9 4 Bogra 83.4 60% - 69% Nil 5 Natore 83.0 6 Rajshahi 82.6 0%-59% Nil 7 Bagerhat 82.1 8 Bhola 82.0 9 Panchgarh 81.8 10 Nilphamari 81.7 11 Dinajpur 81.5 12 Bandarban 81.3 13 Gopalganj 81.3 14 Jessore 81.2 15 Naogaon 81.0 District position in CAR (%) upto the end of 16 Gaibandha 80.9 January 2018 and February 2018 17 Khulna 80.6 18 Lalmonirhat 80.6 19 Kishoreganj 80.5 70 Jan'18

20 Jamalpur 80.5 64 64 Feb'18 21 Serajganj 80.5 22 Satkhira 80.5 23 Narail 80.4 60 24 Nawabganj 80.1 25 Madaripur 80.1 26 Jhalakati 80.0 27 Habiganj 79.9 28 Moulavi Bazar 79.9 50 29 Magura 79.6 30 Patuakhali 79.5 31 Sherpur 79.4 ------32 Sunamganj 79.3 40 33 Thakurgaon 79.2 34 Faridpur 79.2

70% & above & 70% 35 Meherpur 79.0 36 Rajbari 78.9 30 37 Pirojpur 78.9 38 Cox's Bazar 78.8 Nos. of District 39 Mymensingh 78.8 40 Kustia 78.7 41 Narshingdi 78.5 20 42 Shariatpur 78.4 43 Pabna 78.4 44 Netrokona 78.2 45 Khagrachhari 78.2 10 46 Gazipur 78.2

47 Tangail 78.1 ------> 48 Manikganj 78.0 < - 0 0 0 0 49 Sylhet 78.0 0 50 Rangpur 77.9 70% & above 60%-69% 0%-59% 51 Barguna 77.8 52 Jhenaidaha 77.8 53 Comilla 77.3 54 Chandpur 77.0 <------Range ------> 55 Narayanganj 76.6 56 Kurigram 76.5 57 Barisal 76.3 58 Dhaka 76.3 59 Lakshmipur 76.0 60 Noakhali 75.6 61 Chittagong 75.1 62 Brahmanbaria 74.9 63 Munshiganj 73.1 64 Feni 71.4

Performance Report February 2018------26 Table -15 : List of Upazila achieved CAR 70% & above upto the end of February 2018

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

1 Rangamati Kawkhali 11947 10239 85.7 75 Gaibandha Sadullahpur 71634 58824 82.1 2 Joipurhat Khetlal 25922 22166 85.5 76 Bagerhat Fakirhat 29875 24505 82.0 3 Joipurhat Joypurhat Sadar 64620 54896 85.0 77 Rajshahi Mohanpur 42664 34991 82.0 4 Joipurhat Akkelpur 30952 26216 84.7 78 Jhalakati Nalchhiti 34738 28485 82.0 5 Bagerhat Mongla 26591 22520 84.7 79 Bhola Daulatkhan 34028 27898 82.0 6 Chuadanga Jiban Nagar 38068 32229 84.7 80 Khulna Dumuria 64618 52971 82.0 7 Joipurhat Panchbibi 53852 45539 84.6 81 Natore Baraigram 68975 56528 82.0 8 Rangamati Rangamati Sadar 19868 16774 84.4 82 Dinajpur Hakimpur 20551 16842 82.0 9 Bogra Dupchanchia 44089 37172 84.3 83 Nilphamari Dimla 61938 50736 81.9 10 Bogra Sonatola 40020 33707 84.2 84 Gaibandha Sundarganj 109169 89353 81.8 11 Bogra Shibganj 90113 75894 84.2 85 Jessore Keshobpur 59008 48288 81.8 12 Chuadanga Alamdanga 81425 68564 84.2 86 Naogaon Porsa 30102 24631 81.8 13 Rangamati Barkal 7312 6151 84.1 87 Dinajpur Birampur 35939 29388 81.8 14 Bogra Kahaloo 55200 46426 84.1 88 Serajganj Ullahpara 121653 99477 81.8 15 Rangamati Baghaichhari 11662 9792 84.0 89 Rajshahi Charghat 49090 40132 81.8 16 Natore Bagatipara 30846 25897 84.0 90 Lalmonirhat Patgram 47090 38463 81.7 17 Bogra Sariakandi 50499 42356 83.9 91 Jamalpur Melandaha 62090 50687 81.6 18 Rajshahi Puthiya 48934 41034 83.9 92 Nilphamari Syadpur 56784 46339 81.6 19 Joipurhat Kalai 34556 28968 83.8 93 Lalmonirhat Hatibandha 51225 41800 81.6 20 Natore Natore Sadar 103774 86979 83.8 94 Panchgarh Debiganj 54637 44571 81.6 21 Bagerhat Bagerhat Sadar 54411 45592 83.8 95 Rajshahi Tanore 44861 36592 81.6 22 Rangamati Langadu 15176 12716 83.8 96 Dinajpur Nawabganj 50405 41105 81.5 23 Chuadanga Chuadanga Sadar 69466 58107 83.6 97 Gaibandha Fulchhari 36707 29928 81.5 24 Bhola Lalmohan 63456 53040 83.6 98 Dinajpur Birol 55642 45356 81.5 25 Rajshahi Durgapur 44468 37154 83.6 99 Satkhira Kaliganj 65821 53649 81.5 26 Gopalganj Gopalganj Sadar 59528 49695 83.5 100 Jamalpur Dewanganj 59149 48195 81.5 27 Natore Lalpur 66653 55620 83.4 101 Magura Shalikha 31395 25572 81.5 28 Bogra Sherpur 84279 70299 83.4 102 Habiganj Habiganj Sadar 62549 50943 81.4 29 Bandarban Bandarban Sadar 15740 13129 83.4 103 Manikganj Shibalaya 35327 28765 81.4 30 Rangamati Naniarchar 9090 7575 83.3 104 Dinajpur Parbatipur 84404 68715 81.4 31 Cox's Bazar Chakaria 81232 67682 83.3 105 Gopalganj Muksudpur 60206 49003 81.4 32 Bhola Charfashion 88344 73604 83.3 106 Kishoreganj Bhariab Bazar 55956 45533 81.4 33 Bogra Dhunot 66496 55384 83.3 107 Serajganj Shazadpur 113138 92042 81.4 34 Chuadanga Damurhuda 68008 56631 83.3 108 Jessore Abhaynagar 55010 44704 81.3 35 Rangamati Belaichhari 4948 4120 83.3 109 Jessore Jessore Sadar 151037 122736 81.3 36 Bogra Gabtali 73224 60928 83.2 110 Naogaon Sapahar 38284 31103 81.2 37 Natore Gurudashpur 52467 43649 83.2 111 Meherpur Mujibnagar 22617 18374 81.2 38 Bhola Bhola Sadar 85374 71021 83.2 112 Panchgarh Panchgarh Sadar 60404 49070 81.2 39 Rajshahi Boalia 102270 85059 83.2 113 Lalmonirhat Aditmari 48433 39332 81.2 40 Satkhira Asasuni 57214 47575 83.2 114 Barguna Patharghata 33233 26988 81.2 41 Naogaon Manda 92146 76610 83.1 115 Sherpur Jhenaigati 37175 30180 81.2 42 Rangamati Jurachhari 4404 3661 83.1 116 Naogaon Naogaon Sadar 62260 50511 81.1 43 Bogra Shajahanpur 79668 66200 83.1 117 Nawabganj Bholahat 24589 19945 81.1 44 Gaibandha Palashbari 58432 48529 83.1 118 Naogaon Atrai 47400 38443 81.1 45 Rangamati Rajasthali 4700 3903 83.0 119 Kishoreganj Katiadi 59934 48608 81.1 46 Rajshahi Poba (Sadar) 74783 62056 83.0 120 Kishoreganj Itna 32666 26492 81.1 47 Satkhira Debhata 26952 22354 82.9 121 Tangail Modhupur 113717 92177 81.1 48 Naogaon Niamatpur 58153 48222 82.9 122 Dinajpur Birganj 69574 56393 81.1 49 Rajshahi Bagmara 88453 73343 82.9 123 Khagrachhari Dighinala 17624 14281 81.0 50 Bogra Adamdighi 45444 37681 82.9 124 Dinajpur Khanshama 42514 34433 81.0 51 Bagerhat Kachua 20134 16694 82.9 125 Jamalpur Jamalpur Sadar 134058 108571 81.0 52 Nilphamari Domar 56575 46879 82.9 126 Comilla Chouddagram 87271 70639 80.9 53 Jessore Bagherpara 47393 39248 82.8 127 Naogaon Mohadebpur 69942 56611 80.9 54 Kishoreganj Kishoreganj Sadar 71699 59350 82.8 128 Bandarban Naikhongchhari 11770 9526 80.9 55 Dinajpur Chirir Bandar 64761 53581 82.7 129 Nilphamari Kishoreganj 55736 45104 80.9 56 Panchgarh Boda 55864 46215 82.7 130 Nawabganj Nachol 33236 26895 80.9 57 Khulna Digholia 93647 77422 82.7 131 Cox's Bazar Moheshkhali 57345 46389 80.9 58 Manikganj Ghior 36385 30070 82.6 132 Rajshahi Bagha 42300 34218 80.9 59 Bogra Nandigram 43349 35784 82.5 133 Jessore Sarsa 78223 63277 80.9 60 Kishoreganj Nikli 26762 22089 82.5 134 Narail Narail Sadar 64337 52044 80.9 61 Rangamati Kaptai 11034 9102 82.5 135 Dinajpur Bochaganj 35069 28367 80.9 62 Kurigram Chilmari 31022 25584 82.5 136 Sunamganj Chhatak 54676 44223 80.9 63 Rajshahi Godagari 71021 58491 82.4 137 Bagerhat Rampal 33741 27288 80.9 64 Nilphamari Nilphamari Sadar 103069 84834 82.3 138 Panchgarh Tetulia 28391 22954 80.8 65 Manikganj Saturia 38096 31356 82.3 139 Dinajpur Fulbari 36610 29591 80.8 66 Panchgarh Atowari 29638 24373 82.2 140 Bandarban Rowangchhari 5090 4113 80.8 67 Dinajpur Dinajpur Sadar 100884 82958 82.2 141 Sunamganj Jamalganj 29593 23909 80.8 68 Faridpur Modhukhali 45397 37329 82.2 142 Khulna Koyra 40698 32881 80.8 69 Natore Singra 85462 70261 82.2 143 Madaripur Madaripur Sadar 70377 56828 80.7 70 Jessore Monirampur 96518 79349 82.2 144 Jhalakati Rajapur 23879 19281 80.7 71 Bagerhat Sarankhola 22089 18155 82.2 145 Bandarban Alikadam 9720 7846 80.7 72 Bagerhat Morralganj 64386 52907 82.2 146 Patuakhali Dumki 13340 10768 80.7 73 Bogra Bogra Sadar 94133 77335 82.2 147 Satkhira Kolaroa 51948 41930 80.7 74 Pabna Santhia 90934 74680 82.1 148 Nawabganj Gomostapur 63029 50872 80.7

Performance Report February 2018------27 Sl. Name of Total Total Sl. Name of Total Total Name of Upazila CAR (%) Name of Upazila CAR (%) No. District Couples Acceptors No. District Couples Acceptors

149 Lalmonirhat Kaliganj 54366 43878 80.7 225 Gaibandha Gobindaganj 113132 90134 79.7 150 Faridpur Alphadanga 22348 18028 80.7 226 Thakurgaon Ranisankail 48969 39012 79.7 151 Khulna Dacope 31189 25158 80.7 227 Gazipur Kaliakair 59712 47569 79.7 152 Moulavi Bazar Moulavi Bazar Sadar 54687 44107 80.7 228 Kishoreganj Kuliarchar 33644 26797 79.6 153 Bandarban Ruma 4418 3563 80.6 229 Moulavi Bazar Kulaura 60245 47980 79.6 154 Habiganj Baniachhong 57465 46341 80.6 230 Narail Kalia 43811 34888 79.6 155 Habiganj Bahubal 35553 28666 80.6 231 Khagrachhari Khagrachhari Sadar 18784 14958 79.6 156 Jhenaidaha Harinakunda 42985 34649 80.6 232 Mymensingh Dhubaura 40749 32449 79.6 157 Madaripur Rajoir 47353 38162 80.6 233 Meherpur Meherpur Sadar 61940 49301 79.6 158 Sunamganj Sadar (South) 28141 22671 80.6 234 Satkhira Tala 64282 51164 79.6 159 Moulavi Bazar Barlekha 43660 35172 80.6 235 Tangail Bhuapur 42750 34026 79.6 160 Bandarban Lama 18857 15186 80.5 236 Pirojpur Bhandaria 24709 19662 79.6 161 Narail Lohagara 46255 37237 80.5 237 Mymensingh Ishwarganj 80460 63988 79.5 162 Patuakhali Mirzaganj 24467 19690 80.5 238 Faridpur Faridpur Sadar 94151 74864 79.5 163 Dinajpur Kaharole 34847 28043 80.5 239 Rajbari Rajbari Sadar 71082 56508 79.5 164 Habiganj Chunarughat 62002 49884 80.5 240 Kishoreganj Tarail 29135 23159 79.5 165 Serajganj Sadar 112859 90787 80.4 241 Serajganj Kazipur 57848 45967 79.5 166 Jamalpur Madarganj 53239 42825 80.4 242 Jamalpur Bakshiganj 40964 32548 79.5 167 Pirojpur Nazirpur 32283 25965 80.4 243 Sylhet South Shurma 54212 43072 79.5 168 Nilphamari Jaldhaka 77769 62541 80.4 244 Pabna Bera 57092 45347 79.4 169 Kishoreganj Austagram 29432 23665 80.4 245 Kustia Bheramara 51069 40554 79.4 170 Netrokona Barhatta 33771 27152 80.4 246 Naogaon Badalgachhi 48676 38650 79.4 171 Khulna Batiaghata 38617 31045 80.4 247 Thakurgaon Pirganj 49324 39151 79.4 172 Jamalpur Sharishabari 66037 53072 80.4 248 Moulavi Bazar Sreemongal 63289 50228 79.4 173 Faridpur Nagarkanda 36842 29594 80.3 249 Shariatpur Palong (Sadar) 42716 33890 79.3 174 Mymensingh Mymensingh Sadar 140189 112554 80.3 250 Serajganj Tarash 45552 36137 79.3 175 Moulavi Bazar Komolganj 46321 37189 80.3 251 Mymensingh Bhaluka 88067 69850 79.3 176 Narshingdi Belaboo 40663 32638 80.3 252 Tangail Gopalpur 58132 46096 79.3 177 Gopalganj Kasiani 43708 35073 80.2 253 Comilla Titash 38391 30442 79.3 178 Netrokona Kalmakanda 50810 40767 80.2 254 Sunamganj Dherai 40494 32102 79.3 179 Naogaon Rani Nagar 42197 33853 80.2 255 Thakurgaon Thakurgaon Sadar 123517 97919 79.3 180 Kustia Kumarkhali 73103 58641 80.2 256 Dinajpur Ghoraghat 25148 19928 79.2 181 Magura Magura Sadar 82092 65851 80.2 257 Sylhet Gowainghat 52390 41511 79.2 182 Comilla Brahmanpara 40851 32761 80.2 258 Mymensingh Haluaghat 66574 52731 79.2 183 Moulavi Bazar Rajnagar 40387 32386 80.2 259 Satkhira Shyamnagar 73732 58383 79.2 184 Gaibandha Gaibandha Sadar 101617 81400 80.1 260 Thakurgaon Haripur 31380 24836 79.1 185 Barguna Bmna 14321 11469 80.1 261 Habiganj Azmiriganj 20315 16072 79.1 186 Sunamganj Bishwamvarpur 26720 21397 80.1 262 Bagerhat Mollahat 27257 21564 79.1 187 Serajganj Chouhali 19181 15356 80.1 263 Patuakhali Patuakhali Sadar 70097 55447 79.1 188 Bandarban Thanchi 4015 3214 80.0 264 Shariatpur Naria 41747 33020 79.1 189 Kishoreganj Pakundia 43982 35200 80.0 265 Serajganj Kamarkhand 29284 23161 79.1 190 Patuakhali Bauphal 70300 56254 80.0 266 Madaripur Shibchar 58659 46377 79.1 191 Serajganj Belkuchi 69302 55455 80.0 267 Jhalakati Kathalia 20879 16506 79.1 192 Patuakhali Dashmina 26732 21377 80.0 268 Tangail Kalihati 85956 67915 79.0 193 Bhola Monpura 14570 11651 80.0 269 Gazipur Gazipur Sadar 114525 90434 79.0 194 Jessore Jhikarghachha 69523 55590 80.0 270 Narshingdi Narshingdi Sadar 120526 95171 79.0 195 Comilla Debidwar 90996 72750 79.9 271 Sherpur Nakla 43141 34051 78.9 196 Madaripur Kalkini 54593 43643 79.9 272 Shariatpur Goshairhat 30312 23922 78.9 197 Sunamganj Jogonnathpur 34043 27211 79.9 273 Jessore Chowgachha 53844 42482 78.9 198 Cox's Bazar Ramu 44845 35841 79.9 274 Chittagong Rawzan 63228 49884 78.9 199 Khulna Paikgachha 57959 46321 79.9 275 Comilla Burichong 66616 52554 78.9 200 Sunamganj Dharmapasa 44030 35179 79.9 276 Habiganj Nabiganj 59715 47102 78.9 201 Habiganj Lakhai 29148 23288 79.9 277 Satkhira Satkhira Sadar 93775 73951 78.9 202 Kishoreganj Karimganj 53536 42767 79.9 278 Barisal Gournadi 36163 28506 78.8 203 Narshingdi Shibpur 54967 43905 79.9 279 Comilla Meghna 22316 17588 78.8 204 Sherpur Nalitabari 57865 46211 79.9 280 Pirojpur Nesarabad 39053 30772 78.8 205 Gazipur Tongi 36197 28906 79.9 281 Lalmonirhat Lalmonirhat Sadar 77950 61419 78.8 206 Khulna Khulna Sadar 75679 60431 79.9 282 Pabna Ishwardi 71798 56571 78.8 207 Rangpur Pirganj 94838 75704 79.8 283 Lakshmipur Ramgoti 41642 32808 78.8 208 Gopalganj Kotalipara 44446 35477 79.8 284 Gaibandha Shaghata 54348 42810 78.8 209 Nawabganj Chapai Nawabganj (Sadar)118008 94188 79.8 285 Khulna Rupsha 37940 29883 78.8 210 Bagerhat Chitalmari 27456 21910 79.8 286 Sylhet Golapganj 47543 37428 78.7 211 Pirojpur Indurkani 15260 12176 79.8 287 Kustia Mirpur 78026 61422 78.7 212 Serajganj Rayganj 68615 54744 79.8 288 Sylhet Balaganj 50184 39499 78.7 213 Khulna Fultala 27707 22104 79.8 289 Rajbari Baliakandi 45438 35751 78.7 214 Rangpur Pirgachha 74501 59429 79.8 290 Rajbari 89120 70100 78.7 215 Nawabganj Shibganj 129318 103149 79.8 291 Faridpur Saltha 34314 26982 78.6 216 Sherpur Sribordi 57051 45502 79.8 292 Pabna Bhangoora 29415 23122 78.6 217 Pirojpur Pirojpur Sadar 27928 22270 79.7 293 Patuakhali Golachipa 80683 63420 78.6 218 Gopalganj Tungipara 20919 16678 79.7 294 Sherpur Sherpur Sadar 118303 92943 78.6 219 Khagrachhari Matiranga 24753 19730 79.7 295 Khagrachhari Mahalchhari 9175 7207 78.6 220 Chittagong Banshkhali 78817 62823 79.7 296 Thakurgaon Baliadangi 42900 33696 78.5 221 Patuakhali Kalapara 52437 41796 79.7 297 Brahmanbaria Ashuganj 28004 21994 78.5 222 Mymensingh Muktagacha 89034 70961 79.7 298 Jamalpur Islampur 65144 51163 78.5 223 Kishoreganj Bazitpur 44564 35516 79.7 299 Cox's Bazar Ukhiya 38059 29890 78.5 224 Sunamganj Tahirpur 36425 29022 79.7 300 Faridpur Boalmari 55938 43926 78.5

Performance Report February 2018------28 Sl. Name of Total Total Sl. Name of Total Total Name of Upazila CAR (%) Name of Upazila CAR (%) No. District Couples Acceptors No. District Couples Acceptors

301 Pirojpur Kawkhali 12112 9509 78.5 377 Kurigram Roumari 44046 34034 77.3 302 Bhola Borhanuddin 49727 39039 78.5 378 Dhaka Savar 166263 128393 77.2 303 Sylhet Jaintapur 29657 23281 78.5 379 Narshingdi Raipura 109316 84403 77.2 304 Rajbari Goalunda Ghat 25415 19951 78.5 380 Comilla Daudkandi 72768 56180 77.2 305 Tangail Ghatail 102685 80538 78.4 381 Rangpur Taraganj 35122 27087 77.1 306 Kishoreganj Hossainpur 37867 29693 78.4 382 Khagrachhari Lakshmichhari 5577 4301 77.1 307 Gazipur Kaliganj 54287 42563 78.4 383 Comilla Monohargonj 48918 37716 77.1 308 Comilla Adarsho Sadar 112550 88215 78.4 384 Dhaka Mirpur 88381 68136 77.1 309 Netrokona Kendua 58270 45659 78.4 385 Pabna Chatmohor 74181 57176 77.1 310 Naogaon Dhamoirhat 43677 34224 78.4 386 Rangpur Mithapukur 116085 89421 77.0 311 Gazipur Sreepur 102394 80231 78.4 387 Comilla Barura 87224 67189 77.0 312 Magura Mohammadpur 41495 32493 78.3 388 Dhaka Dhamrai 89304 68755 77.0 313 Kustia Kushtia Sadar 116760 91429 78.3 389 Netrokona Khaliajhuri 17421 13411 77.0 314 Sylhet Fenchuganj 18049 14130 78.3 390 Faridpur Sadarpur 34532 26566 76.9 315 Narshingdi Palash 41613 32574 78.3 391 Pirojpur Mathbaria 48416 37194 76.8 316 Barisal Uzirpur 46921 36726 78.3 392 Cox's Bazar Teknaf 48496 37250 76.8 317 Tangail Tangail Sadar 119687 93676 78.3 393 Chittagong Doublemooring 44933 34451 76.7 318 Chandpur Chandpur Sadar 73834 57786 78.3 394 Kurigram Bhurungamari 62639 47999 76.6 319 Netrokona Modan 27571 21571 78.2 395 Noakhali Sonaimuri 64762 49617 76.6 320 Mymensingh Trisal 90266 70618 78.2 396 Barisal Mehendiganj 49711 38085 76.6 321 Sunamganj Dowara Bazar 39073 30567 78.2 397 Manikganj Daulatpur 35812 27421 76.6 322 Pabna Faridpur 27774 21727 78.2 398 Noakhali Kabirhat 36422 27884 76.6 323 Sylhet Biswanath 30520 23873 78.2 399 Chittagong Boalkhali 45736 34975 76.5 324 Naogaon Patnitola 55042 43054 78.2 400 Chittagong Panchlaish 31324 23952 76.5 325 Mymensingh Fulbaria 86122 67360 78.2 401 Shariatpur Janjira 35524 27150 76.4 326 Shariatpur Damoddya 23152 18108 78.2 402 Kurigram Kurigram Sadar 75242 57494 76.4 327 Tangail Mirzapur 95151 74417 78.2 403 Manikganj Manikganj Sadar 68127 52054 76.4 328 Jhenaidaha Kotchandpur 31862 24919 78.2 404 Barguna Barguna Sadar 59475 45440 76.4 329 Sylhet Jakiganj 35545 27799 78.2 405 Lakshmipur Ramganj 60889 46518 76.4 330 Chandpur Faridganj 83276 65120 78.2 406 Lakshmipur Raipur 57876 44202 76.4 331 Netrokona Durgapur 45862 35855 78.2 407 Chittagong Mirsharai 84986 64901 76.4 332 Kurigram Char Rajibpur 22586 17656 78.2 408 Comilla Muradnagar 113126 86390 76.4 333 Magura Sripur 35963 28111 78.2 409 Noakhali Sudharam (Sadar) 89893 68633 76.3 334 Sylhet Sylhet Sadar 94679 73995 78.2 410 Pabna Sujanagar 62018 47299 76.3 335 Kustia Daulatpur 110299 86196 78.1 411 Chandpur Sharasti 47999 36599 76.2 336 Mymensingh Gafargaon 86988 67972 78.1 412 Tangail Delduar 47620 36296 76.2 337 Netrokona Netrokona Sadar 69157 54016 78.1 413 Chandpur Kachua 80488 61335 76.2 338 Jhenaidaha Kaliganj 61784 48253 78.1 414 Noakhali Senbag 54198 41299 76.2 339 Shariatpur Bhedarganj 43818 34218 78.1 415 Comilla Homna 40298 30703 76.2 340 Jhalakati Jhalakati Sadar 34458 26905 78.1 416 Chittagong Hathazari 73326 55858 76.2 341 Mymensingh Gouripur 60704 47376 78.0 417 Noakhali Begumganj 110255 83872 76.1 342 Habiganj Madhabpur 64056 49987 78.0 418 Barisal Banaripara 29123 22142 76.0 343 Kurigram Rajarhat 47790 37287 78.0 419 Comilla Laksham 55659 42309 76.0 344 Bhola Tajumuddin 27001 21058 78.0 420 Comilla Chandina 75900 57688 76.0 345 Jhenaidaha Moheshpur 73313 57169 78.0 421 Lakshmipur Kamalnagar 36622 27811 75.9 346 Moulavi Bazar Juri 25001 19488 77.9 422 Munshiganj Lohajong 31991 24288 75.9 347 Jhenaidaha Jhenaidaha Sadar 96800 75424 77.9 423 Netrokona Purbadhala 57057 43286 75.9 348 Narayanganj Narayanganj Sadar 196673 153223 77.9 424 Cox's Bazar Coxs Bazar Sadar 82151 62307 75.8 349 Meherpur Gagni 77074 60037 77.9 425 Sylhet Companiganj 27607 20938 75.8 350 Netrokona Atpara 26645 20752 77.9 426 Cox's Bazar Kutubdia 22712 17219 75.8 351 Narayanganj Bandar 66053 51442 77.9 427 Khagrachhari Panchhari 11024 8354 75.8 352 Dhaka Tejgaon 175276 136458 77.9 428 Sunamganj Sunamganj Sadar 42840 32442 75.7 353 Rangpur Kaunia 49030 38169 77.8 429 Barisal Babuganj 26783 20274 75.7 354 Faridpur Bhanga 54719 42578 77.8 430 Sylhet Kanaighat 47083 35631 75.7 355 Kustia Khoksa 30619 23825 77.8 431 Munshiganj Serajdikhan 57928 43838 75.7 356 Barisal Bakerganj 64488 50151 77.8 432 Noakhali Subarna Char 52171 39474 75.7 357 Narshingdi Monohordi 57583 44779 77.8 433 Chittagong Satkania 68381 51734 75.7 358 Chandpur Hajiganj 63040 49021 77.8 434 Rangpur Badarganj 65697 49684 75.6 359 Chandpur Hemchar 18908 14701 77.8 435 Jhenaidaha Sailkupa 81168 61374 75.6 360 Barguna Amtali 65818 51160 77.7 436 Cox's Bazar Pekua 31807 24038 75.6 361 Rangpur Gangachara 68270 53047 77.7 437 Tangail Nagarpur 65542 49512 75.5 362 Dhaka Keraniganj 142953 111057 77.7 438 Noakhali Hatiya 74362 56173 75.5 363 Rangpur Rangpur Sadar 136907 106329 77.7 439 Chittagong Anwara 47317 35725 75.5 364 Netrokona Mohonganj 31325 24309 77.6 440 Narayanganj Rupganj 93300 70441 75.5 365 Pabna Pabna Sadar 134879 104645 77.6 441 Khagrachhari Manikchhari 11374 8581 75.4 366 Mymensingh Phulpur 122229 94730 77.5 442 Pabna Atghoria 35249 26593 75.4 367 Brahmanbaria Brahmanbaria Sadar 92974 72030 77.5 443 Narayanganj Sonargaon 85657 64585 75.4 368 Kishoreganj Mithamoin 23809 18441 77.5 444 Barguna Betagi 23490 17696 75.3 369 Chandpur Matlab (South) 43636 33788 77.4 445 Brahmanbaria Nabinagar 92123 69260 75.2 370 Sunamganj Sulla 19689 15233 77.4 446 Barisal Hizla 25150 18904 75.2 371 Barisal Agailjhara 28246 21853 77.4 447 Chittagong Sitakunda 74456 55926 75.1 372 Kurigram Fulbari 39672 30687 77.4 448 Feni Parshuram 19776 14836 75.0 373 Faridpur Char Bhadrashion 13445 10396 77.3 449 Kurigram Nageswari 100435 75263 74.9 374 Mymensingh Nandail 83584 64622 77.3 450 Manikganj Singair 62643 46910 74.9 375 Tangail Basail 39017 30160 77.3 451 Lakshmipur Lakshmipur Sadar 136385 102128 74.9 376 Khulna Terokhada 26024 20115 77.3 452 Feni Sonagazi 53788 40208 74.8

Performance Report February 2018------29 Sl. Name of Total Total Sl. Name of Total Total Name of Upazila CAR (%) Name of Upazila CAR (%) No. District Couples Acceptors No. District Couples Acceptors

453 Noakhali Chatkhil 44943 33596 74.8 470 Brahmanbaria Nasirnagar 55280 40605 73.5 454 Sylhet Biani Bazar 35210 26300 74.7 471 Munshiganj Gazaria 30512 22366 73.3 455 Chittagong Sandwip 59270 44248 74.7 472 Feni Fulgazi 23781 17420 73.3 456 Barisal Barisal Sadar 82643 61688 74.6 473 Munshiganj Srinagar 57778 42278 73.2 457 Narayanganj Araihazar 80893 60352 74.6 474 Feni Feni Sadar 90360 66079 73.1 458 Manikganj Harirampur 31583 23538 74.5 475 Munshiganj Tongibari 37614 27452 73.0 459 Kurigram Ulipur 103654 77138 74.4 476 Chittagong Lohagora 49109 35750 72.8 460 Brahmanbaria Bancharampur 58696 43608 74.3 477 Chittagong Chandlaish 44102 32093 72.8 461 Gazipur Kapasia 70355 52227 74.2 478 Brahmanbaria Bijoy Nagar 49828 36251 72.8 462 Chittagong Rangunia 73931 54767 74.1 479 Comilla Nangolkot 75190 54626 72.7 463 Brahmanbaria Sarail 54279 40179 74.0 480 Barisal Muladi 30513 22111 72.5 464 Chandpur Motlab (North) 57727 42721 74.0 481 Dhaka Nawabganj 68969 49708 72.1 465 Comilla Comilla Sadar South 82390 60786 73.8 482 Chittagong Patiya 97978 70532 72.0 466 Brahmanbaria Kashba 64177 47294 73.7 483 Chittagong Fatichhari 105340 75215 71.4 467 Khagrachhari Ramgarh 12507 9215 73.7 484 Feni Dagonbhuiyan 51383 36407 70.9 468 Tangail Shakhipur 68312 50237 73.5 485 Noakhali Companiganj 49551 35041 70.7 469 Brahmanbaria Akhaura 30229 22218 73.5 486 Munshiganj Munshiganj Sadar 80228 56095 70.0

Table-16: List of Upazila achieved CAR 60-69% and <59 up to the end of February 2018

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

1 Dhaka Dohar 46362 30925 66.7 2 Feni Chhagalnaiya 34528 20422 59.1

Upazila position in CAR upto the end January 2018 and February 2018

Jan'18 Feb'18 486 486

> 500 450 400

------350 300 250 200 150 Nos. of of Nos. Upazila 100 2 50 2 0 0 ------< 0 1 2 3

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

Performance Report February 2018------30 Table -17: Method wise Dropout and Switch Over by Division upto the end of February 2018

Number of Acceptors droppedout and Switch Over

Division Oral Pill Condom Injectable IUD Implant No Switch Switch Switch Switch No Method No Method Switch Over No Method No Method Method Over Over Over Over Rangpur 8781 8812 2146 2679 4868 5341 488 397 1049 1356

Rajshahi 10285 7696 4212 3309 4466 4566 529 440 963 1247 Khulna 7820 6301 3178 2614 4028 3532 440 356 1266 901 Barisal 4146 2975 1085 691 2875 2032 411 3042 602 479 Dhaka 17654 12609 6273 5391 7703 6279 1382 834 4255 1782 Chittagong 11242 6230 4224 2416 6298 3946 1247 585 1455 997 Sylhet 4806 2903 2001 1063 2379 1353 372 169 542 365 National 64734 47526 23119 18163 32617 27049 4869 5823 10132 7127

Table -18: Contraceptive Acceptors and Acceptance Rate by Division upto the end of January 2018 and February 2018

Total Number of Acceptors Total Division Month Eligible Permanent CAR (%) IUD Implant Injectable Oral Pill Condom Total Couple Method

1-Jan 3581146 458482 68676 173350 622961 1388282 146307 2858058 79.8 Rangpur 1-Feb 3584882 459299 69038 176214 622706 1387935 145620 2860812 79.8 1-Jan 4167147 483097 102289 168828 615572 1667351 359940 3397077 81.5 Rajshahi 1-Feb 4170268 483989 102660 171392 615120 1666892 360149 3400202 81.5 1-Jan 3453075 423532 84727 141515 570662 1274070 280281 2774787 80.4 Khulna 1-Feb 3456032 424485 85014 143405 570721 1273126 280689 2777440 80.4 1-Jan 1629010 139616 53522 90342 346796 579437 77141 1286854 79.0 Barisal 1-Feb 1630349 139762 53481 90718 346626 580053 77341 1287981 79.0 1-Jan 7687229 745716 223069 343666 1038096 3090719 580994 6022260 78.3 Dhaka 1-Feb 7694671 747952 223956 347959 1038972 3090197 580384 6029420 78.4 1-Jan 5011880 430637 184414 215582 848038 1805952 339172 3823795 76.3 Chittagong 1-Feb 5017999 431382 184595 218698 847834 1807042 338610 3828161 76.3 1-Jan 1640937 206982 57738 74373 223785 607860 129329 1300067 79.2 Sylhet 1-Feb 1642796 207402 57515 75473 223591 607740 128525 1300246 79.2 1-Jan 27170424 2888062 774435 1207656 4265910 10413671 1913164 21462898 79.0 National 1-Feb 27196997 2894271 776259 1223859 4265570 10412985 1911318 21484262 79.0

Table -19: Status of Contraceptive Method-Mix based on CAR at the end of the Month of February 2018

Method Rangpur Rajshahi Khulna Barisal Dhaka Chittagong Sylhet National

Permanent Method 16.1 14.2 15.3 10.9 12.4 11.3 16.0 13.5

I U D 2.4 3.0 3.1 4.2 3.7 4.8 4.4 3.6 Implant 6.2 5.0 5.2 7.0 5.8 5.7 5.8 5.7 Injectables 21.8 18.1 20.6 26.9 17.2 22.2 17.2 19.9 Oral Pill 48.5 49.0 45.8 45.0 51.3 47.2 46.7 48.5 Condom 5.1 10.6 10.1 6.0 9.6 8.9 9.9 8.9 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Performance Report February 2018------31 Method-Mix for the month of February 2018 National Rangpur Per.Method (Male)Per.Method Per.Method Per.Method 3.7% (Female) (Total) (Male) Per.Method Condom Condom 9.7% 13.5% 5.1% 6.8% (Female) 8.9% 9.3% I U D I U D 3.6% 2.4% Implant Implant 5.7% 6.2%

Oral Pill Injectable Injectable 48.5% Oral Pill 21.8% 19.9% 48.5% Rajshahi Khulna Per.Method Per.Method Per.Method Per.Method Condom (Male) Condom (Male) 10.6% 3.6% (Female) 3.1% (Female) 10.6% 10.1% I U D 12.2% I U D 3.0% Implant 3.1% 5.0% Implant 5.2% Method-Mix for the Reporting month Method Per.Method(Male) Per.Method(Female) Oral Pill Injectable Oral Pill Injectable 45.8% 20.5% I U D 49.0% 18.1% Implant Barisal Dhaka Injectable Per.Method Per.Method Oral Pill Condom (Male) Per.Method( Condom Per.Method Female) (Male) 6.0% 4.4% 9.6% 3.2% (Female) Condom 6.4% I U D 9.2% Total 4.2% I U D Implant 3.7% 7.0% Implant 5.8%

Injectable Oral Pill Injectable 26.9% Oral Pill 45.0% 51.3% 17.2% Chittagong Sylhet Per.Method Condom (Male) Per.Method Per.Method (Female) (Male) Per.Method 8.8% 2.2% Condom 9.1% 4.8% (Female) I U D 9.9% 11.1% 4.8% I U D Implant 4.4% 5.7% Implant 5.8%

Oral Pill Injectable Oral Pill Injectable 47.2% 22.1% 46.7% 17.2%

Performance Report February 2018------32 Table -20: Performance by type of MCH services for the month of January 2018 and February 2018 Performance % Change of Services Feb'18 over Jan'18 Feb'18 Jan'18 Number of Pregnant Women 880878 877798 -0.3 No. of High Risk Pregnant Mother Referred 4783 4279 -10.5 st 1 visit (within 4 Month) 176496 173591 -1.6 nd 2 visit (within 6 Month) 160247 159764 -0.3 Antenatal Care rd 3 visit (within 8 Month) 142960 139288 -2.6 th th 4 visit (in 9 month) (including MCHTI, MFSTC &123031 FWVTI-Raj)113762 -7.5 Normal 33573 30756 -8.4 Delivery conducted in MCHTI, MFSTC, FWVTI-Rajshahi, MCWC, UHC, C-Section 26345 24573 -6.7 UH&FWC & NGO Clinics Total Delivery 59918 55329 -7.7 PNC-1 (within 24 Hour) 50399 48475 -3.8

Postnatal Care (including MCHTI, MFSTC, PNC-2 (within 2- 3 day) 45841 43411 -5.3 FWVTI-Raj, MCWC, UHC, UH&FWC) PNC-3 (within 7 -14 day) 54568 51767 -5.1 PNC-4 (within 42-48 day) 73189 70132 -4.2 Treatment of RTI/STI (MCHTI, MFSTC, FWVTI-Raj & MCWCs) 96061 74917 -22.0 1st dose 122461 124095 1.3 2nd dose 119171 120175 0.8 TT for Women (15 - 49 Yrs.) 3rd dose 119313 117514 -1.5 4th dose 110684 109205 -1.3 5th dose 112623 110399 -2.0 Immunization BCG (Vaccine) 138274 135649 -1.9 PCV 1 153313 151912 -0.9 OPV & Pentavalent (DPT,Hep-B,Hib) PCV 2 150722 151043 0.2 3 150508 148789 -1.1 PCV 3 147553 146390 -0.8 MR & OPV-4 184650 141478 -23.4 Measles (Vaccine) 124642 124570 -0.1 Number of ECP acceptors 7877 7738 -1.8 Number of MR done ( Both Govt. & NGOs ) 12846 12163 -5.3 Total Live Births 119926 113426 -5.4 Still Births (Including MCHTI, MFSTC & FWVTI-Raj ) 229 187 -18.3 Neonatal Deaths (0 - 28 day) 386 308 -20.2 Infant Death (29 days -<1 Yr.) 205 158 -22.9 Child Death (1 - <5Yrs.) 172 152 -11.6 Death Maternal Deaths 54 57 5.6 Other Death 31614 27906 -11.7 Total Death 32431 28581 -11.9 No. of Health Education in UH&FWC 17916 16978 -5.2 * See Page - 11 for clarification

Performance Report February 2018------33 Table -21: Performance by type of Nutrition services for the month of January 2018 and February 2018

Performance % Change of Services Feb'18 over Jan'18 Feb'18 Jan'18

Counseling on IYCF, IFA, Vitamin-A & Hand washing 173624 182815 5.3

Received IFA (Pregnant women & Lactating mother) 342905 351528 2.5

Received MNP Sachet (6-23 months) 16140 12699 -21.3

Breast feeding within 1-hour of birth (0-<6 months child) 69944 69450 -0.7

Exclusive Breast feeding (up to 6 months) 107920 100352 -7.0

Complimentary feeding (after 6 months) 189088 192046 1.6

Received Vitamin-A (6-59 months Child) 10844 22796 110.2

Received anti-helminthics Tablet (24-59 months Child) 34129 33538 -1.7

Received Zink pill with ORS (Suffering form diarrhoea) 8090 8067 -0.3

Suffering from MAM 7535 7693 2.1

Suffering from SAM & Referred 2402 2357 -1.9

No. of Child Stunting 5228 5581 6.8

Nutrition Services for Pregnant Women, 0-59 months aged child and Mother No. of Child Wasting 4692 4668 -0.5

No. of Child Under weight 6043 5968 -1.2

Performance Report February 2018------34 Annex - A: Summary of the Couples and Acceptors by Month since September 2017

Indicators Sep'17 Oct'17 Nov'17 Dec'17 Jan'18 Feb'18

Number of Total Couples 27058931 27076741 27115093 27140266 27170424 27196997

Number of Total Acceptors 21289749 21321640 21365327 21404861 21462898 21484262

Method Specific Acceptors Permanent Method (Male) 790695 792133 794767 796546 798149 799807 Permanent Method (Female) 2065122 2072665 2079021 2083118 2089913 2094464 Permanent Method (Total) 2855817 2864798 2873788 2879664 2888062 2894271 IUD (Users) 757513 760433 763859 767603 774435 776259 Implant (Users) 1136845 1153731 1170028 1184163 1207656 1223859 Injectable (Users) 4269718 4262558 4261469 4262297 4265910 4265570 Oral Pill (Acceptors) 10372386 10379372 10392421 10403721 10413671 10412985 Condom (Acceptors) 1897470 1900748 1903762 1907413 1913164 1911318 CAR (Contraceptive Acceptance Rate) 78.7 78.7 78.8 78.9 79 79

Number of Districts reported 64 64 64 64 64 64 Number of Upazilas reported 488 488 488 488 488 488

Method Specific absolute performance by month since September 2017

Indicators Sep'17 Oct'17 Nov'17 Dec'17 Jan'18 Feb'18 Permanent Method (Male, Cases) 4021 5678 4906 4575 5060 3705 Permanent Method (Female, Cases) 8078 9624 9084 7234 9327 6855 Permanent Method (Total, Cases) 12099 15302 13990 11809 14387 10560

I U D (in cases) 16850 18247 17311 20101 25226 14908

Implant (Cases) 33545 41837 39590 35393 52679 35086 Injectables (Doses) 854303 929129 938039 876547 958416 923410 Oral Pill (Cycles) 7938566 7954873 7996347 7672676 7344515 7046117 Condom (Pieces) 10732299 10933165 10679008 9770477 9155700 8014656

Performance by types of MCH services by month since September 2017

Services Sep'17 Oct'17 Nov'17 Dec'17 Jan'18 Feb'18 Number of Pregnant Women 906983 908286 907352 890183 880878 877798 No. of High Risk Pregnant Mother Referred 4548 4608 4675 4366 4783 4279 1st visit (within 4 Month) 175562 188293 177400 169351 176496 173591 2nd visit (within 6 Month) 162557 171793 162911 165352 160247 159764 Antenatal Care rd 3 visit (within 8 Month) 145392 147689 144262 140160 142960 139288 th th 4 visit (in 9 month) (including MCHTI, 120745 127208 123951 118144 123031 113762 MFSTC & FWVTI-Raj) Normal 32771 34193 34524 34647 33573 30756 Institutional Caesarian 26071 27015 28643 27316 26345 24573 Delivery* Total 58842 61208 63167 61963 59918 55329 At Home by Trained Persons 40673 42875 43628 43370 43836 41987 Non-Institutional At Home by Non-Trained Persons 13031 13734 13877 13430 13895 13430 Delivery Total 53704 56609 57505 56800 57731 55417 Total Delivery 112546 117817 120672 118763 117649 110746 PNC-1 (within 24 Hour) 48375 51069 51349 50895 50399 48475 PNC-2 (within 2- 3 day) 43192 44616 45810 45252 45841 43411 Postnatal Care*

Performance Report February 2018------35 Postnatal Care* PNC-3 (within 7 -14 day) 51655 55699 55448 53664 54568 51767

PNC-4 (within 42-48 day) 66071 70985 74202 71252 73189 70132

Treatment of RTI/STI (MCHTI, MFSTC, FWVTI & MCWCs) 90118 95921 95630 83496 96061 74917

1st dose 120793 124888 132501 122600 122461 124095 2nd dose 119697 121254 123378 120120 119171 120175 TT for Women 3rd dose 121591 123169 124848 121313 119313 117514 (15 - 49 Yrs.) 4th dose 110640 115501 116744 113149 110684 109205 5th dose 113994 118225 117414 112087 112623 110399 Immunization BCG (Vaccine) 130784 136820 142606 135142 138274 135649 PCV 1 143151 150358 156429 150915 153313 151912 OPV & Pentavalent PCV 2 141453 145703 154718 150345 150722 151043 (DPT,Hep-B,Hib) 3 139073 141491 150552 146517 150508 148789 PCV 3 132796 135912 145177 145929 147553 146390 MR & OPV-4 138712 140635 145517 142569 184650 141478 General Treatment 1921606 2236377 1958329 1809408 2088815 2022812

Measles (Vaccine) 123377 131066 128963 125860 124642 124570

Number of ECP acceptors 8258 7990 7741 7644 7877 7738 Number of MR done ( Both Govt. & NGOs ) 11529 13408 12318 11507 12846 12163

Total Live Births 113216 117788 122156 119874 119926 113426 Still Births (Including MCHTI, MFSTC & FWVTI-Raj) 258 269 241 196 229 187 Neonatal Death (0 - 28 day) 381 452 454 390 386 308

Infant Death (29 days -<1 Yr.) 124 120 180 179 205 158

Child Death (1 -< 5 Yrs.) 208 195 207 163 172 152 Death Maternal Death 100 121 79 91 54 57 Other Death 21636 23164 24893 25831 31614 27906

Total Death 22449 24052 25813 26654 32431 28581 * MCHTI, MFSTC, FWVTI-Raj, MCWC, UHC, UH&FWC ** See Page - 11 for clarification

Performance Report February 2018------36 Annex - B: Performance of RH-EOC of MCWCs, MCHTI, MFSTC & FWVTI-Raj for the month of February 2018

ANC ANC Delivery Gen. RTI/ Med. Child Care Immuni Tubec Oral pill Condom SL # Name of MCWC Status PNC S.B IUFD MR NSV Implant IUD Injectable (1st visit) (total) NVD C/S Total Pt STI tr 0-1yr 1-5yr zation tomy (person) (person) Rajshahi Division 1 Bogra C- EOC 189 313 91 46 17 63 194 0 1 90 47 0 0 0 1060 2 0 45 34 23 44 60 2 Dupchacia, Bogra B-EOC 23 62 39 25 0 25 272 10 0 43 73 0 0 0 12 0 4 113 8 9 7 16 3 Naogaon C-EOC 129 252 49 31 0 31 273 20 6 55 90 0 0 0 96 26 1 156 6 1 37 6 4 Joypurhat C- EOC 150 404 147 35 3 38 599 22 22 104 116 0 0 3 528 14 1 157 28 20 45 45 5 Rajshahi C- EOC 258 819 117 28 14 42 362 28 9 32 148 0 0 2 0 7 0 16 19 32 15 17 6 Natore C- EOC 95 163 53 39 7 46 238 19 4 92 501 0 0 46 600 2 0 46 36 3 126 144 7 Pabna C- EOC 210 847 100 63 15 78 1418 144 140 222 0 0 0 117 6 2 57 10 40 220 88 8 Sirajganj C- EOC 173 332 121 48 4 52 713 35 0 131 134 0 0 36 626 5 2 81 17 4 55 2 9 Chapai-Nawabganj C- EOC 237 423 47 38 1 39 379 8 0 81 236 0 0 15 0 44 2 45 38 134 113 44 Rangpur Division 10 Rangpur C- EOC 226 758 116 29 17 46 429 144 429 48 159 0 0 5 0 3 30 172 18 175 97 48 11 Dinajpur C- EOC 190 391 115 25 10 35 521 55 2 91 194 0 0 8 9 1 0 9 20 53 53 16 12 Thakurgaon C- EOC 191 614 80 31 0 31 939 20 5 127 209 0 0 0 315 0 2 136 7 100 84 14 13 Gaibandha C-EOC 274 688 104 193 10 203 394 31 34 204 24 0 2 18 260 40 45 291 9 12 36 7 14 Nilphamari C- EOC 107 398 92 59 8 67 737 27 17 72 176 1 0 2 0 6 8 107 7 103 91 8 15 Syedpur, NilphamariB- EOC 94 168 107 63 1 64 301 14 16 136 145 0 2 7 0 7 1 80 16 213 94 23 16 Kurigram C-EOC 584 698 109 53 1 54 129 8 0 57 10 0 0 14 388 14 3 88 7 38 73 14 17 Lalmonirhat C- EOC 330 92 25 0 25 440 12 4 155 35 0 1 6 251 6 6 109 4 82 38 8 18 Panchagore C-EOC 273 518 308 68 2 70 553 14 7 84 91 0 0 27 408 25 0 55 93 8 9 3 19 Boda, Panchagar C-EOC 72 172 120 28 0 28 260 75 80 50 112 0 0 14 0 9 2 183 0 192 60 6 Dhaka Division 20 Narayanganj C- EOC 156 325 42 6 11 17 0 6 0 178 124 0 0 10 0 3 0 27 3 48 47 30 21 Munshiganj C- EOC 150 333 45 23 0 23 514 6 0 56 116 0 0 0 385 27 1 32 15 95 76 42 22 Manikganj C- EOC 168 403 38 12 11 23 0 12 419 265 131 0 0 54 389 26 92 83 3 52 420 259 23 Narsingdi C-EOC 990 1936 467 61 42 103 1521 36 6 681 650 0 0 0 0 14 0 62 25 133 195 23 24 Tangail C-EOC 120 216 110 33 20 53 1065 230 0 60 200 0 0 0 464 51 0 18 5 74 96 33 25 Sherpur C-EOC 49 305 122 85 0 85 505 23 0 213 289 0 5 20 0 23 9 37 4 87 124 12 26 Mymensingh C-EOC 42 435 198 62 6 68 1363 33 0 448 387 0 0 0 0 0 0.37 157 21 35 47 20 27 Kishoreganj C- EOC 70 238 290 62 9 71 169 12 0 149 148 0 1 18 78 68 1 89 33 147 478 114 28 Jamalpur C- EOC 76 337 130 40 7 47 677 31 1 115 138 0 0 28 263 21 1 175 18 150 187 115 29 Netrokona C-EOC 43 571 72 50 4 54 425 27 6 204 216 0 3 7 704 45 2 80 4 103 22 60 30 Rajbari C- EOC 125 215 34 24 10 34 504 28 6 84 113 2 0 12 647 20 6 177 14 3 34 17 31 Faridpur C- EOC 112 190 52 7 0 7 200 40 0 41 150 0 0 21 308 0 0 16 13 238 87 30 32 Madaripur C- EOC 97 322 56 35 8 43 190 10 4 60 69 0 0 8 0 15 0 4 14 193 170 43 33 Gopalganj C- EOC 35 84 35 25 1 26 439 15 0 29 72 0 0 12 0 19 0 53 1 22 92 48 Khulna Division 34 Jessore C- EOC 169 268 33 9 12 21 260 15 1 151 87 0 0 19 326 26 0 70 4 49 47 25 35 Magura C- EOC 117 167 65 26 0 26 357 22 4 53 86 0 0 24 0 66 0 112 6 85 57 34 36 Narail C-EOC 129 219 37 22 3 25 491 47 7 186 206 0 0 0 230 0 0 54 2 26 38 42 37 Jhenaidah C-EOC 139 400 74 11 0 11 674 154 2 74 129 0 0 51 0 37 0 144 20 219 305 124

Performance Report February 2018------37 ANC ANC Delivery Gen. RTI/ Med. Child Care Immuni Tubec Oral pill Condom SL # Name of MCWC Status PNC S.B IUFD MR NSV Implant IUD Injectable (1st visit) (total) NVD C/S Total Pt STI tr 0-1yr 1-5yr zation tomy (person) (person) 38 Meherpur C- EOC 63 132 37 6 0 6 824 7 24 95 281 0 0 4 376 35 0 35 14 6 14 59 39 Chuadanga C-EOC 104 426 110 32 16 48 609 4 13 46 180 0 0 3 286 48 0 95 11 54 23 13 40 Khulna C-EOC 154 389 97 16 13 29 529 7 21 226 119 0 0 26 311 14 3 50 19 36 40 39 41 Bagerhat C-EOC 75 99 66 27 1 28 612 64 18 700 1013 1 0 11 751 13 1 63 2 55 137 29 42 Satkhira C- EOC 100 332 116 16 11 27 876 35 3 152 149 0 0 12 186 19 0 27 4 111 124 134 43 Nalta,Kaliganj,Satkhira B-EOC 22 207 40 21 0 21 415 6 0 45 138 0 0 3 51 7 0 23 5 18 7 2 44 Kustia C-EOC 156 236 86 30 0 30 827 64 8 177 326 0 0 6 118 4 1 25 10 31 27 27 45 Kumarkhali, Kustia C- EOC 109 60 30 0 30 153 20 0 37 35 0 0 10 367 6 1 30 7 6 32 35 Barisal Division 46 Barisal C-EOC 65 103 20 5 7 12 237 23 30 51 37 0 0 1 279 1 2 17 5 43 6 28 47 Gournadi, Barisal C-EOC 15 36 22 6 2 8 423 40 0 40 60 0 0 4 34 13 0 26 0 55 6 2 48 Bhola C-EOC 77 149 67 49 3 52 353 82 0 52 88 0 0 0 0 3 1 75 0 6 61 17 49 Lalmohon, Bhola C- EOC 35 115 158 74 0 74 300 20 4 32 68 0 1 24 0 1 0 22 2 15 42 3 50 Barguna C-EOC 34 103 54 15 0 15 646 18 0 118 158 0 0 4 58 13 9 101 5 27 50 4 51 Pirojpur C- EOC 109 158 32 15 0 15 745 30 0 99 126 0 0 0 0 0 0 31 23 148 225 19 52 Jhalokhati C-EOC 107 107 11 8 19 709 10 2 284 134 1 0 17 157 6 1 0 30 232 43 26 53 Patuakhali C- EOC 54 339 55 16 11 27 476 25 0 70 114 0 0 25 264 11 0 27 29 149 102 23 Chittagong Division 54 Cox's Bazar C- EOC 221 1000 125 68 6 74 1431 76 11 405 229 0 1 17 599 19 5 64 3 147 39 20 55 Khagrachari C- EOC 16 16 49 34 13 47 87 5 0 28 16 0 0 1 0 2 0 7 27 33 32 7 56 Bandarban C- EOC 57 Rangamati C- EOC 74 117 20 8 0 8 244 6 0 22 65 0 0 11 721 0 6 26 0 32 57 12 58 B. Baria C- EOC 281 405 96 50 9 59 311 0 479 77 0 0 8 1626 11 2 82 5 95 230 72 59 Comilla C- EOC 190 935 99 22 17 39 539 119 0 217 186 0 0 12 0 7 8 57 9 84 147 70 60 Nangalkot, Comilla B-EOC 26 36 56 56 0 56 118 4 0 13 6 0 0 4 0 28 0 100 4 7 21 5 61 Feni C- EOC 430 689 80 50 5 55 809 20 0 144 113 0 0 15 27 1 1 23 10 32 58 0 62 Chandpur C- EOC 261 562 61 18 4 22 435 27 1 103 139 0 0 7 147 23 5 74 9 160 183 53 63 Laxmipur C- EOC 259 573 217 67 0 67 350 7 0 89 44 0 0 28 246 37 1 38 32 110 336 110 64 Noakhali C-EOC 8 36 12 3 0 3 186 5 0 17 23 0 0 7 47 3 0 30 4 24 23 3 65 Begumganj, NoakhaliC-EOC 17 85 32 26 0 26 59 3 0 7 30 1 0 2 0 28 0 126 2 95 142 10 66 Pauchuria, Patiya C- EOC 195 61 37 0 37 444 5 0 28 111 0 0 3 0 0 1 8 10 29 2 0 67 Bakolia,Ctg C- EOC 58 103 30 16 5 21 550 8 0 251 306 0 0 2 0 1 0 10 2 20 22 2 Sylhet Division 68 Sylhet C-EOC 15 15 3 1 0 1 205 6 0 14 56 0 0 0 13 1 0 12 1 18 13 10 69 Hobiganj C- EOC 68 242 98 53 9 62 334 11 10 24 60 0 1 6 258 35 2 44 53 28 62 46 70 Sunamganj C-EOC 34 171 121 35 7 42 327 13 0 35 75 0 0 16 690 23 0 52 15 44 347 44 71 Moulavibazar C- EOC 157 241 119 23 13 36 582 14 2 138 229 0 0 10 241 21 2 28 3 210 134 25 Others : 72 MCHTI , Dhaka C-EOC 896 2728 758 67 179 247 2026 14 0 1183 1197 0 0 0 1265 14 223 51 85 56 122 210 73 MFSTC, Dhaka C-EOC 1661 513 64 213 277 1334 57 0 1330 490 0 0 27 3648 32 163 134 70 42 21 36 74 FWVTI, Rajshahi C-EOC 105 256 95 19 6 25 336 18 9 23 84 0 0 13 6 8 0 14 13 34 34 74 Total 10441 28420 7679 2606 813 3419 37946 2306 1248 11613 12595 6 17 826 20950 1166 659 4963 1105 5293 6783 2909

Performance Report February 2018------38 Annex - C : City Corporation wise Contraceptive Performance (Part of the City Corporation) for the month of February 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 23591 17639 3553 89 225 71 164 235

Rangpur Division 23591 17639 3553 89 225 71 164 235

Rajshahi City Corporation 12366 65337 3052 68 107 18 89 107

Rajshahi Division 12366 65337 3052 68 107 18 89 107

Khulna City Corporation 32184 169393 8085 250 156 135 60 195

Khulna Division 32184 169393 8085 250 156 135 60 195

Barisal City Corporation 11370 22810 1897 52 160 65 62 127

Barisal Division 11370 22810 1897 52 160 65 62 127

Dhaka City Corporation 40528 92758 8536 245 136 137 174 311

Gazipur City Corporation 42662 142585 4392 187 409 66 40 106

Narayanganj City Corporation 28708 51221 3830 32 31 6 5 11

Dhaka Division 111898 286564 16758 464 576 209 219 428

Chittagong City Corporation 29550 110365 9251 303 573 171 164 335

Comilla City Corporation 7800 14765 1329 72 118 35 12 47

Chittagong Division 37350 125130 10580 375 691 206 176 382

Sylhet City Corporation 19210 48925 1761 23 65 12 32 44

Sylhet Division 19210 48925 1761 23 65 12 32 44

Total 247969 735798 45686 1321 1980 716 802 1518

Performance Report February 2018------39 Annex - D : Contraceptive Acceptors and Acceptance Rate (CAR) of part of the City Corporation area end of the month of February 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 102270 32385 28281 15448 675 1791 577 5902 6479 85059 83.2

Rangpur Division 102270 32385 28281 15448 675 1791 577 5902 6479 85059 83.2

Rajshahi City Corporation 102271 32300 28522 15380 669 1777 576 5884 6460 85108 83.2

Rajshahi Division 102271 32300 28522 15380 669 1777 576 5884 6460 85108 83.2

Khulna City Corporation 135131 43885 27000 16736 4592 7660 4887 5312 10199 110072 81.5

Khulna Division 135131 43885 27000 16736 4592 7660 4887 5312 10199 110072 81.5

Barisal City Corporation 25402 10365 4463 2129 237 1393 217 831 1048 19635 77.3

Barisal Division 25402 10365 4463 2129 237 1393 217 831 1048 19635 77.3

Dhaka City Corporation 115700 37738 15344 18200 3418 5148 4549 6805 11354 91202 78.8

Gazipur City Corporation 127566 53512 13245 14556 3784 4946 2065 8530 10595 100638 78.9

Narayanganj City Corporation 111208 41591 12584 15653 2595 3903 3888 5734 9622 85948 77.3

Dhaka Division 354474 132841 41173 48409 9797 13997 10502 21069 31571 277788 78.4

Chittagong City Corporation 79752 27727 10809 9520 3138 4351 1944 3611 5555 61100 76.6

Comilla City Corporation 40606 12103 4699 7886 2292 2964 1422 1194 2616 32560 80.2

Chittagong Division 120358 39830 15508 17406 5430 7315 3366 4805 8171 93660 77.8

Sylhet City Corporation 28977 11164 3763 3451 536 1413 760 2414 3174 23501 81.1

Sylhet Division 28977 11164 3763 3451 536 1413 760 2414 3174 23501 81.1

Total 868883 302770 148710 118959 21936 35346 20885 46217 67102 694823 80.0

Performance Report February 2018------40 Annex - E: City Corporation wise MCH Performance (Part of the City Corporation) for the month of February 2018

Antenatal Care Live Birth Delivery Postnatal Care

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

Rangpur City Corporation 2906 1160 982 668 488 80 7 125 184 219 123 240 313

Rangpur Division 2906 1160 982 668 488 80 7 125 184 219 123 240 313

Rajshahi City Corporation 4758 2095 1806 1636 1481 2 0 144 137 433 339 216 199

Rajshahi Division 4758 2095 1806 1636 1481 2 0 144 137 433 339 216 199

Khulna City Corporation 11642 2654 3812 3584 3033 296 1 295 399 1472 1468 1451 1674

Khulna Division 11642 2654 3812 3584 3033 296 1 295 399 1472 1468 1451 1674

Barisal City Corporation 2678 616 429 336 273 6 3 70 41 140 52 147 132

Barisal Division 2678 616 429 336 273 6 3 70 41 140 52 147 132

Dhaka City Corporation 2052 901 613 607 622 80 1 75 24 23 17 102 254

Gazipur City Corporation 2465 1301 1133 879 920 109 18 134 200 324 332 296 528

Narayanganj City Corporation 1687 334 273 152 58 80 12 28 48 45 37 44 43

Dhaka Division 6204 2536 2019 1638 1600 269 31 237 272 392 386 442 825

Chittagong City Corporation 1000 4746 3668 2809 3064 22 0 420 328 1500 1695 1914 1928

Comilla City Corporation 893 908 476 634 296 158 0 109 41 157 101 130 331

Chittagong Division 1893 5654 4144 3443 3360 180 0 529 369 1657 1796 2044 2259

Sylhet City Corporation 891 31 29 30 29 18 3 13 17 3 9 14 14

Sylhet Division 891 31 29 30 29 18 3 13 17 3 9 14 14

Total 30972 14746 13221 11335 10264 851 45 1413 1419 4316 4173 4554 5416

Performance Report February 2018------41 TT for Woman (15-49 Yrs.) No. of immunized Child

OPV & Pentavalent (DPT,Hab-B,Hib) Name of the City Corporation st nd rd th th 1 dose 2 dose 3 dose 4 dose 5 dose Acceptor PCV 1 PCV 2 3 BCG (Vaccine) No. of MR done No. of Misoprostol No. of ECP Acceptor Treatment of RTI/STI

Rangpur City Corporation 141 140 130 104 102 17 100 221 193 358 388 341 316

Rangpur Division 141 140 130 104 102 17 100 221 193 358 388 341 316

Rajshahi City Corporation 291 292 276 245 280 7 263 191 1447 556 612 588 505

Rajshahi Division 291 292 276 245 280 7 263 191 1447 556 612 588 505

Khulna City Corporation 627 590 647 590 763 8 23 205 1749 989 1349 1090 1040

Khulna Division 627 590 647 590 763 8 23 205 1749 989 1349 1090 1040

Barisal City Corporation 126 113 79 68 69 33 0 227 123 130 247 201 218

Barisal Division 126 113 79 68 69 33 0 227 123 130 247 201 218

Dhaka City Corporation 71 142 124 109 1326 0 0 51 176 0 0 0 0

Gazipur City Corporation 1038 978 890 795 743 18 93 483 230 1551 1697 1449 1566

Narayanganj City Corporation 433 375 328 298 281 40 31 20 34 394 411 394 388

Dhaka Division 1542 1495 1342 1202 2350 58 124 554 440 1945 2108 1843 1954

Chittagong City Corporation 1558 1447 1023 783 856 506 119 513 2340 1775 2901 2247 2269

Comilla City Corporation 95 117 138 96 111 4 2 229 186 261 710 602 459

Chittagong Division 1653 1564 1161 879 967 510 121 742 2526 2036 3611 2849 2728

Sylhet City Corporation 144 118 103 74 70 0 0 0 0 122 127 102 86

Sylhet Division 144 118 103 74 70 0 0 0 0 122 127 102 86

Total 4524 4312 3738 3162 4601 633 631 2236 6478 6136 8442 7014 6847

Performance Report February 2018------42 Sylhet Division Sylhet CityCorporation Chittagong Division Comilla CityCorporation Chittagong CityCorporation Dhaka Division Narayanganj CityCorporation Gazipur CityCorporation Dhaka CityCorporation Barisal Division Barisal CityCorporation Khulna Division Khulna CityCorporation Rajshahi Division Rajshahi CityCorporation Rangpur Division Rangpur CityCorporation Name oftheCityCorporation Performance ReportFebruary2018------Total 6378 2706 2108 1360 1380 1380 598 374 986 229 229 355 355 296 296 52 52 No. ofimmunizedChild 0 PCV 3

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MR & OPV-4 5051 1448 1249 1546 1204 1256 1256 199 342 168 168 324 324 231 231 78 78 0 Measles (Vaccine) 3449 710 156 554 864 246 438 180 120 120 991 991 283 283 407 407 74 74 Total live birth

5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 Still birth

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Child (0-28) days

1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 Child (29 days to < 1 year) No. ofDeath

4 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 2 2 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 327 191 16 16 20 20 76 84 31 30 30 65 65 0 1 1 4 4 No. of Others Death General Patient 125552 39236 31876 15667 11609 29499 29499 25051 25051 12715 12715 7360 3059 3244 3244 140 140 999 43