September 2019

Per. Method National Per. Method Condom (Male) (Female) 9.4% 3.5% 9.5% I U D 3.4% Implant 6.0%

Injectable 19.6%

Oral Pill 48.6%

Table of Contents

Sl. No Contents Page #

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

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

Indicators August’19 Sept.’19 Number of Total Eligible Couples (including Part of the City 27395093 27416415 NumberCorporations) of Total Acceptors (including part of the City Corporations) 21403833 21437055 CAR % (Contraceptive Acceptance Rate) 78.1 78.2 Method specific acceptors (Cumulative) : Permanent Method (Male) Postpartum 4015 2794 Permanent Method (Male) Total 745908 745533 Permanent Method (Female) Postpartum 53222 55183 Permanent Method (Female) Total 2027673 2034067 Permanent Method Total(Male + Female) 2773581 2779600 IUD (Users) Postpartum 22705 23341 IUD (Users) Total 725187 726051 Implant (Users) Postpartum 56193 59469 Implant (Users) Total 1268998 1282826 Injectable (Users) Postpartum 159849 161233 Injectable (Users) Total 4196320 4198750 Oral Pill (acceptors) Postpartum 506244 510795 Oral Pill (acceptors) Total 10426587 10431287 Condom (acceptors) Postpartum 137069 138901 Condom (acceptors) Total 2013160 2018541 Method specific new acceptors : Permanent Method (Male) 2609 2314 Permanent Method (Female) 7695 9812 Permanent Method (Total) 10304 12126 IUD (Users) 8408 9438 Implant (Users) 25311 32649 Injectable (Users) 58013 60702 Oral Pill (acceptors) 118874 125915 Condom (acceptors) 45143 47844 Number of Districts reported 64 64 Number of Upazila reported 488 488 No. of Districts Range of CAR (%) August’19 Sept.’19 00-59 0 0 60-69 0 0 70 & above 64 64 Contraceptive performance and distribution by methods (Absolute Performance) : Permanent Method (Male-cases) 2921 3545 Permanent Method (Female-cases) 6841 8139 Permanent Method (Total-cases) 9762 11684 IUD (Nos.) 13329 14557 Implant (Nos.) 30521 41463 Injectable (Doses) 892747 882232 Oral Pill (Cycles) 6623237 6822748 Condom (Pieces) 9346710 9643329

Page # 2 Monthly Report of September 2019 At a glance of the MCH and Reproductive Health Services for the Month of August 2019 and September 2019

Services August’19 Sept.’19 Number of Pregnant Women 986853 989906 Number of High Risk Pregnant Women referred 10765 7116 1st visit (within 4 Month) 194785 204105 Antenatal 2nd visit (within 6 Month) 140259 141279 Care 3rd visit (within 8 Month) 110106 126631 4th visit (in 9th month) (including MCHTI, MFSTC & FWVTI- 108115 103813 Raj) Institutional Delivery Normal 48115 50431 (MCHTI, MFSTC, FWVTI-Raj, MCWC, C-section 4313 48164 UHC, UH&FWC & NGO Clinics) Total 52428 98595 At Home by Trained Person 41074 40610 Non-institutional Delivery At Home by Non-Trained Person 13469 13129 Total 54543 53739 *Total Live Births 122345 126767 PNC-1 (within 24 Hour) 44377 48688 Postnatal PNC-2 (within 2- 3 day) 39548 42414 Care PNC-3 (within 7 -14 day) 48190 43601 PNC-4 (within 42-48 day) (including MCHTI, MFSTC & FWVTI- 53176 53354 Raj) Postnatal Care by trained person (PNC1) till two days at home 6798 6302 No. of uses 7.1% chlorhexidine digluconate for umbilical cord care 35987 38162 1st dose 130373 142259 2nd dose 119079 116197 TT for Women 3rd dose 117730 117334 (15 - 49 years) 4th dose 110433 110659 5th dose 137144 144358 BCG 146589 150789 PCV 1 146849 146018 PCV 2 139918 144941 Immunization PCV 3 130167 133734 MR Vaccine 1st Dose 117853 121947 MR Vaccine 2nd Dose 137144 144358 Number of ECP acceptors 6277 6587 Number of MR done ( Both Govt. & NGOs) 1523 1612 General Treatment 2090700 2389444 Still Births ( including MCHTI, MFSTC & FWVTI-Raj) 331 333 Neonatal death ( 0-28 days ) 486 569 Infant Death (29 days-<1 yr.) 145 201 Child Death (1-<5 yrs.) 16 17 Death Maternal Death 94 142 Other Death 21889 22885 Total 22630 23814 No. of Health Education in UH&FWC 8525 9363 * Live births conducted at Govt. MCH, DH, MCWC, UHC, UH&FWC, NGOs & Home. The information is collected by FWAs through field visit.

Page # 3 Monthly Report of September 2019

At a glance of the Nutrition services for the Month of August 2019 and September 2019

Performance Services August’19 Sept.’19

Counseling on IYCF, IFA, Vitamin-A and Hand washing 260137 253834

Received IFA & Calcium Tablet (0-23 months child mother) 148700 164364

Exclusive Breast feeding up to 6 months 157159 155792

child and Mother and child

No. of children (6-23Month) feeding complementary foods 176223 171268

Feeding Tablet Vitamin A (6-59 months Child) 17214 4500

59 months aged months 59 - Received Tablet anti-helminthics (24-59months Child) 42975 39544

Feeding Zink pill with ORS suffering from diarrhoea 9852 5328

Identifying Suffering from MAM 9348 8740

Suffering from SAM & Referred 2962 2601

Identifying Child Stunting 3896 3913

Identifying Child Wasting 3568 3882

Nutrition Services for Pregnant Women, 0 Women, Pregnant for Services Nutrition Identifying Child Under weight 4772 4703

Page # 4 Monthly Report of September 2019 SUMMARY Introduction is divided into eight administrative divisions: Dhaka, Chattogram, Rajshahi, Khulna, Barishal, Sylhet, Rangpur and Mymensingh. Each division is divided into several districts and each district into several upazilas. Each urban area in an upazila is divided into wards. Upazilas are divided into Union Parishads (UPs) and Pourasovas. These divisions allow the country as a whole to be separated into rural and urban areas. Management Information System (MIS) has been operational under the Directorate General of Family Planning (DGFP) for a long time. The report of the Contraceptive Performance, MCH, Reproductive Health and Nutrition services is 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 (9th Edition) and Clinic Report. Most of the FWAs visit their working area once in every two months. It is a continuous process. FWA register is modified/updated in every three years. There is a reporting system to collect the information from the field. MIS Reporting Form-1 is filled up by the FWAs and submitted the same to FPIs. FPI fills up the MIS reporting Form-2 by compiling of all the FWAs (MIS Form-1) report and submits to UFPO office. MIS reporting Form-3 (clinical) is filled up by MO (clinic)/ (MCH-FP)/ (FW)/SACMO/ FWV and is submitted to UFPO office. NGOs of the respective area submit their report to UFPO office through MIS reporting Form-2 and 3 as their requirement. All the reporting Form-2 and 3 are compiled by UFPO office and filled up reporting Form-4 (union wise) and is entered in online web based software (SS). District FP Office reviews and submits that report. It provides information of contraceptive use status of eligible couples and different types of MCH, Reproductive Health and Nutrition services. MIS performance report is primarily used by different level of program managers and supervisors engaged in implementing the Family Planning, MCH, RH and Nutrition program in the country. Besides, different policy makers, decision makers, donor agencies, Development Partners, researchers and other users also use this report. Family Planning Performance (CAR related): Performance reports of September’19 have been received from all the 64 districts of the country. During the month of September’19 total numbers of eligible couple were found to be as 27416415 against 27395093 in the previous month. Performances of NGOs are also included in the report as reported by the Upazila Offices. A total of acceptors are 21437055 reported in the month of September’19 as against 21403833 in August’19. The Contraceptive Acceptance Rate (CAR) achieved at the end of the reporting month for six modern methods (Permanent Method, IUD, Implant, Injectable, Oral Pill and Condom) is 78.2% which was 78.1% in August’19. Method Specific Acceptors (Cumulative), Method Specific New Acceptors and Contraceptive distribution by Methods are shown in the summary sheet. It may be noted that the contraceptive acceptance rate is an estimate, based on the client contact and the status of contraceptive acceptance as reported by the field workers based on the entries made in the FWA register. The Contraceptive Prevalence Rate (CPR), on the other hand, is based on periodic surveys that are made on precise statistical procedures. The acceptance rate is a tentative rate and varies from month to month because of reporting status and coverage. This rate is usually higher than the Contraceptive Prevalence Rate (CPR). CAR is generally used to monitor as a management tool ‘on-going’ program performance in the country. It is not so much used to evaluate the program impact or goals, which is done by periodical scientific surveys. MCH Performance:

In the month of September’19, 989906 pregnant women have been registered. Total number of 7116 pregnant women referred to hospital for their complications. Total no. 6436 patient received services for RTI/STI. Dose-wise TT for Women (15-49 yrs.) and OPV & Pentavalent vaccines were shown in the summary sheet. BCG vaccines were given to 144358 infants during September’19. Visit-wise Antenatal Care is also shown in the summary sheet both of August’19 and September’19. Postnatal Care is shown in the summary sheet both August’19 and September’19. Number of delivery conducted by the clinics is

Page # 5 Monthly Report of September 2019 98595. Total numbers of delivery at home 40610 by trained personnel and 13129 by non-trained personnel. Still Birth is recorded 333 in September’19 and in the previous month it was 331. Neo-natal deaths (0-28 days) & Infant deaths (29 days–<1yr.) are recorded to be 569 and 201 in the month of September’19 where these were 486 and 145 in August’19 respectively. A total of 17 child-deaths (1-<5 yrs.) have been reported in the month of September’19 as against 16 in August’19. Maternal deaths were reported 142 during the month of September’19 which was 94 in August’19. The other deaths were reported 22885 in September’19 but in August’19 the number of such deaths was 21889. General treatments were rendered to 2090700 and 2389444 patients in the month of August’19 and September’19 respectively. In September’19 number of ECP acceptors was 6587 but in August’19 it was 6277. MR done in the reporting month is 1612 but in August’19 it was 1523. Performance of MCHTI, MFSTC, MCWCs and FWVTI-Rajshahi is also included in the report. Nutrition Programs of the Directorate General of Family Planning Country wide nutrition service is going on through National Nutrition Services (NNS) Operational Plan of DGHS under Health Services Division of MOHFW. DGFP is also playing vital role for implementation of nutrition services whole over the country and is rending nutrition services at field level where activities like MCH services, Adolescent and Family Planning Program is going on. By this time coordination with IPHN and cooperation with “Global Alliance for Improved Nutrition (GAIN), UNICEF and Alive & Thrive” comprehensive nutrition services are running in 91 upazillas of 11 districts through MCH Services Unit of DGFP. Highlights September 2019 a) National Contraceptive Acceptance Rate (CAR) based on visited eligible Couples 27416415 is found to be 78.2 %. Rajshahi division has achieved the highest acceptance rate 81.1%, followed by Khulna division 79.6%. The CAR is found to be 79.6% achieved in Rangpur division. The Contraceptive Acceptance Rate has been found to be rather low in Mymensingh 79.1, Barishal 78.7%, Sylhet 77.7%, Dhaka 76.6% and Chattogram 75.2%. b) The highest numbers of Acceptors 412949 have been reported from Dhaka division followed by 3832830 in Chattogram division, Rajshahi division reported 3403665 acceptors. Acceptors size is however, found much smaller in Rangpur, Khulna, Mymensingh and Sylhet which are 2870887, 2752140, 1791172 and 1341465 respectively and in Barishal division it is 1291947. 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 has reported CAR of < 59 percent. d) Out of 488 Upazilas 480 Upazilas have reported CAR at the level >70% and 8 Upazilas have reported CAR level 60-70 percent. e) According to the performance of the reporting month (September’19) Joypurhat district recorded the highest achievement rate 210.5%; Gaibndha district has got the 2nd place with 139.3% and Sylhet district has secured the 3rd position with 135.0% of permanent method. Rajbari district has achieved first position with achievement rate 218.6%; Fardpur district has got the 2nd position with achievement rate 177.9% and Bandarban district has recorded the 3rd position with achievement rate 166.4% in IUD. In Implant Jashore district has recorded the highest achievement rate with 227.7%, Patuakhali district has placed in 2nd position with achievement rate 208.0% and Bandarban district has got the 3rd position with achievement rate 207.5%. In Injectable Bhola district has recorded the highest achievement rate with 129.1%. In Oral Pill Netrokona District has recorded the highest achievement rate with 76.2% and Dhaka district has recorded the highest achievement rate 85.3% in Condom. f) SMC has reported distribution of 238665 vials Injectable, 3804221 cycles of Oral Pill and 12690884 pieces of Condom in September’19. g) Narsingdi MCWC has performed highest 41 Caesarian Operations, Gaibandha MCWC has performed highest 306 of total deliveries. MCHTI, Dhaka has performed 308, MFSTC, Dhaka has performed 239 and FWVTI, Rajshahi has performed 12 C-Section deliveries in the reporting month September’19. Dupchahia (Bogura), Sirajganj, Syedpur (Nilphamari), Kurigram, Lalmonirhat, Panchagar, Boda (Panchagar), Sherpur, Jamalpur, Narail, Jhenaidah, Meherpur, Bagerhat, Nalta (Kaliganj, Satkhira), Page # 6 Monthly Report of September 2019 Kushtia, Kumarkhali (Kushtia), Gouranadi (Barishal), Lalmohan (Bhola), Barguna, Bandarban, Nangalkot (Cumilla), Pauchuri (Patiya), Sylhet, and Habiganj MCWCs have not done any Caesarian Operations in the reporting month September’19. It may be due to the vacancies of trained EOC doctors in those centers or Extension Works. Director (MCH-S) & Line Director (MC&RAH) should immediately look into the matter. h) In September’19 National Nutrition services information collected by FP workers are as follows: Number of 128956 mothers received IFA, No. of 161187 babies(up to 6 months) exclusive breast feeding and No. of 174503 children (6-23 months) feeding complementary foods. No. of 8401 children suffering from MAM and 2014 suffering from SAM and referred. No. of Children Stunting, wasting and underweight are 3785, 3794 and 4830 respectively.

Table Analysis:

Table 1: Shows contraceptive performance and Achievement Rate in respect of Permanent, Long Acting and Short Acting methods for the reporting month (September’19) and reporting period (July’19 to September’19) against their respective projections. In the reporting month the achievement rates of Permanent method(Male) 53.2%, Permanent method (Female) 81.0% and Permanent method (Total) 69.9%, IUD 68.9%, Implant 110.5%, Injectable 50.9%, Oral Pill 51.2% and Condom 40.3%. From July’19 to September’19 the achievement rates of Permanent method (Male) 49.8%, Permanent method (Female) 76.1% and Permanent method (Total) 65.5%, IUD 67.4%, Implant 96.2%, Injectable 52.5%, Oral Pill 50.7% and Condom 40.1%.

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

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

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

Table 5: Comparative statement of contraceptive performance against their projection between the period July’18 to September’18 and July’19 to September’19. The Achievement Rate of Permanent Method (Male) was 34.4% in the period of July’18 to August’18 but it shows the higher rate 49.6% in the current period. So it is 15.2% increase than that of July’18 to September’18. Permanent Method (Female) was 51.6% in the period July’18 to August’18 but it shows the higher rate 76.1% in the current period. So it is 24.4% increase than that of July’18 to September’18. Permanent Method (Total) was 44.3% in the period July’18 to September’18 but it shows the higher rate 65.5% in the current period. So it is 21.2% increase than that of July’18 to September’18. IUD achieved the 62.8% in the reporting period July’18 to September’18 but it shows the higher rate 67.4% in the current period. So it is 4.6% increase than that of July’18 to September’18. Implant achieved the 63.2% in the reporting period July’18 to September’18 but it shows the higher rate 96.2% in the current period. So it is 33.1% increase than that of July’18 to September’18. Injectable achieved the 54.7% in the reporting period July’18 to September’18 but in the current period it shows 52.5%. So Injectable is decrease 2.2% than that of July’18 to September’18. Oral Pill achieved the 54.8% in the reporting period July’18 to September’18 but in the current period (July’19 to September’19) it shows 50.7%. In case of Oral Pill 4.1% decrease than that of July’18 to September’18. In case of Condom it achieved 34.0% in the reporting period July’18 to August’18 but in the current period (July’19 to September’19) it shows 40.1%, which is 6.1% increase than that of July’18 to September’18

Table 6: Comparative status of performance and distribution of contraceptive by methods for the month of August’19 and September’19 based on field worker’s report. In comparison with that of previous month Permanent Method (male) 21.4%, Permanent Method (Female) 19.0%, Overall Permanent Method (total) 19.7%, IUD 9.2%, Implant 35.9%, Oral Pill 3.0% and Condom 3.2% are higher over August’19 but only Injectable 1.2% lower over August’19.

Table 7: Shows the share of Government and NGOs and Multisectors by methods in the overall National performance. Government sector has contributed 55.9% in Permanent Method (Male), 87.5% in Permanent Method (Female), 77.9% in Permanent Method (Total), 85.9% in IUD, 91.2% in Implant, Page # 7 Monthly Report of September 2019 79.3% in Injectable, 86.2% in Oral Pill and 76.2% in Condom in the reporting month September’19. On the other hand NGOs and Multisectors have contributed 44.1% in Permanent Method (Male), 12.5% in Permanent Method (Female), 22.1% in Permanent Method (Total), in IUD 14.1%, in Implant 8.8%, in Injectable 20.7%, in Oral Pill 13.8% and in Condom 23.8% in the reporting month September’19.

Table 8: Division wise and NGOs & Multisectoral wise Contraceptive Performance for the month of September’19 are shown in this table. BAVS of Dhaka division is in the highest position, BAVS of Rajshahi division is in the next and Marie Stopes of Dhaka division is in the 3rd position in Permanent method. By NGOs and Multisectorals performance of Total Permanent methods are 2582 in the reporting month, in which Males are 1564 and Females are 1018. Total IUD and Implant 2048 and 3658 are inserted in the reporting month September’19. Injectable 182260 vials, Oral Pill 940681 cycles and 2295786 of Condom are distributed by NGOs and Multisectorals in the reporting month.

Table 9: Shows the projection, performance and achievement rates of Permanent and Long Acting methods in the reporting month September’19 and in the reporting period July’19 to September’19. In the reporting month, Joypurhat district has achieved the highest achievement rate of 210.4% and Gaibandha district is the next highest with 139.3% in Permanent Method. In the reporting month Rajbari distict has achieved the highest achievement rate of 218.6% and Faridpur district is the next highest with 177.9% in IUD. In the reporting month Jashore district has achieved the highest achievement rate of 227.7% in Implant and Patuakhali district has achieved the next second highest achievement rate with 208.0%. On the other hand, in the reporting period July’19 to September’19 Joypurhat district has achieved the highest achievement rate of 215.5% in Permanent Method, Rajbari district has achieved the highest achievement rate of 195.4% in IUD and Jashore district has achieved the highest achievement rate of 205.3 in Implant.

Table10: Shows the projection, performance and achievement rates of Short Acting methods in the reporting month September’19 and in the reporting period July’19 to September’19. In the reporting month Bhola district has achieved the highest achievement rate of 129.1% and Cox’s Bazar district is the next highest with 79.1% in Injectable. Netrokona district has achieved the highest achievement rate of 79.2% in Oral Pill. Dhaka district has achieved the highest achievement rate of 85.3% in Condom. From July’19 to September’19 Bhola district has achieved the highest achievement rate of 129.8% and Cox’s Bazar district is the next highest with 80.7% in Injectable, Kishorganj district has achieved the highest achievement rate of 95.7% in Oral Pill and Dhaka district has achieved the highest achievement rate of 88.7% in Condom.

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

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

Table 13: This table shows that Rajshahi division had recorded the highest CAR of 81.1%, next Rangpur division 79.6%, Khulna division 79.6%, Mymensingh division 79.1%, Barishal division 78.7%, Sylhet division 77.7%, Dhaka division 76.6% and Chattogram division 75.2% in the reporting month September’19. Graph-1 shows the division wise CAR for the current month and graph-2 shows the division wise CAR for the current month in comparison with that of previous month.

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

Table 15: List of 480 upazilas among the 488, which have achieved CAR >70.0% in the reporting month.

Page # 8 Monthly Report of September 2019 Table 16: List of 8 upazilas which have achieved CAR 60-70% in the reporting month. Graph shows that 480 upazilas out of 488 have achieved CAR level >70%, 8 upazilas have achieved CAR level 60%-70% and no upazila has achieved CAR level <60% in the current month. There is graphical presentation is also showing both of August’19 and September’19.

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

Table 18: This table shows the Division-wise comparison of Couples, Contraceptive Acceptors and the Acceptance Rate up to the end of September’19. In the reporting month the highest number of Eligible Couples have been reported from Dhaka division which is 5423631, 2nd highest is Chattogram division which is 5099466, then Rajshahi, Rangpur, Khulna, Mymensingh, Sylhet and Barishal division, which are 4198372, 3605397, 3456735, 2265123, 1725684 and 1642007 respectively. In case of acceptors Dhaka division has been reported the highest number of acceptors which is 4152949 followed by Chattogram division 3832830, Rajshahi division 3403665, Rangpur division 2870887, Khulna division 2752140, Mymensingh division 1791172, Sylhet division 1341465 and Barishal division 1291947.

Table 19: This table shows the contraceptive method mix by division for the month of September’19. Sylhet division has contributed the highest rate in Permanent Method with 15.08% among the other divisions. Rangpur division has contributed 15.06%, then Khulna division 14.82% and then Rajshahi division 13.81%. Chattogram division has recorded 4.65% in IUD which is the highest among the other divisions followed by Sylhet with 3.96% and Barishal division 3.86%. Barishal division has contributed the highest rate in Implant with 7.27% followed by Sylhet division with 6.61%. Barishal division has also contributed the highest rate in Injectable with 26.52% then Rangpur division 21.79% and then Chattogram division 21.33 in CAR method mix among all the divisions. Mymensingh division has recorded the highest rate in Oral Pill with 55.86% followed by Dhaka division 49.84 %, Rangpur division 49.05% and Rajshahi division 48.79%. Dhaka division has recorded the highest rate in Condom with 11.71% followed by Rajshahi division 11.43% and Khulna division 11.17% in CAR method mix among all the divisions.

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

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

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

Annex A: Annex- A shows comparative summary key performances since April 2019 to September’19.

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

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

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

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

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

Page # 9 Monthly Report of September 2019

Contraceptive distribution by Method:

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

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

Clarification about the information of MCH and Reproductive Health Services:

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

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

Highest and Lowest performing districts in clinical methods

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

Permanent Method IUD Implant Total E. Monthly Ach. In Ach. Total E. Monthly Ach. In Ach. Total E. Ach. In Ach. Monthly District Couple Projec. Reporting Rate District Couple Projec. Reporting Rate District Couple Reporting Rate Projec. Month (%) Month (%) Month (%) Joipurhat 211162 85 179 210.4 Rajbari 231649 84 184 218.6 Jashore 611368 302 687 227.7 Gaibandha 549253 300 418 139.3 Faridpur 392453 184 328 177.9 Patuakhali 337263 588 1223 208.0 Sylhet 597913 312 422 135.0 Bandarban 73152 152 252 166.3 Bandarban 73152 215 446 207.8

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

Permanent Method IUD Implant Total Monthly Ach. In Ach. Total Monthly Ach. In Ach. Total Ach. In Ach. Monthly District E. Projec. Reporting Rate District E. Projec. Reporting Rate District E. Reporting Rate Projec. Couple Month (%) Couple Month (%) Couple Month (%) Moulavi Khagrachhari 113827 200 26 13.0 Kushtia 455826 184 51 27.7 336729 506 297 58.8 Bazar Laxmipur 334151 369 46 12.5 Narayanganj 532394 881 244 27.7 Narail 152797 225 115 51.1 Rangamati 102434 121 12 9.9 Laxmipur 334151 587 138 23.5 Meherpur 161481 142 49 34.5

Unsatisfactory Performance: We are sorry for their unsatisfactory low performance in clinical methods against projections. We hope the officers and staffs are involved with the activities will try to overcome from this type of un-satisfactory performance in future.

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

Reporting Month July'19 to Sept.'19 Yearly Projection Methods Performance (in Achi. Performance (2019-20) Achi. Rate(%) CYP) Rate (%) (in CYP) Permanent Method (Male) 80000 3545 53.2 9918 49.6 Permanent Method (Female) 120595 8139 81.0 22929 76.1 Permanent Method (Total) 200595 11684 69.9 32847 65.5 IUD 253414 14557 68.9 42704 67.4 Implant 450448 41463 110.5 108361 96.2 Injectables 5197836 220558 50.9 682056 52.5 Oral Pill 10669243 454850 51.2 1351392 50.7 Condom 1914992 64289 40.3 192167 40.1 Table-2: List of Divisions according to descending order of Achievement Rate against their projections of Clinical Methods for the period July 2019 to September 2019 Permanent Method (Cases) IUD (Cases) Implant (Cases)

Sl. No. Sl.

Division Division Division

Performance Performance Performance

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

YearlyProjection YearlyProjection YearlyProjection 1 Rangpur 21836 4378 80.2 Chattogram 49702 10451 84.1 Barishal 31775 8790 110.7 2 Dhaka 56528 10611 75.1 Khulna 18928 3569 75.4 Khulna 41140 10301 100.2 3 Khulna 18401 3348 72.8 Dhaka 58112 10653 73.3 Chattogram 85432 21332 99.9 4 Rajshahi 22552 3858 68.4 Rajshahi 32865 5417 65.9 Rangpur 70256 16980 96.7 5 Barishal 13432 1969 58.6 Rangpur 34481 5209 60.4 Dhaka 88517 21121 95.4 6 Chattogram 35641 4756 53.4 Sylhet 16118 2339 58.0 Mymensingh 38122 8591 90.1 7 Mymensingh 13790 1787 51.8 Barishal 19061 2722 57.1 Rajshahi 64710 14519 89.7 8 Sylhet 18415 2140 46.5 Mymensingh 24147 2344 38.8 Sylhet 30496 6727 88.2

Table-3: List of 3 (Three) Districts achieved the highest Achievement Rate of Clinical Method against their projections for the period July 2019 to September 2019 Permanent Method (Cases) IUD (Cases) Implant (Cases)

Sl. No. Sl.

Yearly Yearly Yearly

District District District

Projection Projection Projection

Performance Performance Performance

Achi.Rate (%) Achi.Rate (%) Achi.Rate (%) 1. Joipurhat 1021 550 215.5 Rajbari 1010 494 195.6 Jashore 3620 1858 205.3 2. Rangpur 3621 1085 119.9 Faridpur 2212 837 151.4 Rajbari 3520 1498 170.2 3. Gaibandha 3600 1053 117.0 Khulna 3097 1072 138.5 Joipurhat 4803 1926 160.4

Table-4: List of 3 (Three) Districts achieved the lowest Achievement Rate of Clinical Methods against their projections for the period July 2019 to September 2019 Permanent Method (Cases) IUD (Cases) Implant (Cases)

Sl. No. Sl.

Yearly Yearly Yearly

District District District

Projection Projection Projection

Performance Performance Performance

Achi. RateAchi. (%) RateAchi. (%) RateAchi. (%) 1. Laxmipur 4427 166 15.0 Kushtia 2207 149 27.0 Kurigram 10058 1298 51.6 Cahpai 2. Khagrachhari 2396 67 11.2 Narayanganj 10574 710 26.9 3520 435 49.4 Nawabganj 3. Rangamati 1454 35 9.6 Laxmipur 7039 413 23.5 Meherpur 1706 171 40.1

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

July 2018 to Sept.'18 July 2019 to Sept.'19 Change of Yearly Yearly July'19 to Methods Projection Projection Sept.'19 over Performance Performance (in Achi. (2018-2019) Achi. Rate (%) (2019-2020) July'18 to (in CYP) CYP) Rate (%) Sept.'18

Permanent Method (Male) 128842 11078 34.4 80000 9918 49.6 15.2

Permanent Method (Female) 174145 22482 51.6 120595 22929 76.1 24.4 Permanent Method (Total) 302987 33560 44.3 200595 32847 65.5 21.2 IUD 281572 44229 62.8 253414 42704 67.4 4.6 Implant 402396 63498 63.1 450448 108361 96.2 33.1 Injectables 5184823 709302 54.7 5197836 682056 52.5 -2.2 Oral Pill 10642531 1457901 54.8 10669243 1351392 50.7 -4.1 Condom 1910198 162369 34.0 1914992 192167 40.1 6.1

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

Performance % Change of Method September'19 over August'19 August'19 September'19 Permanent Method (Male, Cases) 2921 3545 21.4 Permanent Method (Female, Cases) 6841 8139 19.0 Total Permanent Method (Total, Cases) 9762 11684 19.7 I U D (Cases) 13329 14557 9.2 Implant (Cases) 30521 41463 35.9 Injectables (Doses) 892747 882232 -1.2 Oral Pill (Cycles) 6623237 6822748 3.0 Condom (Pieces) 9346710 9643329 3.2

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

Performance Share of Contribution in Percentage Method NGOs & NGOs and Govt. Total Government Multisectors Multisectors Permanent Method (Male, Cases) 1981 1564 3545 55.9 44.1 Permanent Method (Female, Cases) 7121 1018 8139 87.5 12.5 Total Permanent Method (Cases) 9102 2582 11684 77.9 22.1 IUD (Cases) 12509 2048 14557 85.9 14.1 Implant (Cases) 37805 3658 41463 91.2 8.8 Injectable (Doses) 699972 182260 882232 79.3 20.7 Oral Pill (Cycles) 5882067 940681 6822748 86.2 13.8 Condom (Pieces) 7347543 2295786 9643329 76.2 23.8

Monthly Report of September 2019...... Page # 12 Table -8: Division wise and NGO & Multisector wise Contraceptive Performance for the month of September 2019 Permanent Method Sl. Oral Pill Condom Injectable IUD Implant NGO and Multisectors (Nos.) No. (Cycles) (Pieces) (Vials) (Cases) (Nos.) Male Female Total Rangpur Division 1 Family Planning Association of Bangladesh (FPAB) 15064 22098 2151 1 21 3 1 4 2 Marie Stopes Clinic 1339 8146 694 92 246 28 30 58 3 Palli Shisu Foundation (PSF) 35265 106962 7569 59 12 0 6 6 4 Sunflower 0 0 0 0 0 0 0 0 5 Shanirvar Bangladesh 4466 5271 502 0 0 0 0 0 6 Anirban Sangsad 42 120 0 0 0 0 0 0 7 CMH 696 10876 35 1 0 0 1 1 8 R. H. Steps 495 1944 83 8 0 0 0 0 9 MODEL CLINIC 82 1296 44 0 7 0 16 16 10 MOHILA-O-SHISHU SHASTHA KALLYAN SAMITY 1387 872 658 0 0 0 0 0 11 IPas Bangladesh 100 0 0 1 10 0 0 0 12 Surjer Hasi Clinic 21917 46706 7843 7 14 0 3 3 13 Friendship Bangladesh 3218 9182 255 0 0 0 0 0 14 Kanchan 13590 22944 2301 4 2 0 3 3 15 Dhaldanga Bohumukhi Samaj Unnayn Sangstha 4310 5000 1010 0 0 0 0 0 16 Lamb Hospital 27 70 59 0 29 0 7 7 17 KMSS 326 756 214 1 0 0 3 3 18 Dhaldanga Youth Science Club 70 3000 18 0 0 0 0 0 19 SAF 392 216 19 0 0 0 0 0 NGO Total 102786 245459 23455 174 341 31 70 101 1 BGB 98 2294 0 0 0 0 0 0 2 DGHS Health Clinic 35 10 0 2 0 0 0 0 Multisector Total 133 2304 0 2 0 0 0 0 NGO & Multisector Total of Rangpur Division 102919 247763 23455 176 341 31 70 101 Rajshahi Division 1 Family Planning Association of Bangladesh (FPAB) 35317 116560 3222 27 98 14 6 20 2 BAVS 249 6500 57 3 51 199 30 229 3 Marie Stopes Clinic 776 4342 137 72 107 11 2 13 4 Palli Shisu Foundation (PSF) 24066 47535 4717 6 0 0 1 1 5 Jatio Tarun Shanga 16606 37918 2302 11 0 0 0 0 6 Bamaneh 29065 45444 2540 0 5 0 0 0 7 Tilottoma 9784 49729 4146 11 9 0 5 5 8 Shanirvar Bangladesh 4410 6060 421 1 29 0 0 0 9 Sromo Kallyan Shangstha 387 2448 0 0 0 0 0 0 10 R. H. Steps 93 1512 25 0 0 0 0 0 11 MR CLINIC 1833 3300 41 8 43 0 0 0 12 MODEL CLINIC 276 4848 142 2 5 0 40 40 13 POLLI SHISHU CLINIC 6960 8740 1129 2 0 0 0 0 14 JTS-GONO UNNAYAN ACADEMY 14898 46668 3923 5 5 0 1 1 15 THANGAMARA 567 3444 594 2 20 0 7 7 16 SHASTO KALLYAN SHANGSTHA 0 0 0 0 0 0 0 0 17 Darpon 5136 7124 1221 3 0 0 0 0 18 IPas Bangladesh 464 1566 5 0 0 0 4 4 19 Surjer Hasi Clinic 2273 6792 622 0 9 0 4 4 20 Srotodhara 0 0 0 0 0 0 0 0 21 Population Services & Training Centre (PSTC) 216 3818 331 0 4 0 1 1 22 SORNALY 5536 7296 1150 4 0 0 0 0 23 Chardulai 3026 9988 1022 2 0 0 0 0 24 KMSS 0 0 0 0 0 0 0 0 NGO Total 161938 421632 27747 159 385 224 101 325 1 DGHS Health Clinic 0 0 0 0 0 0 58 58 Multisector Total 0 0 0 0 0 0 58 58 NGO & Multisector Total of Rajshahi Division 161938 421632 27747 159 385 224 159 383 Khulna Division 1 Family Planning Association of Bangladesh (FPAB) 26463 41484 2066 9 90 7 2 9 2 BAVS 1325 1512 277 2 1 67 1 68 3 Marie Stopes Clinic 321 4812 114 48 28 5 3 8 4 Palli Shisu Foundation (PSF) 2984 9428 799 6 12 0 3 3 5 Paribarik Shastha Clinic 2373 8700 914 11 16 0 1 1 6 Jatio Tarun Shanga 9979 23424 3034 2 13 0 6 6 7 Bamaneh 625 2076 125 0 0 0 0 0 8 Paribar Kallyan Shangstha (PKS) 23609 76667 8783 17 15 0 10 10 9 PSTC 163 2592 676 1 9 0 0 0 10 BRAC 75 900 25 0 0 0 0 0 11 Sromo Kallyan Shangstha 155 1344 0 0 0 0 0 0 12 Ad-Din Medical College Hospital 4203 5460 1492 0 2 0 29 29 13 CMH 78 2200 4 0 0 0 0 0

Monthly Report of September 2019...... Page # 13 Permanent Method Sl. Oral Pill Condom Injectable IUD Implant NGO and Multisectors (Nos.) No. (Cycles) (Pieces) (Vials) (Cases) (Nos.) Male Female Total 14 SHAKTTI FOUNDATION 0 0 0 0 0 0 0 0 15 BWHC 63 112 28 0 0 0 0 0 16 R. H. Steps 825 3168 179 11 0 0 0 0 17 VPKA (VP KENDRA) 2885 3002 1000 2 1 1 0 1 18 CRC 15529 9000 1350 18 0 0 0 0 19 COALITION CLINIC 0 0 0 0 0 0 0 0 20 SGS 2937 6000 215 0 0 0 0 0 21 Police Hospital 51 400 103 0 0 0 0 0 22 Surjer Hasi Clinic 8086 36768 3226 8 21 0 5 5 23 Friendship Bangladesh 1185 3000 0 0 0 0 0 0 24 BNS TITUMIR 786 8550 0 0 0 0 0 0 25 COMUNITY CLINIC 338 1296 143 0 1 0 0 0 26 Peoples Development Community (PDC) 9160 9000 520 0 0 0 0 0 27 Urban Health Care 764 996 160 2 0 0 2 2 28 KMSS 2085 0 595 1 4 0 6 6 NGO Total 117047 261891 25828 138 213 80 68 148 1 BGB 176 2374 0 0 0 0 0 0 2 Biman Bahini 75 2540 5 0 0 0 0 0 3 Paurasova 96 132 0 0 0 0 0 0 4 Jessore Cantonmen 2472 14400 35 1 0 0 2 2 Multisector Total 2819 19446 40 1 0 0 2 2 NGO & Multisector Total of Khulna Division 119866 281337 25868 139 213 80 70 150 Barishal Division 1 Family Planning Association of Bangladesh (FPAB) 6009 13876 1363 2 35 7 0 7 2 BAVS 93 5256 64 2 24 130 0 130 3 Marie Stopes Clinic 462 1572 50 36 22 32 0 32 4 Paribarik Shastha Clinic 359 975 349 0 1 0 0 0 5 Shanirvar Bangladesh 17355 31946 9381 7 0 0 0 0 6 BRAC 126 468 101 0 0 0 0 0 7 Sromo Kallyan Shangstha 90 105 0 0 0 0 0 0 8 R. H. Steps 243 432 25 5 9 0 0 0 9 IPas Bangladesh 27 125 1 0 0 0 0 0 10 Surjer Hasi Clinic 1855 5192 756 1 0 0 0 0 11 Desh Bangla 1171 1148 202 0 6 0 0 0 NGO Total 27790 61095 12292 53 97 169 0 169 Multisector Total 0 0 0 0 0 0 0 0 NGO & Multisector Total of Barishal Division 27790 61095 12292 53 97 169 0 169 Dhaka Division 1 Family Planning Association of Bangladesh (FPAB) 19096 40508 1736 8 78 1 0 1 2 BAVS 1523 18148 287 33 194 406 15 421 3 Marie Stopes Clinic 3822 16970 730 415 296 206 8 214 4 Paribarik Shastha Clinic 471 840 12 0 0 0 0 0 5 Jatio Tarun Shanga 9558 30205 2692 15 50 0 0 0 6 Bamaneh 6962 30096 1226 19 0 0 0 0 7 Paribar Kallyan Shangstha (PKS) 0 0 0 0 0 0 0 0 8 PSTC 1690 599 618 27 65 2 2 4 9 Shanirvar Bangladesh 127290 152580 11622 54 79 0 11 11 10 BRAC 1449 2416 247 16 10 0 0 0 11 Sromo Kallyan Shangstha 1598 9428 0 0 0 0 0 0 12 Ad-Din Medical College Hospital 2016 3504 165 2 7 0 66 66 13 BAPSA 1238 7304 213 0 0 0 0 0 14 Radda Barnen 320 5298 286 9 0 0 0 0 15 PSKP 4760 5000 562 0 0 0 0 0 16 Anirban Sangsad 357 636 98 0 0 0 0 0 17 ICDDR,B 210 248 0 0 0 0 0 0 18 CMH 216 2400 28 0 0 0 2 2 19 Spire 4446 5544 593 0 0 0 0 0 20 Shimantik 2865 2430 268 24 24 1 5 6 21 Nagar Unnoyan Somaj Seba Shangstha 5094 5076 569 5 0 0 0 0 22 TDH CLINIC 1440 3200 30 0 11 0 2 2 23 SHAKTTI FOUNDATION 519 912 34 0 0 0 0 0 24 BWHC 236 990 281 0 0 0 0 0 25 SUKHI PARIBAR SANGSTHA 0 0 0 0 0 0 0 0 26 Association in Training & Management (AITAM ) 10 0 0 0 0 0 0 0 27 MANOBIK SHAHAJJYA SAMITY 25 408 12 0 0 0 0 0 28 R. H. Steps 1063 3468 216 29 33 0 2 2 29 AL-FALAH MOJIN CLINIC 32 264 25 0 0 0 0 0 30 VPKA (VP KENDRA) 17864 99168 4055 13 2 1 1 2 31 MMKS 183 744 90 0 0 0 0 0

Monthly Report of September 2019...... Page # 14 Permanent Method Sl. Oral Pill Condom Injectable IUD Implant NGO and Multisectors (Nos.) No. (Cycles) (Pieces) (Vials) (Cases) (Nos.) Male Female Total 32 VFWA 1025 10296 1130 4 31 0 0 0 33 Nari Moytri 3867 6654 1018 4 9 0 0 0 34 SGS 12340 20360 970 9 0 0 0 0 35 CWFD 1040 3364 580 10 0 0 17 17 36 Aid For Poor People 4524 4224 498 0 0 0 0 0 37 Surjer Hasi Clinic 32214 79480 5459 35 20 1 0 1 38 Kumudini Hospital 397 2000 66 1 12 0 11 11 39 Family Welfare Assosiation 3678 4448 516 0 0 0 0 0 40 Population Services & Training Centre (PSTC) 16265 53550 3954 13 8 1 1 2 41 Sazeda Foundation 255 1380 111 3 0 0 1 1 42 Adarsha Paribar Kalyan Shangsta 0 0 0 0 0 0 0 0 43 Sushastha Community Health Care 1788 204 482 0 0 0 0 0 44 Rural Health Development Organization(RHDO) 21 240 13 0 0 0 0 0 45 NAGAR SASTHO KENDRO 1315 9714 672 6 14 0 0 0 46 Urban Health Care 510 3804 200 6 3 0 2 2 47 Ideal Samaj Kallyan Sangatha 2250 4320 500 0 0 0 0 0 48 Sonali Din 4585 5500 490 0 0 0 0 0 49 Active Social Welfare Society 609 5000 238 0 0 0 0 0 50 MISCS 5500 5950 669 0 0 0 0 0 51 Bashundhara Ad-din Medical College Hospital 190 336 38 2 6 0 8 8 52 Neer Seba Songtha 621 3700 115 0 0 0 0 0 NGO Total 309347 672908 44414 762 952 619 154 773 1 Biman Bahini 119 100 19 0 0 0 0 0 2 Sir Salimulla Medical College Hospital (Indoor) 320 6288 119 51 55 0 0 0 3 BGME 5599 29883 874 0 0 0 0 0 4 DGHS Health Clinic 6 552 0 0 0 0 0 0 5 Victoria Hospital Narayanganj 97 0 8 3 9 0 5 5 6 Others Private Clinic 0 0 0 0 0 0 190 190 Multisector Total 6141 36823 1020 54 64 0 195 195 NGO & Multisector Total of Dhaka Division 315488 709731 45434 816 1016 619 349 968 Mymensingh Division 1 Family Planning Association of Bangladesh (FPAB) 14483 27564 1113 1 33 20 0 20 2 BAVS 0 0 0 0 0 0 0 0 3 Marie Stopes Clinic 414 1466 65 40 79 6 0 6 4 Paribarik Shastha Clinic 0 0 0 0 0 0 0 0 5 Jatio Tarun Shanga 5788 11132 601 4 6 0 0 0 6 Bamaneh 3062 9504 1147 0 0 0 0 0 7 Sunflower 0 0 0 0 0 0 0 0 8 Shanirvar Bangladesh 20115 48216 3148 17 20 0 3 3 9 BRAC 290 0 49 0 1 0 0 0 10 BAPSA 63 72 9 0 0 0 0 0 11 Gono Shastha Kendra 0 0 0 0 0 0 0 0 12 CMH 0 0 0 0 0 0 0 0 13 MALANCHA SEBA SAMITY 0 0 0 0 0 0 0 0 14 SUPIRAT 0 0 0 0 0 0 0 0 15 R. H. Steps 42 216 12 16 29 0 0 0 16 MODEL CLINIC 455 3528 19 2 0 0 0 0 17 CHCP 0 0 0 0 0 0 0 0 18 NSDP 0 0 0 0 0 0 0 0 19 SHASTO KALLYAN SHANGSTHA 0 0 0 0 0 0 0 0 20 Krishi Bisho 10 120 0 0 0 0 0 0 21 IPas Bangladesh 638 1500 146 6 13 0 0 0 22 Surjer Hasi Clinic 6244 23573 1595 5 5 0 1 1 23 Friendship Bangladesh 45 108 0 0 0 0 0 0 24 Saya Path 0 0 0 0 0 0 0 0 25 Shastha Prokalpo 18 0 68 0 0 0 2 2 NGO Total 51667 126999 7972 91 186 26 6 32 1 BGB 15 916 12 0 0 0 0 0 2 BGME 642 2196 41 0 0 0 0 0 Multisector Total 657 3112 53 0 0 0 0 0 NGO & Multisector Total of Mymensingh Division 52324 130111 8025 91 186 26 6 32 Chattogram Division

Monthly Report of September 2019...... Page # 15 Permanent Method Sl. Oral Pill Condom Injectable IUD Implant NGO and Multisectors (Nos.) No. (Cycles) (Pieces) (Vials) (Cases) (Nos.) Male Female Total 1 Family Planning Association of Bangladesh (FPAB) 19784 39608 1552 43 112 2 2 4 2 BAVS 213 5904 55 7 19 154 46 200 3 Concern Women for Family Planning (CWFP) 12 460 0 0 0 0 0 0 4 Marie Stopes Clinic 2118 12288 409 149 190 146 19 165 5 Paribarik Shastha Clinic 720 1005 455 1 0 0 0 0 6 Bamaneh 3430 12026 925 7 0 0 0 0 7 Shanirvar Bangladesh 14621 37670 1934 21 0 0 0 0 8 BRAC 250 204 0 0 0 0 0 0 9 Sromo Kallyan Shangstha 171 90 21 0 0 0 0 0 10 BAPSA 916 1344 77 6 0 0 0 0 11 FDSR 25949 43236 4066 19 32 0 0 0 12 CMH 1319 10432 129 8 28 0 16 16 13 BWHC 134 330 34 0 0 0 0 0 14 SUPIRAT 8799 19840 4815 17 8 0 2 2 15 PROSHANTI 1817 6232 988 5 0 0 0 0 16 BONOPHUL (PKS) 0 0 0 0 0 0 0 0 17 NISKRITY 3969 16625 2014 2 0 0 0 0 18 IMAGE 2133 6432 837 3 14 0 0 0 19 MOMOTA 4317 14761 1257 12 123 0 30 30 20 SUS (TMA , NASIRABAD) 9999 24236 1066 2 0 0 0 0 21 SHED 0 0 0 0 0 0 0 0 22 ISDE 0 0 0 0 0 0 0 0 23 CUFL 100 865 0 0 0 0 0 0 24 R. H. Steps 1218 948 251 23 17 0 0 0 25 MODEL CLINIC 1491 2988 31 42 51 0 60 60 26 BANDHAN 5299 11051 974 4 3 0 0 0 27 Ghasful 525 12100 50 1 0 0 0 0 28 IPas Bangladesh 116 130 12 0 0 0 0 0 29 Surjer Hasi Clinic 13874 32908 3673 26 13 0 1 1 30 Saya Path 3670 10624 714 18 11 27 0 27 31 B.R.D.B 354 1560 64 0 0 0 0 0 32 RTMI 1609 5040 543 21 451 0 0 0 33 NAGAR MATRI SADAN 606 1860 249 2 28 0 1 1 34 Urban Health Care 979 960 292 3 12 0 0 0 35 Mission Hospital, Chandraghona 350 400 20 0 0 0 0 0 NGO Total 130862 334157 27507 442 1112 329 177 506 1 BGB 106 3173 4 0 0 0 0 0 2 Cantonment 690 8200 48 2 0 0 8 8 3 Biman Bahini 102 2808 6 0 0 0 0 0 4 Navy 285 11860 15 13 0 0 0 0 5 Railway Hospital 198 192 20 0 0 0 0 0 6 BGC Traust 28 1 0 0 1 0 1 1 7 BGME 53 105 0 0 0 0 0 0 8 DGHS Health Clinic 479 144 21 24 18 0 37 37 9 BKMEA 207 747 146 0 0 0 0 0 10 Others Private Clinic 0 0 0 0 0 0 21 21 Multisector Total 2148 27230 260 39 19 0 67 67 NGO & Multisector Total of Chattogram Division 133010 361387 27767 481 1131 329 244 573 Sylhet Division 1 Family Planning Association of Bangladesh (FPAB) 1672 12500 271 1 36 3 6 9 2 BAVS 708 1764 99 0 73 83 18 101 3 Marie Stopes Clinic 840 2320 107 67 31 0 64 64 4 BRAC 539 384 192 5 0 0 0 0 5 CMH 510 11100 510 0 0 0 0 0 6 Shimantik 17531 39584 4461 11 122 0 3 3 7 BWHC 1386 1617 1967 4 6 0 27 27 8 RED CRESCENT SANGSTHA 84 48 26 0 0 0 0 0 9 R. H. Steps 602 1116 22 8 17 0 0 0 10 VARD, SYLHET 0 0 0 0 0 0 0 0 11 Sylhet Samaj Kallyan Sangatha 1034 5426 3787 1 0 0 2 2 12 Surjer Hasi Clinic 1806 5318 192 0 0 0 0 0 13 SUPPS 0 0 0 0 0 0 0 0 14 TIL Welfare Division 0 0 0 0 0 0 0 0 15 Govt. Labour Welfare Center 0 0 0 0 0 0 0 0 NGO Total 26712 81177 11634 97 285 86 120 206 1 BGB 24 428 0 0 0 0 0 0 2 Srama Kalyan Kendra 84 189 0 0 0 0 0 0 3 DGHS Health Clinic 526 936 38 36 4 0 0 0 Multisector Total 634 1553 38 36 4 0 0 0 NGO & Multisector Total of Sylhet Division 27346 82730 11672 133 289 86 120 206 NGO & Multisector Grand Total of National 940681 2295786 182260 2048 3658 1564 1018 2582

Monthly Report of September 2019...... Page # 16 Barishal Div. Pirojpur Bhola Jhalakati Barishal Patuakhali Barguna Div.Khulna Satkhira Bagerhat Khulna Jashore Narail Magura Jhenaidaha Chuadanga Meherpur Kushtia Rajshahi Div. Serajganj Pabna Natore Rajshahi Chapai Nawabganj Naogaon Joipurhat Bogura Div.Rangpur Lalmonirhat Gaibandha Kurigram Rangpur Nilphamari Panchgarh Thakurgaon Dinajpur Table -9: District wise Projection, Performance and Achievement Rate of Permanent and Long Acting Methods Methods Acting Long and of Permanent Rate Table -9:Achievement and District wise Projection, Performance Monthly Report 2019...... of September Monthly District

13432 18401 22552 21836 Yearly 2172 2818 2022 2307 2441 1672 2208 1859 2704 2496 1000 1604 1977 1657 1989 3100 1844 3137 4543 2856 2078 1021 3973 3208 3600 2322 3621 2197 1127 1910 3851

907 Projection Reporting Month Month Reporting Permanent Method (Cases) Permanent Method 1190 1382 1662 110 194 166 132 120 172 165 166 120 161 208 288 150 163 179 259 109 418 373 149 106 399

692 Perform. 55 35 59 41 93 93 77 58 51 57

100.9 100.8 123.0 210.4 139.3 123.6 124.3 Achi. 61.8 30.4 46.8 20.8 81.6 94.7 77.6 65.2 38.1 76.3 79.3 49.2 69.6 86.9 97.1 73.5 29.8 37.7 79.6 76.1 63.0 94.1 78.2 91.3 40.8 26.4 81.4 60.7 66.6 Rate(%) July'19 Sept.'19 to

1053 1085 1011 Perform. 1969 3348 3858 4378 200 356 100 484 421 408 346 187 593 451 123 226 397 364 215 446 212 163 635 743 435 411 550 709 304 129 390 169 237

Achi. 215.5 117.0 119.9 105.0

58.6 36.8 50.5 19.8 83.9 69.0 97.6 72.8 62.7 40.2 87.7 72.3 49.2 56.4 80.3 87.9 94.8 89.7 68.4 27.4 35.4 81.0 65.4 60.9 79.1 71.4 80.2 37.9 22.2 71.0 60.0 49.6 Rate(%)

19061 18928 32865 34481 Yearly 2939 5215 1175 3355 4037 2340 1980 2199 3097 3461 1075 1461 1701 1205 2207 8071 4706 2856 6050 2689 2031 1317 5145 5890 6040 7436 5609 2813 1593 1843 3257

542 Projection

Reporting Month Reporting 1236 1701 1814

168 188 205 225 107 108 133 416 167 137 393 298 129 191 110 164 327 194 303 315 301 283 258 Perform. 946 53 43 85 73 23 51 89 61 99 IUD (Cases)

Achi. 161.2 120.7

59.6 68.6 43.3 54.1 73.3 66.9 54.9 78.4 65.5 72.6 57.9 48.0 69.8 96.6 72.7 50.9 27.7 62.1 58.4 76.0 54.2 37.9 49.1 96.9 81.1 76.3 63.1 39.5 60.2 50.8 64.4 46.0 64.5 95.1 Rate(%) July'19 Sept.'19 to 1072 1243 1111

2722 3569 5417 5209 Perform. 502 512 160 592 665 291 327 419 547 124 254 359 246 149 939 398 554 330 564 278 540 887 819 906 807 215 281 754 72

Achi. 138.5 111.1 114.8 57.1 68.3 39.3 54.5 70.6 65.9 49.7 75.4 66.1 76.2 63.2 46.1 69.5 84.4 81.7 53.1 27.0 65.9 61.6 79.8 55.7 36.6 49.1 84.4 86.4 60.4 36.7 58.7 44.1 64.6 54.0 61.0 92.6 Rate(%) 15083 10230 10058 10276 15257

31775 41140 64710 70256 Yearly 3187 7518 2329 5968 7056 5717 4427 4399 8067 3620 2700 3672 4717 3757 1706 4075 8940 5618 7313 9978 3520 9455 4803 8512 5950 4361 5612 Projection Reporting Month Month Reporting 1223 1183 2286 3489 3626 5048 6708

407 614 172 538 535 363 429 704 687 115 336 418 306 219 588 572 556 743 173 515 718 485 920 641 787 624 566 399 Perform. 49 Implant (Cases)

131.8 153.2 108.2 208.0 112.3 105.8 117.0 104.7 227.7 109.8 106.3 122.2 179.4 114.6 107.9 125.8 155.7 179.8 Achi. 98.0 88.6 98.4 51.1 97.7 34.5 64.5 93.6 78.9 91.2 89.4 59.0 65.4 94.1 68.4 76.5 91.9 85.3 Rate(%) July'19 Sept.'19 to 10301 14519 16980 1246 1551 1477 2375 1544 1053 1200 2036 1858 1125 1580 1637 1786 1865 1683 1926 3607 1445 2327 1298 2631 2022 1391 4942

8790 Perform. 597 358 767 955 171 778 435 924 Page # 17

Achi. 110.7 156.4 102.5 134.6 108.0 100.2 109.1 101.0 205.3 101.7 116.6 160.4 102.4 135.9 127.6 129.6

82.5 99.0 95.1 53.0 83.6 95.4 40.1 76.4 89.7 70.7 97.7 74.8 49.4 71.2 95.7 96.7 67.9 91.0 51.6 65.9 Rate(%) National Sylhet Div. Sunamganj Moulavibazar Habiganj Sylhet Div.Chattogram Bandarban Khagrachhari Rangamati Cox's Bazar Chattogram Laxmipur Noakhali Feni Chandpur Cumilla B. Baria Mymensingh Div. Netrokona Mymensingh Sherpur Jamalpur Dhaka Div. Kishoreganj Tangail Manikganj Narshingdi Narayanganj Munshiganj Gazipur Dhaka Rajbari Faridpur Shariatpur Madaripur Gopalganj Monthly Report 2019...... of September Monthly District 200595 12800

18415 35641 13790 56528 Yearly 5182 3099 6384 3750 2396 1454 4192 4983 4427 2568 2520 3228 5969 3018 1855 7475 2058 2402 5326 6903 5162 4516 3193 3604 4980 1020 3237 2470 1218 2099

886 Projection Reporting Month Month Reporting Permanent Method (Cases) Permanent Method 11684 1169 1681 3631 203 151 422 456 178 127 171 380 148 148 186 155 356 238 374 318 308 145 290 150

860 586 Perform. 84 44 26 12 93 46 97 78 89 46 70

135.0 109.8 115.8 109.6 104.7 107.5 Achi. 69.9 56.0 47.0 32.5 28.4 56.6 59.6 13.0 26.6 12.5 83.2 60.5 63.6 76.4 58.8 51.0 95.7 29.9 56.6 77.4 77.1 80.2 41.4 86.9 84.5 26.0 34.9 22.3 69.0 85.8

9.9 Rate(%) July'19 Sept.'19 to 32847 10611

1058 1268 1168 1064 1179 1017 3144 Perform. 2140 4756 1787 561 216 305 272 166 525 271 497 399 374 688 329 396 787 906 233 450 241 730 148 219 493 88 67 35

Achi. 112.9 101.8 113.5

65.5 46.5 43.3 27.9 19.1 53.4 39.7 11.2 26.0 15.0 81.8 43.0 61.6 78.3 52.9 51.8 80.6 36.8 63.9 65.9 75.1 79.9 45.6 91.4 90.1 25.9 36.1 98.3 94.5 90.2 24.0 71.9 93.9 Rate(%) 9.6 253414 15271 10574 10729

16118 49702 24147 58112 Yearly 6781 3326 3811 2200 1818 1140 1114 4311 9482 7039 3260 2987 4268 9394 4889 2481 1957 4438 4815 6979 3373 3681 3163 6135 1010 2212 2660 1618 1163 Projection

Reporting Month Reporting 14557 1004 1070 3629 3664

172 205 188 244 252 120 277 138 301 241 397 606 237 363 257 341 395 110 310 244 175 184 328 194 148 Perform. 809 758 56 75 63 88 77 IUD (Cases)

Achi. 133.1 166.3 126.3 127.1 110.8 111.6 101.1 119.7 218.6 177.9 109.8

68.9 60.2 30.4 74.0 59.2 87.6 60.3 77.1 23.5 96.8 77.4 58.2 37.7 36.3 28.5 38.6 69.5 75.7 85.0 67.9 39.1 27.7 33.4 34.2 87.5 79.4 Rate(%) July'19 Sept.'19 to 42704 10451 10653 3059 1072 1954 1219 1036 1141 3194

2339 2344 Perform. 656 538 430 715 375 341 136 798 413 920 746 637 225 208 692 295 874 710 298 540 494 837 522 448 264

Achi. 130.0 119.6 129.0 112.9 100.5 119.1 195.6 151.4 110.8

67.4 58.0 38.7 64.7 45.1 84.1 82.5 48.8 74.0 23.5 99.9 83.2 52.1 38.8 36.3 31.9 42.5 62.4 73.3 86.1 65.4 35.0 95.0 26.9 37.7 35.2 78.5 90.8 Rate(%) 450448 10746 15487 11247 15025 10073 10243 12795

30496 85432 38122 88517 Yearly 8453 6066 6977 9000 2581 3315 2989 8621 9864 4679 7374 8529 9006 5832 8259 9456 5027 6081 4829 7522 3520 6103 3621 5057 4190 Projection Reporting Month Month Reporting 41463 1056 1288 1629 1091 1271 1076 1013 1102 3001 7878 3772 7941

297 747 901 446 317 202 447 807 393 673 804 872 494 916 587 490 542 263 437 501 694 372 529 335 Perform. Implant (Cases)

110.5 118.1 149.9 128.5 120.1 110.7 207.4 114.8 143.8 126.2 100.8 109.5 122.7 118.7 145.4 101.5 101.6 133.1 107.7 136.5 120.7 140.1 103.4 170.8 136.5 123.3 125.5 Achi. 58.8 81.1 62.2 98.2 85.8 96.7 63.5 65.4 69.7 95.9 Rate(%) July'19 Sept.'19 to 108361 21332 21121 2225 1009 1375 2118 3318 4312 1343 2209 1075 1873 2557 2393 2533 2834 1048 2176 3062 2631 1257 1159 1423 1137 3097 1498 1883 1319

6727 8591 Perform. 631 959 662 800 859 996 Page # 18

Achi. 105.3 115.7 123.5 111.4 101.6 112.2 112.5 105.4 129.5 104.5 100.0 170.2 123.4 104.3

96.2 88.2 66.5 78.8 94.1 99.9 97.8 88.6 62.3 89.6 91.9 90.9 90.1 75.4 71.9 95.4 76.2 55.6 66.3 60.5 96.8 94.9 95.1 Rate(%) Barishal Div. Pirojpur Bhola Jhalakati Barishal Patuakhali Barguna Div.Khulna Satkhira Bagerhat Khulna Jashore Narail Magura Jhenaidaha Chuadanga Meherpur Kushtia Rajshahi Div. Serajganj Pabna Natore Rajshahi Nawabganj Noagaon Joipurhat Bogura Div.Rangpur Lalmonirhat Gaibandha Kurigram Rangpur Nilphamari Panchgarh Thakurgaon Dinajpur Table-10: District wise Projection, Performance and Achievement Rate of Short Acting Methods Methods Acting of Short Rate Achievement Table-10: and District wise Projection, Performance Monthly Report 2019------of September Monthly District 311535 656168 115970 795566 123356 110935 115903 110993 145699 683296 104087 101175 121279 124862

38471 69787 21818 80113 63946 37401 82439 58241 94014 29508 36637 73673 48462 30652 86570 77696 70947 40037 52774 77921 44094 57105 Yearly Projection Reporting Month Reporting

19952 26560 26605 34014 Perform. 1796 7506 4247 3569 1920 2843 2095 3879 5651 1291 2474 2328 1866 3175 6429 4820 2096 3813 1950 2600 4246 3037 6392 6145 6322 3654 2430 2767 3267

914 958 651 (in CYP) Injectables

129.1 Achi. 42.3 40.3 57.6 73.1 44.0 40.1 62.5 52.1 32.4 39.5 33.0 28.1 19.5 35.0 59.7 69.1 73.7 72.9 62.6 56.3 66.1 58.1 31.4 76.9 56.0 50.3 63.6 67.0 61.6 48.6 41.4 43.2 49.5 58.5 39.0 Rate (%) July'19 Sept.'19 to 107348 10776 84456 19470 15395 12502 13732 19882 19090 19899 11378 10301 61280 22651 12824 11535 84361 12002 17842

5373 2817 6080 8676 6469 3040 4033 7283 8248 5992 6550 6428 8233 2146 9683 7851 9264 Perform.

Achi. 129.8

78.7 55.9 51.6 64.0 72.2 65.0 51.4 42.1 44.4 51.1 61.5 41.2 44.0 39.5 68.1 78.2 49.8 42.5 63.1 55.5 33.7 43.1 36.2 29.7 21.4 37.7 62.8 73.4 76.4 75.5 65.6 58.4 71.2 64.9 33.0 Rate(%) 1346871 1633004 1402554 639467 143247 164442 131258 169217 119547 192977 238045 151224 177697 253204 227709 159481 237907 145628 227829 299066 108325 213651 207675 248941 159943 117216 256295

78967 44783 76770 60569 75203 99475 62917 82181 90508 Yearly Projection

Reporting Month Reporting

25783 53337 67958 13024 10459 12062 64196 11238 10701 10606 Perform. 4584 4244 1661 6642 5425 3227 7775 6692 8989 8674 2387 2984 4844 3168 1438 6386 9995 6402 8999 4214 2803 4528 8990 8059 5077 4997 (in CYP) Oral Pill Achi. 48.4 69.7 35.6 44.5 48.5 49.6 50.4 47.5 55.1 67.2 55.9 43.7 47.3 47.6 38.4 38.2 27.4 43.1 49.9 61.7 52.7 48.2 45.4 34.7 55.1 40.9 48.4 54.9 50.2 63.1 51.9 51.6 60.5 67.3 51.2 49.7 Rate (%) July'19 Sept.'19 to 156895 204644 188633 75929 13404 12648 19572 15677 22545 19462 27306 25164 13984 19143 39443 30265 18985 27374 12716 31635 35932 13592 33080 26462 30854 23578 15581 14902 30584

4900 9728 6605 8717 9552 4417 8294 Perform.

Achi.

47.5 67.9 35.3 43.8 47.6 47.8 50.7 46.6 53.3 65.1 56.6 42.3 43.6 46.4 37.0 38.4 28.1 43.1 50.1 62.3 53.2 47.6 46.0 34.9 55.5 40.4 48.1 53.8 50.2 61.9 51.0 49.6 59.0 68.9 50.9 47.7 Rate(%) 114776 241746 293103 251741

14174 25711 29515 23559 13779 30372 21457 34637 42726 10871 13498 27143 17855 11293 31894 45447 40871 28625 42701 26138 40892 14750 53679 19443 38348 37275 44682 28708 16245 21039 46002 Yearly 8038 Projection Reporting Month Reporting 11841

2621 9203 1185 1769 1701 1199 2225 1370 1269 2091 1026 1116 2330 5650 1288 1074 1022 Perform. 546 469 193 752 420 241 846 430 390 816 506 361 414 353 455 300 318 840 (in CYP)

Achi. Condom 27.4 46.2 21.9 28.8 30.6 21.4 21.0 45.7 46.8 47.3 61.3 47.8 47.5 34.7 36.1 34.0 38.4 45.1 48.5 58.7 40.2 53.2 58.8 47.1 32.7 33.7 52.1 26.9 21.8 40.3 34.6 27.4 19.0 22.2 18.1 21.9 Rate (%) July'19 Sept.'19 to 27391 34959 16350

7888 1592 1423 2335 1221 3419 2536 5400 5061 1328 1124 2296 1600 1135 3492 6356 4056 3655 6430 2930 3359 1223 6950 1061 3618 3099 3004 1368 2385 Perform. 567 750 892 923 Page # 19 Achi.

27.5 44.9 22.1 28.2 31.6 20.7 21.8 45.3 45.0 47.3 62.4 47.4 48.9 33.3 33.8 35.8 40.2 43.8 47.7 55.9 39.7 51.1 60.2 44.8 32.9 33.2 51.8 26.0 21.8 37.7 33.3 26.9 19.1 22.0 17.5 20.7 Rate(%) National Sylhet Div. Sunamganj Moulavibazar Habiganj Sylhet Div.Chattogram Bandarban Khagrachhari Rangamati Cox's Bazar Chattogram Laxmipur Noakhali Feni Chandpur Cumilla B. Baria Mymensingh Div. Netrokona Mymensingh Sherpur Jamalpur Dhaka Div. Kishoreganj Tangail Manikganj Narshingdi Narayanganj Munshiganj Gazipur Dhaka Rajbari Faridpur Shariatpur Madaripur Gopalganj Monthly Report 2019------of September Monthly District 5197836 1028502 327386 113519 966073 200705 110735 212139 102750 429311 197852 106430 160537 100973 138295

75742 63803 74321 13835 21543 19405 79703 63330 52811 89117 79013 60391 92055 57679 82875 56960 79864 43921 74597 40587 44255 41528 Yearly Projection Reporting Month Reporting 220568

12797 40594 16736 43310 Perform. 2424 1816 1536 7021 1012 5257 7030 3622 4077 2264 4169 8267 3475 3439 6205 3216 3876 3772 5680 1675 5450 5737 1687 2014 8076 1786 2392 1349 2328 1364

610 811 (in CYP) Injectables

Achi. 68.6 44.2 51.4 56.1 46.8 40.6 46.8 52.2 37.6 63.9 50.5 50.5 42.5 42.5 34.8 78.9 68.2 35.5 30.3 70.1 48.8 38.5 39.9 63.1 39.4 50.9 46.9 38.4 34.2 24.8 74.2 50.4 52.9 56.4 50.2 79.1 42.0 Rate (%) July'19 Sept.'19 to 682064 124197 132073 11254 12296 12545 25411 10535 50375 10271 18790 11630 17533 11637 16657 15076 26481 37974 20481 16088 21528

7286 5578 4629 1798 3117 2506 7119 9684 5202 5127 6765 5545 6760 4212 7089 3989 Perform.

Achi.

52.5 46.4 38.5 35.0 24.9 72.2 51.4 52.0 57.9 51.7 80.7 42.9 71.1 44.4 53.9 56.3 47.9 41.0 46.9 52.0 38.0 64.1 50.5 51.4 65.9 29.0 36.1 80.4 59.7 36.0 33.9 76.6 50.5 36.2 41.5 64.1 38.4 Rate(%) 10669243 1982991 2111135 672002 155470 130965 152554 233014 163600 411974 129993 227298 108402 182925 435444 210908 881217 162184 406117 123961 188955 218462 329523 118393 170113 207260 116917 163932 283869 153121

28397 44219 39831 90154 83311 90840 85242 Yearly Projection

Reporting Month Reporting 454851 103382

26382 62980 13980 13047 50833 10700 24234 12810 17724 10023 15545 Perform. 7031 4534 6546 8271 1535 2733 2340 6061 2496 5822 3403 5280 6283 6600 9299 4774 7702 5431 7212 3722 6024 3016 4189 5210 (in CYP) Oral Pill Achi. 51.2 47.1 54.3 41.5 51.5 42.6 38.1 64.9 74.2 70.5 44.5 40.7 23.0 30.7 37.7 34.6 36.0 35.7 69.2 79.2 71.6 63.9 59.1 58.8 70.4 64.5 48.4 54.3 58.0 55.7 52.8 65.7 49.5 47.2 43.4 55.3 73.3 Rate (%) 1351392 July'19 Sept.'19 to 188838 150540 307326 78587 21942 13295 18443 24907 18173 41909 17088 10315 15787 39346 18634 30953 73794 18990 26803 52250 37443 14354 22806 28824 16305 21180 49115 10925 17918 12176 14950

4421 8175 7390 7600 9080 Perform.

Achi.

50.7 46.8 56.5 40.6 48.4 42.8 38.1 62.3 73.9 74.2 44.4 40.7 23.4 30.1 38.1 34.5 36.1 35.3 68.3 76.3 72.7 61.3 56.7 58.2 95.7 45.5 48.5 53.6 55.6 55.8 51.7 69.2 48.5 46.8 43.6 53.6 70.2 Rate(%) 1914992 120616 355922 158167 378922

27905 23506 27382 41823 29364 73944 23332 40797 19457 32833 78157 37855 29110 72893 22249 33915 39211 59145 21250 30533 37201 20985 29424 50951 16181 27483 14953 16305 15300 Yearly 5097 7937 7149 Projection Reporting Month Reporting 64291 16745

4032 2061 9229 2344 1892 1034 4970 2060 1294 1537 2012 1186 1418 1303 3623 1022 1187 Perform. 965 516 490 259 239 303 761 245 859 743 550 949 667 920 828 439 523 747 (in CYP)

Achi. Condom 40.3 40.1 41.5 26.3 21.5 59.1 31.1 61.0 36.1 50.9 31.1 38.0 12.6 25.3 45.8 20.1 29.0 32.8 37.7 39.1 33.9 36.0 45.8 53.0 47.0 40.8 52.0 46.6 45.7 47.3 53.1 85.3 75.8 51.8 35.2 38.5 58.6 Rate (%) July'19 Sept.'19 to 192167 11994 28410 14632 50543 11299

2932 1540 1404 6118 3008 6922 2523 2205 1751 5705 3129 2811 6106 1933 3782 6242 4626 2751 3468 4223 2398 3692 3198 3551 1338 1544 2213 Perform. 770 736 928 733 Page # 20 Achi.

40.1 39.8 42.0 26.2 20.5 58.5 31.9 60.4 37.1 51.9 41.0 37.4 12.6 24.7 45.3 21.3 29.2 33.1 37.0 38.6 33.5 34.8 44.6 53.4 63.7 31.3 51.8 45.4 45.4 45.7 50.2 88.7 79.1 51.7 35.8 37.9 57.9 Rate(%) Table -11: Method wise Users (Normal & Postpurtam as Old, New, Dropout, Postpurtam Expire) and CAR by District at the end of September 2019 Oral Pill Normal Postpartum Name of District Total Eligible Dropout Dropout Total Oral Pill Couple Old New Total Switch Old New Total Postpartum Expire No Method No Method Switch Over Over Dinajpur 658858 252691 1807 254498 1271 1225 14550 1311 15861 113 185 738 270359 Thakurgaon 301338 110693 959 111652 586 523 4734 492 5226 70 73 245 116878 Panchgarh 232886 94155 906 95061 636 544 3665 432 4097 32 63 252 99158 Nilphamari 411166 155658 1148 156806 647 703 7655 721 8376 72 145 390 165182 Rangpur 639648 228810 2343 231153 1466 1127 9403 878 10281 176 158 367 241434 Kurigram 533795 194997 2056 197053 1369 976 5212 827 6039 73 88 407 203092 Gaibandha 549253 204188 2424 206612 1437 870 5951 549 6500 94 87 254 213112 Lalmonirhat 278453 92565 1053 93618 489 459 4795 453 5248 39 79 249 98866 Rangpur Div. 3605397 1333757 12696 1346453 7901 6427 55965 5663 61628 669 878 2902 1408081 Bogura 768103 300553 2212 302765 2171 1302 11359 1123 12482 138 172 606 315247 Joipurhat 211162 81654 755 82409 484 416 3091 258 3349 62 77 173 85758 Naogaon 586319 248936 1741 250677 1200 780 7954 675 8629 60 61 407 259306 Chapai Nawabganj 374222 135774 1035 136809 651 456 4203 451 4654 47 57 305 141463 Rajshahi 612891 201398 2818 204216 1716 1426 8514 769 9283 218 203 246 213499 Natore 409634 156987 1569 158556 1169 835 6198 626 6824 84 125 365 165380 Pabna 584838 204880 1518 206398 934 565 7682 646 8328 147 170 170 214726 Serajganj 651203 248121 2192 250313 1387 751 13712 1128 14840 187 145 604 265153 Rajshahi Div. 4198372 1578303 13840 1592143 9712 6531 62713 5676 68389 943 1010 2876 1660532 Kustia 455826 143572 1287 144859 716 566 5033 573 5606 75 115 209 150465 Meherpur 161481 44895 305 45200 170 187 764 105 869 5 4 24 46069 Chuadanga 255684 87568 856 88424 496 469 3784 320 4104 28 66 223 92528 Jhenaidaha 388378 146296 1094 147390 705 430 4124 375 4499 72 68 144 151889 Magura 193567 72292 715 73007 627 328 3630 354 3984 60 51 167 76991 Narail 152797 58374 554 58928 347 218 2162 164 2326 126 46 59 61254 Jashore 611368 184814 1348 186162 873 626 6144 510 6654 268 107 287 192816 Khulna 495563 171518 2274 173792 1642 1358 4804 417 5221 103 92 210 179013 Bagerhat 307292 117202 1322 118524 885 669 4739 500 5239 129 108 232 123763 Satkhira 434779 170553 1344 171897 941 598 5437 519 5956 51 49 384 177853 Khulna Div. 3456735 1197084 11099 1208183 7402 5449 40621 3837 44458 917 706 1939 1252641 Barguna 197052 64211 965 65176 533 457 4686 389 5075 223 122 173 70251 Patuakhali 337263 113870 973 114843 559 524 7669 457 8126 107 112 281 122969 Barishal 422330 149384 1305 150689 898 476 7833 534 8367 138 104 369 159056 Jhalakati 114286 39870 424 40294 269 133 1644 180 1824 67 42 95 42118 Bhola 368031 105062 1431 106493 682 572 6862 619 7481 55 74 321 113974 Pirojpur 203045 75117 825 75942 768 487 5487 613 6100 96 59 328 82042 Barishal Div. 1642007 547514 5923 553437 3709 2649 34181 2792 36973 686 513 1567 590410

Monthly Report of September 2019------Page # 21 Oral Pill Normal Postpartum Name of District Dropout Dropout Total E. Couple Total Oral Pill Old New Total Switch Old New Total Postpartum Expire No Method No Method Switch Over Over Gopalganj 219147 86407 806 87213 515 391 4304 304 4608 53 66 151 91821 Madaripur 232549 82302 493 82795 535 327 4226 302 4528 140 58 222 87323 Shariatpur 214122 71317 473 71790 398 203 4578 232 4810 78 70 163 76600 Faridpur 392453 134216 1455 135671 837 619 5263 558 5821 98 99 314 141492 Rajbari 231649 78120 762 78882 555 420 3917 338 4255 65 58 136 83137 Dhaka 729756 236317 1968 238285 1236 802 8877 839 9716 108 103 316 248001 Gazipur 421583 172054 1055 173109 741 423 5880 506 6386 61 45 222 179495 Munshiganj 300312 102222 727 102949 413 330 5115 426 5541 115 81 136 108490 Narayanganj 532394 192092 1790 193882 1007 838 9178 855 10033 73 132 422 203915 Narshingdi 437287 155550 1498 157048 737 573 6209 604 6813 65 55 269 163861 Manikganj 304484 102269 1180 103449 939 547 4603 486 5089 78 70 354 108538 Tangail 846135 330877 1945 332822 1418 879 10272 929 11201 123 136 453 344023 Kishoreganj 561760 220403 2280 222683 1379 989 9476 939 10415 177 184 316 233098 Dhaka Div. 5423631 1964146 16432 1980578 10710 7341 81898 7318 89216 1234 1157 3474 2069794 Jamalpur 485550 174062 1188 175250 1040 614 7804 715 8519 116 110 464 183769 Sherpur 318375 122812 1060 123872 731 476 5529 522 6051 70 86 259 129923 Mymensingh 1044770 471013 4010 475023 3054 1528 26738 2441 29179 252 210 1478 504202 Netrokona 416428 172406 1312 173718 876 656 8229 649 8878 88 74 357 182596 Mymensingh Div. 2265123 940293 7570 947863 5701 3274 48300 4327 52627 526 480 2558 1000490 Brahmanbaria 542194 162483 1066 163549 1232 470 11260 788 12048 259 58 612 175597 Cumilla 1119488 376434 2485 378919 2073 980 24058 2060 26118 346 187 921 405037 Chandpur 470304 167564 1127 168691 955 490 10919 871 11790 108 99 1612 180481 Feni 278789 82684 733 83417 495 286 4577 336 4913 78 65 99 88330 Noakhali 584287 188756 1133 189889 1024 455 12883 714 13597 135 115 447 203486 Lakshmipur 334151 99927 601 100528 522 202 6127 379 6506 37 45 209 107034 Chattogram 1059646 380851 2887 383738 1804 1272 20602 1451 22053 225 211 969 405791 Cox's Bazar 421194 135122 1316 136438 1329 563 11953 962 12915 128 119 340 149353 Rangamati 102434 38521 199 38720 211 119 1088 137 1225 7 21 87 39945 Khagrachhari 113827 44680 356 45036 273 194 1544 189 1733 12 21 105 46769 Bandarban 73152 20410 445 20855 230 201 1875 237 2112 37 59 77 22967 Chattogram Div. 5099466 1697432 12348 1709780 10148 5232 106886 8124 115010 1372 1000 5478 1824790 Sylhet 597913 180033 1829 181862 2126 464 12491 709 13200 139 130 469 195062 Habiganj 391787 149413 1049 150462 1150 406 10275 609 10884 129 85 4139 161346 Moulavi Bazar 336729 117056 1157 118213 838 496 4764 621 5385 90 77 168 123598 Sunamganj 399255 129946 1572 131518 1257 603 12301 724 13025 446 159 504 144543 Sylhet Div. 1725684 576448 5607 582055 5371 1969 39831 2663 42494 804 451 5280 624549 National 27416415 9834977 85515 9920492 60654 38872 470395 40400 510795 7151 6195 26074 10431287

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

Name of District Drop out Drop out Postpartum Total Condom Old New Total Old New Total Switch Expire No Methd Switch Over No Methd Over Dinajpur 30388 440 30828 282 256 2088 175 2263 43 30 108 33091 Thakurgaon 9768 216 9984 119 56 385 61 446 60 14 22 10430 Panchgarh 7310 176 7486 85 52 472 66 538 6 18 25 8024 Nilphamari 13220 241 13461 122 105 870 77 947 7 13 31 14408 Rangpur 29234 670 29904 320 168 1823 180 2003 52 75 43 31907 Kurigram 22626 1002 23628 495 231 1092 191 1283 23 22 76 24911 Gaibandha 25659 702 26361 339 266 1350 100 1450 26 20 31 27811 Lalmonirhat 10138 239 10377 300 70 1427 259 1686 19 17 38 12063 Rangpur Div. 148343 3686 152029 2062 1204 9507 1109 10616 236 209 374 162645 Bogura 57247 870 58117 450 452 2394 206 2600 48 44 104 60717 Joipurhat 13829 242 14071 105 103 685 65 750 5 28 51 14821 Naogaon 31030 632 31662 285 170 1843 134 1977 19 21 90 33639 Nawabganj 41980 555 42535 292 156 2307 245 2552 26 36 145 45087 Rajshahi 74084 2364 76448 1244 439 5514 787 6301 325 295 63 82749 Natore 36024 779 36803 447 325 1857 201 2058 32 40 116 38861 Pabna 45229 636 45865 293 179 2337 159 2496 22 29 59 48361 Serajganj 59568 930 60498 471 266 4172 270 4442 87 42 144 64940 Rajshahi Div. 358991 7008 365999 3587 2090 21109 2067 23176 564 535 772 389175 Kustia 48809 894 49703 363 221 2492 306 2798 62 55 127 52501 Meherpur 14785 180 14965 886 67 460 72 532 2 0 12 15497 Chuadanga 17936 377 18313 150 127 909 95 1004 22 16 52 19317 Jhenaidaha 27480 468 27948 219 138 1330 179 1509 31 48 53 29457 Magura 11752 312 12064 167 70 919 93 1012 10 23 35 13076 Narail 12550 214 12764 127 90 656 35 691 15 8 11 13455 Jashore 50760 780 51540 669 240 2704 238 2942 129 47 101 54482 Khulna 53193 1501 54694 729 591 1732 181 1913 36 42 67 56607 Bagerhat 20972 600 21572 636 187 1290 121 1411 98 22 35 22983 Satkhira 27804 497 28301 274 238 1633 177 1810 23 35 127 30111 Khulna Div. 286041 5823 291864 4220 1969 14125 1497 15622 428 296 620 307486 Barguna 5125 225 5350 215 89 474 49 523 9 18 16 5873 Patuakhali 11907 279 12186 125 90 1011 72 1083 21 19 33 13269 Barishal 26255 422 26677 301 144 2043 145 2188 45 23 96 28865 Jhalakati 6100 171 6271 99 37 445 46 491 21 4 17 6762 Bhola 12625 366 12991 209 60 726 45 771 13 12 41 13762 Pirojpur 10340 291 10631 186 119 795 72 867 33 14 37 11498 Barishal Div. 72352 1754 74106 1135 539 5494 429 5923 142 90 240 80029

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

Name of District Drop out Drop out Postpartum Total Condom Old New Total Old New Total Switch Expire No Methd Switch Over No Methd Over Gopalganj 22198 445 22643 246 198 1692 107 1799 66 29 71 24442 Madaripur 15122 246 15368 171 78 1572 100 1672 59 36 63 17040 Shariatpur 18254 205 18459 193 65 1509 78 1587 31 17 35 20046 Faridpur 41534 828 42362 472 303 2232 251 2483 58 54 146 44845 Rajbari 19356 448 19804 243 137 1207 119 1326 33 13 43 21130 Dhaka 74668 1147 75815 635 411 4436 498 4934 53 45 141 80749 Gazipur 33087 427 33514 268 116 1883 128 2011 56 27 36 35525 Munshiganj 28327 358 28685 205 157 2049 215 2264 40 42 56 30949 Narayanganj 39168 834 40002 484 737 3355 340 3695 32 57 128 43697 Narshingdi 30193 732 30925 293 184 2132 196 2328 26 21 61 33253 Manikganj 28295 621 28916 311 215 1545 174 1719 33 31 110 30635 Tangail 64703 784 65487 382 219 2927 298 3225 68 57 114 68712 Kishoreganj 31375 951 32326 549 513 2688 297 2985 83 92 82 35311 Dhaka Div. 446280 8026 454306 4452 3333 29227 2801 32028 638 521 1086 486334 Jamalpur 27094 386 27480 220 152 1559 135 1694 23 20 38 29174 Sherpur 15341 389 15730 1212 129 895 127 1022 555 68 56 16752 Mymensingh 47571 1245 48816 574 337 3865 1001 4866 45 30 204 53682 Netrokona 16531 400 16931 179 154 1479 140 1619 158 21 50 18550 Mymensingh Div. 106537 2420 108957 2185 772 7798 1403 9201 781 139 348 118158 Brahmanbaria 37562 333 37895 668 209 3024 136 3160 123 35 132 41055 Cumilla 68833 1138 69971 1008 293 6253 563 6816 77 51 254 76787 Chandpur 22890 331 23221 228 126 2120 147 2267 40 32 82 25488 Feni 18749 320 19069 215 150 1863 139 2002 28 41 34 21071 Noakhali 38500 396 38896 353 114 3959 213 4172 60 49 102 43068 Lakshmipur 15123 162 15285 148 38 1460 92 1552 21 20 39 16837 Chattogram 72952 1184 74136 689 378 6391 522 6913 105 58 258 81049 Cox's Bazar 19485 425 19910 282 85 2207 207 2414 44 28 62 22324 Rangamati 6051 101 6152 93 31 227 25 252 1 1 12 6404 Khagrachhari 3620 119 3739 93 24 204 13 217 4 2 8 3956 Bandarban 3753 256 4009 145 108 367 42 409 18 10 2 4418 Chattogram Div. 307518 4765 312283 3922 1556 28075 2099 30174 521 327 985 342457 Sylhet 52698 694 53392 1107 199 4302 305 4607 78 37 160 57999 Habiganj 21759 338 22097 303 96 2066 155 2221 24 12 38 24318 Moulavi Bazar 18601 431 19032 290 174 1206 131 1337 33 19 34 20369 Sunamganj 24943 632 25575 564 213 3725 271 3996 153 44 81 29571 Sylhet Div. 118001 2095 120096 2264 682 11299 862 12161 288 112 313 132257 National 1844063 35577 1879640 23827 12145 126634 12267 138901 3598 2229 4738 2018541

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

Normal Postpurtam Name of District Total Injectable Drop out Drop out Postpartum Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Dinajpur 69382 917 70299 400 617 3081 224 3305 42 54 186 73604 Thakurgaon 57498 695 58193 367 305 1127 123 1250 27 14 98 59443 Panchgarh 38858 540 39398 227 282 863 78 941 7 9 46 40339 Nilphamari 67919 751 68670 330 501 2542 205 2747 26 66 122 71417 Rangpur 104211 1290 105501 632 628 3595 274 3869 86 102 86 109370 Kurigram 107296 1350 108646 807 655 1658 254 1912 25 25 102 110558 Gaibandha 95459 1502 96961 717 547 2333 143 2476 26 32 75 99437 Lalmonirhat 57801 879 58680 333 231 2544 203 2747 47 34 124 61427 Rangpur Div. 598424 7924 606348 3813 3766 17743 1504 19247 286 336 839 625595 Bogura 103112 1195 104307 743 574 2817 252 3069 35 43 126 107376 Joipurhat 23424 229 23653 151 155 524 40 564 10 13 34 24217 Naogaon 53797 862 54659 340 277 1444 137 1581 5 11 71 56240 Nawabganj 51736 487 52223 297 243 1145 95 1240 19 16 55 53463 Rajshahi 85834 1823 87657 980 1055 3885 391 4276 158 146 74 91933 Natore 44956 763 45719 325 436 1216 135 1351 27 39 64 47070 Pabna 99775 826 100601 440 393 2696 184 2880 29 30 42 103481 Serajganj 116569 1143 117712 642 433 4451 251 4702 41 41 133 122414 Rajshahi Div. 579203 7328 586531 3918 3566 18178 1485 19663 324 339 599 606194 Kustia 69449 758 70207 429 337 1802 259 2061 69 58 79 72268 Meherpur 34274 213 34487 122 146 387 51 438 4 7 8 34925 Chuadanga 50809 574 51383 232 246 1261 130 1391 39 23 60 52774 Jhenaidaha 48021 457 48478 277 219 1268 128 1396 32 26 32 49874 Magura 24996 410 25406 261 142 1328 92 1420 19 20 37 26826 Narail 17210 354 17564 110 71 381 27 408 5 1 16 17972 Jashore 124373 868 125241 429 410 3006 187 3193 116 39 102 128434 Khulna 65667 1512 67179 541 556 1469 109 1578 23 16 35 68757 Bagerhat 42509 850 43359 434 358 1143 94 1237 36 19 32 44596 Satkhira 64320 709 65029 372 292 1301 120 1421 37 22 59 66450 Khulna Div. 541628 6705 548333 3207 2777 13346 1197 14543 380 231 460 562876 Barguna 37178 586 37764 304 321 1442 105 1547 17 28 32 39311 Patuakhali 70388 694 71082 378 409 2693 138 2831 131 50 82 73913 Barishal 62960 805 63765 480 279 2874 157 3031 73 34 97 66796 Jhalakati 16079 236 16315 224 78 517 48 565 25 16 28 16880 Bhola 111643 771 112414 689 571 3487 216 3703 191 52 100 116117 Pirojpur 27925 553 28478 423 291 986 97 1083 24 9 52 29561 Barishal Div. 326173 3645 329818 2498 1949 11999 761 12760 461 189 391 342578

Monthly Report of September 2019------Page # 25 Injectable Normal Postpurtam Name of District Drop out Drop out Postpartum Total Injectable Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Gopalganj 20414 380 20794 191 150 744 52 796 25 17 34 21590 Madaripur 34810 364 35174 223 192 1657 104 1761 65 29 62 36935 Shariatpur 30584 323 30907 198 97 1261 61 1322 20 10 32 32229 Faridpur 44462 735 45197 530 341 1066 105 1171 34 35 70 46368 Rajbari 31554 525 32079 258 254 983 97 1080 22 20 41 33159 Dhaka 89794 1275 91069 527 402 3352 281 3633 54 37 116 94702 Gazipur 38727 620 39347 232 150 938 79 1017 31 11 33 40364 Munshiganj 31424 400 31824 165 168 1394 86 1480 20 20 25 33304 Narayanganj 70619 1015 71634 493 468 2697 231 2928 96 37 83 74562 Narshingdi 64111 884 64995 379 312 2111 208 2319 70 30 56 67314 Manikganj 34242 572 34814 313 289 975 96 1071 19 13 66 35885 Tangail 98716 1048 99764 574 375 1994 184 2178 53 119 72 101942 Kishoreganj 64392 1318 65710 696 667 2721 264 2985 58 73 64 68695 Dhaka Div. 653849 9459 663308 4779 3865 21893 1848 23741 567 451 754 687049 Jamalpur 84412 774 85186 398 324 2521 143 2664 32 22 96 87850 Sherpur 50988 617 51605 318 319 1259 129 1388 427 74 71 52993 Mymensingh 115454 1984 117438 824 726 5367 545 5912 46 32 248 123350 Netrokona 48385 786 49171 380 383 2770 168 2938 45 31 82 52109 Mymensingh Div. 299239 4161 303400 1920 1752 11917 985 12902 550 159 497 316302 Brahmanbaria 73157 630 73787 906 325 3827 206 4033 66 42 144 77820 Cumilla 175009 1342 176351 1236 610 7830 483 8313 94 61 231 184664 Chandpur 75876 518 76394 460 321 3113 172 3285 30 28 115 79679 Feni 39176 446 39622 342 211 1889 142 2031 22 33 19 41653 Noakhali 93552 769 94321 589 280 6196 269 6465 64 44 141 100786 Lakshmipur 68121 407 68528 294 147 3605 170 3775 28 23 115 72303 Chattogram 112363 1524 113887 1375 586 6416 401 6817 92 56 205 120704 Cox's Bazar 87239 1036 88275 733 407 6992 419 7411 209 72 181 95686 Rangamati 13517 161 13678 131 95 308 35 343 0 4 19 14021 Khagrachhari 16718 189 16907 137 90 498 33 531 8 6 21 17438 Bandarban 11526 331 11857 247 190 793 83 876 12 23 36 12733 Chattogram Div. 766254 7353 773607 6450 3262 41467 2413 43880 625 392 1227 817487 Sylhet 94611 1106 95717 1033 331 6059 311 6370 169 38 90 102087 Habiganj 42130 609 42739 529 157 2903 173 3076 26 20 56 45815 Moulavi Bazar 39566 620 40186 408 259 1119 119 1238 34 8 34 41424 Sunamganj 46715 815 47530 648 321 3632 181 3813 86 53 69 51343 Sylhet Div. 223022 3150 226172 2618 1068 13713 784 14497 315 119 249 240669 National 3987792 49725 4037517 29203 22005 150256 10977 161233 3508 2216 5016 4198750

Monthly Report of September 2019------Page # 26 IUD Normal Postpurtam Name of District Drop out Drop out Postpartum Total IUD Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Dinajpur 9670 181 9851 76 120 247 22 269 11 2 11 10120 Thakurgaon 1619 29 1648 8 7 38 3 41 0 0 0 1689 Panchgarh 3871 28 3899 15 20 52 6 58 0 2 1 3957 Nilphamari 5160 143 5303 31 26 140 31 171 1 4 5 5474 Rangpur 12898 174 13072 65 41 501 14 515 5 0 7 13587 Kurigram 10929 203 11132 73 35 97 13 110 0 0 7 11242 Gaibandha 16791 223 17014 113 62 240 32 272 2 2 4 17286 Lalmonirhat 2415 102 2517 28 39 90 15 105 1 3 62 2622 Rangpur Div. 63353 1083 64436 409 350 1405 136 1541 20 13 97 65977 Bogrua 18983 166 19149 118 53 202 12 214 3 1 14 19363 Joipurhat 3003 69 3072 28 37 51 6 57 0 3 4 3129 Naogaon 10261 77 10338 54 40 225 18 243 6 1 1 10581 Nawabganj 5075 50 5125 20 17 91 8 99 0 0 4 5224 Rajshahi 7058 82 7140 44 45 180 5 185 4 0 1 7325 Natore 7541 66 7607 50 46 174 9 183 5 7 5 7790 Pabna 21491 149 21640 105 60 192 5 197 1 1 1 21837 Serajganj 19892 267 20159 88 60 1428 24 1452 9 1 10 21611 Rajshahi Div. 93304 926 94230 507 358 2543 87 2630 28 14 40 96860 Kustia 4757 43 4800 35 8 51 4 55 6 1 1 4855 Meherpur 2020 12 2032 8 5 22 1 23 1 4 0 2055 Chuadanga 4429 37 4466 25 20 61 5 66 0 0 1 4532 Jhenaidaha 7069 39 7108 32 16 118 8 126 0 0 1 7234 Magura 3560 58 3618 27 7 118 16 134 21 0 1 3752 Narail 4703 36 4739 34 15 57 2 59 0 0 0 4798 Jashore 16595 113 16708 126 42 293 15 308 3 3 11 17016 Khulna 12497 144 12641 88 41 379 26 405 5 4 8 13046 Bagerhat 10336 105 10441 46 47 183 17 200 0 1 1 10641 Satkhira 9172 98 9270 34 25 429 4 433 2 0 6 9703 Khulna Div. 75138 685 75823 455 226 1711 98 1809 38 13 30 77632 Barguna 4156 92 4248 112 45 84 6 90 1 3 3 4338 Patuakhali 7729 145 7874 63 41 364 17 381 10 2 4 8255 Barishal 11829 94 11923 65 18 351 12 363 4 1 8 12286 Jhalakati 4589 38 4627 36 13 76 4 80 7 1 6 4707 Bhola 10557 96 10653 33 27 224 14 238 2 2 11 10891 Pirojpur 9057 121 9178 86 51 186 23 209 5 0 9 9387 Barishal Div. 47917 586 48503 395 195 1285 76 1361 29 9 41 49864

Monthly Report of September 2019------Page # 27 IUD Normal Postpurtam Name of District Drop out Drop out Postpartum Total IUD Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Gopalganj 4084 35 4119 45 9 77 16 93 0 10 4 4212 Madaripur 7236 74 7310 61 19 237 15 252 2 2 10 7562 Shariatpur 8822 125 8947 71 20 255 13 268 9 0 4 9215 Faridpur 14205 163 14368 103 64 242 17 259 11 2 12 14627 Rajbari 5845 66 5911 36 27 89 3 92 0 0 5 6003 Dhaka 19761 385 20146 104 81 600 65 665 26 2 11 20811 Gazipur 8785 87 8872 42 30 123 12 135 8 1 3 9007 Munshiganj 7318 60 7378 32 38 291 18 309 0 1 9 7687 Narayanganj 11323 207 11530 68 61 284 29 313 2 1 5 11843 Narshingdi 14870 139 15009 87 62 309 32 341 6 3 7 15350 Manikganj 6829 64 6893 42 24 69 6 75 0 2 4 6968 Tangail 19822 226 20048 140 46 287 17 304 366 3 7 20352 Kishoreganj 18513 240 18753 123 84 518 38 556 6 5 9 19309 Dhaka Div. 147413 1871 149284 954 565 3381 281 3662 436 32 90 152946 Jamalpur 14233 168 14401 103 48 238 16 254 12 6 11 14655 Sherpur 6805 31 6836 47 21 96 2 98 0 0 2 6934 Mymensingh 20920 263 21183 125 83 548 23 571 4 1 10 21754 Netrokona 7779 60 7839 62 39 387 10 397 2 1 3 8236 Mymensingh Div. 49737 522 50259 337 191 1269 51 1320 18 8 26 51579 Brahmanbaria 19000 128 19128 1044 45 518 34 552 8 7 14 19680 Cumilla 36375 338 36713 255 109 1437 128 1565 27 10 47 38278 Chandpur 12423 221 12644 134 85 836 78 914 4 3 31 13558 Feni 9614 120 9734 57 40 526 58 584 6 3 7 10318 Noakhali 17422 116 17538 105 37 1138 58 1196 24 5 17 18734 Lakshmipur 8272 23 8295 53 10 385 18 403 8 2 9 8698 Chattogram 40766 464 41230 257 145 1443 117 1560 20 12 33 42790 Cox's Bazar 11432 91 11523 139 26 908 69 977 17 1 12 12500 Rangamati 4971 46 5017 27 18 190 27 217 3 0 6 5234 Khagrachhari 3728 55 3783 35 24 159 17 176 1 2 6 3959 Bandarban 3876 200 4076 108 66 254 59 313 2 1 8 4389 Chattogram Div. 167879 1802 169681 2214 605 7794 663 8457 120 46 190 178138 Sylhet 15859 115 15974 116 40 799 45 844 26 1 26 16818 Habiganj 10063 83 10146 59 12 601 52 653 3 1 15 10799 Moulavi Bazar 11252 101 11353 103 66 348 63 411 2 2 11 11764 Sunamganj 12951 70 13021 118 47 611 42 653 16 4 6 13674 Sylhet Div. 50125 369 50494 396 165 2359 202 2561 47 8 58 53055 National 694866 7844 702710 5667 2655 21747 1594 23341 736 143 572 726051

Monthly Report of September 2019------Page # 28 Implant Normal Postpurtam Name of District Drop out Drop out Postpartum Total Implant Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Dinajpur 36976 1124 38100 276 528 1762 229 1991 682 14 63 40091 Thakurgaon 13033 216 13249 308 107 241 30 271 4 2 22 13520 Panchgarh 12093 257 12350 54 104 172 27 199 8 1 16 12549 Nilphamari 17739 462 18201 382 178 828 102 930 3 13 21 19131 Rangpur 30413 460 30873 205 210 985 78 1063 23 10 27 31936 Kurigram 17641 376 18017 190 121 228 61 289 4 1 19 18306 Gaibandha 26633 661 27294 248 198 665 86 751 2 13 20 28045 Lalmonirhat 11971 232 12203 88 115 330 36 366 5 1 5 12569 Rangpur Div. 166499 3788 170287 1751 1561 5211 649 5860 731 55 193 176147 Bogura 49404 959 50363 303 389 1932 193 2125 14 16 115 52488 Joipurhat 13183 401 13584 98 179 505 90 595 11 7 27 14179 Naogaon 21794 375 22169 152 145 722 60 782 15 5 30 22951 Nawabganj 5963 157 6120 24 44 155 15 170 8 0 10 6290 Rajshahi 19669 468 20137 184 209 832 58 890 9 5 4 21027 Natore 19311 362 19673 115 262 856 86 942 16 11 33 20615 Pabna 21410 385 21795 108 142 490 66 556 4 3 10 22351 Serajganj 19423 444 19867 149 123 847 80 927 26 2 19 20794 Rajshahi Div. 170157 3551 173708 1133 1493 6339 648 6987 103 49 248 180695 Kustia 11237 153 11390 66 65 287 36 323 6 2 5 11713 Meherpur 3316 33 3349 21 14 52 2 54 1 2 0 3403 Chuadanga 8618 198 8816 54 69 173 37 210 1 0 15 9026 Jhenaidaha 15531 231 15762 100 103 455 37 492 2 2 10 16254 Magura 8553 238 8791 73 55 400 47 447 5 5 11 9238 Narail 5648 102 5750 38 28 166 13 179 2 1 2 5929 Jashore 27299 424 27723 117 93 777 81 858 9 4 17 28581 Khulna 28207 448 28655 168 163 742 64 806 54 8 20 29461 Bagerhat 13129 287 13416 85 63 619 71 690 32 17 6 14106 Satkhira 15161 250 15411 126 74 500 17 517 3 0 8 15928 Khulna Div. 136699 2364 139063 848 727 4171 405 4576 115 41 94 143639 Barguna 11611 291 11902 93 96 546 62 608 3 10 11 12510 Patuakhali 19234 675 19909 132 121 868 74 942 212 6 28 20851 Barishal 19692 342 20034 123 71 826 49 875 3 3 18 20909 Jhalakati 6323 145 6468 69 33 244 18 262 7 3 11 6730 Bhola 20531 428 20959 335 96 624 65 689 10 1 25 21648 Pirojpur 10456 286 10742 116 101 433 103 536 8 3 38 11278 Barishal Div. 87847 2167 90014 868 518 3541 371 3912 243 26 131 93926

Monthly Report of September 2019------Page # 29 Implant Normal Postpurtam Name of District Drop out Drop out Postpartum Total Implant Old New Total Old New Total Switch No Methd Switch Over No Methd Expire Over Gopalganj 8423 247 8670 29 43 437 50 487 3 2 19 9157 Madaripur 14740 268 15008 125 71 609 76 685 14 2 27 15693 Shariatpur 7874 257 8131 70 24 434 60 494 2 2 16 8625 Faridpur 17772 565 18337 138 115 622 64 686 11 7 16 19023 Rajbari 13707 255 13962 106 80 371 45 416 2 2 14 14378 Dhaka 26428 506 26934 152 107 988 138 1126 18 9 23 28060 Gazipur 14003 302 14305 86 41 315 35 350 2 0 4 14655 Munshiganj 9906 200 10106 68 77 509 51 560 14 1 14 10666 Narayanganj 16365 408 16773 104 121 618 92 710 4 5 25 17483 Narshingdi 12645 265 12910 55 66 473 61 534 8 2 10 13444 Manikganj 13519 321 13840 109 123 348 58 406 2 1 25 14246 Tangail 37735 705 38440 296 205 929 117 1046 25 8 23 39486 Kishoreganj 29853 690 30543 198 207 1352 169 1521 19 15 45 32064 Dhaka Div. 222970 4989 227959 1536 1280 8005 1016 9021 124 56 261 236980 Jamalpur 27338 698 28036 225 178 856 123 979 11 9 26 29015 Sherpur 18420 325 18745 128 92 442 49 491 6 6 4 19236 Mymensingh 41201 886 42087 298 226 1633 122 1755 15 7 66 43842 Netrokona 20187 825 21012 180 212 1292 158 1450 49 5 61 22462 Mymensingh Div. 107146 2734 109880 831 708 4223 452 4675 81 27 157 114555 Brahmanbaria 21837 593 22430 214 83 1831 230 2061 17 6 78 24491 Cumilla 37577 538 38115 248 117 2145 224 2369 15 17 69 40484 Chandpur 17626 406 18032 168 102 1442 177 1619 13 4 46 19651 Feni 11028 280 11308 86 104 985 100 1085 12 7 7 12393 Noakhali 23022 499 23521 182 89 2645 177 2822 18 4 52 26343 Lakshmipur 14288 254 14542 124 35 1055 62 1117 10 2 22 15659 Chattogram 53149 1131 54280 400 263 2536 265 2801 32 25 62 57081 Cox's Bazar 25386 502 25888 328 85 1967 168 2135 17 8 36 28023 Rangamati 9874 143 10017 59 31 284 25 309 0 0 8 10326 Khagrachhari 6139 269 6408 59 20 216 40 256 1 0 8 6664 Bandarban 6062 407 6469 138 112 466 128 594 4 3 14 7063 Chattogram Div. 225988 5022 231010 2006 1041 15572 1596 17168 139 76 402 248178 Sylhet 29956 721 30677 220 140 2356 202 2558 16 10 33 33235 Habiganj 12518 463 12981 139 37 1425 184 1609 3 2 10 14590 Moulavi Bazar 16757 259 17016 157 92 930 62 992 12 3 8 18008 Sunamganj 19961 801 20762 239 146 1906 205 2111 44 10 47 22873 Sylhet Div. 79192 2244 81436 755 415 6617 653 7270 75 25 98 88706 National 1196498 26859 1223357 9728 7743 53679 5790 59469 1611 355 1584 1282826

Monthly Report of September 2019------Page # 30 Permanent Method Male Female Total Name of District Postpartum Total Normal Postpurtam Total Normal Postpartum Total Permanent CAR(%) Expire Acceptors Male Female Method Old New Total Old New Total Old New Total Old New Total Dinajpur 44376 76 44452 85 6 91 44543 65307 125 65432 1316 139 1455 66887 0 111430 538695 81.8 Thakurgaon 14920 8 14928 4 1 5 14933 19274 19 19293 348 31 379 19672 0 34605 236565 78.5 Panchgarh 11688 4 11692 9 1 10 11702 12284 23 12307 202 19 221 12528 0 24230 188257 80.8 Nilphamari 20036 20 20056 77 3 80 20136 37799 70 37869 723 78 801 38670 0 58806 334418 81.3 Rangpur 34874 48 34922 185 0 185 35107 34666 345 35011 1862 40 1902 36913 0 72020 500254 78.2 Kurigram 16838 14 16852 5 1 6 16858 21911 45 21956 152 24 176 22132 0 38990 407099 76.3 Gaibandha 22861 139 23000 21 2 23 23023 33759 144 33903 637 114 751 34654 0 57677 443368 80.7 Lalmonirhat 12634 26 12660 12 0 12 12672 21637 36 21673 302 37 339 22012 0 34684 222231 79.8 Rangpur Div. 178227 335 178562 398 14 412 178974 246637 807 247444 5542 482 6024 253468 0 432442 2870887 79.6 Bogura 27130 45 27175 68 2 70 27245 51831 76 51907 955 102 1057 52964 0 80209 635400 82.7 Joipurhat 15149 39 15188 11 0 11 15199 19044 46 19090 262 21 283 19373 0 34572 176676 83.7 Naogaon 18225 32 18257 15 1 16 18273 67611 105 67716 1429 122 1551 69267 0 87540 470257 80.2 Nawabganj 15892 15 15907 11 0 11 15918 30792 96 30888 699 63 762 31650 0 47568 299095 79.9 Rajshahi 9450 15 9465 22 0 22 9487 68185 123 68308 3601 81 3682 71990 0 81477 498010 81.3 Natore 4990 14 5004 51 1 52 5056 50816 77 50893 987 95 1082 51975 0 57031 336747 82.2 Pabna 12020 11 12031 9 0 9 12040 36675 71 36746 484 47 531 37277 0 49317 460073 78.7 Serajganj 11265 25 11290 7 0 7 11297 20175 84 20259 882 57 939 21198 0 32495 527407 81.0 Rajshahi Div. 114121 196 114317 194 4 198 114515 345129 678 345807 9299 588 9887 355694 0 470209 3403665 81.1 Kustia 4582 16 4598 26 3 29 4627 56246 74 56320 1277 115 1392 57712 0 62339 354141 77.7 Meherpur 551 0 551 0 0 0 551 23806 20 23826 289 43 332 24158 0 24709 126658 78.4 Chuadanga 1217 3 1220 0 0 0 1220 28450 45 28495 711 91 802 29297 0 30517 208694 81.6 Jhenaidaha 3097 6 3103 0 0 0 3103 43803 70 43873 1651 83 1734 45607 0 48710 303418 78.1 Magura 2182 5 2187 2 0 2 2189 18689 37 18726 696 45 741 19467 0 21656 151539 78.3 Narail 2593 0 2593 0 0 0 2593 14018 14 14032 388 35 423 14455 0 17048 120456 78.8 Jashore 21489 98 21587 106 2 108 21695 46872 89 46961 639 51 690 47651 0 69346 490675 80.3 Khulna 17724 12 17736 8 0 8 17744 32573 719 33292 499 40 539 33831 0 51575 398459 80.4 Bagerhat 12409 12 12421 16 0 16 12437 20279 21 20300 271 20 291 20591 0 33028 249117 81.1 Satkhira 11563 10 11573 5 1 6 11579 36458 64 36522 772 65 837 37359 0 48938 348983 80.3 Khulna Div. 77407 162 77569 163 6 169 77738 321194 1153 322347 7193 588 7781 330128 0 407866 2752140 79.6 Barguna 13271 26 13297 17 1 18 13315 8441 14 8455 274 25 299 8754 0 22069 154352 78.3 Patuakhali 9940 17 9957 311 0 311 10268 17140 41 17181 519 82 601 17782 0 28050 267307 79.3 Barishal 9546 22 9568 30 2 32 9600 26635 48 26683 674 57 731 27414 0 37014 324926 76.9 Jhalakati 4996 6 5002 2 0 2 5004 7288 17 7305 620 26 646 7951 0 12955 90152 78.9 Bhola 9448 17 9465 12 0 12 9477 9455 24 9479 65 19 84 9563 0 19040 295432 80.3 Pirojpur 6291 12 6303 3 1 4 6307 9314 8 9322 343 40 383 9705 0 16012 159778 78.7 Barishal Div. 53492 100 53592 375 4 379 53971 78273 152 78425 2495 249 2744 81169 0 135140 1291947 78.7

Monthly Report of September 2019------Page # 31 Permanent Method Male Female Total Total Name of District Postpartum CAR(%) Normal Postpurtam Normal Postpartum Total Permanent Acceptors Total Male Expire Old New Total Old New Total Old New Total Old New Total Female Method Gopalganj 2600 21 2621 244 1 245 2866 19235 61 19296 444 33 477 19773 0 22639 173861 79.3 Madaripur 2657 4 2661 4 0 4 2665 14525 39 14564 303 24 327 14891 0 17556 182109 78.3 Shariatpur 4130 4 4134 11 1 12 4146 11436 52 11488 326 16 342 11830 0 15976 162691 76.0 Faridpur 8106 34 8140 0 0 0 8140 36118 74 36192 737 79 816 37008 0 45148 311503 79.4 Rajbari 5973 21 5994 4 0 4 5998 17235 23 17258 196 30 226 17484 0 23482 181289 78.3 Dhaka 20644 332 20976 101 6 107 21083 48165 127 48292 1448 204 1652 49944 0 71027 543350 74.5 Gazipur 4616 12 4628 6 1 7 4635 33229 31 33260 450 45 495 33755 0 38390 317436 75.3 Munshiganj 2253 10 2263 4 1 5 2268 27284 47 27331 888 92 980 28311 0 30579 221675 73.8 Narayanganj 12975 233 13208 63 5 68 13276 32065 102 32167 940 81 1021 33188 0 46464 397964 74.7 Narshingdi 3254 12 3266 2 0 2 3268 31826 81 31907 1086 132 1218 33125 0 36393 329615 75.4 Manikganj 3919 106 4025 5 0 5 4030 28545 506 29051 628 77 705 29756 0 33786 230058 75.6 Tangail 19357 17 19374 26 0 26 19400 59155 53 59208 1303 162 1465 60673 0 80073 654588 77.4 Kishoreganj 13821 19 13840 44 1 45 13885 43082 201 43283 1066 99 1165 44448 0 58333 446810 79.5 Dhaka Div. 104305 825 105130 514 16 530 105660 401900 1397 403297 9815 1074 10889 414186 0 519846 4152949 76.6 Jamalpur 15157 14 15171 37 1 38 15209 27516 40 27556 673 82 755 28311 0 43520 387983 79.9 Sherpur 8951 8 8959 4 0 4 8963 16490 34 16524 414 56 470 16994 0 25957 251795 79.1 Mymensingh 33846 104 33950 68 4 72 34022 43915 61 43976 581 156 737 44713 0 78735 825565 79.0 Netrokona 15541 13 15554 182 6 188 15742 25137 82 25219 861 54 915 26134 0 41876 325829 78.2 Mymensingh Div. 73495 139 73634 291 11 302 73936 113058 217 113275 2529 348 2877 116152 0 190088 1791172 79.1 Brahmanbaria 6363 19 6382 18 5 23 6405 43131 96 43227 931 87 1018 44245 0 50650 389293 71.8 Cumilla 18954 63 19017 37 3 40 19057 85174 123 85297 2777 208 2985 88282 0 107339 852589 76.2 Chandpur 5404 10 5414 17 1 18 5432 34322 42 34364 1112 78 1190 35554 0 40986 359843 76.5 Feni 1781 8 1789 7 0 7 1796 23824 47 23871 791 125 916 24787 0 26583 200348 71.9 Noakhali 7396 46 7442 51 2 53 7495 39585 45 39630 1308 84 1392 41022 0 48517 440934 75.5 Lakshmipur 3525 3 3528 1 0 1 3529 14889 25 14914 1496 57 1553 16467 0 19996 240527 72.0 Chattogram 12258 75 12333 35 2 37 12370 60563 71 60634 1172 84 1256 61890 0 74260 781675 73.8 Cox's Bazar 12601 36 12637 125 1 126 12763 14596 33 14629 668 39 707 15336 0 28099 335985 79.8 Rangamati 3022 6 3028 0 0 0 3028 4740 8 4748 42 2 44 4792 0 7820 83750 81.8 Khagrachhari 4197 16 4213 0 0 0 4213 5212 8 5220 20 1 21 5241 0 9454 88240 77.5 Bandarban 4969 55 5024 4 6 10 5034 3013 2 3015 19 8 27 3042 0 8076 59646 81.5 Chattogram Div. 80470 337 80807 295 20 315 81122 329049 500 329549 10336 773 11109 340658 0 421780 3832830 75.2 Sylhet 14149 33 14182 79 4 83 14265 45344 165 45509 1347 85 1432 46941 0 61206 466407 78.0 Habiganj 14199 40 14239 178 2 180 14419 29833 121 29954 780 87 867 30821 0 45240 302108 77.1 Moulavi Bazar 15487 19 15506 39 7 46 15552 30427 98 30525 648 55 703 31228 0 46780 261943 77.8 Sunamganj 15166 35 15201 175 5 180 15381 32608 144 32752 819 51 870 33622 0 49003 311007 77.9 Sylhet Div. 59001 127 59128 471 18 489 59617 138212 528 138740 3594 278 3872 142612 0 202229 1341465 77.7 National 740518 2221 742739 2701 93 2794 745533 1973452 5432 1978884 50803 4380 55183 2034067 0 2779600 21437055 78.2

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

Per.Method (Male) 2609 2314 -11.3 745908 745533 -0.1

Per.Method (Female) 7695 9812 27.5 2027673 2034067 0.3 Per.Method (Total) 10304 12126 17.7 2773581 2779600 0.2 IUD 8408 9438 12.3 725187 726051 0.1 Implant 25311 32649 29.0 1268998 1282826 1.1 Injectables 58013 60702 4.6 4196320 4198750 0.1 Oral Pill 118874 125915 5.9 10426587 10431287 0.0 Condom 45143 47844 6.0 2013160 2018541 0.3

Total 266053 288674 8.5 21403833 21437055 0.2

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

% Change of September'19 Division August'19 September'19 over August'19 Rangpur 79.55 79.63 0.08 Rajshahi 81.05 81.07 0.02 Khulna 79.52 79.62 0.10 Barishal 78.57 78.68 0.11 Dhaka 76.50 76.57 0.07 Mymensingh 78.93 79.08 0.15 Chattogram 75.13 75.16 0.03 Sylhet 77.80 77.74 -0.06 National 78.13 78.19 0.06

Graph-1: National & Division wise CAR upto the end of Graph-2: National & Division wise CAR upto the end September 2019 of August'19 and September'19

August'19

82 82 September'19

81.1

81.1

81.1 >

81 81

>

79.6

79.6

79.6

79.6 79.6

80 80 79.5

79.1

79.1

78.9

78.7 78.6

79 78.7 79

78.2

78.2

78.1

77.8

77.7 77.7

------78 78

------76.6 77 76.5 77 76.6

CAR (%) (%) CAR 76

76 (%) CAR

75.2

75.1 75.2 75 75 74 74 73

73

------

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< 72 72

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

Range Sl.No. District CAR (%) Range Nos of Districts CAR (%)

1 Joipurhat 83.67 64 2 Bogura 82.72 70% & above 3 Natore 82.21 60% - 69% 4 Dinajpur 81.76 Nil 5 Rangamati 81.76 0%-59% 6 Chuadanga 81.62 Nil 7 Bandarban 81.54 8 Nilphamari 81.33 9 Rajshahi 81.26 10 Bagerhat 81.07 11 Serajganj 80.99 12 Panchgarh 80.84 13 Gaibandha 80.72 14 Khulna 80.41 15 Bhola 80.27 16 Satkhira 80.27 17 Jashore 80.26 District position in CAR (%) upto the end of 18 Naogaon 80.21 August 2019 and September 2019 19 Nawabganj 79.92 20 Jamalpur 79.91 70 21 Lalmonirhat 79.81 64 64 22 Cox's Bazar 79.77 August'19 23 Kishoreganj 79.54 September'19 24 Faridpur 79.37 60 25 Gopalganj 79.34 > 26 Patuakhali 79.26 27 Sherpur 79.09 28 Mymensingh 79.02 50 29 Jhalakati 78.88 30 Narail 78.83 31 Pirojpur 78.69 32 Pabna 78.67 40 33 Thakurgaon 78.5 ------34 Meherpur 78.44 70% above& 35 Barguna 78.33 36 Madaripur 78.31 37 Magura 78.29 30 38 Rajbari 78.26 39 Netrokona 78.24 Nos. Districtsof 40 Rangpur 78.21 41 Jhenaidaha 78.12 20 42 Sylhet 78.01 43 Sunamganj 77.9 44 Moulavi Bazar 77.79 45 Kustia 77.69 10 46 Khagrachhari 77.52

47 Tangail 77.36 ------< 0 0 0 0 48 Habiganj 77.11 49 Barishal 76.94 0 50 Chandpur 76.51 70% & above 60%-69% 0%-59% 51 Kurigram 76.27 52 Cumilla 76.16 <------Range ------> 53 Shariatpur 75.98 54 Manikganj 75.56 55 Noakhali 75.47 56 Narshingdi 75.38 57 Gazipur 75.3 58 Narayanganj 74.75 59 Dhaka 74.46 60 Munshiganj 73.81 61 Chattogram 73.77 62 Lakshmipur 71.98 63 Feni 71.86 64 Brahmanbaria 71.8

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

Sl. Name of Total Total CAR Sl. Name of Name of Total Total CAR Name of Upazila No. District Couples Acceptors (%) No. District Upazila Couples Acceptors (%) 1 Mymensingh Mymensingh 142381 120266 84.5 77 Jashore Monirampur 96464 78536 81.4 2 Joipurhat Panchbibi 54244 45553 84.0 78 Bagerhat Mongla 27072 22039 81.4 3 Bogura Kahaloo 55263 46339 83.9 79 Dinajpur Fulbari 36773 29931 81.4 4 Bogura Sariakandi 50178 42074 83.8 80 Lalmonirhat Patgram 47634 38769 81.4 5 Joipurhat Khetlal 26241 22001 83.8 81 Kurigram Chilmari 31881 25944 81.4 6 Joipurhat Joypurhat Sadar 65045 54456 83.7 82 Dinajpur Nawabganj 51028 41525 81.4 7 Joipurhat Akkelpur 30957 25896 83.7 83 Chuadanga Alamdanga 80532 65532 81.4 8 Bogura Sonatola 39991 33445 83.6 84 Rajshahi Tanore 46233 37613 81.4 9 Bogura Dhunot 67257 56163 83.5 85 Gaibandha Sadullahpur 71488 58153 81.3 10 Rajshahi Bagmara 88214 73568 83.4 86 Khulna Batiaghata 38357 31197 81.3 11 Naogaon Manda 91636 76317 83.3 87 Jamalpur Jamalpur Sadar 134352 109257 81.3 12 Bagerhat Bagerhat Sadar 54502 45357 83.2 88 Rangamati Barkal 7508 6105 81.3 13 Chuadanga Jiban Nagar 37919 31530 83.2 89 Satkhira Kaliganj 66537 54101 81.3 14 Rangamati Naniarchar 9356 7777 83.1 90 Dinajpur Parbatipur 82811 67319 81.3 15 Bogura Dupchanchia 44108 36631 83.0 91 Bhola Daulatkhan 34616 28118 81.2 16 Rangamati Kawkhali 11970 9936 83.0 92 Dinajpur Kaharole 35179 28573 81.2 17 Bogura Shibganj 90319 74964 83.0 93 Serajganj Rayganj 69119 56125 81.2 18 Chuadanga Chuadanga Sadar 69782 57902 83.0 94 Bandarban Lama 19247 15627 81.2 19 Joipurhat Kalai 34675 28770 83.0 95 Cox's Bazar Ramu 46199 37502 81.2 20 Cox's Bazar Chakaria 84536 70109 82.9 96 Nilphamari Dimla 62090 50398 81.2 21 Sylhet Jaintapur 30461 25212 82.8 97 Jamalpur Melandaha 62721 50885 81.1 22 Natore Lalpur 67040 55481 82.8 98 Tangail Modhupur 113397 91959 81.1 23 Natore Gurudashpur 52449 43382 82.7 99 Satkhira Debhata 26907 21819 81.1 24 Bandarban Bandarban Sadar 17376 14365 82.7 100 Khulna Dacope 31199 25298 81.1 25 Dinajpur Birol 55026 45475 82.6 101 Panchgarh Debiganj 55256 44766 81.0 26 Faridpur Modhukhali 45788 37838 82.6 102 Kishoreganj Nikli 27064 21925 81.0 27 Bogura Shajahanpur 79929 66049 82.6 103 Khulna Koyra 40897 33130 81.0 28 Bagerhat Kachua 20451 16898 82.6 104 Rangamati Rajasthali 4691 3799 81.0 29 Nilphamari Nilphamari Sadar 104046 85929 82.6 105 Bandarban Thanchi 4204 3403 80.9 30 Bogura Sherpur 84421 69710 82.6 106 Satkhira Shyamnagar 74523 60322 80.9 31 Rangamati Langadu 15793 13036 82.5 107 Jashore Jessore Sadar 151267 122437 80.9 32 Dinajpur Hakimpur 21237 17528 82.5 108 Kishoreganj Katiadi 61496 49769 80.9 33 Serajganj Sirajganj Sadar 120069 99057 82.5 109 Rajshahi Durgapur 44033 35612 80.9 34 Dinajpur Chirir Bandar 65449 53966 82.5 110 Naogaon Porsa 30476 24640 80.9 35 Rangamati Rangamati Sadar 20195 16639 82.4 111 Sherpur Jhenaigati 37642 30432 80.8 36 Dinajpur Dinajpur Sadar 101585 83617 82.3 112 Barguna Patharghata 33936 27417 80.8 37 Satkhira Asasuni 57226 47080 82.3 113 Gaibandha Fulchhari 36944 29841 80.8 38 Bhola Monpura 15232 12530 82.3 114 Manikganj Saturia 38366 30988 80.8 39 Natore Natore Sadar 104300 85797 82.3 115 Pirojpur Pirojpur Sadar 28216 22776 80.7 40 Bogura Gabtali 73961 60831 82.2 116 Manikganj Ghior 35577 28705 80.7 41 Nilphamari Domar 57494 47284 82.2 117 Panchgarh Panchgarh 62165 50157 80.7 42 Gaibandha Palashbari 58715 48274 82.2 118 Lalmonirhat Aditmari 48380 39026 80.7 43 Dinajpur Birganj 71703 58952 82.2 119 Rajshahi Puthiya 49067 39576 80.7 44 Bhola Lalmohan 64006 52598 82.2 120 Kishoreganj Austagram 29656 23916 80.6 45 Natore Singra 85903 70590 82.2 121 Cumilla Chouddagram 88058 71010 80.6 46 Naogaon Niamatpur 57953 47607 82.1 122 Jhenaidaha Harinakunda 43234 34863 80.6 47 Bagerhat Fakirhat 30242 24841 82.1 123 Natore Bagatipara 30663 24726 80.6 48 Rangamati Belaichhari 5012 4114 82.1 124 Dinajpur Khanshama 43380 34974 80.6 49 Khulna Digholia 93816 76933 82.0 125 Lalmonirhat Hatibandha 51661 41630 80.6 50 Gaibandha Sundarganj 113073 92671 82.0 126 Rajshahi Bagha 42355 34127 80.6 51 Rajshahi Poba 76826 62956 81.9 127 Serajganj Belkuchi 70750 56983 80.5 52 Natore Baraigram 69279 56771 81.9 128 Pabna Santhia 89667 72217 80.5 53 Rajshahi Boalia (Sadar) 102139 83679 81.9 129 Rangamati Baghaichhari 12717 10241 80.5 54 Bagerhat Sarankhola 21685 17764 81.9 130 Sunamganj Chhatak 55491 44684 80.5 55 Bogura Nandigram 42960 35181 81.9 131 Gaibandha Gaibandha 102446 82483 80.5 56 Kishoreganj Kishoreganj Sadar 72817 59615 81.9 132 Rajshahi Charghat 48397 38959 80.5 57 Jashore Keshobpur 59645 48819 81.8 133 Naogaon Naogaon Sadar 62324 50157 80.5 58 Nawabganj Bholahat 25067 20508 81.8 134 Rangpur Pirgachha 75194 60504 80.5 59 Rangamati Jurachhari 4492 3675 81.8 135 Gopalganj Gopalganj 56457 45423 80.5 60 Dinajpur Bochaganj 33962 27785 81.8 136 Rangpur Pirganj 95778 77053 80.4 61 Panchgarh Atowari 28917 23645 81.8 137 Bandarban Rowangchhari 5418 4357 80.4 62 Nawabganj Nachol 33732 27580 81.8 138 Pabna Bera 57779 46418 80.3 63 Bogura Adamdighi 45381 37066 81.7 139 Patuakhali Golachipa 81213 65220 80.3 64 Khulna Dumuria 64562 52729 81.7 140 Pirojpur Bhandaria 24992 20069 80.3 65 Bagerhat Morralganj 63678 52006 81.7 141 Faridpur Char 13434 10786 80.3 66 Bandarban Naikhongchhari 11955 9761 81.6 142 Madaripur Madaripur 71275 57224 80.3 67 Bandarban Alikadam 10191 8320 81.6 143 Faridpur Nagarkanda 37965 30480 80.3 68 Bhola Bhola Sadar 86296 70433 81.6 144 Gopalganj Muksudpur 55642 44658 80.3 69 Dinajpur Birampur 35367 28860 81.6 145 Jashore Sarsa 79243 63600 80.3 70 Serajganj Shazadpur 113241 92392 81.6 146 Nilphamari Jaldhaka 78042 62626 80.2 71 Bogura Bogra Sadar 94335 76947 81.6 147 Faridpur Alphadanga 22695 18211 80.2 72 Cox's Bazar Moheshkhali 58527 47735 81.6 148 Netrokona Kalmakanda 51301 41158 80.2 73 Panchgarh Boda 57486 46883 81.6 149 Nawabganj Gomostapur 64534 51750 80.2 74 Jashore Bagherpara 47958 39107 81.5 150 Pabna Ishwardi 71169 57061 80.2 75 Nilphamari Saidpur 55759 45458 81.5 151 Kishoreganj Bhariab 59843 47975 80.2 76 Serajganj Ullahpara 121906 99328 81.5 152 Kishoreganj Tarail 30703 24606 80.1

Monthly Report September 2019------Page # 35 Sl. Name of Total Total CAR Sl. Name of Name of Total Total CAR Name of Upazila No. District Couples Acceptors (%) No. District Upazila Couples Acceptors (%) 153 Habiganj Lakhai 29420 23571 80.1 231 Rangpur Rangpur Sadar 138146 109206 79.1 154 Gopalganj Kasiani 44338 35521 80.1 232 Patuakhali Patuakhali 70848 55973 79.0 155 Cumilla Debidwar 92299 73938 80.1 233 Satkhira Tala 63154 49887 79.0 156 Bandarban Ruma 4761 3813 80.1 234 Netrokona Atpara 26022 20555 79.0 157 Sherpur Sribordi 57425 45983 80.1 235 Pabna Chatmohor 74344 58724 79.0 158 Sylhet Gowainghat 53767 43050 80.1 236 Barguna Amtali 66177 52262 79.0 159 Moulavi Bazar Rajnagar 41054 32862 80.0 237 Narail Narail Sadar 61169 48289 78.9 160 Naogaon Patnitola 54816 43866 80.0 238 Jhenaidaha Kotchandpur 31728 25039 78.9 161 Jamalpur Sharishabari 66265 53020 80.0 239 Kustia Kumarkhali 72733 57391 78.9 162 Manikganj Shibalaya 34869 27870 79.9 240 Bhola Tajumuddin 26837 21176 78.9 163 Gaibandha Gobindaganj 110742 88504 79.9 241 Kurigram Rajarhat 47712 37629 78.9 164 Patuakhali Dumki 13399 10707 79.9 242 Habiganj Habiganj Sadar 63232 49855 78.8 165 Sunamganj Jogonnathpur 34338 27436 79.9 243 Naogaon Rani Nagar 42169 33246 78.8 166 Moulavi Bazar Moulavi Bazar 54862 43788 79.8 244 Mymensingh Muktagacha 89497 70555 78.8 167 Pirojpur Indurkani 15654 12493 79.8 245 Thakurgaon Haripur 31637 24934 78.8 168 Narail Kalia 44452 35474 79.8 246 Mymensingh Dhubaura 40817 32164 78.8 169 Kishoreganj Itna 32930 26275 79.8 247 Kishoreganj Kuliarchar 35615 28064 78.8 170 Magura Shalikha 31651 25254 79.8 248 Kishoreganj Karimganj 55126 43437 78.8 171 Cox's Bazar Teknaf 52260 41692 79.8 249 Khulna Fultala 28341 22330 78.8 172 Sherpur Nalitabari 57926 46196 79.8 250 Rangamati Kaptai 10700 8428 78.8 173 Pabna Bhangoora 29680 23669 79.7 251 Patuakhali Kalapara 53165 41873 78.8 174 Khulna Khulna Sadar 75651 60323 79.7 252 Mymensingh Fulbaria 87356 68797 78.8 175 Jamalpur Dewanganj 59561 47490 79.7 253 Sherpur Sherpur Sadar 121453 95577 78.7 176 Jhalakati Rajapur 23909 19059 79.7 254 Rajbari Pangsha 89594 70504 78.7 177 Habiganj Baniachhong 57846 46094 79.7 255 Patuakhali Bauphal 66832 52590 78.7 178 Naogaon Sapahar 38828 30939 79.7 256 Faridpur Boalmari 53127 41803 78.7 179 Chuadanga Damurhuda 67451 53730 79.7 257 Patuakhali Mirzaganj 24408 19203 78.7 180 Thakurgaon Ranisankail 49296 39268 79.7 258 Serajganj Chouhali 22317 17556 78.7 181 Khulna Paikgachha 58408 46518 79.6 259 Jhenaidaha Moheshpur 72117 56731 78.7 182 Jashore Abhaynagar 54792 43632 79.6 260 Shariatpur Goshairhat 30159 23724 78.7 183 Meherpur Mujibnagar 22363 17806 79.6 261 Khulna Rupsha 38054 29929 78.6 184 Dinajpur Ghoraghat 25358 20190 79.6 262 Rajbari Goalunda Ghat 25417 19983 78.6 185 Rajshahi Godagari 72332 57566 79.6 263 Jashore Jhikarghachha 70024 55047 78.6 186 Mymensingh Trisal 91299 72653 79.6 264 Jhenaidaha Jhenaidaha 97344 76491 78.6 187 Faridpur Faridpur Sadar 95600 76069 79.6 265 Kishoreganj Mithamoin 24101 18914 78.5 188 Meherpur Meherpur Sadar 61991 49318 79.6 266 Panchgarh Tentulia 29062 22806 78.5 189 Jhalakati Kathalia 21260 16909 79.5 267 Naogaon Badalgachhi 48483 38040 78.5 190 Nilphamari Kishoreganj 53735 42723 79.5 268 Netrokona Kendua 58753 46079 78.4 191 Netrokona Barhatta 34329 27291 79.5 269 Mymensingh Ishwarganj 80673 63245 78.4 192 Barguna Bmna 14484 11513 79.5 270 Naogaon Atrai 46389 36361 78.4 193 Nawabganj Chapai 119163 94703 79.5 271 Barishal Uzirpur 47380 37136 78.4 194 Satkhira Satkhira Sadar 94736 75285 79.5 272 Sylhet Jakiganj 36572 28656 78.4 195 Magura Magura Sadar 82841 65823 79.5 273 Satkhira Kolaroa 51696 40489 78.3 196 Pirojpur Nesarabad 40494 32163 79.4 274 Lalmonirhat Lalmonirhat 77862 60968 78.3 197 Khagrachhari Matiranga 25284 20076 79.4 275 Gazipur Tongi 36855 28858 78.3 198 Sylhet Sylhet Sadar 163427 129736 79.4 276 Kurigram Char Rajibpur 22939 17961 78.3 199 Nawabganj Shibganj 131726 104554 79.4 277 Kishoreganj Bazitpur 45485 35605 78.3 200 Sylhet Golapganj 48133 38196 79.4 278 Mymensingh Phulpur 123443 96617 78.3 201 Patuakhali Dashmina 27398 21741 79.4 279 Moulavi Bazar Barlekha 44109 34517 78.3 202 Rajshahi Mohanpur 43295 34354 79.3 280 Tangail Tangail Sadar 120524 94280 78.2 203 Bagerhat Rampal 34181 27119 79.3 281 Cumilla Adarsho Sadar 112262 87817 78.2 204 Naogaon Mohadebpur 68980 54722 79.3 282 Kustia Bheramara 51479 40254 78.2 205 Chattogram Banshkhali 80827 64107 79.3 283 Chandpur Chandpur 74097 57912 78.2 206 Madaripur Shibchar 58454 46362 79.3 284 Cox's Bazar Ukhiya 40361 31539 78.1 207 Netrokona Netrokona Sadar 68883 54633 79.3 285 Chandpur Faridganj 83999 65636 78.1 208 Jamalpur Madarganj 53973 42798 79.3 286 Mymensingh Gafargaon 87345 68241 78.1 209 Serajganj Tarash 46469 36836 79.3 287 Barishal Gournadi 36849 28786 78.1 210 Tangail Gopalpur 57831 45840 79.3 288 Netrokona Durgapur 46253 36120 78.1 211 Thakurgaon Thakurgaon Sadar 129390 102540 79.2 289 Pabna Atghoria 35647 27820 78.0 212 Rangpur Gangachara 68439 54228 79.2 290 Gazipur Sreepur 102305 79803 78.0 213 Cumilla Brahmanpara 41329 32744 79.2 291 Netrokona Mohonganj 31476 24551 78.0 214 Bhola Charfashion 90593 71763 79.2 292 Sunamganj Tahirpur 36965 28812 77.9 215 Faridpur Saltha 34759 27530 79.2 293 Kishoreganj Hossainpur 38837 30263 77.9 216 Cox's Bazar Pekua 32680 25880 79.2 294 Rajbari Rajbari Sadar 71726 55843 77.9 217 Khagrachhari Lakshmichhari 5638 4464 79.2 295 Rajbari Baliakandi 44912 34959 77.8 218 Jhalakati Jhalakati Sadar 35070 27767 79.2 296 Kustia Mirpur 77970 60667 77.8 219 Sunamganj Sunamganj Sadar 42346 33526 79.2 297 Brahmanbaria Ashuganj 28484 22159 77.8 220 Jamalpur Bakshiganj 41851 33134 79.2 298 Gaibandha Shaghata 55845 43442 77.8 221 Serajganj Kazipur 56990 45119 79.2 299 Narail Lohagara 47176 36693 77.8 222 Tangail Bhuapur 43268 34243 79.1 300 Sunamganj Sulla 19975 15532 77.8 223 Serajganj Kamarkhand 30342 24011 79.1 301 Madaripur Kalkini 55081 42823 77.7 224 Barishal Bakerganj 64604 51118 79.1 302 Lakshmipur Ramgoti 42526 33053 77.7 225 Gazipur Gazipur Sadar 97068 76787 79.1 303 Sunamganj Bishwamvarpur 27271 21191 77.7 226 Bagerhat Mollahat 27261 21561 79.1 304 Pabna Faridpur 27868 21652 77.7 227 Khagrachhari Dighinala 17816 14088 79.1 305 Naogaon Dhamoirhat 44265 34362 77.6 228 Pirojpur Kawkhali 12361 9774 79.1 306 Cumilla Titash 37112 28800 77.6 229 Lalmonirhat Kaliganj 52916 41838 79.1 307 Jhalakati Nalchhiti 34047 26417 77.6 230 Habiganj Bahubal 35610 28152 79.1 308 Chattogram Rawzan 63876 49557 77.6

Monthly Report September 2019------Page # 36 Sl. Name of Total Total CAR Sl. Name of Name of Total Total CAR Name of Upazila No. District Couples Acceptors (%) No. District Upazila Couples Acceptors (%) 309 Mymensingh Haluaghat 66675 51722 77.6 387 Chattogram Boalkhali 46791 35590 76.1 310 Gopalganj Tungipara 19259 14935 77.5 388 Barishal Barisal Sadar 83089 63178 76.0 311 Jhenaidaha Kaliganj 63031 48860 77.5 389 Jashore Chowgachha 51975 39497 76.0 312 Sunamganj Sadar (South) 28848 22355 77.5 390 Pabna Sujanagar 62917 47795 76.0 313 Magura Sripur 36786 28485 77.4 391 Netrokona Purbadhala 55189 41919 76.0 314 Faridpur Bhanga 55239 42765 77.4 392 Khagrachhari Mahalchhari 9539 7245 76.0 315 Habiganj Nabiganj 59313 45919 77.4 393 Jhenaidaha Sailkupa 80924 61434 75.9 316 Shariatpur Damoddya 23381 18085 77.3 394 Shariatpur Janjira 33062 25095 75.9 317 Sunamganj Dharmapasa 43872 33930 77.3 395 Sunamganj Jamalganj 29936 22704 75.8 318 Moulavi Bazar Juri 25312 19572 77.3 396 Barishal Muladi 31044 23540 75.8 319 Mymensingh Nandail 82974 64138 77.3 397 Cumilla Laksham 56708 42991 75.8 320 Khagrachhari Khagrachhari 19441 15024 77.3 398 Kishoreganj Pakundia 48087 36446 75.8 321 Noakhali Subarna Char 53398 41252 77.3 399 Rangpur Kaunia 46936 35572 75.8 322 Kustia Kushtia Sadar 114216 88226 77.2 400 Kurigram Nageswari 102336 77531 75.8 323 Kustia Daulatpur 108958 84136 77.2 401 Chattogram Doublemooring 44987 34068 75.7 324 Khagrachhari Manikchhari 11563 8927 77.2 402 Kurigram Roumari 44578 33746 75.7 325 Meherpur Gagni 77127 59534 77.2 403 Cumilla Muradnagar 111490 84348 75.7 326 Kurigram Fulbari 41492 32010 77.1 404 Magura Mohammadpur 42289 31977 75.6 327 Chandpur Hajiganj 62857 48490 77.1 405 Shariatpur Naria 41091 31044 75.5 328 Pirojpur Mathbaria 49005 37798 77.1 406 Feni Parshuram 20127 15195 75.5 329 Pabna Pabna Sadar 135767 104717 77.1 407 Munshiganj Lohajong 32526 24555 75.5 330 Habiganj Chunarughat 61589 47478 77.1 408 Narshingdi Raipura 112762 85100 75.5 331 Habiganj Azmiriganj 20250 15609 77.1 409 Dhaka Tejgaon 146632 110659 75.5 332 Thakurgaon Baliadangi 42543 32786 77.1 410 Sylhet Biani Bazar 35538 26819 75.5 333 Mymensingh Gouripur 62555 48204 77.1 411 Manikganj Manikganj 65610 49447 75.4 334 Tangail Ghatail 103233 79548 77.1 412 Noakhali Begumganj 111615 84039 75.3 335 Kustia Khoksa 30470 23467 77.0 413 Sunamganj Dherai 40241 30279 75.2 336 Rangpur Mithapukur 114108 87846 77.0 414 Cumilla Meghna 22682 17065 75.2 337 Tangail Kalihati 90411 69589 77.0 415 Barishal Babuganj 26316 19796 75.2 338 Narayanganj Narayanganj 199023 153159 77.0 416 Noakhali Sudharam 90420 68015 75.2 339 Narshingdi Belaboo 41447 31891 76.9 417 Noakhali Hatiya 76418 57453 75.2 340 Bhola Borhanuddin 50451 38814 76.9 418 Sylhet Companiganj 28170 21162 75.1 341 Rangpur Taraganj 35251 27116 76.9 419 Tangail Nagarpur 66390 49863 75.1 342 Netrokona Khaliajhuri 17198 13228 76.9 420 Netrokona Modan 27024 20295 75.1 343 Sylhet Balaganj 49501 38074 76.9 421 Chattogram Sandwip 59301 44498 75.0 344 Jamalpur Islampur 66827 51399 76.9 422 Narshingdi Palash 42999 32265 75.0 345 Sylhet South Shurma 55571 42729 76.9 423 Noakhali Sonaimuri 65530 49144 75.0 346 Faridpur Sadarpur 33846 26021 76.9 424 Shariatpur Bhedarganj 44319 33224 75.0 347 Kurigram Kurigram Sadar 72176 55467 76.8 425 Chattogram Rangunia 75550 56618 74.9 348 Dhaka Keraniganj 143978 110642 76.8 426 Shariatpur Palong (Sadar) 42110 31519 74.8 349 Sylhet Kanaighat 47847 36764 76.8 427 Sylhet Biswanath 30345 22697 74.8 350 Mymensingh Bhaluka 89755 68963 76.8 428 Madaripur Rajoir 47739 35700 74.8 351 Dhaka Savar 147808 113524 76.8 429 Barishal Hizla 25373 18966 74.7 352 Narshingdi Narshingdi Sadar 123077 94488 76.8 430 Narayanganj Rupganj 95269 71209 74.7 353 Narayanganj Bandar 67062 51459 76.7 431 Feni Sonagazi 54678 40863 74.7 354 Barguna Barguna Sadar 59264 45467 76.7 432 Cumilla Comilla Sadar 83474 62306 74.6 355 Munshiganj Serajdikhan 58567 44918 76.7 433 Feni Feni Sadar 91833 68515 74.6 356 Gopalganj Kotalipara 43451 33324 76.7 434 Kurigram Ulipur 104864 78078 74.5 357 Cox's Bazar Kutubdia 23891 18318 76.7 435 Tangail Shakhipur 68751 51101 74.3 358 Lakshmipur Ramganj 61410 47077 76.7 436 Cumilla Homna 40579 30146 74.3 359 Barishal Banaripara 29150 22346 76.7 437 Gazipur Kaliganj 54982 40786 74.2 360 Moulavi Bazar Kulaura 61288 46980 76.7 438 Cumilla Chandina 77153 57142 74.1 361 Tangail Basail 39533 30282 76.6 439 Rangpur Badarganj 65796 48729 74.1 362 Khagrachhari Panchhari 11668 8930 76.5 440 Tangail Delduar 47617 35264 74.1 363 Sherpur Nakla 43929 33607 76.5 441 Kurigram Bhurungamari 65817 48733 74.0 364 Moulavi Bazar Sreemongal 63631 48677 76.5 442 Lakshmipur Kamalnagar 34471 25497 74.0 365 Moulavi Bazar Komolganj 46473 35547 76.5 443 Chattogram Anwara 48166 35567 73.8 366 Barishal Mehendiganj 50262 38444 76.5 444 Brahmanbaria Akhaura 30762 22693 73.8 367 Barishal Agailjhara 28263 21616 76.5 445 Narshingdi Monohordi 58694 43279 73.7 368 Sunamganj Dowara Bazar 39972 30558 76.4 446 Chandpur Haimchar 18260 13455 73.7 369 Cumilla Monohargonj 49894 38143 76.4 447 Khagrachhari Ramgarh 12878 9486 73.7 370 Pirojpur Nazirpur 32323 24705 76.4 448 Munshiganj Tongibari 38483 28326 73.6 371 Chattogram Panchlaish 32106 24537 76.4 449 Dhaka Dhamrai 89217 65663 73.6 372 Thakurgaon Pirganj 48472 37037 76.4 450 Cumilla Nangolkot 76917 56521 73.5 373 Cox's Bazar Coxs Bazar Sadar 82740 63210 76.4 451 Manikganj Daulatpur 34926 25650 73.4 374 Khulna Terokhada 26278 20072 76.4 452 Chandpur Motlab (North) 57864 42392 73.3 375 Noakhali Kabirhat 36752 28063 76.4 453 Munshiganj Srinagar 58327 42725 73.3 376 Chattogram Hathazari 73978 56483 76.4 454 Noakhali Companiganj 50324 36822 73.2 377 Noakhali Senbag 54739 41791 76.3 455 Brahmanbaria Nasirnagar 56442 41278 73.1 378 Gazipur Kaliakair 59660 45532 76.3 456 Narshingdi Shibpur 58308 42592 73.0 379 Bagerhat Chitalmari 28220 21532 76.3 457 Narayanganj Sonargaon 87430 63850 73.0 380 Tangail Mirzapur 95180 72619 76.3 458 Cumilla Daudkandi 72845 53187 73.0 381 Barguna Betagi 23191 17693 76.3 459 Manikganj Harirampur 32087 23411 73.0 382 Chandpur Matlab (South) 43186 32934 76.3 460 Chattogram Sitakunda 78261 57045 72.9 383 Cumilla Barura 88993 67836 76.2 461 Lakshmipur Raipur 58670 42709 72.8 384 Chandpur Sharasti 48381 36870 76.2 462 Feni Fulgazi 24318 17700 72.8 385 Noakhali Chatkhil 45091 34355 76.2 463 Brahmanbaria Kashba 65552 47490 72.4 386 Chandpur Kachua 81660 62154 76.1 464 Brahmanbaria Sarail 56496 40874 72.3

Monthly Report September 2019------Page # 37 Sl. Name of Total Total CAR Sl. Name of Name of Total Total CAR Name of Upazila No. District Couples Acceptors (%) No. District Upazila Couples Acceptors (%) 465 Brahmanbaria Nabinagar 95717 69220 72.3 473 Chattogram Fatichhari 108236 77604 71.7 466 Munshiganj Munshiganj Sadar 81051 58607 72.3 474 Sylhet Fenchuganj 18581 13312 71.6 467 Chattogram Satkania 70410 50795 72.1 475 Chattogram Patiya 97436 69432 71.3 468 Dhaka Nawabganj 70307 50677 72.1 476 Brahmanbaria Brahmanbaria 95201 67723 71.1 469 Brahmanbaria Bijoy Nagar 51381 37005 72.0 477 Dhaka Mirpur 84478 59670 70.6 470 Munshiganj Gazaria 31358 22544 71.9 478 Habiganj Madhabpur 64527 45430 70.4 471 Chattogram Chandanaish 44884 32223 71.8 479 Feni Dagonbhuiyan 52806 37063 70.2 472 Cumilla Burichong 67693 48595 71.8 480 Chattogram Lohagora 50558 35484 70.2

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

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

1 Manikganj Singair 63049 43987 69.8 2 Narayanganj Araihazar 83610 58287 69.7 3 Chattogram Mirsharai 84279 58067 68.9 4 Dhaka Dohar 47336 32515 68.7 5 Lakshmipur Bancharampur 137074 92191 67.3 6 Brahmanbaria Lakshmipur Sadar 62159 40851 65.7 7 Gazipur Kapasia 70713 45670 64.6 8 Feni Chhagalnaiya 35027 21012 60.0

Upazila position in CAR upto the end of August 2019 and September 2019

480 480

500 August'19 > 450 September'19 400

350 ------300 250 200 150

Nos. of Upazilas Upazilas of Nos. 100 7 7 1 1 50

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

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

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

Rangpur 8570 7305 2298 1413 4099 4102 429 363 2482 1616 Rajshahi 10655 7541 4151 2625 4242 3905 535 372 1236 1542 Khulna 8319 6155 4648 2265 3587 3008 493 239 963 768 Barishal 4395 3162 1277 629 2959 2138 424 204 1111 544 Dhaka 11944 8498 5090 3854 5346 4316 1390 597 1660 1336 Mymensingh 6227 3754 2966 911 2470 1911 355 199 912 735 Chattogram 11520 6232 4443 1883 7075 3654 2334 651 2145 1117 Sylhet 6175 2420 2552 794 2933 1187 443 173 830 440 National 67805 45067 27425 14374 32711 24221 6403 2798 11339 8098

Table -18: Contraceptive Acceptors and Acceptance Rate by Division upto the end of August 2019 and September 2019 Total Total Number of Acceptors Division Month Eligible Permanent CAR (%) IUD Implant Injectable Oral Pill Condom Total Couple Method Aug-19 3602449 431813 65591 174639 624843 1406903 162101 2865890 79.55 Rangpur Sep-19 3605397 432442 65977 176147 625595 1408081 162645 2870887 79.63 Aug-19 4193723 468804 96822 179161 606109 1660514 387598 3399008 81.05 Rajshahi Sep-19 4198372 470209 96860 180695 606194 1660532 389175 3403665 81.07 Aug-19 3455130 406430 77591 142630 561836 1252776 306168 2747431 79.52 Khulna Sep-19 3456735 407866 77632 143639 562876 1252641 307486 2752140 79.62 Aug-19 1640925 134873 49787 92619 342434 589834 79757 1289304 78.57 Barishal Sep-19 1642007 135140 49864 93926 342578 590410 80029 1291947 78.68 Aug-19 5420127 518458 152688 234682 686115 2068937 485563 4146443 76.50 Dhaka Sep-19 5423631 519846 152946 236980 687049 2069794 486334 4152949 76.57 Aug-19 2263189 189719 51715 113048 315780 999255 116769 1786286 78.93 Mymensingh Sep-19 2265123 190088 51579 114555 316302 1000490 118158 1791172 79.08 Aug-19 5095028 420850 177859 245259 818275 1822950 342645 3827838 75.13 Chattogram Sep-19 5099466 421780 178138 248178 817487 1824790 342457 3832830 75.16 Aug-19 1724522 202634 53134 86960 240928 625418 132559 1341633 77.80 Sylhet Sep-19 1725684 202229 53055 88706 240669 624549 132257 1341465 77.74 Aug-19 27395093 2773581 725187 1268998 4196320 10426587 2013160 21403833 78.13 National Sep-19 27416415 2779600 726051 1282826 4198750 10431287 2018541 21437055 78.19

Table -19: Status of Contraceptive Method-Mix based on CAR at the end of the Month of September 2019 Method Rangpur Rajshahi Khulna Barishal Dhaka Mymensingh Chattogram Sylhet National

Permanent Method 15.06 13.81 14.82 10.46 12.52 10.61 11.00 15.08 12.97

I U D 2.30 2.85 2.82 3.86 3.68 2.88 4.65 3.96 3.39 Implant 6.14 5.31 5.22 7.27 5.71 6.40 6.48 6.61 5.98 Injectables 21.79 17.81 20.45 26.52 16.54 17.66 21.33 17.94 19.59 Oral Pill 49.05 48.79 45.52 45.70 49.84 55.86 47.61 46.56 48.66 Condom 5.67 11.43 11.17 6.19 11.71 6.60 8.93 9.86 9.42 Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Monthly Report of September 2019------Page # 39 Method-Mix for the month of September 2019

Per.Method Per.Method Condom Per.Method National (Male) Rangpur (Male) Condom Per.Method 5.7% (Female) I U D 3.5% 6.2% 9.4% (Female) I U D 8.8% 2.3% 9.5% 3.4% Implant Implant 6.1% 6.0%

Injectable Injectable 19.6% Oral Pill 21.8% Oral Pill 49.1% 48.6%

Rajshahi Per.Method Khulna Per.Method Per.Method Condom (Male) Condom 11.4% 3.4% (Female) (Male) Per.Method 10.5% I U D 11.2% 2.8% (Female) 2.8% 12.0% I U D 2.8% Implant 5.3% Implant 5.2%

Injectable 17.8% Injectable 20.5% Oral Pill Oral Pill 48.8% 45.5% Per.Method Per.Method Barishal Condom (Male) Dhaka Per.Method Condom Per.Method 6.2% 4.2% (Female) (Male) 6.3% I U D 11.7% 2.6% (Female) 3.9% 10.0% I U D Implant 3.7% 7.3% Implant 5.7%

Oral Pill Injectable Oral Pill Injectable 49.8% 16.5% 45.7% 26.5%

Per.Method Chattogram Per.Method Sylhet Condom (Male) Per.Method (Female) 8.9% 2.1% Condom (Male) Per.Method 2.12 8.9% I U D 9.9% 4.4% (Female) 4.7% 10.6% 8.89 Implant I U D 0.00 6.5% 4.0% Implant 4.65 6.6% 6.48 21.33 47.61 Oral Pill Injectable Injectable 47.6% 21.3% Oral Pill 17.9% 8.93 46.6% 100.0 Mymensingh Mymensingh 4.13 Per.Method Per.Method (Male) (Female) 6.48 4.1% 6.5% I U D 0.00 Condom 2.9% 2.88 6.6% Implant 6.4% 6.40 17.66 55.86 6.60 100.0 Injectable Oral Pill 17.6% 55.9%

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

Number of Pregnant Women 986853 989906 0.3 No. of High Risk Pregnant Mother Referred 10765 7116 -33.9 Treatment, Adviced & Referred Infertile Couple 130373 142259 9.1 Treatment of RTI/STI (MCHTI, MFSTC, FWVTI-Raj & MCWCs) 5838 6436 10.2 1st visit (within 4 Month) 194785 204105 4.8 2nd visit (within 6 Month) 140259 141279 0.7 Antenatal Care 3rd visit (within 8 Month) 110106 126631 15.0 4th visit (in 9th month) (including 108115 103813 -4.0 MCHTI, MFSTC & FWVTI-Raj) Delivery conducted in MCHTI, MFSTC, FWVTI- Normal 48115 50431 4.8 Rajshahi, MCWC, UHC, UH&FWC & NGO C-Section 4313 48164 1016.7 Clinics Total Delivery 52428 98595 88.1 PNC-1 (within 24 Hour) 44377 48688 9.7

Postnatal Care (including MCHTI, MFSTC, FWVTI- PNC-2 (within 2- 3 day) 39548 42414 7.2 Raj, MCWC, UHC, UH&FWC) PNC-3 (within 7 -14 day) 48190 43601 -9.5 PNC-4 (within 42-48 day) 53176 53354 0.3 1st dose 130373 142259 9.1 2nd dose 119079 116197 -2.4 TT for Women (15 - 49 Yrs.) 3rd dose 117730 117334 -0.3 4th dose 110433 110659 0.2 5th dose 111280 111369 0.1 BCG (Vaccine) 137144 144358 5.3 PCV 1 146589 150789 2.9 PCV 2 146849 146018 -0.6 Immunization PCV 3 139918 144941 3.6 MR Vaccine 1st Dose 130167 133734 2.7 MR Vaccine 2nd Dose 117853 121947 3.5 Number of ECP acceptors 6277 6587 4.9 Number of MR done ( Both Govt. & NGOs ) 1831 1612 -12.0 Total Live Births 122345 126767 3.6 Still Births (Including MCHTI, MFSTC & FWVTI-Raj ) 331 333 0.6 Neonatal Deaths (0 - 28 day) 486 569 17.1 Infant Death (29 days -<1 Yr.) 145 201 38.6 Child Death (1 - <5Yrs.) 16 17 6.3 Death Maternal Deaths 94 142 51.1 Other Death 21889 22885 4.6 Total Death 22630 23814 5.2 No. of Health Education in UH&FWC 8525 9363 9.8

Monthly Report of September 2019------Page # 41 Table -21: Performance by type of Nutrition services for the month of August 2019 and September 2019 Performance

% Change of Services September'19 August'19 September'19 over August'19

Counseling on IYCF, IFA, Vitamin-A and Hand washing 623436 655237 5.1

Received IFA & Calcium Tablet (0-23 months child mother) 143351 128956 -10.0

Exclusive Breast feeding up to 6 months 155792 161187 3.5

No. of children (6-23Month) feeding complementary foods 171268 174503 1.9

Feeding Tablet Vitamin A (6-59 months Child) 4500 3331 -26.0

Received Tablet anti-helminthics (24-59months Child) 39544 44974 13.7

Feeding Zink pill with ORS suffering form diarrhoea 5328 5505 3.3

Identifying Suffering from MAM 8740 8401 -3.9

Suffering from SAM & Referred 2601 2014 -22.6

Identifying Child Stunting 3913 3785 -3.3

Identifying Child Wasting 3882 3794 -2.3

Nutrition Services for Pregnant Women, 0-59 months aged child and Mother and child aged 0-59 months Women, Services Pregnant for Nutrition Identifying Child Under weight 4703 4830 2.7

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

Indicators April'19 May'19 June'19 July'19 August'19 Sept.'19 Number of Total Couples 27317285 27342164 27357033 27373105 27395093 27416415 Number of Total Acceptors 21277391 21312568 21341064 21372482 21403833 21437055 CAR (Contraceptive Acceptance Rate) 77.9 78.0 78.1 78.1 78.1 78.2 Method Specific Acceptors(Cumilative) by Month Since April 2019

Permanent Method (Male)Total 747677 746128 746122 745246 745908 745533 Permanent Method (Female) Total 2012707 2017492 2017318 2023302 2027673 2034067 Permanent Method (Total) 2760384 2763620 2763440 2768548 2773581 2779600 IUD (Users)Total 723793 722251 723707 724539 725187 726051 Implant (Users) Total 1242508 1243904 1250224 1259330 1268998 1282826 Injectable (Acceptors) Total 4166201 4177430 4188067 4192214 4196320 4198750 Oral Pill (Acceptors) Total 10390433 10404653 10410221 10418044 10426587 10431287 Condom (Acceptors) Total 1994072 2000710 2005405 2009807 2013160 2018541 Number of Districts reported 64 64 64 64 64 64 Reporting Status Number of Upazilas reported 488 488 488 488 488 488 Method Specific Absolute Performance by Month Since April 2019

Indicators April'19 May'19 June'19 July'19 August'19 Sept.'19

Permanent Method (Male, Cases) 3685 2541 2468 3452 2921 3545

Permanent Method (Female, Cases) 7245 5538 6058 7949 6841 8139

Permanent Method (Total, Cases) 10930 8079 8526 11401 9762 11684 I U D (in cases) 16079 10401 13165 14818 13329 14557 Implant (Cases) 35920 13986 25404 25404 30521 41463 Injectables (Doses) 937818 885951 878195 953246 892747 882232

Oral Pill (Cycles) 5237314 5646754 6308694 6824890 6623237 6822748

Condom (Pieces) 9440309 9328327 9181631 9835000 9346710 9643329 Performance by types of MCH services by month since April 2019 Services April'19 May'19 June'19 July'19 August'19 Sept.'19 Number of Pregnant Women 1029145 1007636 991449 988949 986853 989906 No. of High Risk Pregnant Mother Referred 6630 6262 6311 6468 10765 7116

1st visit (within 4 Month) 168476 161410 163449 186168 194785 204105

2nd visit (within 6 Month) 135731 133036 131694 138709 140259 141279 Antenatal Care 3rd visit (within 8 Month) 112818 109417 112143 117969 110106 126631 4th visit (in 9th month) (including 100742 102290 98958 103654 108115 103813 MCHTI, MFSTC & FWVTI-Raj)

Monthly Report of September 2019------Page # 43 Services April'19 May'19 June'19 July'19 August'19 Sept.'19 Institutional Normal 45931 46535 47106 47805 48115 50431 Delivery(MCHTI, MFSTC, FWVTI- Caesarian 39610 42740 41996 44320 4313 48164 Raj., MCWC, UHC, UH&FWC & NGO) Total 85541 89275 89102 92125 52428 98595

At Home by Trained Persons 39778 43143 40910 41418 41074 40610 Non-Institutional Delivery At Home by Non-Trained Persons 12262 13001 13488 13729 13469 13129 Total 52040 56144 54398 55147 54543 53739 Total Delivery 137581 145419 143500 147272 106971 152334 PNC-1 (within 24 Hour) 44891 44378 42431 46702 44377 48688 PNC-2 (within 2- 3 day) 39263 39299 38946 40986 39548 42414 Postnatal Care PNC-3 (within 7 -14 day) 41636 41699 40894 42941 48190 43601

PNC-4 (within 42-48 day) (including 51010 43109 50135 52007 53176 53354 MCHTI, MFSTC & FWVTI-Raj) Postnatal care by trained person till two days in Home 5687 5982 5787 6713 6798 6302 Delivery No. of uses 7.1% chlorhexidine digluconate for umbilical 32646 33361 32701 35166 35987 38162 cord care 1st dose 124380 115276 112141 115616 130373 142259

2nd dose 117786 114580 112413 113129 119079 116197 TT for Women rd 113732 112241 112989 116392 117730 117334 (15 - 49 Yrs.) 3 dose 4th dose 108444 104167 106315 109107 110433 110659

5th dose 107944 105026 106090 111537 111280 111369 BCG (Vaccine) 144972 136671 197307 140618 137144 144358

PCV 1 144325 149404 236511 156595 146589 150789

PCV 2 143587 146371 208693 154089 146849 146018 Immunization PCV 3 143383 144746 139487 145386 139918 144941

MR Vaccine 1st Dose 121483 124751 117904 129828 130167 133734

MR Vaccine 2nd Dose 120908 114640 107964 119814 117853 121947

Number of ECP acceptors 7447 7503 6176 7489 6277 6587

Number of MR done ( Both Govt. & NGOs ) 1996 1643 1831 1915 1523 1612

General Treatment 2420107 2215942 2068855 2317244 2090700 2389444

*Total Live Births 120178 119227 122624 122624 122345 126767

Still Births (Including MCHTI, MFSTC & FWVTI-Raj) 284 429 349 341 331 333

Neonatal Death (0 - 28 day) 442 626 404 525 486 569

Infant Death (29 days -<1 Yr.) 158 143 137 162 145 201

Child Death (1 -< 5 Yrs.) 23 17 22 27 16 17 Death Maternal Death 102 128 100 97 94 142

Other Death 22462 21536 22952 22777 21889 22885

Total Death 23187 22450 23615 23588 22630 23814 * Live births conducted at Govt. MCH, DH, MCWC, UHC, UH&FWC, NGOs and Home. The information is colleted by FWAs through field visit.

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

ANC SL ANC Delivery RTI/ Child Care Immuni Tubec Oral pill Condom Name of MCWC Status (1st PNC Gen. Pt Med. tr S.B IUFD MR NSV Implant IUD Injectable # (total) STI zation tomy (person) (person) visit) NVD C/S Total 0-1yr 1-5yr Rajshahi Division 1 Bogra C- EOC 312 555 108 87 17 104 127 0 8 136 46 0 2 0 1182 1 0 70 4 21 82 84 2 Dupchacia, Bogra B-EOC 61 113 55 30 0 30 328 11 0 3 70 0 0 0 20 10 6 121 5 10 5 8 3 Naogaon C-EOC 263 417 78 31 6 37 274 15 1 18 74 0 0 0 157 53 0 73 3 3 145 47 4 Joypurhat C- EOC 267 377 90 52 8 60 633 24 11 88 148 0 0 4 618 48 0 250 19 10 33 44 5 Rajshahi C- EOC 202 775 40 28 1 29 867 0 4 80 128 0 0 0 0 2 0 8 3 12 16 35 6 Natore C- EOC 262 426 54 40 7 47 534 17 1 52 300 0 1 10 935 2 0 41 18 10 94 115 7 Pabna C- EOC 303 1060 285 129 21 150 773 67 2 194 275 0 0 5 119 2 0 45 16 21 189 46 8 Sirajganj C- EOC 232 422 112 43 0 43 195 2 0 1 66 0 0 13 752 1 2 20 10 11 46 9 9 Chapai-Nawabganj C- EOC 291 518 69 55 1 56 257 10 0 82 207 0 0 5 0 45 1 39 34 81 105 105 Rangpur Division 10 Rangpur C- EOC 273 565 301 25 37 62 437 0 0 59 129 0 0 0 0 5 20 140 25 180 121 66 11 Dinajpur C- EOC 330 597 134 35 12 47 412 36 2 72 138 0 0 11 648 2 1 16 11 80 62 41 12 Thakurgaon C- EOC 202 749 179 48 13 61 800 14 0 130 190 0 2 0 295 3 2 288 13 125 78 24 13 Gaibandha C-EOC 186 513 350 304 2 306 290 49 14 354 119 0 2 7 0 34 66 223 9 12 25 12 14 Nilphamari C- EOC 400 729 104 67 2 69 531 39 13 53 178 0 2 18 0 21 8 102 1 89 67 8 15 Syedpur, Nilphamari B- EOC 156 278 84 70 0 70 368 6 6 76 114 0 1 0 0 7 1 52 15 198 147 39 16 Kurigram C-EOC 174 283 62 35 0 35 160 37 17 42 27 0 0 0 282 17 0 132 6 14 69 20 17 Lalmonirhat C- EOC 304 540 196 26 0 26 489 58 8 97 211 0 0 4 397 15 4 169 5 72 50 15 18 Panchagore C-EOC 302 522 393 75 0 75 825 16 8 172 138 0 0 12 530 24 0 104 8 63 29 19 19 Boda, Panchagar C-EOC 185 327 49 25 0 25 300 14 50 32 58 0 0 0 0 14 1 137 1 189 34 11 Dhaka Division 20 Narayanganj C- EOC 264 443 120 26 11 37 340 25 0 278 143 0 0 0 0 3 6 7 7 69 117 106 21 Munshiganj C- EOC 202 438 66 34 8 42 274 12 0 40 54 0 0 4 289 38 1 70 7 108 114 66 22 Manikganj C- EOC 62 200 13 13 10 23 872 4 672 189 64 1 0 11 0 28 102 167 12 32 274 73 23 Narsingdi C-EOC 1200 1681 446 65 41 106 1745 107 70 300 550 0 0 10 471 6 0 97 31 72 155 13 24 Tangail C-EOC 112 212 154 36 15 51 2020 48 0 110 240 0 0 2 830 0 0 35 8 56 106 36 25 Sherpur C-EOC 297 595 148 112 0 112 247 9 0 213 290 3 0 10 0 44 4 198 3 59 160 14 26 Mymensingh C-EOC 80 536 215 102 6 108 738 19 0 422 310 3 0 0 166 6 58 179 33 32 30 35 27 Kishoreganj C- EOC 239 452 240 74 7 81 242 15 0 81 356 0 0 27 75 57 2 74 16 128 444 177 28 Jamalpur C- EOC 144 270 68 31 0 31 480 25 2 84 102 0 2 24 312 29 2 197 5 146 204 148 29 Netrokona C-EOC 674 1050 189 67 34 101 90 21 33 246 241 0 2 9 563 57 1 177 3 103 354 65 30 Rajbari C- EOC 271 496 85 32 32 64 608 32 19 110 168 0 1 3 795 6 15 89 5 14 70 49 31 Faridpur C- EOC 329 329 135 60 21 81 183 61 0 126 108 0 0 14 221 2 0 10 30 204 198 43 32 Madaripur C- EOC 146 416 133 78 15 93 606 52 12 130 107 0 0 8 0 35 0 33 34 229 318 50 33 Gopalganj C- EOC 109 169 50 23 16 39 701 17 0 81 137 0 0 10 0 2 0 4 4 20 113 65 Khulna Division 34 Jessore C- EOC 260 511 80 22 11 33 336 15 0 40 44 0 0 5 277 16 2 143 6 19 25 36 35 Magura C- EOC 248 350 96 41 6 47 50 19 3 4 12 0 2 21 0 63 1 149 14 66 88 42 36 Narail C-EOC 174 244 57 37 0 37 249 60 2 140 255 0 0 0 271 14 0 54 1 8 45 16

Monthly Report of September 2019------Page # 45 ANC SL ANC Delivery RTI/ Child Care Immuni Tubec Oral pill Condom Name of MCWC Status (1st PNC Gen. Pt Med. tr S.B IUFD MR NSV Implant IUD Injectable # (total) STI zation tomy (person) (person) visit) NVD C/S Total 0-1yr 1-5yr 37 Jhenaidah C-EOC 141 227 43 15 0 15 790 112 0 85 108 0 0 53 15 49 0 48 18 281 175 121 38 Meherpur C- EOC 75 140 48 26 0 26 535 2 0 85 176 0 0 0 110 56 0 9 6 2 15 33 39 Chuadanga C-EOC 200 395 87 44 9 53 800 0 0 75 125 0 1 0 209 46 1 43 22 48 56 26 40 Khulna C-EOC 210 475 100 21 18 39 483 0 0 0 0 0 0 0 488 11 1 13 12 43 70 72 41 Bagerhat C-EOC 40 79 53 46 0 46 730 36 10 1086 1304 2 2 13 810 29 1 82 6 45 114 26 42 Satkhira C- EOC 238 409 122 16 7 23 979 101 4 144 291 0 0 5 291 0 2 48 5 102 141 126 43 Nalta,Kaliganj,Satkhira B-EOC 119 261 64 25 0 25 508 11 0 110 153 0 0 2 24 6 0 20 2 16 32 14 44 Kustia C-EOC 218 318 75 30 0 30 710 59 9 112 235 0 1 5 159 2 1 25 10 19 19 45 45 Kumarkhali, Kustia C- EOC 125 190 88 34 0 34 392 0 0 45 96 0 0 0 178 13 1 55 8 9 53 42 Barisal Division 46 Barisal C-EOC 57 147 77 22 25 47 337 18 45 44 72 0 0 0 291 3 1 12 21 46 203 105 47 Gournadi, Barisal C-EOC 25 53 33 8 0 8 321 35 42 13 55 0 0 0 25 10 0 25 0 36 10 3 48 Bhola C-EOC 58 153 101 76 6 82 289 36 10 27 0 0 0 0 0 11 1 160 13 13 66 25 49 Lalmohon, Bhola C- EOC 119 307 362 132 0 132 670 49 6 191 280 0 2 10 0 5 4 132 16 55 52 6 50 Barguna C-EOC 32 80 40 12 0 12 588 34 0 90 186 0 0 2 79 7 2 81 4 32 45 28 51 Pirojpur C- EOC 177 339 51 28 20 48 966 18 9 168 254 0 0 8 0 2 0 32 19 170 228 46 52 Jhalokhati C-EOC 275 415 135 23 7 30 850 10 2 283 283 0 1 33 266 16 1 95 21 213 239 96 53 Patuakhali C- EOC 240 451 33 11 5 16 519 35 0 165 207 0 0 7 340 20 2 150 36 159 104 43 Chittagong Division 54 Cox's Bazar C- EOC 316 1126 341 102 5 107 750 58 5 295 541 3 0 17 340 8 5 46 11 185 118 34 55 Khagrachari C- EOC 52 86 122 43 9 52 143 4 0 59 91 0 3 0 0 0 0 2 13 30 32 9 56 Bandarban C- EOC 104 190 57 30 0 30 168 22 4 24 46 0 0 5 142 0 5 31 19 97 451 408 57 Rangamati C- EOC 86 188 94 21 5 26 409 25 0 43 60 0 2 0 907 2 3 36 11 32 42 12 58 B. Baria C- EOC 466 621 107 60 7 67 285 11 0 23 76 0 0 0 768 12 3 123 13 140 718 816 59 Comilla C- EOC 137 770 92 29 3 32 507 87 1 138 176 0 0 17 1686 3 2 31 5 83 93 66 60 Nangalkot, Comilla B-EOC 130 217 139 85 0 85 123 16 0 29 17 0 0 7 0 19 0 57 5 6 23 14 61 Feni C- EOC 424 1006 103 69 1 70 352 45 0 215 180 0 0 0 23 0 0 25 10 14 135 44 62 Chandpur C- EOC 557 921 205 69 12 81 796 38 0 101 134 0 0 13 172 38 4 159 39 117 181 53 63 Laxmipur C- EOC 426 940 199 88 5 93 782 8 0 137 83 0 0 26 382 0 2 52 36 112 221 864 64 Noakhali C-EOC 63 137 121 35 3 38 260 8 0 55 50 0 0 0 29 4 0 39 19 36 20 19 65 Begumganj, Noakhali C-EOC 83 215 52 35 2 37 86 30 0 13 13 0 0 0 0 34 5 152 14 108 150 23 66 Pauchuria, Patiya C- EOC 160 275 110 66 0 66 427 10 0 26 80 0 0 3 0 0 0 2 22 23 5 5 67 Bakolia,Ctg C- EOC 121 175 85 52 9 61 1047 25 12 200 383 0 0 2 0 4 0 9 7 41 61 14 Sylhet Division 68 Sylhet C-EOC 31 33 5 1 0 1 31 0 0 10 57 0 0 0 29 1 1 29 1 16 30 14 69 Hobiganj C- EOC 73 258 132 102 0 102 359 6 1 42 47 0 0 7 320 28 11 100 63 22 81 47 70 Sunamganj C-EOC 71 218 133 58 3 61 325 6 0 50 82 0 0 15 256 40 3 101 17 36 526 62 71 Moulavibazar C- EOC 142 147 139 37 16 53 760 10 6 150 170 0 1 4 268 33 1 47 19 19 228 52 Others : 72 MCHTI , Dhaka C-EOC 1330 4230 1184 147 308 455 947 120 0 1710 1650 0 0 17 1500 17 138 48 46 67 194 276 73 MFSTC, Dhaka C-EOC 1639 1639 950 75 239 314 1530 97 0 2280 690 0 0 25 4588 27 192 134 104 28 17 32 74 FWVTI, Rajshahi C-EOC 93 335 104 25 12 37 312 7 11 21 51 0 0 5 3 6 1 6 12 30 73 83 Total 3062 6204 2238 247 559 806 2789 224 11 4011 2391 0 0 47 6091 50 331 188 162 125 284 391 Grand Total 18369 36324 11024 3856 1096 4952 39247 2145 1135 12679 14299 12 30 548 24903 1274 700 5972 1130 5097 9233 5586

Monthly Report of September 2019------Page # 46 Annex - C : City Corporation wise Contraceptive Acceptors and Acceptance Rate (CAR) (Partial) at the end of the month of September 2019

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

Rangpur City Corporation 0 0 0 0 0 0 0 0 0 0 0.0

Rangpur Division 0 0 0 0 0 0 0 0 0 0 0.0

Rajshahi City Corporation 102139 27539 22895 14136 631 1436 571 2995 3566 70203 68.7

Rajshahi Division 102139 27539 22895 14136 631 1436 571 2995 3566 70203 68.7

Khulna City Corporation 59215 18998 12586 7161 1974 3795 1127 1905 3032 47546 80.3

Khulna Division 59215 18998 12586 7161 1974 3795 1127 1905 3032 47546 80.3

Barishal City Corporation 25315 10295 4420 2726 249 1548 237 880 1117 20355 80.4

Barishal Division 25315 10295 4420 2726 249 1548 237 880 1117 20355 80.4

Dhaka City Corporation 95841 28616 11740 13744 2573 3913 3259 5073 8332 68918 71.9

Gazipur City Corporation 121493 46524 10052 12182 2947 4370 1682 7481 9163 85238 70.2

Narayanganj City Corporation 112263 39604 12067 14842 2390 3891 3826 5494 9320 82114 73.1

Dhaka Division 329597 114744 33859 40768 7910 12174 8767 18048 26815 236270 71.7

Chattogram City Corporation 77093 25120 9956 8831 3117 4115 1868 3281 5149 56288 73.0

Cumilla City Corporation 0 0 0 0 0 0 0 0 0 0 0.0

Chattogram Division 77093 25120 9956 8831 3117 4115 1868 3281 5149 56288 73.0

Sylhet City Corporation 29903 10597 3613 2989 429 1326 700 2310 3010 21964 73.5

Sylhet Division 29903 10597 3613 2989 429 1326 700 2310 3010 21964 73.5

Total 623262 207293 87329 76611 14310 24394 13270 29419 42689 452626 72.6

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

Page # 48 Monthly Report of September 2019

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

Page # 49 Monthly Report of September 2019