Table of Contents Contents Page No. Summary of FP Performance for the month of August 2018 & September 2018 ………………. 03 Summary of the MCH and Reproductive Health Services for the month of August 2018 & Sept.’18 04 Nutrition services for the month of August 2018 & September 2018 ………………………………… 05 Introduction …………………………………………………………………………………………… 06 Family Planning Performance (CAR Related) ………………………………………………………… 06 MCH Performance ……………………………………………………………………………………. 06 Highlights August 2018 & September 2018…………………………………………………………. 07 Table Analysis ………………………………………………………………………………………… 08 Remarks ……………………………………………………………………………………………… 10 Clarification about some information …………………………………………………………………. 10 Highest and Lowest Performing districts in clinical methods …………………………………………. 11 Table: 01 National Projection, Performance and Achievement Rate of Contraceptive Methods ……… 12 Table: 02 List of Division according to descending order of Achievement Rate against their projections of Clinical Methods for period July 2018 to September 2018 ……………………………… 12 Table: 03 List of districts achieved the highest Achievement Rate of Clinical Methods against their Projections for period July 2018 to September 2018 ……………………………………….. 12 Table: 04 List of districts achieved the lowest Achievement Rate of Clinical Methods against their Projections for period July 2018 to September 2018 ………………………………………. 12 Table: 05 Contraceptive Statement of contraceptives performance for the period between July 2017 to September 2017 and July 2018 to September 2018 ………….……………… 13 Table: 06 Performance & Distribution of Contraceptives by Method for the month of August 2018 & September 2018 . .. .. .. .. .. .. .. .. .. 13 Table: 07Contribution of Government, NGOs and Multisectors in respect of Contraceptive Performance during September 2018 ……………………………………. 13 Table: 08 NGO and Multisectors wise Contraceptive Performance for the month of Sept. 2018 …... 14 Table: 09 District wise Projection, Performance and Achievement Rate of Permanent and Long Acting Methods. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 18 Table: 10 District wise Projection, Performance and Achievement Rate of Short Acting Methods … 20 Table: 11 Old Users, New Users, Dropout and CAR by District at the end of August 2018 …….…… 22 Table: 12 Number of New and Total Acceptors up to the end of August 2018 & September 2018 .… 26 Table: 13 CAR(%) by Division up to the end of August 2018 & September 2018 …………………… 26 Table: 14 District by Range of CAR up to the end of September 2018 ………………………………. 27 Table: 15 List of Upaziala achieved CAR 70% and above up to the end of September 2018 ………… 28 Table: 16 List of Upaziala achieved CAR 60-69% and <59 up to the end of September 2018 ………. 31 Table: 17 Method wise numbers of Dropout and Switch Over by Division up to the end of August 2018 & September 2018.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 32 Table: 18 Contraceptive acceptors and acceptance Rate by Division up to the end of August 2018 & September 2018. .. .. .. .. .. .. .. .. .. .. .. … . .. .. 32 Table: 19 Status of Contraceptive Method-Mix based on CAR at the end of the month of Sept. 2018 . 32 Chart: Pie-Chart of Method-Mix for the month of September 2018 ……………………….……… 33 Table: 20 Performance by type of MCH services for the month of August 2018 & September 2018 … 34 Table: 21 Performance by type of Nutrition services for the month of August 2018 & September 2018 . 35 Annex: A Summary of the Couples and Acceptors by Month since April 2018 …………….……… 36 Annex: B Performance of RH-EOC of MCWCs, MCHTI & MFSTC for the month of September 2018 38 Annex: C City Corporation wise Contraceptive Performance for the month of September 2018 …….. 40 Annex: D Contraceptive Acceptors and Acceptance Rate (CAR) of part of the City Corporation area end of the month of September 2018. .. …………………….……… 41 Annex: E City Corporation wise MCH Performance for the month of September 2018 …………… 42 Page 2 Performance Report September 2018 ……………….. At a glance of the FP Performance for the month of August 2018 and September 2018 Indicators August'18 Sept.’18 Number of Total Eligible Couples (including Part of the City Corporations) 27315469 27331382 Number of Total Acceptors (including part of the City Corporations) 21623496 21637629 CAR % (Contraceptive Acceptance Rate) 79.16 79.17 Method specific acceptors (Cumulative) : Permanent Method (Male) 804864 805970 Permanent Method (Female) 2117299 2121098 Permanent Method (Total) 2922163 2927068 IUD (Users) 783567 78172 Implant (Users) 1274526 1275179 Injectable (Users) 4287602 4288906 Oral Pill (acceptors) 10441945 10445192 Condom (acceptors) 1913693 1915112 Method specific new acceptors : Permanent Method (Male) 1970 2120 Permanent Method (Female) 5937 6857 Permanent Method (Total) 7907 8977 IUD (Users) 7982 10161 Implant (Users) 15468 14948 Injectable (Users) 57240 58663 Oral Pill (acceptors) 102268 108118 Condom (acceptors) 37080 39490 Number of Districts reported 64 64 Number of Upazila reported 488 488 No. of Districts Range of CAR (%) August'18 Sept.’18 00-59 0 0 60-69 0 0 70 & above 64 64 Contraceptive performance and distribution by methods (Absolute Performance) : Permanent Method (Male-cases) 3118 3441 Permanent Method (Female-cases) 6146 7584 Permanent Method (Total-cases) 9264 11025 IUD (Nos.) 13018 16101 Implant (Nos.) 15560 17085 Injectable (Doses) 933445 928746 Oral Pill (Cycles) 7130461 7458048 Condom (Pieces) 7876697 8601531 Page 3 Performance Report September 2018 ……………….. At a glance of the MCH and Reproductive Health Services for the month of August 2018 and September 2018 Services August'18 Sept.’18 Number of Pregnant Women 893324 904950 Number of High Risk Pregnant Women referred 4869 5153 1st visit (within 4 Month) 179049 196022 Antenatal 2nd visit (within 6 Month) 166533 175225 Care 3 rd visit (within 8 Month) 143674 153413 4 th visit (in 9 th month) (including MCHTI, MFSTC & FWVTI-Raj) 120429 125027 Delivery Normal 31056 32274 (MCHTI, MFSTC, FWVTI-Raj, MCWC, C-section 24745 27230 UHC, UH&FWC & NGO Clinics) Total Delivery 55801 59504 PNC-1 (within 24 Hour) 47689 53217 43309 46666 Postnatal PNC-2 (within 2- 3 day) 51226 55455 Care PNC-3 (within 7 -14 day) 69677 74011 PNC-4 (within 42-48 day) (including MCHTI, MFSTC & FWVTI-Raj) Referred Infertile Couple 7790 7790 Treatment of RTI/STI (MCHTI, MFSTC, FWVTI-Raj & MCWCs) 85515 81231 1st dose 122294 123068 2nd dose 117794 122265 TT for Women 3rd dose 117654 120098 (15 - 49 yrs) 4th dose 109660 111891 5th dose 110287 112827 BCG (Vaccine) 128483 130146 OPV & PCV-1 147423 151869 Pentavalent PCV-2 143055 140984 Immunization (DPT,Hep-B, Hib) 3 145545 139015 PCV-3 122245 138448 MR & OPV-4 136149 137405 Measles (Vaccine) 145187 113199 Number of ECP acceptors 4300 4808 Number of MR done ( Both Govt. & NGOs) 10277 10841 General Treatment 1962778 2202965 At Home by Trained Persons 37152 38571 Non-Institutional Delivery At Home by Non-Trained Persons 11071 12070 Total 48223 50641 * Total Live Births 104840 111376 Still Births ( including MCHTI, MFSTC & FWVTI-Raj) 222 202 Neonatal death ( 0-28 days ) 318 318 Infant Death (29 days-<1 yr.) 94 127 Child Death (1-<5 yrs.) 177 185 Death Maternal Death 87 85 Other Death 20528 22157 Total 21204 22872 No. of Health Education in UH&FWC 18633 17023 Page 4 Performance Report September 2018 ……………….. Nutrition services for the month of August 2018 and September 2018 Performance Services August'18 Sept.’18 Counseling on IYCF, IFA, Vitamin-A and Hand washing 166430 181562 Received IFA (Pregnant women & Lactating mother) 305366 367849 Received MNP Sachet (6-23 months) 11079 10574 Breast feeding within 1-hour of birth (0-<6 months child) 69087 72270 Exclusive Breast feeding (up to 6 months) 321055 105309 Complimentary feeding (after 6 months) 191488 196722 59 months aged child and Mother and child aged months 59 - Received Vitamin-A (6-59 months Child) 7583 7871 Received anti-helminthics Tablet (24-59 months Child) 37178 40997 Women, 0 Women, Received Zink pill with ORS (Suffering form diarrhoea) 6831 6796 Suffering from MAM 6526 7095 Suffering from SAM & Referred 2393 2759 No. of Child Stunting 4761 5091 Nutrition Services for Pregnant Pregnant for Services Nutrition No. of Child Wasting 4482 5068 No. of Child Under weight 5663 6092 * Live births conducted at Govt. MCH, DH, MCWC, UHC, UH&FWC, NGOs & Home. The information is collected by FWAs through field visit. Page 5 Performance Report September 2018 ……………….. SUMMARY Introduction Bangladesh is divided into eight administrative divisions: Dhaka, Chittagong, Rajshahi, Khulna, Barisal, 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. Contraceptive Performance, MCH, Reproductive Health and Nutrition service’s report are used to be published each month from MIS Unit on the basis of Service Statistics received from the field workers, service delivery clinics and NGOs. Erstwhile Family Welfare Register, however, is the principal source of performance statistics. This report is prepared on the basis of FWA Registers (8th Edition) and Clinic Report. Most of the FWAs visit their working area once in every two months. It is a continuous process. FWA register