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Health and Demographic Surveillance System–Matlab, v. 54. Registration of health and demographic events 2019
This report presents the vital registration and maternal and child health statistics assembled from the Health and Demographic Surveillance System (HDSS) site, Matlab, a rural area in Bangladesh, in 2019. The Matlab HDSS is maintained by icddr,b. The surveillance area is divided into two service areas – 1) Government service area and 2) icddr,b service area. Usual government health and family planning services are available in the Government service area. The icddr,b service area is sub-divided into four blocks, where family planning, immunization and limited curative services are provided to children under two years of age and women of reproductive age with the collaboration of the Government Health and Family Planning department in addition to usual Government services. In the surveillance area, the fertility rate in 2019 slightly increased compared to 2018 (21.1 vs 21.9). The total fertility rate (TFR) was 2.6 per woman in 2019 and 2.5 in 2018. YFR was 2.6 in both the service areas. The crude birth rate (CBR) was 21.9 per 1,000 populations in 2019 whereas in 2018 the rate was 21.0. In the icddr,b service area, CBR was 21.8 and in the Government service area CBR was 21.9. The crude death rate (CDR) was 7.2 per 1,000 population in the icddr,b service area compared to 7.9 in Government service in 2019. The neonatal mortality rate significantly increased from 15.1 in 2018 to 18.9 in 2019 in the icddr,b service area whereas in Government service area it increased from 20.3 to 22.3 in same time period. The infant mortality rate was 25 per 1,000 live births in the icddr,b service area compared to 28.7 in the Government service area. Post-neonatal mortality increased in both icddr,b service area (from 3.7 to 6.2) and in the Government service area (from 4.0 to 6.4) respectively. Under five mortality rate also showed an increase from 27.7 in 2018 to 29.8 in 2019 for the icddr,b service area, and from 30.9 in 2018 to 38.6 in 2019 for Government service area. The annual rate of natural increase in population size was 14.3 per 1,000 in 2019. The rate of in-migration decreased from 50.2 in 2018 to 46.0 in 2019 per 1,000 populations, and the rate of out-migration also decreased from 59.1 in 2018 to 52.8 in 2019. The overall annual population growth rate was 1.4%. The marriage rate was 13.9 per 1,000 people, and the divorce rate was 1.8 per 1,000 people.