Appendix VI – D.

Range of User Fees

Services Minimum Maximum to

to be be Charged
Charged
I. Maternal, Neonatal, Child, Reproductive and Adolescent Health (MNCRA)
A. Antenatal Care
TT vaccination Free Free
Supplement with Fe/Folate Free Free
Antenatal care (check weight gain, height, eyes, blood
pressure, edema, anemia, urine, blood testing ) Tk.40/- Tk.50/-
B. Delivery Care
Conduct clean and safe delivery by trained personnel Tk.1000/- Tk.1200/-
Conduct Caesarian Operation with medicine and diet Tk.10,000/- Tk.12,000/-
C. Postnatal Care
Provide Postnatal Care Tk.40/- Tk.50/-
Provide postpartum contraceptive Free Free
Provide Vitamin A supplementation within 42 days of Free Free
delivery
Detect early and refer promptly women with danger Tk.40/- Tk.50/-
signs/complications
D. MR and Post Abortion Care
Provide contraceptive supplies Free Free
Provide MR and Tk.600/- Tk.800/-
PAC Service Tk.1000/- Tk. 1200/-
E. Adolescent Health
Identify and treat anemia for girls and boys Tk.40 Tk.50
Identify and treat ASRH problems Tk.40 Tk.50
TT vaccination amongst adolescent girls Free Free
F. Family Planning Provide contraception
Pills, injectables, IUDs, Norplant, NSV, tubectomy, others Free Free
Condom (1 dozen) Tk.5/- Tk.5/-
G. Management of RTI/STI
Syndromic management for vaginal discharge, lower
abdominal pain, genital ulcers, swellings in groin Tk.40/- Tk.50/-
Treatment for RTI/STI Tk.40/- Tk.50/-
Partner management Tk.40/- Tk.50/-
Follow up Tk.40/- Tk.50/-
Refer for complaints of vaginal discharge, lower abdominal
pain, genital ulcers, swellings in groin Tk.40/- Tk.50/-
H. Neonatal Care
Provide Neonatal Care Tk.40/- Tk.50/-
Detect early and refer promptly neonates with complications Tk.40/- Tk.50/-

I. EPI

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 Services Minimum Maximum to
to be be Charged
Charged
Conduct immunization for TT, DPT, BCG, Measles, Polio, Free Free
HBV (< 1 year)
Vaccination (MOHFW-supplied) to be given free of cost
J. ARI
Treat pneumonia Tk.40/- Tk.50/-
Detect and manage; refer severe/complicated cases Tk.40/- Tk.50/-
K. Diarrhea
Detect, manage and refer severe cases with “danger signs” Tk.40/- Tk.50/-
L. Measles
Manage severe/complicated cases Tk.40/- Tk.50/-
II. Nutrition (N)
A. Maternal Nutrition
Counsel pregnant & lactating women (Husband/ Family) on
recommended nutrition/diet, supplementation (IFA, post-
partum vitamin A, care (rest) and essential health services. Free Free
Provide elements such as community nutrition including
nutritional assessment with targeted supplementation as per Tk.40/- Tk.50/-
national program, detection & referral of severe cases of
malnutrition
Provide Supplementary Food for Malnourished Mother Tk.10/- Tk.20/-
B. Child Nutrition
Promote (and support) exclusive breast feeding, timely
introduction of complementary feeding and age-appropriate Tk.40/- Tk.50/-
ctivities such as brestfeding support, supporting screening,
detection referral and follow-up of severe acute malnutrition
Provide Supplementary Food for Malnourished Children Tk.10/- Tk.20/-
C. Control of Micronutrient Deficiency
De-worming of Under 10 high risk Children Free Free
Promote consumption of iodized salt
Vitamin A for postpartum lactating women Free Free
Vitamin A for children (6 months to 6 years)
Vitamin A Supplementation for sick children (ARI, diarrhea, Free Free
severe malnutrition, measles)
Detect and manage children with night blindness & Refer Free Free
other cases
Detect and refer suspected iodine deficiency cases Free Free

A. Tuberculosis Control-Support and promote DOTS Free Free

B. Detect and refer suspect cases of Leprosy, Malaria,
Dengue, SARS, Kala-azar, Filariasis, Enteric Fever,
Hepatitis etc. Tk.40/- Tk.50/-
IV. Limited Curative Care

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 Services Minimum Maximum to
to be be Charged
Charged
A. Provide Basic First Aid
Common injuries (cut, burn, fracture, etc.) Tk.40/- Tk.50/-
Skin diseases Identify scabies, ringworm Tk.40/- Tk.50/-
B. Treat Medical Emergencies
Pain, High fever, Shock, Asphyxia and choking, Poisoning,
Drowning, Asthma, Burn, Cut and bruise, Dog bite, Snake Tk.40/- Tk.50/-
bit
Fractures, Other incidence of emergencies
C. Minor Infection & Disease Control
General Health Checkup, Asthma, Skin Diseases (Scabies
etc.), Dental Diseases, Ear diseases, Peptic Ulcer, Geriatric Tk.40/- Tk.50/-
care and Other Minor Ailments

V. Violence Against Women (VAW) Tk.40/- Tk.50/-

Identify and register cases, provide medical care
Refer victims for legal assistance, counseling and Crisis Free Free
management

VI. Primary Eye Care

Clinical Consultation; Medical Treatment, Refraction Test, Tk.40/- Tk.50/-
Prescribed/Provided Spectacles, Identification and refer out
for Cataract Surgery

Name of Minimu Maximu Name of Lab. Test Minimu Maximum

Diagnostic m to be m to be m to be to be
services Charges charged Charges charged
HB%, TC/DC, Tk.40/- Tk.80/- RATest Tk.120/- Tk.150/-
ESR
Blood Sugar Tk.40/- Tk.60/- ASO Titre Tk.150/- Tk.200/-
RPR Tk.30/- Tk.50/- Urea serum / S. Tk.150/- Tk.200/-
Creatinine
Pregnancy test Tk.60/- Tk.90/- Urine,Albumin/Sugar Tk.30 Tk.40/-
Hbs. Ag Tk.90/- Tk.170/- OBT Tk.45/- Tk.55/-
V.D.R.L Tk.60/- Tk.80/- Reducing substance Tk.45/- Tk.55/-
Widal Tk.80/- Tk.110/- Stool for flotation Tk.55/- Tk.65/-
method
Urine Sugar Tk.20/- Tk.30/- Circulating Tk.65/- Tk.75/-
Eiosinophil Count
BT, CT Tk.30/- Tk.40/- RBC Count Tk.30/- Tk.40/-
Blood Sugar Tk.40/- Tk.60/- Throat Swab Tk.90/- Tk.110/-
RME/KLB
S. Bilirubin Tk.60/- Tk.110/- Cholesteral Tk.65/- Tk.75/-

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 Platelet Count Tk.30/- Tk.40/- Seman analysis Tk.85/- Tk.110/-
Stool R/ E & Tk.30/- Tk.40/- Tuberculin test Tk.85/- Tk.110/-
M/E
Urine R / E & Tk.30/- Tk.40/- Sputum for AFB,R/E Free Free
M/E
Blood Tk.30/- Tk.60/- PUS Gram stain Tk.110/- Tk.170/-
Grouping
USG Tk.300/- Tk.500/- PCV Tk.110/- Tk.170/-
Blood Cross Tk.55/- Tk.65/- Peps Smear Tk.110/- Tk.170/-
Matching
TPHA Tk.60/- Tk.80/- Hbs Ag, Tk.80/- Tk.120/-
Hepatitis B Tk.200/- Tk.300/- Repaid test Tk.150/- Tk.220/-
Confirmation
ECG Tk.100/- Tk.150/-

 Red Card Registration Fee/ Yearly Renewal Fee would be 10 (ten taka). All services
including medicine, diagnostic services, emergency transport should be given free of cost
to red cardholder client.

Medicine should be provided 10% less price from M.R.P. to non-poor.

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