Dhaka Civil Surgeon Office | Health Bulletin 2015 |
Preface
This is a great pleasure and opportunity to publish Health Bulletin of Dhaka District for the year 2014. I think Health Bulletin will play a Major role to enrich Health MIS system and will act as a strong monitoring tools to observe the progress of different Health activities at all level facilities.
To obtain a modern IT information system and Digital Bangladesh it is very much essential to publish and originates Health Bulletin on regular basis.
Health Bulletin will help to improved quality service delivery in all
facilities, better utilization of manpower and logistics, cost effective and skill based resources to obtained MDG goals and vision up-to 2016 in
HPNSDP.
I hope Health Bulletin will be the mirror of Health Services in Bangladesh in future for what we are working sincerely and hardly to build a healthy and progressive nation for next generation.
Dr. Md. Abdul Malek Mridha
Civil Surgeon
Dhaka Civil Surgeon Office
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. .Md.Abdul Malek Mridha
Organization Code
10000025
Name of District Dhaka
Land Phone No. 1
-09666060
Land Phone No. 2 -7811635
FAX No. 9666506
Mobile No. 01712749535
Email dhaka@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.7327 And Long: 90.4344
No. of Upazila in the District 5
No. of Households in the District 749,770
Population in the District 3,409,088
Area of District in sq km 1,243
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital
3
1,200
District Hospital
0
0
General Hospital
0
0
Upazila Health Complexes
5
231
No. of Union Sub-Centres
17
0
No. of Rural/Urban/Thana Dispensaries
16
0
No. of Community Clinics
147
0
No of Trauma Centres
1
0
No. of MCWCs (belongs to DGFP)
1
0
No. of Chest Disease Clinic (TB Clinics/Hospitals)
0
0
No. of Private Clinics/Facilities
88
1106
No. of NGO Clinics/Facilities
4
160
No. of Other Hospitals
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 79,119
Total No. of children treated under IMCI Program 100,328
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 11.48 per 1,000 live births.
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 4
R.P.W.: Registered Pregnant Women;
1st ANC: No. of 1st ANC recipients;
4th ANC: No. of 4th ANC recipients;
C. Preg.: No. of complicated pregnancy;
N.V. deli.: No. of normal deliveries;
C. deli.: No. of cesarean deliveries;
O. deli.: No. of other deliveries;
PNC: No. of PNC services provided to the mothers;
Maternal health and MDG-5 (Whole District) (Jan-Dec, 2014)
Total No. of Recipients Who Took at least one ANC: 50,460
Total Number of Deliveries: 79,251
No. of Maternal Deaths: 70
Valid TT Coverage: 45.00 %
Maternal Mortality Ratio (MMR) is
88.47 per 100,000 live births.
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 5
No. of OPD & Emergency visits (Whole District)
Health Facility
OPD
Emergency
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
District Hospital
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Upazila Health Complex
144,751
273,441
418,192
66,257
69,809
136,066
554,258
12,404
21,858
34,262
11,968
10,560
22,528
56,790
Union Sub-Centres
41,204
56,799
98,003
9,107
8,609
17,716
115,719
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
26,538
52,132
78,670
4,321
4,582
8,903
87,573
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
95,040
91,245
186,285
40,107
40,140
80,247
266,532
0
0
0
0
0
0
266,532
Community Clinics
420,748
741,252
1,162,000
86,234
75,509
161,743
1,323,743
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
MCWCs (belongs to DGFP)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Private Clinics/Facilities
106,883
118,101
224,984
26,454
27,498
53,952
278,936
0
0
0
0
0
0
0
NGO Clinics/Facilities
21,270
25,312
46,582
2,120
2,843
4,963
51,545
0
0
0
0
0
0
0
10 Bed Hospitals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20 Bed Hospitals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other Hospitals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 6
No. of Admissions & Deaths (Whole District)
Health Facility
Admission
Death
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
District Hospital
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Upazila Health Complex
8,524
14,176
22,700
2,481
3,288
5,769
28,469
50
28
78
5
8
13
91
Union Sub-Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Private Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
8,524
14,176
22,700
2,481
3,288
5,769
28,469
50
28
78
5
8
13
91
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 7
Top 10 diseases according to the number of patients admitted in all facilities in the district
Total number of admitted patients during the reporting period
8,468
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2052
24.23
2
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
1880
22.20
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1026
12.12
4
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
817
9.65
5
X85 Assault by drugs, medicaments and biological substances
XX: External causes of morbidity and mortality
685
8.09
6
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
531
6.27
7
X999 Assault by sharp object, unspecified place
XX: External causes of morbidity and mortality
502
5.93
8
O80 Single spontaneous delivery
XV: Pregnancy, childbirth and the puerperium
397
4.69
9
A010 Typhoid fever
I: Certain infectious and parasitic diseases
372
4.39
10
B349 Viral infection, unspecified
I: Certain infectious and parasitic diseases
206
2.43
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 8
Top 10 diseases according to the number of deaths among admitted patients in all facilities in the district
Total number of Deaths during the reporting period
54
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
13
24.07
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
10
18.52
3
J45 Asthma
X: Diseases of the respiratory system
8
14.81
4
P29 Cardiovascular disorders originating in the perinatal period
XVI: Certain conditions originating in the perinatal period
6
11.11
5
P369 Bacterial sepsis of newborn, unspecified
XVI: Certain conditions originating in the perinatal period
4
7.41
6
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
4
7.41
7
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
3
5.56
8
R99 Other ill-defined and unspecified causes of mortality
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
5.56
9
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
2
3.70
10
N19 Unspecified renal failure
XIV: Diseases of the genitourinary system
1
1.85
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99
Coverage of households having access to sanitary latrines (%)
99
Surgeries & Interventions done in District
Type
No.
Major Surgeries
563
Minor Surgeries
5,292
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
257
124
129
4
1.56
Non Doctor
3
3
0
0
0.00
Class II
101
3
98
0
0.00
Class III
559
243
234
82
14.67
Class IV
152
76
30
46
30.26
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 10
Status of Human Resources (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
CSBA trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
62
61
95
92
0
0
12
6
0
Nurse
0
0
0
0
76
69
0
0
17
8
0
Medical Assistant
0
0
63
63
10
10
0
0
0
0
0
Medical Technologist
0
0
0
0
34
33
0
0
0
0
0
CHCP
185
168
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
17
17
0
0
0
0
0
AHI
0
0
0
0
51
51
0
0
0
0
0
HA
0
0
0
0
254
201
0
0
0
0
0
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 11
Existing equipment at Civil Surgeon Office
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Vehicles
Ambulance
1
1
0
0
0
Bus
0
0
0
0
0
Jeep
3
2
0
1
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 12
Existing equipment at Civil Surgeon Office
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
0
0
0
0
0
Air conditioner (window)
3
3
0
0
0
Generator
Generator (diesel/petrol)
3
2
0
1
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
13
13
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
2
2
0
0
0
UPS
2
2
0
0
0
Fax
1
1
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
2
1
0
1
0
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 13
Existing equipment at Civil Surgeon Office
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
0
0
0
0
0
PA system (Sound)
1
1
0
0
0
Land phone
3
3
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
43
40
0
3
0
Dhaka Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Dhaka Civil Surgeon Office
No post of HA, AHI, inTegaon circle post creation for mentioned post in Tejgon circle is very essential. Vacant post for class iv& iii should be filled-up immediately. Medical and surgical Machines, Instrument, Vehicles & equipment should be supplied as mentioned from page 11-15. No residence for Civil surgeon No separate Office for Civil Surgeon.
