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Tangail Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish this Health Bulletin of Tangail District for the year-2015. This Health Bulletin contains all health related data of 2014. This Bulletin is published to disseminate information to related Govt. Officials, NGOs & development partners. I hope it will be helpful for planning & identify gaps to achieve health target. It may be treated as milestone to achieve MDG4 & MDG5. I would like for kind attention for higher authority to look into this issue. Finally I would like to congratulate Professor Dr. Abul Kalam Azad, ADG Planning & Line Director MIS for initiating yearly Health Bulletine & setting us to go ahead toward Digital Bangladesh. Dr. Syed Ebne Sayeed Civil Surgeon Tangail.
Dr. Syed Ebne Sayeed
Civil Surgeon
Tangail Civil Surgeon Office

Tangail Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Syed Ebne Sayeed
Organization Code 10000648
Name of District Tangail
Land Phone No. 1 0921-092161192
Land Phone No. 2 0921-092154290
FAX No. 92163424
Mobile No. 01711177919
Email tangail@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.2747 And Long: 89.9143
No. of Upazila in the District12
No. of Households in the District 827,835
Population in the District 3,799,502
Area of District in sq km 3,424

Tangail Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 1 0
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 10 424
No. of Union Sub-Centres 106 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 419 0
No of Trauma Centres 1 0
No. of MCWCs (belongs to DGFP) 1 10
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 65 1230
No. of NGO Clinics/Facilities 3 250
No. of Other Hospitals

Tangail Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 76,694


Total No. of children treated under IMCI Program 498,063
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (NMR) is 16.10 per 1,000 live births.

Tangail 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: 70,757
Total Number of Deliveries: 76,738
No. of Maternal Deaths: 40
Valid TT Coverage: 46.00 %
Maternal Mortality Ratio (MMR) is 52.16 per 100,000 live births.

Tangail 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 93,792 123,874 217,666 20,372 15,340 35,712 253,378 19,784 8,764 28,548 3,352 3,264 6,616 35,164
Upazila Health Complex 236,399 363,341 599,740 67,009 68,772 135,781 735,521 35,867 40,209 76,076 9,870 10,050 19,920 95,996
Union Sub-Centres 166,590 272,792 439,382 43,200 47,146 90,346 529,728 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 27,963 33,030 60,993 4,809 5,674 10,483 71,476 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 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 772,089 1,777,186 2,549,275 163,811 191,468 355,279 2,904,554 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) 6,868 3,565 10,433 301 0 301 10,734 0 0 0 0 0 0 0
Private Clinics/Facilities 21,849 24,099 45,948 2,491 2,325 4,816 50,764 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 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

Tangail 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 23,998 26,140 50,138 4,842 5,160 10,002 60,140 406 206 612 345 294 639 1,251
Upazila Health Complex 17,724 28,290 46,014 4,936 2,798 7,734 53,748 65 28 93 7 7 14 107
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 41,722 54,430 96,152 9,778 7,958 17,736 113,888 471 234 705 352 301 653 1,358

Tangail 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 112,580
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 6349 5.64
2 V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident XX: External causes of morbidity and mortality 3522 3.13
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1123 1.00
4 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 3719 3.30
5 K560 Paralytic ileus XI: Diseases of the digestive system 3558 3.16
6 I633 Cerebral infarction due to thrombosis of cerebral arteries IX: Diseases of the circulatory system 1089 0.97
7 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 1161 1.03
8 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1619 1.44
9 K35 Acute appendicitis XI: Diseases of the digestive system 1310 1.16
10 O040 Medical abortion, incomplete, complicated by genital tract and pelvic infection XV: Pregnancy, childbirth and the puerperium 2357 2.09

Tangail 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 1,366
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 275 20.13
2 I619 Intracerebral haemorrhage, unspecified IX: Diseases of the circulatory system 124 9.08
3 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 129 9.44
4 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 63 4.61
5 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 79 5.78
6 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 68 4.98
7 I200 Unstable angina IX: Diseases of the circulatory system 46 3.37
8 V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident XX: External causes of morbidity and mortality 42 3.07
9 P369 Bacterial sepsis of newborn, unspecified XVI: Certain conditions originating in the perinatal period 54 3.95
10 K566 Other and unspecified intestinal obstruction XI: Diseases of the digestive system 18 1.32

Tangail Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96
Coverage of households having access to sanitary latrines (%) 82
Surgeries & Interventions done in District
Type
No.
Major Surgeries 6,790
Minor Surgeries 20,582
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 348 185 100 63 18.10
Non Doctor 4 1 2 1 25.00
Class II 289 31 258 0 0.00
Class III 1236 646 463 127 10.28
Class IV 356 236 74 46 12.92

Tangail 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 0 106 92 57 39 58 42 19 14 10
Nurse 0 0 0 0 105 101 123 120 50 19 6
Medical Assistant 0 0 106 106 21 21 0 0 0 2 0
Medical Technologist 0 0 54 54 107 107 11 11 0 0 0
CHCP 435 409 0 0 0 0 0 0 0 0 36
HI 0 0 0 0 40 40 0 0 0 0 0
AHI 0 0 0 0 119 109 0 0 0 0 6
HA 0 0 0 0 592 556 0 0 0 0 90

Tangail 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 0 0 0 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Tangail 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) 6 3 3 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 6 3 3 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 2 0 0 0
Printer (laser) 6 5 1 0 0
Scanner 2 2 0 0 0
UPS 8 8 0 0 0
Fax 2 1 1 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Tangail 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) 0 0 0 0 0
Land phone 4 4 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 2 1 1 0 0
Digital camera 1 1 0 0 0
Video camera 0 0 0 0 0
Total 53 43 10 0 0

Tangail Civil Surgeon Office | Health Bulletin 2015 | Page# 14

Important information and necessary issues for Tangail Civil Surgeon Office
There are some special programmes in Tangail which are as follows: 1. Social Health Insurance Programme : Named as S.S.K. (Shastha Surakkha Karmasuchi).is going to start as pilot programme in three upazilas namely- Kalihati, Ghatail & Modhupur and 250 Bedded General Hospital as referral hospital. 2. TMNCP - (Tangail Maternal and Neoborn Child Health Program ) in three upazilas- Nagarpur, Bashail & Shakhipur and 250 Bedded General Hospital as referral hospital with wel established Special Care Neoborn Unit (SCANU). 3. MASKUKA- working on maternal & child health in two upazilas- Bhuapur & Gopalpur. 4. Demand Side Financing (DSF) in two upazilas namely- Shakhipur & Mirzapur. 5. Comprehensive Emergency Obstetric Care (CEOC) in four Upazilas- Shakhipur, Modhupur, Nagarpur & Gopalpur. 6. Survey on Autism in Modhupur Upazila under Tangail district. 7. Community Clinic: Service of Community Clinic is rising day by day. At present 64% of total patients is getting service from Community Clinic & rest 36% is getting service from all other facilities.