Comilla Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish this Health Bulletin of Civil Surgeon Office, Comilla. This Bulletin contains all the Health related information of 2014. This Bulletin is Published to disseminate the information of Government sector as well as private sector to other line department and development partners of health. I hope all the informations of this Health bulletin will help for planning and bridging the gaps in health services of this District. Government Health office has many datas stored in the file. This Health Bulletin will help us to find contents and also to see the results and achievements of 2014. The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets.This Health Bulletin has also the information on safe drinking water and sanitation status of the district. All the sanctioned and vacant posts are published in this bulletin of 2014. I would like to draw attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead toward Digital Bangladesh.
Comilla Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Md. Mujibur Rahman
Organization Code
10000863
Name of District Comilla
Land Phone No. 1
-08160400
Land Phone No. 2
FAX No. 8160402
Mobile No. 01712078619
Email comilla@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.4556 And Long: 91.1811
No. of Upazila in the District 16
No. of Households in the District 951,542
Population in the District 6,123,165
Area of District in sq km 3,085
Comilla Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital
1
500
District Hospital
0
0
General Hospital
1
100
Upazila Health Complexes
16
627
No. of Union Sub-Centres
48
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
460
0
No of Trauma Centres
1
0
No. of MCWCs (belongs to DGFP)
2
0
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
0
No. of Private Clinics/Facilities
112
2098
No. of NGO Clinics/Facilities
4
0
No. of Other Hospitals
Comilla Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 148,259
Total No. of children treated under IMCI Program 273,378
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (NMR) is 4.03 per 1,000 live births.
Comilla 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: 170,782
Total Number of Deliveries: 148,136
No. of Maternal Deaths: 51
Valid TT Coverage: 62.00 %
Maternal Mortality Ratio (MMR) is
34.40 per 100,000 live births.
Comilla 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
32,692
45,024
77,716
1,890
1,509
3,399
81,115
9,261
6,515
15,776
2,470
4,478
6,948
22,724
Upazila Health Complex
183,235
317,614
500,849
99,915
82,007
181,922
682,771
37,921
32,845
70,766
9,285
7,046
16,331
87,097
Union Sub-Centres
58,818
107,140
165,958
25,184
27,344
52,528
218,486
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
95,718
190,783
286,501
33,048
29,549
62,597
349,098
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
603,710
1,352,268
1,955,978
145,873
160,889
306,762
2,262,740
0
0
0
0
0
0
0
Trauma Centres
287
524
811
123
110
233
1,044
0
0
0
0
0
0
0
MCWCs (belongs to DGFP)
205
2,019
2,224
198
197
395
2,619
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
8,944
5,439
14,383
837
285
1,122
15,505
0
0
0
0
0
0
0
Private Clinics/Facilities
61,256
84,970
146,226
27,211
18,709
45,920
192,146
2,468
2,704
5,172
492
520
1,012
6,184
NGO Clinics/Facilities
3,361
2,490
5,851
2,135
1,870
4,005
9,856
0
0
0
0
0
0
0
10 Bed Hospitals
2,696
5,021
7,717
1,722
2,013
3,735
11,452
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
Comilla 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
6,473
4,366
10,839
4,030
4,200
8,230
19,069
16
13
29
0
0
0
29
Upazila Health Complex
24,397
60,649
85,046
9,407
7,281
16,688
101,734
0
0
0
0
0
0
0
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
13,406
21,723
35,129
4,130
3,143
7,273
42,402
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
44,276
86,738
131,014
17,567
14,624
32,191
163,205
16
13
29
0
0
0
29
Comilla 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
121,593
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
X85 Assault by drugs, medicaments and biological substances
XX: External causes of morbidity and mortality
12519
10.30
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
8085
6.65
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1803
1.48
4
T00 Superficial injuries involving multiple body regions
XIX: Injury, poisoning and certain other consequences of external causes
1671
1.37
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
1118
0.92
6
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
1017
0.84
7
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
865
0.71
8
A011 Paratyphoid fever A
I: Certain infectious and parasitic diseases
844
0.69
9
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
594
0.49
10
U06 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
581
0.48
Comilla 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
66
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
19
28.79
2
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
14
21.21
3
J45 Asthma
X: Diseases of the respiratory system
8
12.12
4
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
7
10.61
5
R090 Asphyxia
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
5
7.58
6
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
4
6.06
7
E146 Unspecified diabetes mellitus with other specified complications
IV: Endocrine, nutritional and metabolic diseases
4
6.06
8
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
4
6.06
9
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
3
4.55
10
Q210 Ventricular septal defect
XVII: Congenital malformations, deformations and chromosomal abnormalities
2
3.03
Comilla Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95
Coverage of households having access to sanitary latrines (%)
98
Surgeries & Interventions done in District
Type
No.
Major Surgeries
1,060
Minor Surgeries
1,609
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
482
282
143
57
11.83
Non Doctor
3
2
0
1
33.33
Class II
315
18
242
55
17.46
Class III
1570
819
291
460
29.30
Class IV
459
283
73
103
22.44
Comilla 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
176
164
216
184
33
31
0
0
0
Nurse
0
0
0
0
259
227
70
67
0
0
0
Medical Assistant
0
0
172
162
26
26
0
0
0
0
0
Medical Technologist
0
0
6
5
99
87
3
3
0
0
0
CHCP
571
469
0
0
0
0
0
0
18
0
0
HI
0
0
0
0
50
34
0
0
0
0
0
AHI
0
0
0
0
148
127
0
0
0
0
0
HA
0
0
0
0
738
475
0
0
36
0
0
Comilla 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
1
1
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Comilla 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)
2
2
0
0
0
Generator
Generator (diesel/petrol)
0
0
0
0
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)
10
10
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)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
6
6
0
0
0
Fax
1
0
1
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
2
1
1
0
0
Comilla 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
3
3
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
1
0
1
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
39
36
3
0
0
Comilla Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Comilla Civil Surgeon Office
Comilla is one of the biggest District of the country and it comprises of 16 Upazilas. Here it is needed to create 02 ( two) posts of Additional Civil Surgeon, 02 ( two) posts of Deputy Civil Surgeon, 02( two) posts of MOCS ( one for MOCS administration and one for MOCS planning), class one statistician post and another new post of Statistical Assistant. • Routine EPI and EPI diseases surveillance are going with good shape and District is free from wild poliomyelitis for more than last 15 years in comparison of the Country for the last 8 years. Right now 252 Health Assistant posts are vacant. It is an emergency need to fill up this vacant posts immediately to keep up the good and quality work. • The present Vehicle used by Civil Surgeon Comilla, is not in good condition. It is 12 years old vehicle. One new Vehicle for Civil Surgeon Comilla is very much needed. It is also needed another Vehicle for Deputy Civil Surgeon that will be helpful for monitoring of the District Program activities. • Present Civil Surgeon office is placed at old building & condition is not good. EPI store room and EPI cold room is placed under Comilla General Hospital building stair. New building for Civil Surgeon Office and as well as EPI store room is mandatory for the District. • Gradual increase of population demand Comilla General Hospital 100 bedded to be improved to 250 bedded hospital & 31 bedded Upazila Health Complex to be upgraded to 50 bedded hospitals. • For maintaining routine and daily work all Upazila MT EPI and District EPI Superintendent need one computer each and all Upazila also need at least one computer and one printer each. • Multimedia is one of the necessary equipments for training and orientation. District has one multimedia. It will be good for the program if all Upazila have their one multimedia each.
