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Feni Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Feni District. This bulletin contains all the health related information of this District for 2014. This bulletin is published to disseminate the information of Feni District to other department and health related development partners. I hope that all the information of this bulletin will help for planning and bridging the gaps in health services of this District. We have many data stored in the file. This health bulletin will provide opportunity to see the results and achievements of 2014and also to identify strengths, weakness, opportunities and threats related to service delivery which would guide to take necessary action for further improvement. It is essential to create awareness among the people regarding service provided by the different health facilities throughout the District. I hope that this bulletin will facilitate effective disseminating information. Our success in preventing diseases through awareness building among people by health education and others services is remarkable. The introduction of DHIS2 (District Health Information Software Version-2) is a great development for digital data management. The benefit will be more visible and tangible in subsequent health bulletins. This bulletin contains the status of MDG4 and MDG5 which will to localize the MDG targets. This bulletin also contains information of safe drinking water, sanitation and human resources. I would like to draw kind attention of the higher authority to look the human resource issue. Finally I would like to congratulate all concerned for initiating this health bulletin software and setting us one step ahead in achieving digital Bangladesh as is dreamed by our Honourable Prime Minister.
DR. MD. YOUSUF
Civil Surgeon
Feni Civil Surgeon Office

Feni Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDR. MD. YOUSUF
Organization Code 10000953
Name of District Feni
Land Phone No. 1 0331-033174042
Land Phone No. 2 0331-033173238
FAX No. 33173238
Mobile No. 01712247217
Email feni@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.0192 And Long: 91.3871
No. of Upazila in the District6
No. of Households in the District 261,962
Population in the District 1,515,826
Area of District in sq km 929

Feni Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 0 0
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 5 193
No. of Union Sub-Centres 19 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 148 0
No of Trauma Centres 1 20
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 2 0
No. of Private Clinics/Facilities 24 333
No. of NGO Clinics/Facilities 3 0
No. of Other Hospitals

Feni Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 36,743


Total No. of children treated under IMCI Program 104,841
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (NMR) is 15.51 per 1,000 live births.

Feni 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: 40,670
Total Number of Deliveries: 37,061
No. of Maternal Deaths: 24
Valid TT Coverage: 35.00 %
Maternal Mortality Ratio (MMR) is 65.32 per 100,000 live births.

Feni 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 75,373 79,225 154,598 30,100 42,045 72,145 226,743 13,020 16,460 29,480 5,020 5,860 10,880 40,360
Upazila Health Complex 89,707 132,878 222,585 45,917 46,177 92,094 314,679 7,880 7,950 15,830 1,432 1,749 3,181 19,011
Union Sub-Centres 82,760 113,291 196,051 28,757 38,267 67,024 263,075 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 28,390 46,494 74,884 15,029 21,470 36,499 111,383 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 12,092 40,875 52,967 3,596 4,226 7,822 60,789 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 342,810 649,628 992,438 58,888 72,815 131,703 1,124,141 0 0 0 0 0 0 0
Trauma Centres 345 373 718 7 8 15 733 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) 8,871 8,524 17,395 883 815 1,698 19,093 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
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

Feni 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 9,124 11,434 20,558 3,510 4,230 7,740 28,298 96 128 224 60 72 132 356
Upazila Health Complex 7,242 16,561 23,803 2,856 3,441 6,297 30,100 39 22 61 4 3 7 68
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 16,366 27,995 44,361 6,366 7,671 14,037 58,398 135 150 285 64 75 139 424

Feni 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 43,371
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A099 Gastroenteritis and colitis of unspecified origin I: Certain infectious and parasitic diseases 10419 24.02
2 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 2837 6.54
3 J219 Acute bronchiolitis, unspecified X: Diseases of the respiratory system 2777 6.40
4 J459 Asthma, unspecified X: Diseases of the respiratory system 2251 5.19
5 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 2183 5.03
6 W509 Hit, struck, kicked, twisted, bitten or scratched by another person, unspecified place XX: External causes of morbidity and mortality 1968 4.54
7 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1946 4.49
8 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1066 2.46
9 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1048 2.42
10 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 986 2.27

Feni 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 415
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 62 14.94
2 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 45 10.84
3 P210 Severe birth asphyxia IX: Diseases of the circulatory system 31 7.47
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 23 5.54
5 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 21 5.06
6 I501 Left ventricular failure IX: Diseases of the circulatory system 15 3.61
7 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 12 2.89
8 I213 Acute transmural myocardial infarction of unspecified site IX: Diseases of the circulatory system 11 2.65
9 P070 Extremely low birth weight XVI: Certain conditions originating in the perinatal period 9 2.17
10 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 6 1.45

Feni Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92
Coverage of households having access to sanitary latrines (%) 90
Surgeries & Interventions done in District
Type
No.
Major Surgeries 715
Minor Surgeries 3,016
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 182 96 38 48 26.37
Non Doctor 4 2 0 2 50.00
Class II 154 7 97 50 32.47
Class III 683 370 112 201 29.43
Class IV 224 77 24 123 54.91

Feni 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 45 36 69 51 55 40 7 9 0
Nurse 0 0 0 0 60 33 88 65 0 21 0
Medical Assistant 0 0 45 45 10 10 0 0 19 0 0
Medical Technologist 0 0 0 0 33 20 8 5 0 0 0
CHCP 156 140 0 0 0 0 0 0 0 0 0
HI 14 14 0 0 0 0 0 0 0 0 0
AHI 42 42 0 0 0 0 0 0 0 0 0
HA 205 142 0 0 0 0 0 0 0 0 24

Feni 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 3 1 0 2 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Feni 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 5 1 0 0
Air conditioner (window) 2 2 0 0 0
Generator
Generator (diesel/petrol) 1 1 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) 12 9 1 2 0
Laptop 2 2 0 0 0
Printer (dot matrix) 1 0 1 0 0
Printer (inkjet) 3 3 0 0 0
Printer (laser) 8 6 2 0 0
Scanner 1 1 0 0 0
UPS 9 7 2 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 1 1 0 0 0


Feni 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 1 1 0 0 0
PA system (Sound) 1 1 0 0 0
Land phone 4 3 1 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 4 1 2 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 61 46 10 4 1

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

Important information and necessary issues for Feni Civil Surgeon Office
In the Year 2014 we have been working with all our Strength and limitations to improve health status of our population. This year we are committed to provide even better service despite persistence of the limitations. The previous of better service could be facilitate by :- (1) Fillup the Vacant posts as soon as possible.2)Our Doctor,nurses,others officers and staffs need more training for gather knowledge,development of skills and also change their attitude for give better service to people .3)NeedTraining of Doctor,nurses and paramedics for IMCI. 4)All the repairable equipments should be repaire as soon as possible for ensure service delivery. 5) Trauma Centre of Feni District is urgently established in all department including residential facilities. I am very happy to published the Health Bulletin 2015. (Dr.Md.Yousuf) Civil Surgeon, Feni.