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Bogra Civil Surgeon Office | Health Bulletin 2015 |
Preface
This is of my great pleasure to publish this Health Bulletin containing different health related information and some important indicators of health services of Bogra district. The indicators, especially those for neonatal and maternal mortality; which have been published here will not represent the existing national figure because of unavailability of information and data particularly from the communities. As the initiatives for collecting data are going on, henceforth data collection will be strengthened and ultimately actual figure will be available very soon. I would like to congratulate the initiation of the health bulletin software for setting a current data based health services in Bangladesh. And at the same time I felt honored to be a part of this new era of health services. My heartfelt thanks to MIS, DGHS, Bangladesh, for this time demanding initiative. Dr. Ardhendu Deb Civil Surgeon, Bogra.
Dr. Ardhendu Deb
Civil Surgeon
Bogra Civil Surgeon Office

Bogra Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Ardhendu Deb
Organization Code 10001104
Name of District Bogra
Land Phone No. 1 -05160820
Land Phone No. 2
FAX No. 5160920
Mobile No. 01714292008
Email bogra@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.8434 And Long: 89.3789
No. of Upazila in the District12
No. of Households in the District 791,229
Population in the District 3,344,865
Area of District in sq km 2,857

Bogra Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 2 1,250
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 11 493
No. of Union Sub-Centres 38 0
No. of Rural/Urban/Thana Dispensaries 12 0
No. of Community Clinics 361 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 3 30
No. of Chest Disease Clinic (TB Clinics/Hospitals) 2 20
No. of Private Clinics/Facilities 73 830
No. of NGO Clinics/Facilities 6 120
No. of Other Hospitals

Bogra Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 53,233


Total No. of children treated under IMCI Program 266,380
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (NMR) is 7.89 per 1,000 live births.

Bogra 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: 43,363
Total Number of Deliveries: 53,342
No. of Maternal Deaths: 30
Valid TT Coverage: 28.00 %
Maternal Mortality Ratio (MMR) is 56.36 per 100,000 live births.

Bogra 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 238,971 361,016 599,987 57,029 70,695 127,724 727,711 32,976 32,278 65,254 6,995 6,742 13,737 78,991
Union Sub-Centres 128,963 186,523 315,486 41,853 31,256 73,109 388,595 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 112,892 133,587 246,479 77,896 81,597 159,493 405,972 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 19,532 27,865 47,397 5,690 5,323 11,013 58,410 0 0 0 0 0 0 58,410
Community Clinics 999,132 1,936,488 2,935,620 541,976 789,441 1,331,417 4,267,037 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 5,533 5,533 0 0 0 5,533 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 2,515 1,724 4,239 0 0 0 4,239 0 0 0 0 0 0 0
Private Clinics/Facilities 2,147 3,236 5,383 485 493 978 6,361 0 0 0 0 0 0 0
NGO Clinics/Facilities 1,165 2,143 3,308 756 738 1,494 4,802 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

Bogra 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 19,689 26,021 45,710 3,002 3,200 6,202 51,912 57 25 82 12 0 12 94
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 0 852 852 0 0 0 852 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 157 51 208 0 0 0 208 2 3 5 0 0 0 5
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 19,846 26,924 46,770 3,002 3,200 6,202 52,972 59 28 87 12 0 12 99

Bogra 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 53,031
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 11719 22.10
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 4617 8.71
3 J45 Asthma X: Diseases of the respiratory system 2762 5.21
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2417 4.56
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 2010 3.79
6 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 1551 2.92
7 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 1407 2.65
8 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1234 2.33
9 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 938 1.77
10 J11 Influenza, virus not identified X: Diseases of the respiratory system 631 1.19

Bogra 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 101
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 36 35.64
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 14 13.86
3 I21 Acute myocardial infarction X: Diseases of the respiratory system 7 6.93
4 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 7 6.93
5 I50 Heart failure IX: Diseases of the circulatory system 5 4.95
6 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 5 4.95
7 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 5 4.95
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 4 3.96
9 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 3 2.97
10 J21 Acute bronchiolitis X: Diseases of the respiratory system 3 2.97

Bogra 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 (%) 93
Surgeries & Interventions done in District
Type
No.
Major Surgeries 0
Minor Surgeries 12,434
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 330 162 101 67 20.30
Non Doctor 3 1 0 2 66.67
Class II 180 7 121 52 28.89
Class III 1293 850 323 120 9.28
Class IV 288 150 49 89 30.90

Bogra 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 99 90 202 126 0 0 114 141 0
Nurse 0 0 0 0 168 150 0 0 19 54 0
Medical Assistant 0 0 99 99 21 21 0 0 38 5 0
Medical Technologist 0 0 0 0 72 66 0 0 0 0 0
CHCP 366 359 0 0 0 0 0 0 0 0 15
HI 0 0 0 0 32 32 0 0 0 0 19
AHI 0 0 0 0 105 105 0 0 0 0 0
HA 0 0 0 0 513 445 0 0 0 0 0

Bogra 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 17 9 4 4 0
Bus 0 0 0 0 0
Jeep 1 1 0 0 0
Microbus 0 0 0 0 0
Pickup 1 0 1 0 0


Bogra 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) 14 14 0 0 0
Air conditioner (window) 59 56 3 0 0
Generator
Generator (diesel/petrol) 15 8 6 0 1
Generator (gas) 1 0 0 0 1
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 116 101 15 0 0
Laptop 26 26 0 0 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 3 3 0 0 0
Printer (laser) 74 60 14 0 0
Scanner 13 13 0 0 0
UPS 63 55 8 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 383 375 8 0 0
Multimedia 13 13 0 0 0


Bogra 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 5 0 5 0 0
PA system (Sound) 2 2 0 0 0
Land phone 18 18 0 0 0
Mobile phone 11 11 0 0 0
Photocopier machine 3 1 2 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 837 770 61 4 2

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

Important information and necessary issues for Bogra Civil Surgeon Office
Important information and necessary issues for Bogra Civil Surgeon Office: As Bogra is a very old and large district to ensure proper health services in the district, I would like to draw attention of my higher authorities and all concerned on the following issues : 1.All vacant posts and supporting staff should be filled immediately . 2. Residence of Civil Surgeon which was declared condemn to be repaired on urgent basis . 3. Condition of vehicle for Civil Surgeon is very poor with no air conditioning system, it should be replaced soon. 4. DRS should be extended with proper ventilation in confined premises. 5. There is no guest room in our sector in the district,so provision of at least two guest rooms(with one VIP) to be created to meet the need of different situations. 6. Training of doctors and other staff is needed to ensure proper and updated health services. 7. Funding of different programs in district level to be available duly and properly. Finally, I want to give thanks to all who were involved to make this bulletin published.I hope with our maximum efforts and cooperation from all levels, we will give better health services to population. Thank you all. Dr. Ardhendu Deb Civil Surgeon, Bogra.