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Gaibandha Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to see the health bulletin-2015 in light this health bulletin. This bulletin retains various health related information of 2014. This bulletin is manifested to sensitise the information linked to health. I desire all the information of this bulletin will help and enrich for planning and upholding of health services of Gaibandha district. The bulletin contains the status of MDG which will enhance to localize the MDG target. It has also the information on Maternal Mortality Rate(MMR)and Neonatal Mortality Rate (NMR),EPI coverage,Safe Water and Sanitation and early marriage status of Gaibandha District. All the sanctioned and vacant post of health department in Gaibandha district are published here for information of all,which will draw attention of the concern authority to mitigate the gap of human resource in this district on the next year. Finally I would like to convey thanks and congratulate the motivator and initiator of this bulletin all walks of staff of Gaibandha district health department who make easier this bulletin to be published for the authority.
DR. Nirmalendu Chowdhury
Civil Surgeon
Gaibandha Civil Surgeon Office

Gaibandha Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDR. Nirmalendu Chowdhury
Organization Code 10001253
Name of District Gaibandha
Land Phone No. 1 -054151560
Land Phone No. 2
FAX No. 54151644
Mobile No. 01713790533
Email gaibandha@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 20.0000 And Long: 87.0000
No. of Upazila in the District7
No. of Households in the District 574,848
Population in the District 2,503,507
Area of District in sq km 2,181

Gaibandha 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 1 200
General Hospital 0 0
Upazila Health Complexes 6 205
No. of Union Sub-Centres 36 0
No. of Rural/Urban/Thana Dispensaries 1 10
No. of Community Clinics 299 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 2 10
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 14 140
No. of NGO Clinics/Facilities 0 0
No. of Other Hospitals

Gaibandha Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 44,160


Total No. of children treated under IMCI Program 170,385
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (NMR) is 20.74 per 1,000 live births.

Gaibandha 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: 70,260
Total Number of Deliveries: 61,224
No. of Maternal Deaths: 99
Valid TT Coverage: 19.00 %
Maternal Mortality Ratio (MMR) is 224.18 per 100,000 live births.

Gaibandha 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 47,459 61,627 109,086 13,797 17,600 31,397 140,483 21,010 20,815 41,825 4,310 1,463 5,773 47,598
Upazila Health Complex 113,121 153,893 267,014 18,191 19,010 37,201 304,215 8,658 8,652 17,310 2,085 2,580 4,665 21,975
Union Sub-Centres 168,622 263,972 432,594 39,522 77,314 116,836 549,430 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) 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 956,397 1,716,450 2,672,847 237,798 274,625 512,423 3,185,270 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) 250 13,298 13,548 9,240 8,410 17,650 31,198 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
10 Bed Hospitals 10,419 20,390 30,809 6,064 36,773 42,837 73,646 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

Gaibandha 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 7,005 8,080 15,085 3,595 1,105 4,700 19,785 173 65 238 84 52 136 374
Upazila Health Complex 19,382 22,581 41,963 2,309 1,796 4,105 46,068 67 34 101 19 7 26 127
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 26,387 30,661 57,048 5,904 2,901 8,805 65,853 240 99 339 103 59 162 501

Gaibandha 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 65,853
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y00 Assault by blunt object XX: External causes of morbidity and mortality 6516 9.89
2 O64 Obstructed labour due to malposition and malpresentation of fetus XV: Pregnancy, childbirth and the puerperium 3788 5.75
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2226 3.38
4 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 1810 2.75
5 K29 Gastritis and duodenitis XI: Diseases of the digestive system 1420 2.16
6 J00 Acute nasopharyngitis [common cold] X: Diseases of the respiratory system 1280 1.94
7 E40 Kwashiorkor IV: Endocrine, nutritional and metabolic diseases 890 1.35
8 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 801 1.22
9 K20 Oesophagitis XI: Diseases of the digestive system 660 1.00
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 579 0.88

Gaibandha 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 501
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 16 3.19
2 J00 Acute nasopharyngitis [common cold] X: Diseases of the respiratory system 12 2.40
3 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 10 2.00
4 I21 Acute myocardial infarction IX: Diseases of the circulatory system 8 1.60
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 7 1.40
6 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 6 1.20
7 J219 Acute bronchiolitis, unspecified X: Diseases of the respiratory system 7 1.40
8 I509 Heart failure, unspecified IX: Diseases of the circulatory system 4 0.80
9 O64 Obstructed labour due to malposition and malpresentation of fetus XV: Pregnancy, childbirth and the puerperium 3 0.60
10 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 2 0.40

Gaibandha Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 83
Coverage of households having access to sanitary latrines (%) 80
Surgeries & Interventions done in District
Type
No.
Major Surgeries 2,106
Minor Surgeries 2,121
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 203 83 43 77 37.93
Non Doctor 3 1 0 2 66.67
Class II 103 8 87 8 7.77
Class III 831 713 108 10 1.20
Class IV 218 139 65 14 6.42

Gaibandha 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 85 72 59 33 42 15 2 3 0
Nurse 0 0 8 6 73 66 42 39 4 2 0
Medical Assistant 0 0 83 78 12 12 0 0 0 0 0
Medical Technologist 0 0 1 1 41 41 3 3 0 0 0
CHCP 299 290 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 27 27 0 0 0 0 0
AHI 0 0 0 0 78 75 0 0 0 0 0
HA 0 0 0 0 390 358 0 0 0 0 0

Gaibandha 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 4 2 1 1 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Gaibandha 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) 14 7 7 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 2 1 0 1 0
ICT equipment
Computer (desktop) 14 7 5 0 2
Laptop 4 2 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 3 0 0
Scanner 2 1 1 0 0
UPS 0 0 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 2 1 1 0 0
Multimedia 4 2 2 0 0


Gaibandha 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 2 2 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 2 1 0 1 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 62 31 26 3 2

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

Important information and necessary issues for Gaibandha Civil Surgeon Office
We are thankful to Directorate General of Health Services to take part in developing Digital Health by publishing Health Bulletin of Gaibandha District.Gaibandha is one of the Socially and Economically least developed district in the Rangpur Divission. Some unions of 3 upazilla are vary much hard to reach area for health services. We think that it should be known to everybody that we could not give our maximum efforts to improve the health status of Gaibandha district last year due to many reasons which were not intentional. We like to mention here some important factors which will help us to improve our performences in future Fist of all the vacant post should be filled- up immediately such as Sr. Consultant(Surgery),Junior Consultant(Medicine,pediatrice,Eye,Skin&VD) at Adhunik Sadar Hospital.There is Shortness of Medicine & Logistic Suplly and also 3rd & 4th Class Emplyce. Thats why our performances are not achived upto the desired level. So if we want to improve our health services at Gaibandha District Vacant post of all Catagories of Doctors,Nurrses and Others should be filled-up immediately also improve the Supervisson,Monitoring from District to upazilla and upazilla to Union and Community level . We should also ensure the accountability of all level of staffs for their perfomances. We are very happy to publish theis Health Bulletin 2014. Because this document will help us to compare our progress in upcoming year. This document is very useful to the public to understand our health services and provide us the useful advice for improvement in future .