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Pabna Civil Surgeon Office | Health Bulletin 2015 |
Preface
Health bulletin is a new,innovative,multipurposeful and clear concept in our health sector. I would like to pay my gratitude to revered, Prof. Dr. Md. Abul Kalam Azad, Line Director MIS and ADG, for his valuable endevour. Some new data and informations have been included in this year Specially HSS ( Health System Strengthening ) and I think that it will be helpful for us to strengthen the activities of health related services to achieve MDG target. Hope for a glorious and prosperous Bangladesh.
Dr. Shahid Md. Sadiqul Islam
Civil Surgeon
Pabna Civil Surgeon Office

Pabna Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Shahid Md. Sadiqul Islam
Organization Code 10001485
Name of District Pabna
Land Phone No. 1 0731-066360
Land Phone No. 2 0731-66346
FAX No. 52462
Mobile No. 01715040007
Email pabna@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.0001 And Long: 89.2319
No. of Upazila in the District9
No. of Households in the District 542,516
Population in the District 2,675,728
Area of District in sq km 2,464

Pabna 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 0 0
General Hospital 1 250
Upazila Health Complexes 9 363
No. of Union Sub-Centres 13 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 268 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 30
No. of Chest Disease Clinic (TB Clinics/Hospitals) 2 20
No. of Private Clinics/Facilities 50 584
No. of NGO Clinics/Facilities 5 0
No. of Other Hospitals

Pabna Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 71,035


Total No. of children treated under IMCI Program 447,099
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (NMR) is 6.88 per 1,000 live births.

Pabna 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: 124,011
Total Number of Deliveries: 71,404
No. of Maternal Deaths: 44
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR) is 61.94 per 100,000 live births.

Pabna 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 86,036 65,990 152,026 9,868 9,507 19,375 171,401 15,095 14,133 29,228 1,570 1,456 3,026 32,254
Upazila Health Complex 141,556 240,006 381,562 60,085 68,468 128,553 510,115 36,630 34,117 70,747 8,390 7,578 15,968 86,715
Union Sub-Centres 73,654 136,487 210,141 20,640 25,114 45,754 255,895 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) 36,786 151,875 188,661 13,035 33,372 46,407 235,068 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 770,139 1,823,809 2,593,948 153,698 184,080 337,778 2,931,726 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) 2,250 13,895 16,145 1,825 3,795 5,620 21,765 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 6,093 4,237 10,330 0 0 0 10,330 0 0 0 0 0 0 0
Private Clinics/Facilities 24,470 49,782 74,252 30,212 32,252 62,464 136,716 0 0 0 0 0 0 0
NGO Clinics/Facilities 14,265 37,715 51,980 7,592 8,298 15,890 67,870 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

Pabna 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 24,285 32,748 57,033 9,360 5,799 15,159 72,192 395 307 702 266 156 422 1,124
Upazila Health Complex 21,863 32,394 54,257 5,391 6,089 11,480 65,737 111 71 182 14 18 32 214
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 3,825 3,825 0 0 0 3,825 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 92 38 130 0 0 0 130 5 0 5 0 0 0 5
Private Clinics/Facilities 7,477 12,352 19,829 195 245 440 20,269 0 4 4 0 0 0 4
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 53,717 81,357 135,074 14,946 12,133 27,079 162,153 511 382 893 280 174 454 1,347

Pabna 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 162,153
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 16476 10.16
2 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 8336 5.14
3 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation XI: Diseases of the digestive system 7899 4.87
4 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 6199 3.82
5 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 4368 2.69
6 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 3128 1.93
7 J459 Asthma, unspecified X: Diseases of the respiratory system 3054 1.88
8 V04 Pedestrian injured in collision with heavy transport vehicle or bus XX: External causes of morbidity and mortality 2744 1.69
9 T571 Phosphorus and its compounds XIX: Injury, poisoning and certain other consequences of external causes 2107 1.30
10 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1902 1.17

Pabna 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 1,347
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 184 13.66
2 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 179 13.29
3 P070 Extremely low birth weight XVI: Certain conditions originating in the perinatal period 152 11.28
4 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 111 8.24
5 A49 Bacterial infection of unspecified site I: Certain infectious and parasitic diseases 53 3.93
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 48 3.56
7 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 40 2.97
8 T571 Phosphorus and its compounds XIX: Injury, poisoning and certain other consequences of external causes 32 2.38
9 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 27 2.00
10 G042 Bacterial meningoencephalitis and meningomyelitis, NEC VI: Diseases of the nervous system 26 1.93

Pabna Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100
Coverage of households having access to sanitary latrines (%) 100
Surgeries & Interventions done in District
Type
No.
Major Surgeries 10,076
Minor Surgeries 8,744
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 268 118 68 82 30.60
Non Doctor 4 2 1 1 25.00
Class II 255 20 175 60 23.53
Class III 792 576 145 71 8.96
Class IV 262 170 59 33 12.60

Pabna 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 72 60 127 80 58 40 5 7 0
Nurse 0 0 0 0 118 103 146 101 27 13 0
Medical Assistant 0 0 72 72 16 16 0 0 74 0 0
Medical Technologist 0 0 0 0 66 66 6 6 0 0 0
CHCP 268 240 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 22 21 0 0 0 0 0
AHI 0 0 0 0 66 65 0 0 0 0 0
HA 0 0 0 0 322 271 0 0 0 0 95

Pabna 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 2 1 0 0
Microbus 0 0 0 0 0
Pickup 1 0 1 0 0


Pabna 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) 1 1 0 0 0
Generator
Generator (diesel/petrol) 3 2 1 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 9 1 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) 9 8 0 1 0
Scanner 2 2 0 0 0
UPS 6 4 0 2 0
Fax 2 1 0 1 0
Intercom 0 0 0 0 0
Internet fixed line 4 4 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 3 1 1 1 0


Pabna 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 5 5 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 1 1 0 0 0
Digital camera 1 1 0 0 0
Video camera 0 0 0 0 0
Total 55 45 5 5 0

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

Important information and necessary issues for Pabna Civil Surgeon Office
EPI coverage is excellent. MMR and IMR are dramatically reduced. Filariasis has already eliminated on 2012. MDR-TB is diagnosed within 2 hours by Gene X-pert machine and a ward has opened at CDH,Pabna for MDR-TB Rx. No. of doctors and field staffs are not sufficient against the sanctioned post. The activities of community clinic and other health related services are successfully going on. It is our great Pleasure that Pabna Civil Surgeon office got national championship from Health Minister in considaration of HSS ( Health system Strengthening) programme 2014.