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Rajshahi Civil Surgeon Office | Health Bulletin 2015 |
Preface
Rajshahi district was a part of the pundra region of ancient Bengal and earlier it was known as "Beuleah". Along with all of Bangladesh, Rajshahi witnessed both great atroceties by the pakistan army and heroic struggles by freedom fighters during the liberation war in 1971 and it is a healthy, educational and friendly environmental city. It is 2463 sq km. It has 9 upazilas, 72 unions with 462378 households. All the upazila is accessible through roads. The population is around 2913779. Bagmara upazila is the most populated and large upazila of this district. The godagari upazila is an endemic for Kala-azar. Most of the house is made of mud, brick and the road condition is very well. The Padma is the main river which passes beside the Rajshahi city. Most of the people in this district depend on agriculture.
Dr. Md. Abdus Sobhan
Civil Surgeon
Rajshahi Civil Surgeon Office

Rajshahi Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md. Abdus Sobhan
Organization Code 10001556
Name of District Rajshahi
Land Phone No. 1 0721-0772030
Land Phone No. 2
FAX No. 812348
Mobile No. 01712284871
Email rajshahi@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.0000 And Long: 89.0000
No. of Upazila in the District9
No. of Households in the District 472,145
Population in the District 2,913,779
Area of District in sq km 2,463

Rajshahi Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 1 530
District Hospital 0 0
General Hospital 0 0
Upazila Health Complexes 10 462
No. of Union Sub-Centres 32 0
No. of Rural/Urban/Thana Dispensaries 3 0
No. of Community Clinics 232 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 80 750
No. of NGO Clinics/Facilities 1 10
No. of Other Hospitals

Rajshahi Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 25,152


Total No. of children treated under IMCI Program 1,471,281
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (NMR) is 13.99 per 1,000 live births.

Rajshahi 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: 23,430
Total Number of Deliveries: 25,399
No. of Maternal Deaths: 21
Valid TT Coverage: 42.00 %
Maternal Mortality Ratio (MMR) is 83.49 per 100,000 live births.

Rajshahi 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 235,916 364,578 600,494 105,319 85,386 190,705 791,199 12,744 15,231 27,975 2,925 4,150 7,075 35,050
Union Sub-Centres 126,161 228,087 354,248 44,810 38,837 83,647 437,895 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 111,421 154,346 265,767 39,678 18,298 57,976 323,743 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 6,404 10,672 17,076 8,017 8,469 16,486 33,562 0 0 0 0 0 0 33,562
Community Clinics 680,717 1,494,420 2,175,137 144,468 175,119 319,587 2,494,724 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 8,518 8,518 0 0 0 8,518 0 9,125 9,125 0 0 0 9,125
Chest Disease Clinics (TB Clinics) 743 389 1,132 16 0 16 1,148 0 0 0 0 0 0 0
Private Clinics/Facilities 51,258 64,916 116,174 36,790 35,712 72,502 188,676 17,617 35,843 53,460 10,212 15,471 25,683 79,143
NGO Clinics/Facilities 0 0 0 0 0 0 0 1,271 1,673 2,944 982 1,157 2,139 5,083
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

Rajshahi 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 21,256 28,911 50,167 2,446 2,985 5,431 55,598 43 31 74 4 3 7 81
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 8,055 8,055 0 0 0 8,055 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 24,197 33,845 58,042 11,876 14,134 26,010 84,052 14 12 26 1 2 3 29
NGO Clinics/Facilities 451 655 1,106 124 146 270 1,376 0 0 0 0 0 0 0
Total 45,904 71,466 117,370 14,446 17,265 31,711 149,081 57 43 100 5 5 10 110

Rajshahi 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 40,784
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 6323 15.50
2 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 4325 10.60
3 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 3574 8.76
4 A014 Paratyphoid fever, unspecified I: Certain infectious and parasitic diseases 3018 7.40
5 T009 Multiple superficial injuries, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1439 3.53
6 V099 Pedestrian injured in unspecified transport accident XX: External causes of morbidity and mortality 1300 3.19
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1243 3.05
8 J459 Asthma, unspecified X: Diseases of the respiratory system 1215 2.98
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 302 0.74
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 301 0.74

Rajshahi 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 81
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I501 Left ventricular failure IX: Diseases of the circulatory system 13 16.05
2 J459 Asthma, unspecified X: Diseases of the respiratory system 11 13.58
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin IX: Diseases of the circulatory system 6 7.41
4 I619 Intracerebral haemorrhage, unspecified IX: Diseases of the circulatory system 5 6.17
5 N178 Other acute renal failure XIV: Diseases of the genitourinary system 5 6.17
6 R092 Respiratory arrest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 4 4.94
7 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 3 3.70
8 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 3 3.70
9 J450 Predominantly allergic asthma X: Diseases of the respiratory system 3 3.70
10 I412 Myocarditis in other infectious and parasitic diseases classified elsewhere IX: Diseases of the circulatory system 3 3.70

Rajshahi Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97
Coverage of households having access to sanitary latrines (%) 89
Surgeries & Interventions done in District
Type
No.
Major Surgeries 4,152
Minor Surgeries 6,844
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 244 104 96 44 18.03
Non Doctor 3 3 0 0 0.00
Class II 125 30 90 5 4.00
Class III 840 525 222 93 11.07
Class IV 253 148 56 49 19.37

Rajshahi 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 79 65 146 128 0 0 140 8 0
Nurse 0 0 0 0 125 121 0 0 63 17 0
Medical Assistant 0 0 79 79 20 20 0 0 0 0 0
Medical Technologist 0 0 79 79 72 72 0 0 0 0 0
CHCP 252 232 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 21 18 0 0 0 0 0
AHI 0 0 0 0 56 52 0 0 0 0 0
HA 0 0 0 0 299 245 0 0 0 0 40

Rajshahi 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


Rajshahi 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) 1 1 0 0 0
Air conditioner (window) 1 1 0 0 0
Generator
Generator (diesel/petrol) 1 0 0 1 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 8 0 2 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 10 7 0 3 0
Scanner 2 2 0 0 0
UPS 7 4 0 3 0
Fax 1 1 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 3 2 0 1 0


Rajshahi 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) 1 1 0 0 0
Land phone 3 3 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 1 0 0 1 0
Digital camera 2 1 0 1 0
Video camera 0 0 0 0 0
Total 47 35 0 12 0

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

Important information and necessary issues for Rajshahi Civil Surgeon Office
Last year we could not put our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good result in future. 1. The vacant post should be filled immediately. 2. Our doctor and nurse has finished training on IMCI 3. 232 Number of community clinic are running and 232 CHCP are joined in this Community clinic. 4. Three months basic and practical trainig has finished. 5. Now Doctors, Nurses, all health worker and CHCP have to be given proper service in health sector. Finally I am very happy to write this health bulletin of 2014 because this piece of information will help us to compare our progress in upcoming years. This is a very useful document and will help the public to understand the health services and provide us the useful advice for improvement in future.