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Chuadanga Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of chuadanga district. this bulletin contains all the health related profile of chuadanga district and also the performance of the year 2014. This bulletin contains all the health related profile of Chuadanga District.and also the performance of the year-2014.This bulletin is published to disseminate the health information to others. This bulletin will help to identify the laps and gaps of health services of the district. it also helps to prepare next year plan to improve the health services. This bulletin reflect the present health status of the district. The sanctioned and vacant post are also published in this bulletin which may draw the attention of higher authority to take necessary action. Finally, I would like to congratulate the MIS Department of DGHS for this health bulletin software,which may set us one step ahead toward Digital Bangladesh.
Dr. Md. Azizul Islam
Civil Surgeon
Chuadanga Civil Surgeon Office

Chuadanga Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md. Azizul Islam
Organization Code 10001722
Name of District Chuadanga
Land Phone No. 1 -076163113
Land Phone No. 2
FAX No. 0
Mobile No. 01712217930
Email chuadanga@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.6356 And Long: 88.8476
No. of Upazila in the District4
No. of Households in the District 269,958
Population in the District 1,154,722
Area of District in sq km 1,158

Chuadanga 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 1 100
General Hospital 0 0
Upazila Health Complexes 3 93
No. of Union Sub-Centres 15 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 118 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 48 490
No. of NGO Clinics/Facilities 1 10
No. of Other Hospitals

Chuadanga Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 20,782


Total No. of children treated under IMCI Program 41,459
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (NMR) is 5.00 per 1,000 live births.

Chuadanga 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: 22,532
Total Number of Deliveries: 20,818
No. of Maternal Deaths: 9
Valid TT Coverage: 95.00 %
Maternal Mortality Ratio (MMR) is 43.31 per 100,000 live births.

Chuadanga 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 53,882 53,222 107,104 16,840 20,889 37,729 144,833 23,802 24,483 48,285 7,126 7,748 14,874 63,159
Upazila Health Complex 45,808 101,900 147,708 3,454 31,070 34,524 182,232 7,270 8,251 15,521 1,647 2,340 3,987 19,508
Union Sub-Centres 70,066 111,978 182,044 21,488 25,407 46,895 228,939 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 22,327 150,222 172,549 30,242 39,992 70,234 242,783 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 322,856 791,996 1,114,852 44,773 55,817 100,590 1,215,442 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 8,611 8,611 1,192 1,301 2,493 11,104 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 1,932 1,321 3,253 0 0 0 3,253 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 350 1,311 1,661 151 205 356 2,017
NGO Clinics/Facilities 4,593 2,351 6,944 1,213 1,170 2,383 9,327 1,579 3,127 4,706 165 230 395 5,101
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

Chuadanga 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 9,237 13,657 22,894 3,120 4,477 7,597 30,491 214 200 414 35 40 75 489
Upazila Health Complex 6,441 9,250 15,691 1,088 1,603 2,691 18,382 35 19 54 4 2 6 60
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 0 725 725 0 0 0 725 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 855 6,964 7,819 380 610 990 8,809 0 0 0 0 0 0 0
NGO Clinics/Facilities 769 794 1,563 46 49 95 1,658 0 0 0 0 0 0 0
Total 17,302 31,390 48,692 4,634 6,739 11,373 60,065 249 219 468 39 42 81 549

Chuadanga 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 49,895
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 5776 11.58
2 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 1932 3.87
3 Y00 Assault by blunt object XX: External causes of morbidity and mortality 1727 3.46
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1674 3.36
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1665 3.34
6 J45 Asthma X: Diseases of the respiratory system 1538 3.08
7 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1403 2.81
8 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1233 2.47
9 B189 Chronic viral hepatitis, unspecified I: Certain infectious and parasitic diseases 1016 2.04
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 643 1.29

Chuadanga 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 537
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 153 28.49
2 I21 Acute myocardial infarction IX: Diseases of the circulatory system 68 12.66
3 P21 Birth asphyxia IX: Diseases of the circulatory system 41 7.64
4 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 31 5.77
5 J45 Asthma X: Diseases of the respiratory system 31 5.77
6 I50 Heart failure IX: Diseases of the circulatory system 30 5.59
7 J961 Chronic respiratory failure X: Diseases of the respiratory system 13 2.42
8 A099 Gastroenteritis and colitis of unspecified origin I: Certain infectious and parasitic diseases 13 2.42
9 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 11 2.05
10 R074 Chest pain, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 10 1.86

Chuadanga 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 (%) 89
Surgeries & Interventions done in District
Type
No.
Major Surgeries 5,125
Minor Surgeries 5,770
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 91 49 22 20 21.98
Non Doctor 3 2 0 1 33.33
Class II 70 2 68 0 0.00
Class III 358 228 64 66 18.44
Class IV 115 63 36 16 13.91

Chuadanga 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 33 32 28 21 21 14 8 4 0
Nurse 0 0 0 0 32 30 35 35 3 13 0
Medical Assistant 0 0 33 33 6 6 0 0 20 0 0
Medical Technologist 0 0 0 0 21 21 3 3 0 0 0
CHCP 118 114 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 10 10 0 0 0 0 0
AHI 0 0 0 0 31 31 0 0 0 0 0
HA 0 0 0 0 152 119 0 0 0 0 39

Chuadanga 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 2 2 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Chuadanga 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) 2 1 1 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 0 0 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 6 1 1 0
Laptop 3 3 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 3 0 3 0
Fax 1 0 0 1 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Chuadanga 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) 0 0 0 0 0
Land phone 3 3 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 1 0 1 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 35 26 4 5 0

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

Important information and necessary issues for Chuadanga Civil Surgeon Office
Last year we were in a shortage of our own manpower still we had good position in khulna division. Regards in patients care , out door sfrvices operative services of our district hospital and health complexes. we shall try our level best to create EMO posts in chuadanga sadar hospital. Manpower against vacant post and for 100 beded is important priority. we need to connect adequate instruments, equipments. 1) X-ray service : Out of 3 (three) upazila health complexe X-ray service are avilable in 1(one) upazila only. new X-ray machine are neededto continue the X-ray service avilable. 2) Ambulance service: Out of 3 (three) upazila health complex Ambulance service are avilable in 1(one) upazila only. New, 2 (two) Ambulance are needed to continue the Ambulance service avilable.