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Kushtia Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Kushtia District for the year of 2015. This bulletin contains all the health related profile of Kushtia district and also the performance of the year- 2014. 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 reflects the present health status of this district. The sanctioned and vacant posts 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.MUSTAFIZUR RAHAMAN
Civil Surgeon
Kushtia Civil Surgeon Office

Kushtia Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDR. MD.MUSTAFIZUR RAHAMAN
Organization Code 10001863
Name of District Kushtia
Land Phone No. 1 071-062431
Land Phone No. 2 071-72383
FAX No. 62431
Mobile No. 01733622675
Email kushtia@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.0000 And Long: 88.0000
No. of Upazila in the District6
No. of Households in the District 440,259
Population in the District 2,074,090
Area of District in sq km 1,692

Kushtia Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 1 500
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 5 250
No. of Union Sub-Centres 25 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 198 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 2 30
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 78 810
No. of NGO Clinics/Facilities 4 90
No. of Other Hospitals

Kushtia Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 41,641


Total No. of children treated under IMCI Program 101,794
Fully Vaccinated Children: 93.00
Neonatal Mortality Rate (NMR) is 6.29 per 1,000 live births.

Kushtia 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: 31,543
Total Number of Deliveries: 41,787
No. of Maternal Deaths: 25
Valid TT Coverage: 56.00 %
Maternal Mortality Ratio (MMR) is 60.04 per 100,000 live births.

Kushtia 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 107,736 111,997 219,733 18,855 19,246 38,101 257,834 11,472 5,868 17,340 1,180 857 2,037 19,377
Upazila Health Complex 56,793 106,928 163,721 24,705 27,945 52,650 216,371 11,957 12,360 24,317 1,592 1,272 2,864 27,181
Union Sub-Centres 96,245 154,117 250,362 17,211 19,755 36,966 287,328 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 363,186 934,554 1,297,740 93,930 110,922 204,852 1,502,592 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 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 2,081 1,486 3,567 100 85 185 3,752 0 0 0 0 0 0 0
Private Clinics/Facilities 116,321 129,224 245,545 21,383 23,412 44,795 290,340 726 1,178 1,904 104 158 262 2,166
NGO Clinics/Facilities 0 24,810 24,810 2,640 2,396 5,036 29,846 0 378 378 118 132 250 628
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 837 791 1,628 585 400 985 2,613 0 0 0 0 0 0 0

Kushtia 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 21,030 22,471 43,501 5,986 3,818 9,804 53,305 737 553 1,290 23 12 35 1,325
Upazila Health Complex 12,665 18,341 31,006 2,485 2,089 4,574 35,580 73 34 107 34 3 37 144
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 0 296 296 0 0 0 296 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 8,908 11,438 20,346 592 483 1,075 21,421 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 4,854 4,854 424 300 724 5,578 0 3 3 0 0 0 3
Total 42,603 57,400 100,003 9,487 6,690 16,177 116,180 810 590 1,400 57 15 72 1,472

Kushtia 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 35,194
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 13524 38.43
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 8919 25.34
3 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 3002 8.53
4 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 2955 8.40
5 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 2740 7.79
6 J14 Pneumonia due to Haemophilus influenzae X: Diseases of the respiratory system 2686 7.63
7 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 2669 7.58
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2083 5.92
9 J45 Asthma X: Diseases of the respiratory system 1839 5.23
10 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1679 4.77

Kushtia 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 123
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I21 Acute myocardial infarction IX: Diseases of the circulatory system 18 14.63
2 J45 Asthma X: Diseases of the respiratory system 16 13.01
3 I63 Cerebral infarction IX: Diseases of the circulatory system 16 13.01
4 I51 Complications and ill-defined descriptions of heart disease IX: Diseases of the circulatory system 10 8.13
5 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 6 4.88
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 5 4.07
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 4 3.25
8 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 3 2.44
9 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 1 0.81
10 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 1 0.81

Kushtia 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 (%) 85
Surgeries & Interventions done in District
Type
No.
Major Surgeries 9,925
Minor Surgeries 15,556
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 160 85 48 27 16.88
Non Doctor 3 2 0 1 33.33
Class II 78 6 69 3 3.85
Class III 788 382 302 104 13.20
Class IV 179 105 29 45 25.14

Kushtia 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 66 63 86 64 58 43 12 9 0
Nurse 0 0 0 0 71 68 117 113 60 68 0
Medical Assistant 0 0 66 660 10 10 0 0 16 0 0
Medical Technologist 0 0 0 0 72 65 14 14 0 0 0
CHCP 207 200 0 0 0 0 0 0 0 0 49
HI 0 0 0 0 18 17 0 0 0 0 0
AHI 0 0 0 0 52 50 0 0 0 0 0
HA 0 0 0 0 257 203 0 0 0 0 130

Kushtia 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


Kushtia 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) 2 2 0 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 1 1 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 6 5 1 0 0
Fax 1 0 1 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 2 2 0 0 0


Kushtia 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 3 3 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 35 29 6 0 0

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

Important information and necessary issues for Kushtia Civil Surgeon Office
1. Civil surgeon office hasbeen built in 1887. This building is too risky now. So new building needs tobe buildup is very essential. 2. 41 (Forty one) union sub center having no infra structure. 3. Manpower : 27 posts of medical officer are vacant. 4. Total 54 (fifty four) health assistants posts is vacant. So appointment of HA against the vacant posts are needed for better field level health service. 5. 50 (fifty) other class three posts are vacant. So appointment of against the vacant posts is needed for maintaining better services.