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HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Bhola Civil Surgeon Office | Health Bulletin 2013 |
Preface
MH&FW Launched a program named HPNSDP 2011-2016, this program has 32 operational plans. Health information system & e- health will implement this operational plan. Health bulletin software development is a time demanding activities for digital Bangladesh concept .I want to salute the initiator of Health bulletin software , within this bulletin over service ,achievement ,necessities ,lacking ,limitation ,our action plan is to bring the health service to the door of the people MDG-4, MDG-5 , Bangladesh with sanitation , safe drinking water nutritional statues ,CC based achievement all aspect are intro med (2012yrs January to December 2012- Bhola District,This Bulletin will help to plan and bridge the gaps in the health service Delivery of Bhola District. Bhola District need a Child Hospital,a trauma Hospital ,a eye Hospital in future . We want to see then a Cardiac Disease Hospital here for the better health of people of Bhola. EmOC activities is not enough good due to lack of pair Doctor and commitment (Doctor).
Dr. farid Ahmed
Civil Surgeon
Bhola Civil Surgeon Office

Bhola Civil Surgeon Office | Health Bulletin 2013 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. farid Ahmed
Organization Code 10002001
Name of District Bhola
Land Phone No. 1 -049161422
Land Phone No. 2
FAX No. 49161422
Mobile No. 01715110026
Email bhola@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.6755 And Long: 90.6552
No. of Upazila in the District7
No. of Households in the District 364,221
Population in the District 1,978,716
Area of District in sq km 3,823

Bhola Civil Surgeon Office | Health Bulletin 2013 | 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 6 262
No. of Union Sub-Centres 2 0
No. of Rural/Urban/Thana Dispensaries 1 30
No. of Community Clinics 195 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 8 90
No. of NGO Clinics/Facilities 6 7
No. of Other Hospitals

Bhola Civil Surgeon Office | Health Bulletin 2013 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2012)
No. of Live Births: 54,421


Total No. of children treated under IMCI Program 155,245
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 12.72 per 1,000 live births.

Bhola Civil Surgeon Office | Health Bulletin 2013 | 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, 2012)


Total No. of Recipients Who Took at least one ANC: 42,268
Total Number of Deliveries: 47,237
No. of Maternal Deaths: 88
Valid TT Coverage: 58.28 %
Maternal Mortality Ratio (MMR) is 161.70 per 100,000 live births.

Bhola Civil Surgeon Office | Health Bulletin 2013 | 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 26,317 35,688 62,005 13,643 0 13,643 75,648 4,358 3,182 7,540 1,401 0 1,401 8,941
Upazila Health Complex 99,882 122,666 222,548 74,358 0 74,358 296,906 14,671 11,985 26,656 10,174 0 10,174 36,830
Union Sub-Centres 9,562 12,487 22,049 5,322 0 5,322 27,371 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 22,196 24,319 46,515 12,484 0 12,484 58,999 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 3,904 4,552 8,456 3,011 0 3,011 11,467 0 0 0 0 0 0 11,467
Community Clinics 459,969 802,408 1,262,377 292,202 0 292,202 1,554,579 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) 996 14,780 15,776 5,772 0 5,772 21,548 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 1,081 893 1,974 167 0 167 2,141 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 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

Bhola Civil Surgeon Office | Health Bulletin 2013 | 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 8,186 9,105 17,291 5,104 0 5,104 22,395 155 195 350 156 0 156 506
Upazila Health Complex 12,600 15,234 27,834 8,998 0 8,998 36,832 85 82 167 95 0 95 262
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 2,334 2,334 0 0 0 2,334 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 2,110 2,110 0 0 0 2,110 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 20,786 28,783 49,569 14,102 0 14,102 63,671 240 277 517 251 0 251 768

Bhola Civil Surgeon Office | Health Bulletin 2013 | 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 63,671
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 10560 16.59
2 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 8016 12.59
3 K25 Gastric ulcer XI: Diseases of the digestive system 4469 7.02
4 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 3769 5.92
5 V870 Person injured in collision between car and two- or three-wheeled motor vehicle (traffic) XX: External causes of morbidity and mortality 1853 2.91
6 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1066 1.67
7 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 798 1.25
8 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 560 0.88
9 E611 Iron deficiency IV: Endocrine, nutritional and metabolic diseases 558 0.88
10 O03 Spontaneous abortion XV: Pregnancy, childbirth and the puerperium 548 0.86

Bhola Civil Surgeon Office | Health Bulletin 2013 | 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 768
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 218 28.39
2 I609 Subarachnoid haemorrhage, unspecified IX: Diseases of the circulatory system 166 21.61
3 P969 Condition originating in the perinatal period, unspecified XVI: Certain conditions originating in the perinatal period 37 4.82
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 35 4.56
5 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 25 3.26
6 V870 Person injured in collision between car and two- or three-wheeled motor vehicle (traffic) XX: External causes of morbidity and mortality 25 3.26
7 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 11 1.43
8 J450 Predominantly allergic asthma X: Diseases of the respiratory system 8 1.04
9 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 8 1.04
10 E611 Iron deficiency IV: Endocrine, nutritional and metabolic diseases 4 0.52

Bhola Civil Surgeon Office | Health Bulletin 2013 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 93
Coverage of households having access to sanitary latrines (%) 80
Surgeries & Interventions done in District
Type
No.
Major Surgeries 910
Minor Surgeries 1,835
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 200 54 6 140 70.00
Non Doctor 3 2 0 1 33.33
Class II 138 10 75 53 38.41
Class III 967 507 228 232 23.99
Class IV 213 154 28 31 14.55

Bhola Civil Surgeon Office | Health Bulletin 2013 | 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 0 0 0 0 0 0 25 9 0
Nurse 0 0 4 2 82 40 49 41 34 20 0
Medical Assistant 0 0 62 15 12 8 0 0 18 0 0
Medical Technologist 0 0 1 0 53 33 0 0 0 0 0
CHCP 243 207 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 22 19 0 0 0 0 0
AHI 0 0 0 0 68 67 0 0 0 0 0
HA 0 0 0 0 339 290 0 0 0 0 0

Bhola Civil Surgeon Office | Health Bulletin 2013 | 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


Bhola Civil Surgeon Office | Health Bulletin 2013 | 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) 3 2 1 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 0 0 0 0 0
ICT equipment
Computer (desktop) 5 3 2 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 3 0 0 2
Scanner 1 1 0 0 0
UPS 0 0 0 0 0
Fax 1 0 0 1 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Bhola Civil Surgeon Office | Health Bulletin 2013 | Page# 13

Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
OHP 0
PA system (Sound) 1 1 0 0 0
Land phone 2 2 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 28 19 6 1 2

Bhola Civil Surgeon Office | Health Bulletin 2013 | Page# 14

Important information and necessary issues for Bhola Civil Surgeon Office
In 1984 Bangladesh Government declared Bhola as district. After declaration of district Bhola Civil surgeon office performed its activities in Sadar upzila Health Complex which was 6 beded Hospital at British period . Then 1988 new civil surgeon office Constructed in Bhola sadar Hospital campus which was very small space and congested and not enough room for staff of civil surgeon office & DRS store. Now EPI store is under construction.There are shortage of fax machine, photo copier, Dextop Computer. If we It could not fill the lacking then MIS system will be interrupted. It can be mentioned here that every civil surgeon office has a guest room but Bhola has not. Hence it is very much necessary to entertain the guest of Bhola as well maintain the good reputation of district people`s hospitability. In connection bhola has 7 upzila and most of them are far from CS office so if any kind of district Meeting is held UH&FPO & other official can not take rest due to absence of guest room. So it is time demand to make guest room in CS office. Bhola has a district Hospital which in recently declared 250 bedded but it is running with 50 bedded staff only. So eventually patients were not satisfied due to shortage of service provider. On the other hand, Averagely 180 patient admitted in this hospital which is burden for present staff. Now 250 beded new building is under construction. Now it requires sanction of manpower of 100 beded Hospital & immediate posting. Otherwise Bhola could not delivered her service to the door of the people which is current government vision. If we want to implement the digital health service and effective referral system then we need ambulance, driver and fuel as well as water ambulance. As because bhola is a island district and it has no road communication with other district. To achieve the Millennium Development Goal we need also a specialized child hospital. Bhola demands a Truma centre due to huge road traffic accident.