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Sunamganj Civil Surgeon Office | Health Bulletin 2015 |
Preface
Well come to Health Bulletin, Sunamganj District. This will help us planning for the next year . From this Bulletin the people can know the present health status of the district. I hope that all the information of this bulletin will help for planning and achieving the MDG target . Finally I would like to congratulate all concerned for initiating this Health Bulletin software which makes us one step ahead in achieving Digital Bangladesh.
Dr. Md. Abdul Hakim
Civil Surgeon
Sunamganj Civil Surgeon Office

Sunamganj Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md. Abdul Hakim
Organization Code 10002158
Name of District Sunamganj
Land Phone No. 1 0871-061707
Land Phone No. 2
FAX No. 61710
Mobile No. 01715097087
Email sunamganj@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 25.0652 And Long: 91.4103
No. of Upazila in the District11
No. of Households in the District 414,414
Population in the District 2,788,080
Area of District in sq km 3,670

Sunamganj 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 1 250
General Hospital 0 0
Upazila Health Complexes 11 298
No. of Union Sub-Centres 22 0
No. of Rural/Urban/Thana Dispensaries 2 40
No. of Community Clinics 211 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 6
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 3 30
No. of NGO Clinics/Facilities 1 10
No. of Other Hospitals

Sunamganj Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 74,755


Total No. of children treated under IMCI Program 311,639
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 13.62 per 1,000 live births.

Sunamganj 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: 61,848
Total Number of Deliveries: 75,734
No. of Maternal Deaths: 118
Valid TT Coverage: 53.00 %
Maternal Mortality Ratio (MMR) is 157.85 per 100,000 live births.

Sunamganj 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 35,570 40,067 75,637 17,986 18,689 36,675 112,312 14,574 12,510 27,084 3,690 3,564 7,254 34,338
Upazila Health Complex 291,620 211,826 503,446 63,232 55,501 118,733 622,179 27,109 20,164 47,273 4,535 5,482 10,017 57,290
Union Sub-Centres 73,725 96,929 170,654 28,521 27,370 55,891 226,545 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 10,753 23,610 34,363 7,427 6,748 14,175 48,538 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 11,628 27,591 39,219 9,568 12,591 22,159 61,378 2,962 1,683 4,645 585 482 1,067 67,090
Community Clinics 543,829 941,941 1,485,770 101,625 120,211 221,836 1,707,606 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) 0 785 785 0 0 0 785 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 1,649 1,495 3,144 28 0 28 3,172 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

Sunamganj 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 7,147 6,318 13,465 3,289 2,957 6,246 19,711 78 67 145 58 54 112 257
Upazila Health Complex 19,154 17,848 37,002 8,385 7,589 15,974 52,976 72 54 126 45 49 94 220
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 1,083 2,698 3,781 850 650 1,500 5,281 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 0 662 662 0 0 0 662 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 475 1,853 2,328 253 316 569 2,897 0 4 4 2 2 4 8
NGO Clinics/Facilities 108 528 636 68 57 125 761 0 1 1 1 0 1 2
Total 27,967 29,907 57,874 12,845 11,569 24,414 82,288 150 126 276 106 105 211 487

Sunamganj 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 77,051
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 12542 16.28
2 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 9082 11.79
3 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 7115 9.23
4 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation XI: Diseases of the digestive system 4830 6.27
5 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 3950 5.13
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1364 1.77
7 J459 Asthma, unspecified X: Diseases of the respiratory system 1017 1.32
8 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 898 1.17
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 483 0.63
10 F809 Developmental disorder of speech and language, unspecified V: Mental and behavioural disorders 450 0.58

Sunamganj 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 457
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 91 19.91
2 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 80 17.51
3 P219 Birth asphyxia, unspecified X: Diseases of the respiratory system 32 7.00
4 J459 Asthma, unspecified X: Diseases of the respiratory system 23 5.03
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 21 4.60
6 B949 Sequelae of unspecified infectious or parasitic disease I: Certain infectious and parasitic diseases 21 4.60
7 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 15 3.28
8 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 8 1.75
9 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 8 1.75
10 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 6 1.31

Sunamganj Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 86
Coverage of households having access to sanitary latrines (%) 74
Surgeries & Interventions done in District
Type
No.
Major Surgeries 35
Minor Surgeries 7,486
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 252 130 22 100 39.68
Non Doctor 4 1 0 3 75.00
Class II 328 2 82 244 74.39
Class III 917 367 237 313 34.13
Class IV 309 82 73 154 49.84

Sunamganj 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 14 109 59 59 23 5 6 0
Nurse 0 0 0 0 115 57 184 48 10 4 0
Medical Assistant 0 0 88 22 18 8 0 0 0 0 0
Medical Technologist 0 0 22 10 86 18 7 5 0 0 0
CHCP 242 215 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 29 28 0 0 0 0 0
AHI 0 0 0 0 87 86 0 0 0 0 0
HA 0 0 0 0 435 357 0 0 0 0 0

Sunamganj 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 1 1 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Sunamganj 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 1 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) 11 6 2 3 0
Laptop 4 4 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 7 3 2 2 0
Scanner 1 1 0 0 0
UPS 9 5 0 4 0
Fax 1 1 0 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


Sunamganj 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 2 0 1 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 44 28 5 11 0

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

Important information and necessary issues for Sunamganj Civil Surgeon Office
I am very much happy to publish The Health Bulletin of Sunamganj District. The bulletin contains the health related data and information of 2014 of the District. In the Year 2014 we have been working with all our Strength and limitations to improve health status of our population but could not ensure public demand due to some reason. I like to mention some important factors which help us to good performance in future like 1) All the vacant post of Doctors, Nurse & paramedics should be filled-up 2) IMCI service providers (Doctors, Nurse & SACMO) should need to better training 3) For better maternal health service both Health & family planning field worker should work jointly. For that in all UHC`s & District Hospital vacant post of Gynee consultant & Anesthetist should be filled-up. Dr. Md. Abdul Hakim Civil Surgeon .Sunamganj