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

Brahmanbaria Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am highly pleased and honored to publish the health bulletin 2014 of Brahmanbaria district. By publishing the bulletin, it gives me a great opportunity to be a part of the unique thought of present government to make digital Bangladesh by the year 2021. I really appreciate the innovative ideas and the excellent information systems that have been developed by the MIS, DGHS. The health bulletin-2014 reflects all important health related information of Brahmanbaria district at a glance. This bulletin will show the constrains as well as the success 2014 in health related events of Brahmanbaria district. It also contains the status of MDG4 and MDG5 thereby it will illuminate the MDG target and achievement simultaneously. I hope all this data provided in this bulletin will help the government and other health related development partners for planning in upcoming year and also identify the pitfalls and lacking of current year. Thus it can help us to identify the strengths, weakness, opportunities and threats related to service delivery which would guide us to take necessary action for further improvement. This bulletin also contains the information of safe drinking water, sanitation and human resources. I am really glad to declare that the percentage of fully vaccinated child of Brahmanbaria district was 96% and total TT coverage is 94% during the year 2014. I also like to mention that we achieved all indicators of AFP surveillance in 2013.Community clinic gave us a new arena of health care delivery at grass root level.I believe near future we can increase the number of institutional delivery and thus we can achieve our target in MDG5.l I appreciate MIS for their kind help to sort out our limitations of under reporting. Finally I would like to give my heartiest thanks to all the people who worked for this bulletin to make it perfect informative and easy to realize.
Dr.Hasina Akter
Civil Surgeon
Brahmanbaria Civil Surgeon Office

Brahmanbaria Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr.Hasina Akter
Organization Code 10000673
Name of District Brahmanbaria
Land Phone No. 1 0851-061255
Land Phone No. 2
FAX No. 85158503
Mobile No. 01711812014
Email brahmanbaria@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.9800 And Long: 91.1700
No. of Upazila in the District9
No. of Households in the District 469,148
Population in the District 3,042,638
Area of District in sq km 1,731

Brahmanbaria 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 6 224
No. of Union Sub-Centres 24 0
No. of Rural/Urban/Thana Dispensaries 1 10
No. of Community Clinics 235 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 2 20
No. of Private Clinics/Facilities 57 720
No. of NGO Clinics/Facilities 3 0
No. of Other Hospitals

Brahmanbaria Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 89,384


Total No. of children treated under IMCI Program 164,100
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (NMR) is 2.16 per 1,000 live births.

Brahmanbaria 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: 61,808
Total Number of Deliveries: 89,404
No. of Maternal Deaths: 28
Valid TT Coverage: 94.00 %
Maternal Mortality Ratio (MMR) is 31.33 per 100,000 live births.

Brahmanbaria 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 112,541 163,304 275,845 36,530 43,846 80,376 356,221 20,530 19,215 39,745 7,083 3,744 10,827 50,572
Union Sub-Centres 57,699 103,839 161,538 18,731 20,268 38,999 200,537 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) 67,628 232,202 299,830 21,394 29,174 50,568 350,398 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 427,198 915,683 1,342,881 103,294 127,867 231,161 1,574,042 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 7,439 7,439 0 0 0 7,439 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 11,147 8,565 19,712 336 414 750 20,462 0 0 0 0 0 0 0
Private Clinics/Facilities 50,949 45,102 96,051 11,343 12,495 23,838 119,889 2,635 2,869 5,504 775 874 1,649 7,153
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Bed Hospitals 6,430 7,629 14,059 4,019 2,565 6,584 20,643 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

Brahmanbaria 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 11,495 14,016 25,511 4,058 4,183 8,241 33,752 40 27 67 18 6 24 91
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 0 775 775 0 0 0 775 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 241 130 371 0 0 0 371 8 3 11 0 0 0 11
Private Clinics/Facilities 4,967 6,320 11,287 2,135 1,910 4,045 15,332 4 0 4 5 4 9 13
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 16,703 21,241 37,944 6,193 6,093 12,286 50,230 52 30 82 23 10 33 115

Brahmanbaria 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 33,752
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 9650 28.59
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 7892 23.38
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1406 4.17
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1048 3.11
5 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 824 2.44
6 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 766 2.27
7 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 680 2.01
8 J189 Pneumonia, unspecified X: Diseases of the respiratory system 500 1.48
9 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 435 1.29
10 V99 Unspecified transport accident XX: External causes of morbidity and mortality 346 1.03

Brahmanbaria 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 91
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 15 16.48
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 15 16.48
3 J189 Pneumonia, unspecified IX: Diseases of the circulatory system 10 10.99
4 V99 Unspecified transport accident XX: External causes of morbidity and mortality 9 9.89
5 W690 Drowning and submersion while in natural water, home XX: External causes of morbidity and mortality 9 9.89
6 J459 Asthma, unspecified X: Diseases of the respiratory system 8 8.79
7 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 5 5.49
8 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 4 4.40
9 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 2 2.20
10 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 2 2.20

Brahmanbaria 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 (%) 87
Surgeries & Interventions done in District
Type
No.
Major Surgeries 36
Minor Surgeries 6,906
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 193 96 49 48 24.87
Non Doctor 3 0 0 3 100.00
Class II 87 7 44 36 41.38
Class III 1153 642 324 187 16.22
Class IV 206 134 48 24 11.65

Brahmanbaria 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 96 74 90 59 0 0 5 5 0
Nurse 0 0 4 0 76 45 0 0 9 3 3
Medical Assistant 0 0 95 35 13 12 0 0 29 0 0
Medical Technologist 0 0 1 0 47 31 0 0 0 0 0
CHCP 296 236 0 0 0 0 0 0 0 0 11
HI 0 0 0 0 32 31 0 0 0 0 0
AHI 0 0 0 0 96 92 0 0 0 0 0
HA 0 0 0 0 480 440 0 0 3 3 17

Brahmanbaria 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


Brahmanbaria 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) 6 6 0 0 0
Generator
Generator (diesel/petrol) 1 0 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) 12 12 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 12 10 2 0 0
Scanner 1 1 0 0 0
UPS 9 7 2 0 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 1 1 0 0 0


Brahmanbaria 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 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 50 44 6 0 0

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

Important information and necessary issues for Brahmanbaria Civil Surgeon Office
The most important thing that i would like to mention that our district store is insufficient to store medicine and other stuffs.Thereby we need a more spacious central store for brahmanbaria district.Another thing that i would like to add that Brahmanbaria district surrounded by river,during rainy season it is difficult for us to continue our service without a boat.Country boat health care delivery system will help us in this regard. In 2013 new vechile was given to maximum civil surgeon, but unfortunately Brahmanbaria civil surgeon office was deprived the vechile is given to the civil surgeon office Brahbanbaria it would be very healpful for the inspection of field service activities.