Chandpur Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am honored to publish the “Health Bulletin 2014” of Chandpur District. This Bulletin contains all the important information on health related issues of Chandpur district of the year 2014. This health bulletin will elucidate the constrains as well as the success of the year 2014. It reflects the health status of the whole district at a glance. It contains the status of MDG4 and MDG5; thereby it will illuminate the MDG target and achievement simultaneously. Unfortunately our MDG achievement does not correlate with the actual national status; but we are happy to sort out our limitations of under reporting. That’s why I am grateful to MIS that they are helping us to find out our area to give concentration. In spite of that, I am very happy to declare that the percentage of fully vaccinated child as well as measles coverage of chandpur district was 97% during the year 2014. At last but not the least, I am very glad to congratulate the originator and all the staffs related to the health bulletin software for directing us one step ahead towards the Digital Bangladesh. With Thanks.
Chandpur Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Rathindra Nath Majumder
Organization Code
10000701
Name of District Chandpur
Land Phone No. 1
0841-084163570
Land Phone No. 2
FAX No. 84167512
Mobile No. 01711585782
Email chandpur@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.0000 And Long: 91.0000
No. of Upazila in the District 8
No. of Households in the District 466,245
Population in the District 2,575,196
Area of District in sq km 1,704
Chandpur 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
0
0
General Hospital
1
250
Upazila Health Complexes
8
293
No. of Union Sub-Centres
20
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
201
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
2
26
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
0
No. of Private Clinics/Facilities
42
450
No. of NGO Clinics/Facilities
9
202
No. of Other Hospitals
Chandpur Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 62,337
Total No. of children treated under IMCI Program 139,765
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (NMR) is 7.48 per 1,000 live births.
Chandpur 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: 66,500
Total Number of Deliveries: 62,729
No. of Maternal Deaths: 58
Valid TT Coverage: 87.00 %
Maternal Mortality Ratio (MMR) is
93.04 per 100,000 live births.
Chandpur 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
61,059
61,103
122,162
29,160
31,396
60,556
182,718
15,514
13,879
29,393
6,180
7,388
13,568
42,961
Upazila Health Complex
79,316
98,753
178,069
30,114
31,296
61,410
239,479
14,323
17,400
31,723
4,459
4,913
9,372
41,095
Union Sub-Centres
58,812
75,513
134,325
14,641
10,924
25,565
159,890
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
34,251
111,144
145,395
16,018
27,589
43,607
189,002
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
26,385
128,021
154,406
37,335
17,916
55,251
209,657
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
413,017
859,413
1,272,430
84,819
94,947
179,766
1,452,196
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)
92
482
574
61
79
140
714
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
2,936
1,771
4,707
145
199
344
5,051
0
0
0
0
0
0
0
Private Clinics/Facilities
30,557
34,791
65,348
12,167
14,016
26,183
91,531
141
65
206
18
16
34
240
NGO Clinics/Facilities
94
15,578
15,672
6,630
6,935
13,565
29,237
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
Chandpur 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
9,102
11,260
20,362
4,798
5,384
10,182
30,544
121
99
220
58
52
110
330
Upazila Health Complex
13,372
16,821
30,193
3,562
3,986
7,548
37,741
75
40
115
28
26
54
169
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
716
716
0
0
0
716
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
1,554
3,689
5,243
764
51
815
6,058
0
0
0
5
3
8
8
NGO Clinics/Facilities
4,207
8,755
12,962
11,223
13,200
24,423
37,385
2
1
3
0
3
3
6
Total
28,235
41,241
69,476
20,347
22,621
42,968
112,444
198
140
338
91
84
175
513
Chandpur 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
68,308
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
5707
8.35
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
3661
5.36
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2963
4.34
4
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
2820
4.13
5
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
2654
3.89
6
J45 Asthma
X: Diseases of the respiratory system
2200
3.22
7
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
1860
2.72
8
A409 Streptococcal septicaemia, unspecified
I: Certain infectious and parasitic diseases
1157
1.69
9
N39 Other disorders of urinary system
XIV: Diseases of the genitourinary system
1053
1.54
10
B349 Viral infection, unspecified
I: Certain infectious and parasitic diseases
1015
1.49
Chandpur 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
498
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
64
12.85
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
40
8.03
3
J189 Pneumonia, unspecified
IX: Diseases of the circulatory system
39
7.83
4
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
32
6.43
5
V466 Car occupant injured in collision with other nonmotor vehicle, passenger, traffic accident
XX: External causes of morbidity and mortality
21
4.22
6
P361 Sepsis of newborn due to other and unspecified streptococci
XVI: Certain conditions originating in the perinatal period
16
3.21
7
T36 Poisoning by systemic antibiotics
XIX: Injury, poisoning and certain other consequences of external causes
16
3.21
8
A409 Streptococcal septicaemia, unspecified
I: Certain infectious and parasitic diseases
13
2.61
9
X48 Accidental poisoning by and exposure to pesticides
XX: External causes of morbidity and mortality
10
2.01
10
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
8
1.61
Chandpur Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
82
Coverage of households having access to sanitary latrines (%)
93
Surgeries & Interventions done in District
Type
No.
Major Surgeries
286
Minor Surgeries
3,452
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
263
144
63
56
21.29
Non Doctor
6
0
0
6
100.00
Class II
179
9
121
49
27.37
Class III
1249
532
327
390
31.22
Class IV
220
119
42
59
26.82
Chandpur 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
89
70
105
79
65
48
8
7
0
Nurse
0
0
0
0
89
62
93
64
15
13
0
Medical Assistant
0
0
89
68
13
13
0
0
31
0
0
Medical Technologist
0
0
0
0
51
38
11
10
0
0
0
CHCP
291
197
0
0
0
0
0
0
0
0
11
HI
0
0
0
0
34
34
0
0
0
0
0
AHI
0
0
0
0
100
100
0
0
0
0
2
HA
0
0
0
0
494
339
0
0
0
0
41
Chandpur 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
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Chandpur 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
0
1
0
Air conditioner (window)
1
1
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)
7
6
0
0
1
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
4
1
0
0
Scanner
1
1
0
0
0
UPS
4
4
0
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
0
0
1
0
Multimedia
1
1
0
0
0
Chandpur 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
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
29
25
1
2
1
Chandpur Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Chandpur Civil Surgeon Office
I would like to focus some issues which have already become the crying need for the development of health sector of our district. Firstly, I want to ask for the set up of EPI stores at CS office as well as at all UHCs, as from the very beginning we are keeping our valuable logistics at passages (varanda) which lead to risk of damage of those materials. Secondly, we need 4 wheeled vehicle for our UHFPO as they need to go for regular field visits and they have to move on emergencies. This is all about our demand and request to help us to work with confidence for the success of government of Bangladesh. As it is a good platform to talk, I have taken the opportunity to get your support. Thanks a lot for your time and consideration.
