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Chittagong Civil Surgeon Office | Health Bulletin 2015 |
Preface
Chittagong,the port city and the second largest city of Bangladesh consists of 14 upazila with a population of 5331331 and city corporation area population 3071387.Under leadership of Civil Surgeon Chittagong, health service to people of Chittagong is depicted here in concise but scientific manner.It contains data regarding MDG-4& 5,manpower status & infrastructure as a whole. Thanks to MIS team of DGHS for their continuous support & corporation to develop such a nice software so that we can participate in Digital Health System.
Dr.Md. Sarfaraj Khan Chowdhury
Civil Surgeon
Chittagong Civil Surgeon Office

Chittagong Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr.Md. Sarfaraj Khan Chowdhury
Organization Code 10000750
Name of District Chittagong
Land Phone No. 1 -0634037
Land Phone No. 2
FAX No. 611252
Mobile No. 01819109478
Email chittagong@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.3390 And Long: 91.8330
No. of Upazila in the District14
No. of Households in the District 922,377
Population in the District 5,582,665
Area of District in sq km 5,284

Chittagong Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 1 1,010
District Hospital 0 0
General Hospital 1 250
Upazila Health Complexes 14 736
No. of Union Sub-Centres 73 0
No. of Rural/Urban/Thana Dispensaries 9 0
No. of Community Clinics 506 0
No of Trauma Centres 1 0
No. of MCWCs (belongs to DGFP) 3 0
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 71 355
No. of NGO Clinics/Facilities 17 20
No. of Other Hospitals

Chittagong Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 52,138


Total No. of children treated under IMCI Program 633,470
Fully Vaccinated Children: 54.00
Neonatal Mortality Rate (NMR) is 11.70 per 1,000 live births.

Chittagong 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: 55,288
Total Number of Deliveries: 52,683
No. of Maternal Deaths: 24
Valid TT Coverage: 95.00 %
Maternal Mortality Ratio (MMR) is 46.03 per 100,000 live births.

Chittagong 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 86,875 77,698 164,573 18,315 22,677 40,992 205,565 6,720 6,259 12,979 2,327 2,504 4,831 17,810
Upazila Health Complex 233,011 320,421 553,432 201,350 0 201,350 754,782 68,224 61,516 129,740 48,443 0 48,443 178,183
Union Sub-Centres 186,321 251,051 437,372 144,878 0 144,878 582,250 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 131,418 248,521 379,939 84,039 0 84,039 463,978 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 50,323 71,975 122,298 66,405 0 66,405 188,703 0 0 0 0 0 0 188,703
Community Clinics 964,524 1,909,457 2,873,981 720,105 0 720,105 3,594,086 0 0 0 0 0 0 0
Trauma Centres 25 19 44 11 0 11 55 30 25 55 11 0 11 66
MCWCs (belongs to DGFP) 415 4,211 4,626 1,486 0 1,486 6,112 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 28,854 43,290 72,144 46,644 0 46,644 118,788 5,493 4,382 9,875 4,050 0 4,050 13,925
NGO Clinics/Facilities 19,914 65,522 85,436 31,626 0 31,626 117,062 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

Chittagong 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 4,281 4,356 8,637 1,122 1,225 2,347 10,984 33 18 51 2 2 4 55
Upazila Health Complex 27,294 44,227 71,521 41,931 0 41,931 113,452 114 98 212 65 0 65 277
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 0 0 0 0 0 0 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 7,335 8,716 16,051 4,833 0 4,833 20,884 16 9 25 8 0 8 33
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 38,910 57,299 96,209 47,886 1,225 49,111 145,320 163 125 288 75 2 77 365

Chittagong 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 133,169
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 9856 7.40
2 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 8564 6.43
3 J459 Asthma, unspecified X: Diseases of the respiratory system 8352 6.27
4 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 6521 4.90
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 5231 3.93
6 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 5146 3.86
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 3362 2.52
8 T37 Poisoning by other systemic anti-infectives and antiparasitics XIX: Injury, poisoning and certain other consequences of external causes 3251 2.44
9 Y099 Assault by unspecified means, unspecified place XX: External causes of morbidity and mortality 985 0.74
10 Y00 Assault by blunt object XX: External causes of morbidity and mortality 691 0.52

Chittagong 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 360
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 28 7.78
2 J459 Asthma, unspecified X: Diseases of the respiratory system 27 7.50
3 Y101 Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent, residential institution X: Diseases of the respiratory system 19 5.28
4 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 13 3.61
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 11 3.06
6 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 9 2.50
7 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 5 1.39
8 I509 Heart failure, unspecified IX: Diseases of the circulatory system 4 1.11
9 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 3 0.83
10 S09 Other and unspecified injuries of head XIX: Injury, poisoning and certain other consequences of external causes 3 0.83

Chittagong Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 80
Coverage of households having access to sanitary latrines (%) 77
Surgeries & Interventions done in District
Type
No.
Major Surgeries 2,751
Minor Surgeries 7,631
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 544 361 106 77 14.15
Non Doctor 4 1 1 2 50.00
Class II 249 12 160 77 30.92
Class III 1743 663 640 440 25.24
Class IV 479 281 159 39 8.14

Chittagong 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 0 0 502 453 42 37 12 15 0
Nurse 0 0 0 0 255 138 94 83 0 30 0
Medical Assistant 0 0 0 0 226 136 0 0 93 0 0
Medical Technologist 0 0 0 0 89 56 0 0 0 0 0
CHCP 598 470 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 55 55 0 0 0 0 0
AHI 0 0 0 0 165 161 0 0 0 0 0
HA 0 0 0 0 819 682 0 0 0 0 0

Chittagong 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 2 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Chittagong 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) 7 4 0 0 3
Air conditioner (window) 3 3 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) 8 8 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 6 6 0 0 0
Printer (laser) 1 1 0 0 0
Scanner 1 1 0 0 0
UPS 8 8 0 0 0
Fax 1 1 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Chittagong 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 2 2 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 44 41 0 0 3

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

Important information and necessary issues for Chittagong Civil Surgeon Office
Once upon a time Civil Surgeon office was at Fairy hill 5 Loyal Road. In course of time it was shifted to Medical School building of Chittagong General Hospital on 27-9-1971. No new building were constructed for office or residence of Civil Surgeon. But now Govt. has planned to construct office and residence in the of ''Integrated Office Complex'' at Fairy hill under HPNSDP. For which we ate really grateful to the Govt. and express our sincere tanks. We have our sincere gratitude to our Honorable Prime Minster, Health Minister & others of Ministry of Health & Family Welfare for their continuing support to render our services to the rural people of Bangladesh from Community Clinic to tertiary & specialized hospitals. We should emphasize and ensure the staying of trained personnel 24 hours at the EmoC centers to provide the real quality services to the pregnant mothers and children.