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.
Chittagong Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr.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 District 14
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.