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Coxs Bazar Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very much glad to publish this Health Bulletin of Upazilla & District level. This Bulletin contain all Kinds of health related information of 2015 including status of M D G 4 & 5. current situation of Local health department. I have to congratulate the director MIS DGHS to take the initiative of health bulletin software. I hope that this bulletin will help for future planning & Necessary action of health sector.
Dr. Md.Kamar Uddin
Civil Surgeon
Coxs Bazar Civil Surgeon Office

Coxs Bazar Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md.Kamar Uddin
Organization Code 10000921
Name of District Cox's Bazar
Land Phone No. 1 0341-063768
Land Phone No. 2 0341-63767
FAX No. 34163638
Mobile No. 01711984143
Email coxsbazar@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 21.2559 And Long: 91.5828
No. of Upazila in the District8
No. of Households in the District 418,729
Population in the District 2,466,568
Area of District in sq km 2,229

Coxs Bazar Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 1 0
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 7 293
No. of Union Sub-Centres 12 0
No. of Rural/Urban/Thana Dispensaries 1 0
No. of Community Clinics 174 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 22 355
No. of NGO Clinics/Facilities 5 30
No. of Other Hospitals

Coxs Bazar Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 64,230


Total No. of children treated under IMCI Program 316,637
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (NMR) is 8.83 per 1,000 live births.

Coxs Bazar 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: 61,914
Total Number of Deliveries: 40,361
No. of Maternal Deaths: 69
Valid TT Coverage: 38.00 %
Maternal Mortality Ratio (MMR) is 107.43 per 100,000 live births.

Coxs Bazar 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 44,764 71,359 116,123 50,773 55 50,828 166,951 7,155 9,578 16,733 5,441 6 5,447 22,180
Upazila Health Complex 160,982 221,797 382,779 9,303 63,164 72,467 455,246 107,736 103,479 211,215 8,053 6,942 14,995 226,210
Union Sub-Centres 72,475 110,926 183,401 16,356 15,191 31,547 214,948 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) 60,131 107,931 168,062 2,106 24,200 26,306 194,368 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 331,268 593,858 925,126 118,652 121,252 239,904 1,165,030 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 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 1,610 2,120 3,730 0 0 0 3,730 1,610 2,120 3,730 0 0 0 3,730
Private Clinics/Facilities 19,405 26,504 45,909 2,706 3,062 5,768 51,677 1,752 2,031 3,783 993 1,182 2,175 5,958
NGO Clinics/Facilities 7,730 12,680 20,410 0 0 0 20,410 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

Coxs Bazar 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 10,634 14,897 25,531 8,829 9 8,838 34,369 265 239 504 153 167 320 824
Upazila Health Complex 19,477 24,369 43,846 13,132 12,339 25,471 69,317 28 22 50 16 21 37 87
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 0 875 875 0 0 0 875 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 9,464 12,838 22,302 4,246 0 4,246 26,548 49 57 106 106 0 106 212
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 39,575 52,979 92,554 26,207 12,348 38,555 131,109 342 318 660 275 188 463 1,123

Coxs Bazar 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 32,906
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 14795 44.96
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 6975 21.20
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 3925 11.93
4 J45 Asthma X: Diseases of the respiratory system 1552 4.72
5 Y04 Assault by bodily force XX: External causes of morbidity and mortality 1497 4.55
6 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1246 3.79
7 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1143 3.47
8 T06 Other injuries involving multiple body regions, NEC XIX: Injury, poisoning and certain other consequences of external causes 676 2.05
9 A400 Septicaemia due to streptococcus, group A I: Certain infectious and parasitic diseases 612 1.86
10 N399 Disorder of urinary system, unspecified XIV: Diseases of the genitourinary system 485 1.47

Coxs Bazar 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 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 22 24.18
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 18 19.78
3 J189 Pneumonia, unspecified XIX: Injury, poisoning and certain other consequences of external causes 17 18.68
4 P36 Bacterial sepsis of newborn XVI: Certain conditions originating in the perinatal period 16 17.58
5 I21 Acute myocardial infarction IX: Diseases of the circulatory system 6 6.59
6 J459 Asthma, unspecified X: Diseases of the respiratory system 5 5.49
7 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 3 3.30
8 K52 Other noninfective gastroenteritis and colitis XI: Diseases of the digestive system 2 2.20
9 A49 Bacterial infection of unspecified site I: Certain infectious and parasitic diseases 1 1.10
10 G01 Meningitis in bacterial diseases classified elsewhere VI: Diseases of the nervous system 1 1.10

Coxs Bazar Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98
Coverage of households having access to sanitary latrines (%) 95
Surgeries & Interventions done in District
Type
No.
Major Surgeries 966
Minor Surgeries 6,946
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 2 2 0 0 0.00
Non Doctor 3 2 0 1 33.33
Class II 4 1 1 2 50.00
Class III 19 13 0 6 31.58
Class IV 8 5 1 2 25.00

Coxs Bazar 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 73 69 117 67 62 39 14 4 0
Nurse 0 0 0 0 88 30 74 64 1 6 0
Medical Assistant 0 0 71 27 13 10 0 0 0 0 0
Medical Technologist 0 0 10 4 58 26 11 9 0 0 0
CHCP 213 180 0 0 0 0 0 0 180 0 0
HI 0 0 0 0 21 14 0 0 0 0 70
AHI 0 0 0 0 63 62 0 0 0 0 0
HA 0 0 0 0 314 241 0 0 0 0 0

Coxs Bazar 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


Coxs Bazar 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 2 1 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) 13 8 5 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 7 5 2 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 0 0 0
Scanner 1 1 0 0 0
UPS 5 2 3 0 0
Fax 2 1 1 0 0
Intercom 1 1 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 3 2 1 0 0


Coxs Bazar 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) 1 1 0 0 0
Land phone 2 2 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 2 0 2 0 0
Digital camera 1 1 0 0 0
Video camera 0 0 0 0 0
Total 48 33 15 0 0

Coxs Bazar Civil Surgeon Office | Health Bulletin 2015 | Page# 14

Important information and necessary issues for Coxs Bazar Civil Surgeon Office
Important information and necessary issues for Cox's Bazar Civil Surgeon Office: Many Field Staff posts are vacant.The vacant posts should be filled up Immediately. Civil Surgeon office is the main administrative place of the Health Department at district level. Cox's Bazar civil surgeon office was built 1985.