Khagrachari Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish this Health Bulletin in khagrachari hill district .This bulletin contains all the basic and present Information of health services in khagrachari including of all the Upazila health complex and hospital of khagrachari.This is a Hill district of about 2700sq kilometer area. some places are very remote for communication .Instead of that, khagrachari has a remarkable achievement in the health programmes like EPI program, Malaria control program, EOC facilities, prevention of common diseases and overall community clinic service are the place of excellences where khagrachari remains high.The district sadar hospital which is at present 100 bed capacity provides round the clock service for not only the people of khagrachari district, but also the people of Baghaichari& Longadu upazila of Rangamati district. This bulletin reflects all the activities of the sadar hospital khagrachari and all the upazila hospitals under khagrachari. With a limited resource and a few doctors and even a fewer Consultant s, the authority always tries to provide best services as possible to the community. The basic data’s given in this bulletin reflects all the facilities major performances and achievements, all the constriants and above all our future plans and records . I would like to thank MIS dept. for help in publishing this health bulletin, Now a day’s ours all field staffs registering 0-1 yrs child and pregnant mother in separate register and at the end of the month on last working day, without EPI, sits in the middle place of Union with other field staff & NGO and make a final Tully of pregnant register, child register, no of ANC & PNC given, Maternal & under five death, FP methods, Misoprostol distributed, Malaria cases & death and all report compilation done in Upazillas & the at the District, Such a good database statistics are made. I wish every one`s good health in khagrachari Hill district.
Khagrachari Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr Nishit Nandi Majumder
Organization Code
10000975
Name of District Khagrachhari
Land Phone No. 1
-037161681
Land Phone No. 2
FAX No. 37161482
Mobile No. 01717720137
Email khagrachari@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.1127 And Long: 91.9898
No. of Upazila in the District 8
No. of Households in the District 119,915
Population in the District 638,967
Area of District in sq km 2,700
Khagrachari 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
100
General Hospital
0
0
Upazila Health Complexes
7
154
No. of Union Sub-Centres
11
0
No. of Rural/Urban/Thana Dispensaries
1
0
No. of Community Clinics
54
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
20
No. of Chest Disease Clinic (TB Clinics/Hospitals)
0
0
No. of Private Clinics/Facilities
1
10
No. of NGO Clinics/Facilities
1
10
No. of Other Hospitals
Khagrachari Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 17,154
Total No. of children treated under IMCI Program 66,363
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (NMR) is 5.60 per 1,000 live births.
Khagrachari 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: 29,582
Total Number of Deliveries: 2,756
No. of Maternal Deaths: 17
Valid TT Coverage: 80.00 %
Maternal Mortality Ratio (MMR) is
99.10 per 100,000 live births.
Khagrachari 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
27,443
33,084
60,527
6,334
6,146
12,480
73,007
1,972
999
2,971
237
150
387
3,358
Upazila Health Complex
115,201
152,265
267,466
41,808
56,418
98,226
365,692
6,454
5,607
12,061
3,365
2,713
6,078
18,139
Union Sub-Centres
22,300
45,256
67,556
6,207
8,907
15,114
82,670
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
712
1,176
1,888
564
612
1,176
3,064
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
8,572
21,151
29,723
3,999
6,607
10,606
40,329
906
7,968
8,874
1,920
1,980
3,900
3,900
Rural/Urban/Thana Dispensaries
948
2,792
3,740
1,328
0
1,328
5,068
0
0
0
0
0
0
5,068
Community Clinics
105,339
163,974
269,313
19,637
23,842
43,479
312,792
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)
2,138
9,647
11,785
1,948
2,089
4,037
15,822
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
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
Khagrachari 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
3,783
5,763
9,546
1,241
721
1,962
11,508
100
54
154
67
59
126
280
Upazila Health Complex
5,764
6,820
12,584
2,984
2,496
5,480
18,064
44
27
71
24
12
36
107
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
9,547
12,583
22,130
4,225
3,217
7,442
29,572
144
81
225
91
71
162
387
Khagrachari 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
26,934
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
2766
10.27
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1743
6.47
3
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
1624
6.03
4
R104 Other and unspecified abdominal pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1239
4.60
5
O809 Single spontaneous delivery, unspecified
XV: Pregnancy, childbirth and the puerperium
1076
3.99
6
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
996
3.70
7
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
532
1.98
8
T149 Injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
486
1.80
9
O82 Single delivery by caesarean section
XV: Pregnancy, childbirth and the puerperium
397
1.47
10
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
390
1.45
Khagrachari 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
383
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
73
19.06
2
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
31
8.09
3
A419 Septicaemia, unspecified
X: Diseases of the respiratory system
28
7.31
4
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
27
7.05
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
18
4.70
6
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
11
2.87
7
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
9
2.35
8
S099 Unspecified injury of head
XIX: Injury, poisoning and certain other consequences of external causes
7
1.83
9
B88 Other infestations
I: Certain infectious and parasitic diseases
7
1.83
10
I249 Acute ischaemic heart disease, unspecified
IX: Diseases of the circulatory system
6
1.57
Khagrachari 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 (%)
85
Surgeries & Interventions done in District
Type
No.
Major Surgeries
37
Minor Surgeries
2,777
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
128
67
17
44
34.38
Non Doctor
3
2
0
1
33.33
Class II
103
8
81
14
13.59
Class III
479
437
41
1
0.21
Class IV
203
129
63
11
5.42
Khagrachari 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
37
20
67
47
20
7
20
12
0
Nurse
0
0
7
3
66
61
0
0
55
15
0
Medical Assistant
0
0
23
23
25
25
0
0
15
0
0
Medical Technologist
0
0
1
1
38
37
3
3
0
0
0
CHCP
67
67
0
0
0
0
0
0
0
0
5
HI
0
0
0
0
13
6
0
0
0
0
5
AHI
0
0
0
0
41
35
0
0
0
0
0
HA
0
0
0
0
204
198
0
0
0
0
0
Khagrachari 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
Khagrachari 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
0
2
0
0
Air conditioner (window)
0
0
0
0
0
Generator
Generator (diesel/petrol)
1
1
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)
9
7
2
0
0
Laptop
3
3
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
9
7
2
0
0
Scanner
1
1
0
0
0
UPS
5
0
5
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
Khagrachari 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
3
3
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
39
28
11
0
0
Khagrachari Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Khagrachari Civil Surgeon Office
Important information and necessary issue of Khagrachari Civil Surgeon office:- 1) There is shortage of rooms for officers & staffs in the civil surgeon office. To solve this problem the office building urgently to extend vertically. 2) DRS should be extended. 3) Electricity is a countrywide problem but more in Khagrachari district It is very difficult to do official works without electricity. We need a generator with fuel to support this problem and continue official task smoothly. 4) An old four wheel jeep was given to civil surgeon seven years back. It is very difficult to move and supervise the field activities with this jeep. It requires frequent repairing. This should be replaced with new jeep urgently. 5) A computer lab should be constructed in civil surgeon office.6) A rest house for guest who often come to khagrachari for visit & monitoring of office health program me should be constructed either on the top of 2nd Flor of EPI building around the old EPI Tin shed Building.
Dr Nishit Nandi Majumder
Civil Surgeon
Khagrachari Hill District.
