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Chapai Nawabganj Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of Chapai Nawabganj district in fourth time for the year of 2015. This bulletin is published to disseminate the information of this district to all. I hope all the information of this bulletin will help for planning and getting decision of the gaps of this district in health services. Finally, I would like to congratulate the initiator for arranging the software based exposing data system. Dr. Md. Alauddin Civil Surgeon, Chapai Nawabganj.
Dr. Md. Alauddin
Civil Surgeon
Chapai Nawabganj Civil Surgeon Office

Chapai Nawabganj Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md. Alauddin
Organization Code 10001185
Name of District Chapai Nawabganj
Land Phone No. 1 0781-052314
Land Phone No. 2
FAX No. 78153459
Mobile No. 01712226737
Email chapainawabganj@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.5969 And Long: 88.2758
No. of Upazila in the District5
No. of Households in the District 282,678
Population in the District 1,732,686
Area of District in sq km 1,956

Chapai Nawabganj 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 5 143
No. of Union Sub-Centres 20 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 143 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 45 419
No. of NGO Clinics/Facilities 2 20
No. of Other Hospitals

Chapai Nawabganj Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 24,372


Total No. of children treated under IMCI Program 153,247
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 6.93 per 1,000 live births.

Chapai Nawabganj 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: 36,127
Total Number of Deliveries: 24,542
No. of Maternal Deaths: 7
Valid TT Coverage: 39.00 %
Maternal Mortality Ratio (MMR) is 28.72 per 100,000 live births.

Chapai Nawabganj 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 42,080 53,280 95,360 18,510 22,581 41,091 136,451 20,150 25,302 45,452 3,898 4,563 8,461 53,913
Upazila Health Complex 98,316 121,606 219,922 18,076 19,632 37,708 257,630 7,420 7,194 14,614 1,048 1,001 2,049 16,663
Union Sub-Centres 80,819 124,894 205,713 19,980 16,980 36,960 242,673 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 53,452 97,266 150,718 7,687 9,785 17,472 168,190 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 2,080 2,520 4,600 200 300 500 5,100 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 6,159 9,751 15,910 791 0 791 16,701 0 0 0 0 0 0 16,701
Community Clinics 348,607 690,556 1,039,163 68,123 105,050 173,173 1,212,336 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 11,192 11,192 1,087 2,292 3,379 14,571 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 222 283 505 10 12 22 527 0 0 0 0 0 0 0
Private Clinics/Facilities 4,846 7,146 11,992 1,023 1,575 2,598 14,590 0 0 0 0 0 0 0
NGO Clinics/Facilities 8,592 34,082 42,674 0 0 0 42,674 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

Chapai Nawabganj 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 11,000 14,831 25,831 5,753 6,243 11,996 37,827 187 145 332 102 89 191 523
Upazila Health Complex 6,520 11,515 18,035 1,420 1,183 2,603 20,638 32 11 43 2 1 3 46
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 0 899 899 0 0 0 899 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 2,035 4,648 6,683 200 140 340 7,023 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 531 531 0 0 0 531 0 0 0 4 0 4 4
Total 19,555 32,424 51,979 7,373 7,566 14,939 66,918 219 156 375 108 90 198 573

Chapai Nawabganj 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 47,077
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 8530 18.12
2 J14 Pneumonia due to Haemophilus influenzae X: Diseases of the respiratory system 3599 7.64
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 2401 5.10
4 H160 Corneal ulcer VII: Diseases of the eye and adnexa 2087 4.43
5 J45 Asthma X: Diseases of the respiratory system 1483 3.15
6 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 870 1.85
7 W51 Striking against or bumped into by another person XX: External causes of morbidity and mortality 802 1.70
8 D53 Other nutritional anaemias III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 680 1.44
9 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 558 1.19
10 I73 Other peripheral vascular diseases IX: Diseases of the circulatory system 410 0.87

Chapai Nawabganj 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 378
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 93 24.60
2 Q210 Ventricular septal defect XVII: Congenital malformations, deformations and chromosomal abnormalities 41 10.85
3 J44 Other chronic obstructive pulmonary disease XVI: Certain conditions originating in the perinatal period 19 5.03
4 J45 Asthma X: Diseases of the respiratory system 18 4.76
5 A41 Other septicaemia I: Certain infectious and parasitic diseases 11 2.91
6 P81 Other disturbances of temperature regulation of newborn XVI: Certain conditions originating in the perinatal period 6 1.59
7 J189 Pneumonia, unspecified X: Diseases of the respiratory system 5 1.32
8 D53 Other nutritional anaemias III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 3 0.79
9 I501 Left ventricular failure IX: Diseases of the circulatory system 2 0.53
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 0.53

Chapai Nawabganj Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95
Coverage of households having access to sanitary latrines (%) 85
Surgeries & Interventions done in District
Type
No.
Major Surgeries 1,950
Minor Surgeries 2,115
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 143 57 35 51 35.66
Non Doctor 3 0 1 2 66.67
Class II 83 8 70 5 6.02
Class III 523 341 105 77 14.72
Class IV 162 90 33 39 24.07

Chapai Nawabganj 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 45 38 50 33 42 15 5 3 0
Nurse 0 0 0 0 45 43 36 36 6 11 0
Medical Assistant 0 0 45 42 8 8 0 0 11 0 0
Medical Technologist 0 0 0 0 29 29 5 5 0 0 0
CHCP 148 136 0 0 0 0 0 0 0 0 40
HI 0 0 0 0 15 11 0 0 0 0 0
AHI 0 0 0 0 43 43 0 0 0 0 0
HA 0 0 0 0 215 177 0 0 0 0 35

Chapai Nawabganj 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 1 0 1 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Chapai Nawabganj 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) 3 3 0 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) 5 5 0 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 6 4 0 2 0
Fax 1 0 1 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 2 1 1 0 0


Chapai Nawabganj 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 1 1 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 31 25 3 3 0

Chapai Nawabganj Civil Surgeon Office | Health Bulletin 2015 | Page# 14

Important information and necessary issues for Chapai Nawabganj Civil Surgeon Office
To the best of my knowledge the Statistician are the key person for this purpose.They are all University graduate but their scale-salary is not expectable as well as their status. So, it is very very necessary to upgrade their salary structure and service status. Authorities are requested to give extra vision for changing their luck who are more skilled than other health service provider. Thanks to the initiator and all of you. See you next time.