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Bagerhat Civil Surgeon Office | Health Bulletin 2015 |
Preface
It is my great pleasure to publish the Health Bulletin-2015 of Bagerhat District for the 4th time.This bulletin contains health related information & data of bagerhat district for the period of January to December-2014. Health Bulletin is published to disseminate the information of bagerhat to other department partners of health.This health bulletin will help us to find constraints and also to see the results and achievements of 2014.Yet we are trying our best to discharge satisfactory services to the people. All our achievements, failures and short falls, have been reflected in this bulletin for general information & kind consideration of all concerned. Suggestions & directives for the improvement of our activities are cordially expected & will enrich our future planning & implementation. I am very much gratefull to Prof. A. K. Azad, ADG (Planning & Development) & Director, MIS, DGHS, Dhaka and Dr. Md. Masum Ali, Director (Health), Khulna Division for their cordial on line guidance to prepare & publish this "Health Bulletin-2015". I would like to thanks everybody who helped me to finish this task.
Dr. Md. Bakir Hossain
Civil Surgeon
Bagerhat Civil Surgeon Office

Bagerhat Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md. Bakir Hossain
Organization Code 10001692
Name of District Bagerhat
Land Phone No. 1 0468-062305
Land Phone No. 2 0468-62550
FAX No. 62229
Mobile No. 01711389546
Email bagerhat@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.6622 And Long: 89.7940
No. of Upazila in the District9
No. of Households in the District 337,767
Population in the District 1,591,359
Area of District in sq km 3,959

Bagerhat 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 9 305
No. of Union Sub-Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 189 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 19 170
No. of NGO Clinics/Facilities 4 10
No. of Other Hospitals

Bagerhat Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 25,344


Total No. of children treated under IMCI Program 124,196
Fully Vaccinated Children: 93.00
Neonatal Mortality Rate (NMR) is 21.27 per 1,000 live births.

Bagerhat 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: 26,118
Total Number of Deliveries: 25,675
No. of Maternal Deaths: 65
Valid TT Coverage: 60.00 %
Maternal Mortality Ratio (MMR) is 256.47 per 100,000 live births.

Bagerhat 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 54,975 62,160 117,135 9,055 9,959 19,014 136,149 2,247 1,553 3,800 326 217 543 4,343
Upazila Health Complex 95,891 188,064 283,955 39,835 44,248 84,083 368,038 15,512 15,582 31,094 2,097 2,313 4,410 35,504
Union Sub-Centres 19,946 47,513 67,459 7,622 11,101 18,723 86,182 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) 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 320,107 711,022 1,031,129 76,406 101,120 177,526 1,208,655 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) 1,051 7,107 8,158 2,328 4,256 6,584 14,742 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 656 391 1,047 97 0 97 1,144 0 0 0 0 0 0 0
Private Clinics/Facilities 931 1,136 2,067 122 221 343 2,410 110 121 231 11 8 19 250
NGO Clinics/Facilities 9,421 14,343 23,764 512 439 951 24,715 52 47 99 12 9 21 120
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

Bagerhat 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 4,925 6,739 11,664 1,978 3,642 5,620 17,284 117 67 184 43 33 76 260
Upazila Health Complex 14,317 19,270 33,587 2,012 4,418 6,430 40,017 160 139 299 43 47 90 389
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 221 314 535 101 0 101 636 3 2 5 2 0 2 7
NGO Clinics/Facilities 596 1,123 1,719 182 0 182 1,901 1 1 2 0 0 0 2
Total 20,059 27,446 47,505 4,273 8,060 12,333 59,838 281 209 490 88 80 168 658

Bagerhat 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 59,838
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 6829 11.41
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 6038 10.09
3 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1596 2.67
4 J45 Asthma X: Diseases of the respiratory system 1468 2.45
5 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 1455 2.43
6 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 1434 2.40
7 K35 Acute appendicitis XI: Diseases of the digestive system 1279 2.14
8 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 965 1.61
9 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 749 1.25
10 A08 Viral and other specified intestinal infections I: Certain infectious and parasitic diseases 297 0.50

Bagerhat 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 658
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 66 10.03
2 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 55 8.36
3 I219 Acute myocardial infarction, unspecified X: Diseases of the respiratory system 46 6.99
4 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 32 4.86
5 A40 Streptococcal septicaemia I: Certain infectious and parasitic diseases 22 3.34
6 T62 Toxic effect of other noxious substances eaten as food XIX: Injury, poisoning and certain other consequences of external causes 15 2.28
7 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 12 1.82
8 I50 Heart failure IX: Diseases of the circulatory system 12 1.82
9 I46 Cardiac arrest IX: Diseases of the circulatory system 7 1.06
10 D464 Refractory anaemia, unspecified II: Neoplasms 5 0.76

Bagerhat Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85
Coverage of households having access to sanitary latrines (%) 90
Surgeries & Interventions done in District
Type
No.
Major Surgeries 6,357
Minor Surgeries 19,598
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 217 83 25 109 50.23
Non Doctor 2 1 0 1 50.00
Class II 148 5 132 11 7.43
Class III 744 171 345 228 30.65
Class IV 220 136 68 16 7.27

Bagerhat 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 38 114 53 24 13 16 9 0
Nurse 0 0 0 0 105 97 38 36 22 23 0
Medical Assistant 0 0 65 65 24 24 0 0 31 0 0
Medical Technologist 0 0 8 7 90 53 6 6 0 0 0
CHCP 203 196 0 0 0 0 0 0 0 0 36
HI 0 0 0 0 23 19 0 0 0 0 0
AHI 0 0 0 0 68 63 0 0 0 0 0
HA 0 0 0 0 331 185 0 0 0 0 21

Bagerhat 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 3 1 1 1 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Bagerhat 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) 1 1 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 1 1 0 0 0
ICT equipment
Computer (desktop) 11 9 0 2 0
Laptop 2 2 0 0 0
Printer (dot matrix) 2 0 0 2 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 5 0 0 0
Scanner 2 2 0 0 0
UPS 6 6 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 3 3 0 0 0


Bagerhat 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 1 1 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 46 39 1 6 0

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

Important information and necessary issues for Bagerhat Civil Surgeon Office
1. The Vaccant posts of Doctors, Field Staffs, MT (Lab, Radio) and Supporting Staffs should be filled up immediately. 2. Doctors, Nurses & SACMOs need training on EmOC & IMCI. 3. X-Ray Service is not runing for the Vaccant of a MT (Radio). 4. All the repairable equipments should be repaired as soon as possible. 5. Recommendation putting CHCPs under government revenue budget for better results. 6. Female HA & CHCPs need CSBA training to increase the facilities based Normal Deliveries.