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Khulna Civil Surgeon Office | Health Bulletin 2015 |
Preface
It gives me an immense pleasure that The Health Bulletin of management information System(MIS) under the Director general of Health Services are going to published each and every upazila and District throughout the Bangladesh.Of its continuation I am glad to publish this health bulletin of Khulna district. This bulletin contains all the health related information of 2014. It is published to disseminate the information of this bulletin will be helpful for planning and bridging the gaps in the health services of this district. We use this health bulletin to understand how much progress we could do better. The bulletin contains the status of MDG 4 & 5 which will help to locate the MDG targets. The sanctioned & vacant post is published in this bulletin. I like to take attention of the higher authority to look after this burning issue. This health bulletin has also the information on safe drinking water & sanitation status of the district.I extend my sincere thanks & appreciation to professor Dr. Abul Kalam Azad, Additional director general(planning & development) & line director of MIS, Director General of Health Services (DGHS),Mohakhali,Dhaka who has brought the bulletin at this stage. I would like to thank concerned officers & staffs of MIS who made their valuable contribution to this bulletin.I am looking forward to better version in the coming year.
Dr. Md. Yasin Ali Sardar
Civil Surgeon
Khulna Civil Surgeon Office

Khulna Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md. Yasin Ali Sardar
Organization Code 10001804
Name of District Khulna
Land Phone No. 1 041-0725286
Land Phone No. 2 041-723846
FAX No. 729392
Mobile No. 01827523576
Email khulna@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.8180 And Long: 89.5676
No. of Upazila in the District9
No. of Households in the District 530,498
Population in the District 3,237,190
Area of District in sq km 4,394

Khulna Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 1 500
District Hospital 0 0
General Hospital 1 150
Upazila Health Complexes 9 393
No. of Union Sub-Centres 14 0
No. of Rural/Urban/Thana Dispensaries 3 0
No. of Community Clinics 202 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 2 40
No. of Chest Disease Clinic (TB Clinics/Hospitals) 2 100
No. of Private Clinics/Facilities 181 2140
No. of NGO Clinics/Facilities 3 120
No. of Other Hospitals

Khulna Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 28,992


Total No. of children treated under IMCI Program 223,893
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 6.35 per 1,000 live births.

Khulna 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: 46,660
Total Number of Deliveries: 18,766
No. of Maternal Deaths: 31
Valid TT Coverage: 6.00 %
Maternal Mortality Ratio (MMR) is 106.93 per 100,000 live births.

Khulna 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 55,346 91,647 146,993 21,909 525 22,434 169,427 6,725 5,285 12,010 2,110 450 2,560 14,570
Upazila Health Complex 122,415 183,967 306,382 27,155 32,658 59,813 366,195 12,328 11,981 24,309 1,994 2,052 4,046 28,355
Union Sub-Centres 63,129 99,323 162,452 12,689 20,318 33,007 195,459 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) 55,948 180,357 236,305 20,432 28,639 49,071 285,376 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 10,448 26,961 37,409 3,386 5,080 8,466 45,875 0 0 0 0 0 0 45,875
Community Clinics 346,532 704,392 1,050,924 63,497 52,413 115,910 1,166,834 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) 750 1,543 2,293 250 326 576 2,869 0 105 105 0 0 0 105
Chest Disease Clinics (TB Clinics) 2,015 1,319 3,334 4 2 6 3,340 0 0 0 0 0 0 0
Private Clinics/Facilities 33,239 35,821 69,060 11,709 12,584 24,293 93,353 458 722 1,180 217 166 383 1,563
NGO Clinics/Facilities 26,191 43,225 69,416 2,961 3,977 6,938 76,354 587 922 1,509 381 49 430 1,939
10 Bed Hospitals 10,435 20,320 30,755 4,324 2,638 6,962 37,717 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

Khulna 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 3,457 3,125 6,582 1,013 258 1,271 7,853 65 40 105 11 2 13 118
Upazila Health Complex 15,000 23,559 38,559 2,569 3,517 6,086 44,645 134 115 249 15 14 29 278
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 1,076 1,076 0 0 0 1,076 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 1,143 2,457 3,600 381 423 804 4,404 0 0 0 0 0 0 0
NGO Clinics/Facilities 1,590 3,022 4,612 91 84 175 4,787 0 0 0 0 0 0 0
Total 21,190 33,239 54,429 4,054 4,282 8,336 62,765 199 155 354 26 16 42 396

Khulna 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 56,193
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 9655 17.18
2 O800 Spontaneous vertex delivery XV: Pregnancy, childbirth and the puerperium 6828 12.15
3 J450 Predominantly allergic asthma X: Diseases of the respiratory system 4223 7.52
4 K280 Gastrojejunal ulcer, acute with haemorrhage XI: Diseases of the digestive system 2423 4.31
5 D460 Refractory anaemia without sideroblasts, so stated II: Neoplasms 1730 3.08
6 J120 Adenoviral pneumonia X: Diseases of the respiratory system 1610 2.87
7 J150 Pneumonia due to Klebsiella pneumoniae X: Diseases of the respiratory system 1573 2.80
8 Y090 Assault by unspecified means, home XX: External causes of morbidity and mortality 1420 2.53
9 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 1374 2.45
10 T363 Macrolides XIX: Injury, poisoning and certain other consequences of external causes 1265 2.25

Khulna 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 431
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 L640 Drug-induced androgenic alopecia XII: Diseases of the skin and subcutaneous tissue 32 7.42
2 A35 Other tetanus I: Certain infectious and parasitic diseases 31 7.19
3 L981 Factitial dermatitis XII: Diseases of the skin and subcutaneous tissue 22 5.10
4 R073 Other chest pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 20 4.64
5 D467 Other myelodysplastic syndromes II: Neoplasms 18 4.18
6 L249 Irritant contact dermatitis, unspecified cause XII: Diseases of the skin and subcutaneous tissue 17 3.94
7 J46 Status asthmaticus X: Diseases of the respiratory system 15 3.48
8 L410 Pityriasis lichenoides et varioliformis acuta XII: Diseases of the skin and subcutaneous tissue 13 3.02
9 T363 Macrolides XIX: Injury, poisoning and certain other consequences of external causes 13 3.02
10 J451 Nonallergic asthma X: Diseases of the respiratory system 12 2.78

Khulna Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92
Coverage of households having access to sanitary latrines (%) 91
Surgeries & Interventions done in District
Type
No.
Major Surgeries 4,771
Minor Surgeries 23,088
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 5 1 0 4 80.00
Non Doctor 3 2 0 1 33.33
Class II 5 2 1 2 40.00
Class III 20 17 0 3 15.00
Class IV 10 10 0 0 0.00

Khulna 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 68 24 107 64 34 25 15 9 0
Nurse 0 0 0 0 126 118 123 123 35 12 0
Medical Assistant 0 0 68 68 18 18 0 0 18 0 0
Medical Technologist 0 0 14 7 79 58 7 7 0 0 0
CHCP 202 195 0 0 0 0 0 0 0 0 36
HI 0 0 0 0 25 22 0 0 0 0 0
AHI 0 0 0 0 78 67 0 0 0 0 0
HA 0 0 0 0 390 287 0 0 0 0 55

Khulna 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


Khulna 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 2 0 0 0
Air conditioner (window) 3 3 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 0 1 0 0
ICT equipment
Computer (desktop) 16 12 4 0 0
Laptop 3 3 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 11 8 2 1 0
Scanner 1 1 0 0 0
UPS 8 5 3 0 0
Fax 3 1 0 2 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


Khulna 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 6 5 0 1 0
Mobile phone 0 0 0 0 0
Photocopier machine 3 1 2 0 0
Digital camera 1 1 0 0 0
Video camera 0 0 0 0 0
Total 65 47 13 5 0

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

Important information and necessary issues for Khulna Civil Surgeon Office
1 There is no separate office building for Civil Surgeon office Khulna.An ancient small vulnerable building of general hospital used as office. Accommodation is very poor. Office work is running from separate 4 buildings. The Building are so old, It may harm life,occurs accident & damaged any time. For the sake of life, well & disciplined office management Urgently need a office building. 2.In the year 2014 we try our level best to improve the health status but we do not achieve the target due to so many reasons. I like to mention some important factors which will help us to good result in future.(1) The vacant post of Doctors-42, Nurses-26,Class (111)-230 posts including 5(five) upazilla Statistician & fourth class-89 posts should be filled up immediately. Physicians, Nurses, SACMOs needed more training on IMCI . (3) All the repairable equipments should be repaired as soon as possible. We are very glad to write this Health Bulletin of 2014. Because this documents will help us the compare our progress in coming year. It also be help for public for their needs.