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Barguna Civil Surgeon Office | Health Bulletin 2015 |
Preface
Bismillahir Rahmanir Rahim.It is our pleasure to thank MIS, DGHS for making this time-needed effort of Local Health Bulletin.It contains all necessary infomations of Health services of Barguna district. Barguna is a densely populated remote coastal district with 991130 people in1939.39sq .km area. It is well known to the world as SIDR and AYLA affected area.People of this area are mostly poor.. They depend on cultivation, fishing and small business for their livelihood.Road communication is not good here . Because two large rivers (Payra and Bishkhali ) have divided the district into three parts. Diarrhoea is endemic in this area which is more in Spring and Summer.Acute shortage of Doctors(52 out of 141sanctioned posts) makes better health service delivery difficult.Natural disasters make the scenery more troublesome.
DR.Md.Rustum Ali
Civil Surgeon
Barguna Civil Surgeon Office

Barguna Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDR.Md.Rustum Ali
Organization Code 10001942
Name of District Barguna
Land Phone No. 1 0448-044862386
Land Phone No. 2 0448-0448495
FAX No. 44862495
Mobile No. 01712911608
Email barguna@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.1577 And Long: 90.1270
No. of Upazila in the District6
No. of Households in the District 210,052
Population in the District 991,130
Area of District in sq km 1,939

Barguna 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 4 211
No. of Union Sub-Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 112 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 10
No. of Chest Disease Clinic (TB Clinics/Hospitals) 0 0
No. of Private Clinics/Facilities 23 30
No. of NGO Clinics/Facilities 3 0
No. of Other Hospitals

Barguna Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 23,853


Total No. of children treated under IMCI Program 78,461
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (NMR) is 4.40 per 1,000 live births.

Barguna 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: 23,421
Total Number of Deliveries: 24,881
No. of Maternal Deaths: 30
Valid TT Coverage: 15.00 %
Maternal Mortality Ratio (MMR) is 125.77 per 100,000 live births.

Barguna 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 34,470 44,724 79,194 17,861 10,499 28,360 107,554 10,456 9,339 19,795 2,012 1,593 3,605 23,400
Upazila Health Complex 34,529 41,701 76,230 6,628 5,671 12,299 88,529 5,256 4,537 9,793 7,902 978 8,880 18,673
Union Sub-Centres 42,600 43,970 86,570 7,754 9,478 17,232 103,802 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 8,281 27,950 36,231 6,307 5,040 11,347 47,578 7,009 13,845 20,854 1,745 1,681 3,426 24,280
Union Health and Family Welfare Centre (belongs to DGFP) 76,050 29,404 105,454 6,170 5,997 12,167 117,621 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 221,053 446,571 667,624 34,039 38,012 72,051 739,675 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) 199 7,754 7,953 1,420 2,009 3,429 11,382 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 2,816 5,433 8,249 354 2,421 2,775 11,024 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 6,076 8,215 14,291 1,458 1,295 2,753 17,044 0 0 0 0 0 0 0
20 Bed Hospitals 7,665 11,268 18,933 2,466 4,110 6,576 25,509 0 0 0 0 0 0 0
Other Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Barguna 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 5,432 7,109 12,541 1,328 962 2,290 14,831 60 42 102 37 29 66 168
Upazila Health Complex 5,244 6,403 11,647 1,731 1,204 2,935 14,582 32 24 56 10 7 17 73
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 0 230 230 0 0 0 230 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 222 2,065 2,287 7 6 13 2,300 0 1 1 0 0 0 1
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 10,898 15,807 26,705 3,066 2,172 5,238 31,943 92 67 159 47 36 83 242

Barguna 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 29,413
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 5709 19.41
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2145 7.29
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1870 6.36
4 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1224 4.16
5 A988 Other specified viral haemorrhagic fevers I: Certain infectious and parasitic diseases 1094 3.72
6 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 756 2.57
7 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 747 2.54
8 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 482 1.64
9 J45 Asthma X: Diseases of the respiratory system 475 1.61
10 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 451 1.53

Barguna 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 242
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 36 14.88
2 J96 Respiratory failure, NEC X: Diseases of the respiratory system 22 9.09
3 J459 Asthma, unspecified IX: Diseases of the circulatory system 19 7.85
4 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 18 7.44
5 A410 Septicaemia due to Staphylococcus aureus I: Certain infectious and parasitic diseases 14 5.79
6 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 12 4.96
7 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 12 4.96
8 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 11 4.55
9 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 6 2.48
10 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 4 1.65

Barguna Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 89
Coverage of households having access to sanitary latrines (%) 82
Surgeries & Interventions done in District
Type
No.
Major Surgeries 394
Minor Surgeries 406
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 141 40 12 89 63.12
Non Doctor 3 0 1 2 66.67
Class II 98 10 72 16 16.33
Class III 554 240 227 87 15.70
Class IV 134 102 26 6 4.48

Barguna 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 46 13 75 30 21 7 5 4 0
Nurse 0 0 0 0 62 54 37 27 25 13 0
Medical Assistant 0 0 38 28 8 8 0 0 27 0 0
Medical Technologist 0 0 9 0 41 25 6 5 3 0 0
CHCP 119 114 0 0 0 0 0 0 91 0 39
HI 0 0 0 0 15 14 0 0 7 0 0
AHI 0 0 0 0 43 43 0 0 27 0 2
HA 0 0 0 0 213 189 0 0 154 0 48

Barguna 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


Barguna 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 0 0 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) 11 7 2 2 0
Laptop 2 2 0 0 0
Printer (dot matrix) 4 1 1 2 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 10 6 2 2 0
Scanner 2 1 1 0 0
UPS 12 6 5 1 0
Fax 1 0 0 1 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 2 0 0 0


Barguna 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) 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 48 29 11 8 0

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

Important information and necessary issues for Barguna Civil Surgeon Office
Barguna is a remote coastal district with about 1 million people living here.An acute scarcity of doctors are present here. Among the 141 sanctioned posts of doctors only 52 are existing now which makes the Health service delivery very difficult.So immediate posting of 80 to 90 doctors are essential for smooth health service delivery.This district is cyclone (SIDR,AYELA) prone area. Load shedding is a common event due to this situation. We frequently pass 3 to 5 days without Electricity due to extreme rain and thunder shower leading to load shedding.Hence we can not perform our digital office activities. So a Generator is very essential for Civil Surgeon Office.On the other hand we carry huge number of MSR& stationary materials from Dhaka ,Barisal & Khulna to Barguna DRS ,and subsequently Barguna DRS to all Upazila health complexes & Sub-centers. It spends about 10 lacs or more taka annually for this purpose. So a Mini track (3 Tone) is required for this office . which will help to reduce the Govt. expenditure.The Construction Works of 250 bedded hospital promised by Honorable Prime Minister Sheik Hasina is expected to be completed by june 2016.But man power and residential facilities for doctors and staffs are not yet allotted by the govt. So these works should be started immediately to make the 250 bed hospital functioning in time after completion of construction work.