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HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Bhola Civil Surgeon Office | Health Bulletin 2015 |
Preface
MoH&FW Launched a program named HPNSDP 2011-2016, this program has 32 operational plans. Health information system & e- health will implement this operational plan. Health bulletin software development is a time demanding activities for digital Bangladesh concept.I want to salute the initiator of Health bulletin software,within this bulletin our service,achievement ,necessities ,lacking ,limitation ,our action plan is to bring the health service to the door step of the people MDG-4, MDG-5 , Bangladesh with sanitation , safe drinking water nutritional status ,CC based achievement all aspect are intro dused (January 2013 to December 2014) Bhola District.This Bulletin will help to plan and bridge the gaps in the health service Delivery of Bhola District. Bhola District need a Child Hospital,a trauma Hospital ,an eye Hospital in future . We want to see then a Cardiac Disease Hospital here for the better health of people of Bhola.Our long cherished dream of Medical college & Hospital in Bhola will be Come true in future. EmOC activities is not good enough due to lack of pair Doctor and commitment their.
Dr. Farid Ahmed
Civil Surgeon
Bhola Civil Surgeon Office

Bhola Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Farid Ahmed
Organization Code 10002001
Name of District Bhola
Land Phone No. 1 +0491-061422
Land Phone No. 2
FAX No. 49161422
Mobile No. 01715110026
Email bhola@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.6755 And Long: 90.6552
No. of Upazila in the District7
No. of Households in the District 364,221
Population in the District 1,978,716
Area of District in sq km 382,473

Bhola 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 6 262
No. of Union Sub-Centres 2 0
No. of Rural/Urban/Thana Dispensaries 1 30
No. of Community Clinics 213 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 2 30
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 11 120
No. of NGO Clinics/Facilities 6 7
No. of Other Hospitals

Bhola Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 53,321


Total No. of children treated under IMCI Program 341,747
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 10.48 per 1,000 live births.

Bhola 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: 57,649
Total Number of Deliveries: 53,616
No. of Maternal Deaths: 64
Valid TT Coverage: 49.00 %
Maternal Mortality Ratio (MMR) is 120.03 per 100,000 live births.

Bhola 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 38,505 58,909 97,414 13,943 11,673 25,616 123,030 5,917 4,662 10,579 1,129 869 1,998 12,577
Upazila Health Complex 108,290 143,194 251,484 36,109 36,864 72,973 324,457 15,729 14,535 30,264 4,325 3,348 7,673 37,937
Union Sub-Centres 2,159 4,327 6,486 1,256 1,205 2,461 8,947 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 15,410 18,451 33,861 10,074 12,785 22,859 56,720 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 40,573 145,705 186,278 297,709 30,155 327,864 514,142 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 600,776 1,442,431 2,043,207 197,843 263,389 461,232 2,504,439 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) 1,365 14,240 15,605 4,662 5,340 10,002 25,607 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 532 402 934 40 45 85 1,019 0 0 0 0 0 0 0
Private Clinics/Facilities 7,178 8,313 15,491 775 1,111 1,886 17,377 0 0 0 0 0 0 0
NGO Clinics/Facilities 3,126 4,214 7,340 418 513 931 8,271 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

Bhola 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 9,875 8,357 18,232 4,222 3,471 7,693 25,925 164 135 299 126 113 239 538
Upazila Health Complex 12,879 16,443 29,322 6,046 4,821 10,867 40,189 65 77 142 32 43 75 217
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 2,719 5,848 8,567 391 402 793 9,360 0 0 0 0 0 0 0
NGO Clinics/Facilities 635 1,231 1,866 365 299 664 2,530 0 0 0 0 0 0 0
Total 26,108 31,879 57,987 11,024 8,993 20,017 78,004 229 212 441 158 156 314 755

Bhola 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 67,345
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 11745 17.44
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 8196 12.17
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 6083 9.03
4 K29 Gastritis and duodenitis XI: Diseases of the digestive system 5359 7.96
5 V99 Unspecified transport accident XX: External causes of morbidity and mortality 2015 2.99
6 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 908 1.35
7 J459 Asthma, unspecified X: Diseases of the respiratory system 778 1.16
8 O06 Unspecified abortion XV: Pregnancy, childbirth and the puerperium 473 0.70
9 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 433 0.64
10 I11 Hypertensive heart disease IX: Diseases of the circulatory system 330 0.49

Bhola 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 744
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 102 13.71
2 I609 Subarachnoid haemorrhage, unspecified IX: Diseases of the circulatory system 76 10.22
3 J189 Pneumonia, unspecified XVI: Certain conditions originating in the perinatal period 28 3.76
4 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 24 3.23
5 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 19 2.55
6 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 18 2.42
7 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 18 2.42
8 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 17 2.28
9 T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 16 2.15
10 J969 Respiratory failure, unspecified X: Diseases of the respiratory system 14 1.88

Bhola Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98
Coverage of households having access to sanitary latrines (%) 84
Surgeries & Interventions done in District
Type
No.
Major Surgeries 2,067
Minor Surgeries 3,856
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 206 89 15 102 49.51
Non Doctor 3 2 0 1 33.33
Class II 142 9 83 50 35.21
Class III 970 568 242 160 16.49
Class IV 227 164 32 31 13.66

Bhola 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 64 45 110 52 22 7 30 9 0
Nurse 0 0 0 0 0 0 49 43 34 14 0
Medical Assistant 0 0 62 15 9 0 0 0 24 0 0
Medical Technologist 0 0 0 0 47 29 0 0 0 0 0
CHCP 248 216 0 0 0 0 0 0 0 0 18
HI 0 0 0 0 22 21 0 0 21 0 0
AHI 0 0 0 0 68 67 0 0 67 0 0
HA 0 0 0 0 339 309 0 0 309 0 0

Bhola 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 1 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Bhola 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) 5 5 0 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 2 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) 8 7 1 0 0
Laptop 4 1 3 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 7 0 0 0
Scanner 1 1 0 0 0
UPS 3 2 1 0 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 1 1 0 0 0


Bhola 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 1 1 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 37 29 8 0 0

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

Important information and necessary issues for Bhola Civil Surgeon Office
In 1984 Bangladesh Government declared Bhola as district. After declaration of district Bhola Civil surgeon office performed its activities in Sadar upzila Health Complex which was 6 bed Hospital at British period . Then 1988 new civil surgeon office Constructed in Bhola sadar Hospital campus which was very of small space and congested and not enough room for staff of civil surgeon office & DRS store.There are shortage of fax machine, photo copier. If it persists that could not fill the lacking then MIS system will be interrupted. It can be mentioned here that every civil surgeon office has a guest room but Bhola has not. Hence it is very much necessary to entertain the guest of Bhola as well maintain the good reputation of district people`s hospitability. In connection bhola has 7 upazila and most of them are far from CS office,so if any kind of district Meeting is held UH&FPO & other official can not take rest due to absence of guest room. So it is time demand to make guest room in CS office. Bhola has a district Hospital which in under construction 250 bedded but it is running with 50 bedded staff only. So eventually patients are not satisfied due to shortage of service provider. On the other hand, Average 180 patient admitted in this hospital which is burden for present staff. Now 250 beded new building is under construction. Now it requires sanction of manpower of 100 beded Hospital & immediate posting. Otherwise Bhola could not deliver her service to the door step of the people which is current government vision. If we want to implement the digital health service and effective referral system then we need ambulance, driver and fuel as well as water ambulance. As because bhola is a island district and it has no road communication with other district. To achieve the Millennium Development Goal we also need a specialized child hospital. Bhola demands a Truma centre due to huge road traffic accident.