Patuakhali Civil Surgeon Office | Health Bulletin 2015 |
Preface
The Civil Surgeon office of Patuakhali was established in 1969,the same year when Patuakhali district was also established. Dr. Abdul Mannan was the fist Civil surgeon of Patuakhali. The civil surgeon office started functioning at Deputy Commissioner`s building, Patuakhali in 1969. Then it was shifted from there to the present location at old Hospital Road, Patuakhali in 1982. I , Dr. A . M . Mozibul Hoque have taken over the charge of Civil Surgeon of Patuakhali on 04/05/2014. I am the 43rd th civil surgeon of this district. Patuakhali is one of the 19 ( nineteen) districts of Bangladesh. Our district Patuakhali is also called “ SAGOR KONNYA `` because of the famous coastal tourism area named “ KUAKATA `` is situated in this district along the bank of the Bay of Bengal. Patuakhali district comprises 8 (eight) upazilas and 73 ( seventy two) unions. The population of this district is 16,17,018. There are 07 ( seven) upazila health Complexes in the district . Of these 05(five) UHCs are 50 -bedded. EmOc services are available at 250 bedded General Hospital,Kalapara UHC and Bauphal UHC.We have achieved the best performance award in EmOc for consequtive 09 times in Bangladesh.
By this bulletin we are able to inform the people of Bangladesh about the pattern of the disease of this locality and about the service given to the patients. I hope all the information included in this bulletin will help for planning and bridgeing the gaps in this district .
Thanks to all who were related to this publication.
Patuakhali Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr.A.M. Mozibul Hoque
Organization Code
10002052
Name of District Patuakhali
Land Phone No. 1
0441-062620
Land Phone No. 2
FAX No. 65084
Mobile No. 01922455723
Email patuakhali@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.3621 And Long: 90.3419
No. of Upazila in the District 8
No. of Households in the District 316,362
Population in the District 1,617,018
Area of District in sq km 3,205
Patuakhali Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital
1
0
District Hospital
0
0
General Hospital
1
250
Upazila Health Complexes
6
281
No. of Union Sub-Centres
12
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
182
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
3
20
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
0
No. of Private Clinics/Facilities
23
145
No. of NGO Clinics/Facilities
7
90
No. of Other Hospitals
Patuakhali Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 41,090
Total No. of children treated under IMCI Program 93,692
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 4.16 per 1,000 live births.
Patuakhali 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: 35,876
Total Number of Deliveries: 41,252
No. of Maternal Deaths: 24
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is
58.41 per 100,000 live births.
Patuakhali 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
41,024
55,802
96,826
13,875
15,352
29,227
126,053
8,588
11,931
20,519
7,850
8,928
16,778
37,297
Upazila Health Complex
55,321
79,211
134,532
21,707
15,687
37,394
171,926
6,613
5,368
11,981
1,045
722
1,767
13,748
Union Sub-Centres
43,721
59,068
102,789
7,330
8,747
16,077
118,866
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
43,633
22,604
66,237
25,983
32,940
58,923
125,160
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
282,321
600,698
883,019
69,331
81,032
150,363
1,033,382
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)
350
6,741
7,091
997
1,045
2,042
9,133
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
1,118
730
1,848
0
0
0
1,848
0
0
0
0
0
0
0
Private Clinics/Facilities
2,202
1,604
3,806
0
0
0
3,806
0
0
0
0
0
0
0
NGO Clinics/Facilities
2,663
9,475
12,138
1,284
1,487
2,771
14,909
87
500
587
74
171
245
832
10 Bed Hospitals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20 Bed Hospitals
4,282
5,054
9,336
858
863
1,721
11,057
798
374
1,172
71
42
113
1,285
Other Hospitals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Patuakhali 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
10,468
14,655
25,123
3,498
3,639
7,137
32,260
154
142
296
76
58
134
430
Upazila Health Complex
9,719
12,246
21,965
3,900
2,467
6,367
28,332
34
34
68
19
15
34
102
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
383
383
0
0
0
383
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
250
1,891
2,141
80
100
180
2,321
0
0
0
0
0
0
0
NGO Clinics/Facilities
44
892
936
197
175
372
1,308
0
0
0
0
0
0
0
Total
20,481
30,067
50,548
7,675
6,381
14,056
64,604
188
176
364
95
73
168
532
Patuakhali 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
64,604
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
8048
12.46
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
7023
10.87
3
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3980
6.16
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
3834
5.93
5
V194 Driver injured in collision with other and unspecified motor vehicles in traffic accident
XX: External causes of morbidity and mortality
2540
3.93
6
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2449
3.79
7
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
1389
2.15
8
J459 Asthma, unspecified
X: Diseases of the respiratory system
1149
1.78
9
D649 Anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1117
1.73
10
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
936
1.45
Patuakhali 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
532
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
G463 Brain stem stroke syndrome
VI: Diseases of the nervous system
74
13.91
2
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
57
10.71
3
I210 Acute transmural myocardial infarction of anterior wall
VI: Diseases of the nervous system
57
10.71
4
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
32
6.02
5
P070 Extremely low birth weight
XVI: Certain conditions originating in the perinatal period
28
5.26
6
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
23
4.32
7
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
19
3.57
8
A390 Meningococcal meningitis
I: Certain infectious and parasitic diseases
12
2.26
9
V194 Driver injured in collision with other and unspecified motor vehicles in traffic accident
XX: External causes of morbidity and mortality
11
2.07
10
E11 Non-insulin-dependent diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
10
1.88
Patuakhali Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
80
Coverage of households having access to sanitary latrines (%)
84
Surgeries & Interventions done in District
Type
No.
Major Surgeries
2,373
Minor Surgeries
8,552
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
227
85
29
113
49.78
Non Doctor
4
1
0
3
75.00
Class II
174
18
137
19
10.92
Class III
791
386
253
152
19.22
Class IV
256
138
49
69
26.95
Patuakhali 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
50
83
42
76
22
8
1
0
Nurse
0
0
0
0
65
57
105
93
39
18
0
Medical Assistant
0
0
68
42
12
9
0
0
40
0
0
Medical Technologist
0
0
11
2
48
28
16
12
3
0
0
CHCP
209
187
0
0
0
0
0
0
139
0
0
HI
0
0
0
0
23
23
0
0
16
0
0
AHI
0
0
0
0
67
66
0
0
41
0
7
HA
0
0
0
0
332
281
0
0
179
0
61
Patuakhali 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
2
0
1
1
0
Patuakhali 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)
3
2
1
0
0
Generator
Generator (diesel/petrol)
1
0
1
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)
12
7
1
4
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
6
5
1
0
0
Scanner
2
1
1
0
0
UPS
8
5
0
3
0
Fax
1
1
0
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
Patuakhali 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
2
2
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
1
0
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
48
30
9
9
0
Patuakhali Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Patuakhali Civil Surgeon Office
1 . 20 bedded hospital , Kuakata ,Kalapara, Patuakhali.
2 . 20 bedded hospital , Kathaltali , Mirzagonj, Patakhali .
3 . New Building for Patuakhali Civil Surgeon office.