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Moulvibazar Civil Surgeon Office | Health Bulletin 2015 |
Preface
Health Bulletin is a new concept in the Health MIS, which help us to see our total activity & our status. From which we can take our intervention in various aspect. I like to thanks Prof. A.K.Azad ,ADG (Planning) & Line Director, MIS, DGHS for initiation of such activities.
Dr. Satyakam Chakraborty
Civil Surgeon
Moulvibazar Civil Surgeon Office

Moulvibazar Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Satyakam Chakraborty
Organization Code 10002115
Name of District Maulvibazar
Land Phone No. 1 0861-052296
Land Phone No. 2
FAX No. 86163730
Mobile No. 01819807953
Email moulvibazar@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.4800 And Long: 91.7600
No. of Upazila in the District7
No. of Households in the District 289,566
Population in the District 1,816,547
Area of District in sq km 2,701

Moulvibazar 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 1 250
General Hospital 0 0
Upazila Health Complexes 7 193
No. of Union Sub-Centres 20 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 174 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 10
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 28 274
No. of NGO Clinics/Facilities 15 0
No. of Other Hospitals

Moulvibazar Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 49,453


Total No. of children treated under IMCI Program 248,322
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 19.59 per 1,000 live births.

Moulvibazar 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: 42,834
Total Number of Deliveries: 50,196
No. of Maternal Deaths: 124
Valid TT Coverage: 76.00 %
Maternal Mortality Ratio (MMR) is 250.74 per 100,000 live births.

Moulvibazar 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 77,835 82,270 160,105 11,587 13,355 24,942 185,047 27,416 30,524 57,940 5,440 6,487 11,927 69,867
Upazila Health Complex 144,991 172,963 317,954 54,602 0 54,602 372,556 37,762 27,758 65,520 15,281 0 15,281 80,801
Union Sub-Centres 171,266 182,494 353,760 52,136 0 52,136 405,896 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 39,197 81,000 120,197 39,118 0 39,118 159,315 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 360,761 625,062 985,823 147,091 0 147,091 1,132,914 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) 232 798 1,030 68 74 142 1,172 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 1,809 1,768 3,577 85 0 85 3,662 0 0 0 0 0 0 0
Private Clinics/Facilities 412 356 768 54 65 119 887 1,647 1,867 3,514 2,014 0 2,014 5,528
NGO Clinics/Facilities 0 0 0 0 0 0 0 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

Moulvibazar 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 11,520 15,495 27,015 5,706 3,125 8,831 35,846 146 129 275 35 30 65 340
Upazila Health Complex 12,158 16,225 28,383 6,595 5,647 12,242 40,625 36 28 64 7 8 15 79
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 1,136 2,672 3,808 877 987 1,864 5,672 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 24,814 34,392 59,206 13,178 9,759 22,937 82,143 182 157 339 42 38 80 419

Moulvibazar 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 72,780
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 5231 7.19
2 P22 Respiratory distress of newborn XVI: Certain conditions originating in the perinatal period 3716 5.11
3 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 3212 4.41
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 2856 3.92
5 X99 Assault by sharp object XX: External causes of morbidity and mortality 2809 3.86
6 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 1426 1.96
7 V87 Traffic accident of specified type but victim's mode of transport unknown XX: External causes of morbidity and mortality 912 1.25
8 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 596 0.82
9 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 472 0.65
10 I50 Heart failure IX: Diseases of the circulatory system 312 0.43

Moulvibazar 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 422
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I46 Cardiac arrest IX: Diseases of the circulatory system 82 19.43
2 I21 Acute myocardial infarction IX: Diseases of the circulatory system 54 12.80
3 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 48 11.37
4 D64 Other anaemias III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 43 10.19
5 I43 Cardiomyopathy in diseases classified elsewhere IX: Diseases of the circulatory system 31 7.35
6 I50 Heart failure IX: Diseases of the circulatory system 24 5.69
7 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 16 3.79
8 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 15 3.55
9 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 11 2.61
10 P39 Other infections specific to the perinatal period XVI: Certain conditions originating in the perinatal period 10 2.37

Moulvibazar Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97
Coverage of households having access to sanitary latrines (%) 88
Surgeries & Interventions done in District
Type
No.
Major Surgeries 1,654
Minor Surgeries 8,765
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 202 122 32 48 23.76
Non Doctor 3 1 0 2 66.67
Class II 153 12 101 40 26.14
Class III 883 472 268 143 16.19
Class IV 165 102 40 23 13.94

Moulvibazar 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 76 63 71 58 52 31 59 5 0
Nurse 0 0 0 0 69 41 86 71 24 4 0
Medical Assistant 0 0 76 44 11 10 0 0 8 0 0
Medical Technologist 0 0 0 0 38 26 11 10 0 0 0
CHCP 194 174 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 20 17 0 0 0 0 24
AHI 0 0 0 0 61 58 0 0 0 0 0
HA 0 0 0 0 305 291 0 0 0 0 0

Moulvibazar 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 12 7 3 2 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


Moulvibazar 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) 25 23 2 0 0
Air conditioner (window) 7 7 0 0 0
Generator
Generator (diesel/petrol) 7 4 3 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 89 85 3 1 0
Laptop 73 70 3 0 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 80 75 5 0 0
Scanner 24 24 0 0 0
UPS 77 75 1 1 0
Fax 2 2 0 0 0
Intercom 37 37 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 40 40 0 0 0
Multimedia 10 10 0 0 0


Moulvibazar 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) 2 2 0 0 0
Land phone 9 9 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 6 5 1 0 0
Digital camera 5 5 0 0 0
Video camera 0 0 0 0 0
Total 510 484 22 4 0

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

Important information and necessary issues for Moulvibazar Civil Surgeon Office
01. HR recruitment should be done every year from January -March Calender regularly. So that vacant post should be filled up regularly which will help to achieve the goal. 02. Any innovative idea regarding strengthening of Health System should encourage. Civil Surgeon,Moulvibazar.