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Sylhet Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of sylhet district. This bulletin contains almost all the health related events and information of year 2014. This bulletin is published with the aim to disseminate the information to organize the department and development partners of health under the same shade. I hope all the information provided here will help for planning and bridging the gap in health services of different upazilla in this district as well as national level. The edition of health bulletin shows at a glance view of our achievements and find out the constrains of year 2015. It also contains the status of MDG4 & MDG5 which will help to achieve the MDG target with an aim to reach Sustained Development Goal ( SDG) in future. ( Dr. Md.Azharul Islam ) Civil Surgeon,Sylhet.
Dr. Md. Habibur Rahman
Civil Surgeon
Sylhet Civil Surgeon Office

Sylhet Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md. Habibur Rahman
Organization Code 10002197
Name of District Sylhet
Land Phone No. 1 +0821-0716308
Land Phone No. 2 +0821-716923
FAX No. 716313
Mobile No. 01711983505
Email sylhet@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.0000 And Long: 92.0000
No. of Upazila in the District12
No. of Households in the District 448,612
Population in the District 3,494,245
Area of District in sq km 3,488

Sylhet Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 1 900
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 12 379
No. of Union Sub-Centres 25 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 244 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 56
No. of Private Clinics/Facilities 56 3361
No. of NGO Clinics/Facilities 7 20
No. of Other Hospitals

Sylhet Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 99,010


Total No. of children treated under IMCI Program 468,952
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (NMR) is 17.62 per 1,000 live births.

Sylhet 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: 97,999
Total Number of Deliveries: 99,565
No. of Maternal Deaths: 147
Valid TT Coverage: 44.00 %
Maternal Mortality Ratio (MMR) is 148.47 per 100,000 live births.

Sylhet 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Upazila Health Complex 185,432 299,775 485,207 46,914 54,914 101,828 587,035 50,641 51,961 102,602 10,030 8,822 18,852 121,454
Union Sub-Centres 105,329 146,234 251,563 30,819 30,761 61,580 313,143 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 119,019 170,579 289,598 21,426 15,769 37,195 326,793 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 679,592 1,320,031 1,999,623 147,980 165,461 313,441 2,313,064 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) 110 5,221 5,331 950 1,281 2,231 7,562 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 4,664 2,699 7,363 530 305 835 8,198 0 0 0 0 0 0 0
Private Clinics/Facilities 143,204 357,484 500,688 59,385 57,161 116,546 617,234 49,531 49,990 99,521 16,404 16,019 32,423 131,944
NGO Clinics/Facilities 41,809 97,697 139,506 44,936 30,829 75,765 215,271 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

Sylhet 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Upazila Health Complex 14,436 23,419 37,855 6,428 6,165 12,593 50,448 34 29 63 37 43 80 143
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 15 5 20 0 0 0 20
Private Clinics/Facilities 31,854 40,381 72,235 11,743 8,127 19,870 92,105 508 313 821 378 198 576 1,397
NGO Clinics/Facilities 134 5,801 5,935 1,343 1,153 2,496 8,431 0 0 0 0 0 0 0
Total 46,424 69,601 116,025 19,514 15,445 34,959 150,984 557 347 904 415 241 656 1,560

Sylhet 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 46,074
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 11524 25.01
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 5314 11.53
3 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 3142 6.82
4 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 1964 4.26
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1736 3.77
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 1220 2.65
7 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1108 2.40
8 N23 Unspecified renal colic XIV: Diseases of the genitourinary system 631 1.37
9 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 567 1.23
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 439 0.95

Sylhet 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 149
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 44 29.53
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 23 15.44
3 A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture X: Diseases of the respiratory system 20 13.42
4 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 8 5.37
5 J459 Asthma, unspecified X: Diseases of the respiratory system 6 4.03
6 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 7 4.70
7 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 6 4.03
8 I694 Sequelae of stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 5 3.36
9 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 3 2.01
10 N179 Acute renal failure, unspecified XIV: Diseases of the genitourinary system 3 2.01

Sylhet Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 53
Coverage of households having access to sanitary latrines (%) 90
Surgeries & Interventions done in District
Type
No.
Major Surgeries 216
Minor Surgeries 10,205
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 251 149 79 23 9.16
Non Doctor 3 2 0 1 33.33
Class II 158 15 87 56 35.44
Class III 1031 588 171 272 26.38
Class IV 315 170 65 80 25.40

Sylhet 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 96 92 139 123 0 0 7 8 0
Nurse 0 0 0 0 121 70 0 0 21 11 0
Medical Assistant 0 0 96 48 21 20 0 0 10 0 0
Medical Technologist 0 0 0 0 62 32 0 0 0 0 0
CHCP 285 253 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 31 30 0 0 0 0 14
AHI 0 0 0 0 94 94 0 0 0 0 0
HA 0 0 0 0 470 385 0 0 0 0 0

Sylhet 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 3 1 2 0 0
Microbus 0 0 0 0 0
Pickup 2 0 2 0 0


Sylhet 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) 1 1 0 0 0
Air conditioner (window) 0 0 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 0 0 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 5 2 0 0
Scanner 1 1 0 0 0
UPS 6 6 0 0 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 1 1 0 0 0


Sylhet 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 5 5 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 1 1 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 41 34 7 0 0

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

Important information and necessary issues for Sylhet Civil Surgeon Office
Last year we could not give our maximum efforts to improve the Health status due to many reasons.Keeping those error in mind we tried our best to make up those craws back which I would like to mention below.1) Our vacant posts are now occupied although there are still some vacancy in Nurse and Technologists.2) Some of our Doctors recently received some training of IMCI and under health nutrition and population program but service providers like Medical Assistant, Nurse and CHCP need more training to refresh their skills.3) Number of bed Capacity of Health Complexes should be increased. 4. Upazilla like Jaintapur, Gowainghat and Zakiganj have increased to 50 beded Hospital but necessary measures should be taken to start the Indoor service and adequate staffs like Nurse, Doctors should be provided. 5. All the reparable equipments should be repaired at once when possible. 6. Female Health Assistant need CSBA training in all Upozilla. I am very happy to write this bulletin 2014 because this will act as a document that will help us to compose our progresses in upcoming years. Besides this, this will help us to chalk out pit falls that needs to be improved in future.