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

Preface

We are happy to be share with publishing the Local Health Bulletin 2017 by MIS of DGHS this year. This bulletin contains the overall health information which is a reflection of health care delivery system of Bangladesh. It is our hope that this bulletin will help to plan and implementation a better health service for the people of the country. Dr. Rafique-Us-Saleheen) ) UH&FPO Sadar, Cox'sBazar.

Dr. Rafique-Us-Saleheen
UHFPO
Cox's Bazar (Sadar) Upazila Health Office

2

EDITORIAL BOARD

Chief Editor


Dr. Rafique-Us-Saleheen, UH&FPO


Editors


1. Dr. Ranjan Barua Rajan, MO(DC)

2. Dr. Zahidul Mostafa, MO(DC) (Anesthesia)

3. Dr. Mahaboob Ara Abbasi, Assistant Surgeon

4. Dr. Trina Saha, Assistant Surgeon

Contributors


1. Zamirul Hoque, HI(Incharge)


Certificate of Authentication

We, the above members of the Editorial Board, hereby certify that we collectively examined the content and data used in this LHB 2016 and to the best of our knowledge they represent the true picture of the local situation.

3

Basic Information
Name of the Upazila Cox's Bazar Sadar
Organization Code 10000920
Name of UHFPO Dr. Rafique-Us-Saleheen
Land Phone No. 1 34163250
Land Phone No. 2 N/A
FAX No. N/A
Mobile No. 01628500862
Email coxsbazarsadar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: N/A And Long: N/A
No. of Unions in the Upazila10
No. of Households in the Upazila 83372
Population in the Upazila 466886
Area of Upazila in sq km 228.23

4

Existing Health Facilities in the Upazila
Facility Type Total No.of Faciliti(es) No. of Beds
OPD at Sadar Upazila Health facility 0 0
Union Sub Centers 1 0
Union Health & Family Welfare Centers (belong to DGHS) 0 0
Union Health & Family Welfare Centers (belong to DGFP) 6 0
Rural/Urban/Thana Health Centers 0 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Community Clinics 29 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 0 0
Chest Disease (TB) Clinics/Hospitals 1 0
Private Clinics/Facilities 0 0

5

Existing Health Facilities in the Upazila
Facility Type Total No.of Faciliti(es) No. of Beds
NGO Clinics/Facilities 0 0
Any other health facility 0 0

6

No. of Live Births & Child Deaths in the Upazila (Jan-Dec, 2015)
Total No. of live births : 8,387



Under 5 Mortality Rate: 8.5 (Per 1,000 live births)
Infant Mortality Rate: 4.1 (Per 1,000 live births)
Neonatal Mortality Rate: 1.8 (Per 1,000 live births)
Still Birth Rate: 1.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 30,719
Fully Vaccinated Children (<= 12 months): 96 %

7

No. of Maternal Health Services Provided in the Upazila (Jan-Dec, 2015)
R.P.W. (No.) : Reg. Pregnent Women; 1st ANC (No.) : At least 1 ANC; 4th ANC (No.) : ANCs (4+); N.deli(No.) : Normal Delivery; C. deli. (No.) : Cesarean Section; O. deli. (No.) : Other Assisted Delivery; PNC (No.) : PNC Within 2 days;

8

No. of Maternal Health Services Provided in the Upazila (Jan-Dec, 2015)

Indicator Govt. Facilities NGO Facilities Private Facilities Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Reg. Pregnent Women 0 0 0 8620 8620
At least 1 ANC 0 0 0 6569 6569
ANCs (4+) 0 0 0 1426 1426
Normal Delivery 0 0 0 285 285
Cesarean Section 0 0 0 0 0
Other Assisted Delivery 0 0 0 0 0
PNC Within 2 days 0 0 0 1525 1525

9

No. of Maternal Health Services Provided in the Upazila (Jan-Dec, 2015)

Indicator Govt. Facilities NGO Facilities Private Facilities Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Maternal Death 0 0 0 4 4
Total Deliveries 0 0 0 0 0
Valid TT5 Coverage (%) 21

10

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
OPD at Sadar Upazila Health facility 0 0 0 0 0 0 0 0 0
Union Sub-Centers 5000 4995 9,995 10121 25345 35,466 15121 30340 45461
Union Health & Family Welfare Centers (belong to DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 0 0 0 0 0 0 0 0 0
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Community Clinics 11979 12931 24,910 35017 96592 131,609 46996 109523 156519

11

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Trauma Centers 0 0 0 0 0 0 0 0 0
MCWCs (belong to DGFP) 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

12

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility Emergency visits (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

13

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

14

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility In Patient deaths (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

15

Water & sanitation in the Upazila
Indicators Upazila %
Coverage of households having access to safe drinking water (%) 80.0
Coverage of households having access to sanitary latrines (%) 86.0

16

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
UHC/Sadar Upazila Health Office
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 1 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 2 2 0 2 0 0.0
Grade 10 0 0 0 0 0 0.0

17

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
UHC/Sadar Upazila Health Office
Grade 11 2 1 0 1 1 50.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 8 5 0 5 3 37.5
Grade 15 8 6 1 7 1 12.5
Grade 16 41 21 15 36 5 12.2
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 4 0 0 0 4 100.0

18

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Health & Family Welfare Center (under DGHS)
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 9 3 4 7 2 22.2
Grade 10 0 0 0 0 0 0.0

19

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Health & Family Welfare Center (under DGHS)
Grade 11 9 4 1 5 4 44.4
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

20

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Rural Dispensaries
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 0 0 0 0 0 0.0

21

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Rural Dispensaries
Grade 11 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

22

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Community Clinics
Grade 11 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 29 12 17 29 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

23

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 0 0 0 0 0 0.0

24

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 11 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

25

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 1 0 0 0 1 100.0
Grade 10 0 0 0 0 0 0.0

26

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 11 2 2 0 2 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 1 1 0 1 0 0.0

27

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
UHC/Sadar Upazila Health Office
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 1 0 1
Grade 8 0 0 0
Grade 9 2 0 2
Grade 10 0 0 0

28

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
UHC/Sadar Upazila Health Office
Grade 11 1 0 1
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 5 0 5
Grade 15 6 1 7
Grade 16 21 15 36
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

29

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Health & Family Welfare Center (under DGHS)
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 3 4 7
Grade 10 0 0 0

30

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Health & Family Welfare Center (under DGHS)
Grade 11 3 1 4
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

31

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Rural Dispensaries
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0

32

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Rural Dispensaries
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

33

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Community Clinics
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 12 17 29
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

34

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0

35

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

36

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 2 0 2
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0

37

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 1 0 1

38

Status of Human Resources under DGHS updated during this report preparation
Man
power
Commu-
nity
Clinic
USC/
UHFWC/
RD
UHC Others IM-
CI
Trai-
ned
Basic
EOC
Trai-
ned
CS-
BA
Tr-
-ai-
ned
San-
cti-
on-
ed
Fill-
ed-
up
San-
cti-
on-
ed
Fill-
ed-
up
San-
cti-
on-
ed
Fill-
ed-
up
San-
cti-
on-
ed
Fill-
ed-
up
Physician 0 0 10 7 3 3 0 0 0 0 0
Nurse 0 0 0 0 0 0 0 0 0 0 0
Medical Assistant 0 0 10 5 0 0 0 0 0 0 0
Medical Technologist 0 0 1 1 3 2 0 0 0 0 0
CHCP 29 29 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 8 7 0 0 0 0 0
HA 0 0 0 0 40 35 0 0 0 0 12
Total 29 29 21 13 57 50 0 0 0 0 12

39

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 0 0 0 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0

40

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 0 0 0 0 0

41

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
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

42

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Computer (desktop) 5 1 0 0 6
Laptop 30 4 0 0 34
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 2 1 0 0 3
Scanner 0 0 0 0 0
UPS 5 0 0 0 5
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 0 0 0 1

43

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Internet wireless line (Modem) 33 0 0 0 33
Multimedia 1 0 0 0 1
OHP 0 0 0 0 0
PA system 0 0 0 0 0
Land phone 1 0 0 0 1
Mobile phone 0 0 0 0 0
Photocopier machine 1 0 0 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0

44

Important information and necessary issues you want to raise
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help to achieve good result in future. 1) The vacant post should be filled up immediately especially HA. 2) All the repairable equipment should be repaired as soon as possible. Finally I am very happy to write this bulletin of 2016, because this documents will help us to compare our progress in upcoming years. This is very useful documents and will help the public to understand health services and to provide us the useful advice for improvement in future. (Dr. Rafique-Us-Saleheen) UH&FPO Sadar, Cox'sBazar.

45