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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

Preface

I am very glad to publish this Local Health Bulletin ( L H B ) of Civil Surgeon Office, Gopalganj. This Bulletin is published to disseminate the information of Gopalganj District to other line departments & development partners of health. I hope all the information's of this Local Health Bulletin will help for planning & bridging the gaps in health services of this district. This Bulletin contains all Health related information of 2016 of this district. The Bulletin contains the status of M D G- 4 & M D G- 5 which will help to localize the M D G Targets. This Health Bulletin has also the information on safe drinking water & sanitation status of the District. All the sanctioned & vacant posts are published in this Bulletin. I would like to congratulate the initiator of Health Bulletin & also it's a great pleasure for us as we came to be able in publishing the health related achievements accordingly & hope we will be able to serve a better Bulletin in the next time.

Dr. Chowdhury Shofiqul Alam
Civil Surgeon
Gopalganj Civil Surgeon Office

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EDITORIAL BOARD

Chief Editor


Dr. Chowdhury Shofiqul Alam, Civil Surgeon


Editors


1. Dr Tanvir Ahmed, MO(Incharge)

2. Manirul Islam, statistical Assistant

Contributors


1. Mrs. Ruksana Akter, EPI Superintendent

2. Md. Abul Kalam Azad, Head Asstt

3. Mr. Md. Husain Molla, Store Keeper

4. Mr. Sanjoy Kumar Chakroborti, Assistant Store Keeper (EPI)


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.

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Basic Information
Name of District Gopalganj
Organization Code 10000160
Name of Civil SurgeonDr. Chowdhury Shofiqul Alam
Land Phone No. 1 026685333
Land Phone No. 2 N/A
FAX No. 26681968
Mobile No. 01769957122
Email gopalganj@cs.dghs.gov.bd
GPS location of CS Office Lati: N/A And Long: N/A
No. of Upazila in the District5
No. of Households in the District 231967
Population in the District 1233774
Area of District in sq km 1484

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 1 0
District Hospital 0 0
General Hospital 1 250
Upazila Health Complexes 4 162
Union Sub Centers 22 0
Union Health & Family Welfare Centers (under DGHS) 4 0
Union Health & Family Welfare Centers (under DGFP) 65 0
Rural Dispensaries 1 10
Community Clinics 183 0
Trauma Centers 1 0
MCWCs (belong to DGFP) 2 20
Chest Disease (TB) Clinics/Hospitals 1 0

5

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 44 405
NGO Clinics/Facilities 0 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0

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No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 27,918



Neonatal Mortality Rate: 18.1 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 167,107
Fully Vaccinated Children (<= 12 months): 100 %

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No. of Maternal Health Services Provided in the District (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;

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

Indicator DH's Total UHC Total Govt. Facilities NGO Facilities Private Facilities MCWCs (belongs to DGFP) Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Reg. Pregnent Women 2584 0 0 0 0 2400 30592 35576
At least 1 ANC 2584 0 0 0 0 2376 30592 35552
ANCs (4+) 1832 0 0 0 0 720 18485 21037
Normal Delivery 1168 17688 0 0 1231 126 4053 24266
Cesarean Section 542 2895 0 0 3698 32 0 7167
Other Assisted Delivery 0 5 0 0 3 0 0 8
PNC Within 2 days 1756 14956 0 0 1959 360 5835 24866

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

Indicator DH's Total UHC Total Govt. Facilities NGO Facilities Private Facilities MCWCs (belongs to DGFP) Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Maternal Death 2 1 0 0 9 0 27 39
Total Deliveries 1710 20588 0 0 4932 158 4053 31441
Valid TT5 Coverage (%) 35.2

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No. of OPD & Emergency visits, Admissions & Deaths
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
District Hospital 11522 10826 22,348 85548 79857 165,405 97070 90683 187753
Upazila Health Complex 42838 48969 91,807 89068 119484 208,552 131906 168453 300359
Union Sub-Centers 21564 29282 50,846 96712 112766 209,478 118276 142048 260324
Union Health & Family Welfare Centers (under DGHS) 2605 4211 6,816 7940 9285 17,225 10545 13496 24041
Union Health & Family Welfare Centers (belong to DGFP) 32008 54050 86,058 32485 99307 131,792 64493 153357 217850
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 234613 172328 406,941 389852 617329 1,007,181 624465 789657 1414122
Trauma Centers 0 0 0 0 0 0 0 0 0

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No. of OPD & Emergency visits, Admissions & Deaths
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
MCWCs (belong to DGFP) 402 724 1,126 2067 1841 3,908 2469 2565 5034
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
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

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No. of OPD & Emergency visits, Admissions & Deaths
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
District Hospital 2178 1891 4,069 9561 7528 17,089 11739 9419 21158
Upazila Health Complex 4253 4900 9,153 10752 14322 25,074 15005 19222 34227
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
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 300 409 709 807 849 1,656 1107 1258 2365

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No. of OPD & Emergency visits, Admissions & Deaths
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
District Hospital 2183 1874 4,057 12843 11386 24,229 15026 13260 28286
Upazila Health Complex 2988 3514 6,502 8674 9409 18,083 11662 12923 24585
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
10 Bed Hospitals 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 231 321 552 673 1328 2,001 904 1649 2553

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No. of OPD & Emergency visits, Admissions & Deaths
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
District Hospital 87 67 154 192 179 371 279 246 525
Upazila Health Complex 30 28 58 50 40 90 80 68 148
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 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
Medical College Hospital 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

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Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 10559
No. ICD-10 Code Disease name No. of Cases %
1 R509 R509 Fever, unspecified 1386 13.1
2 P21 P21 Birth asphyxia 1231 11.7
3 J18 J18 Pneumonia, organism unspecified 1086 10.3
4 J069 J069 Acute upper respiratory infection, unspecified 850 8.1
5 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 676 6.4

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 35217
No. ICD-10 Code Disease name No. of Cases %
1 J449 J449 Chronic obstructive pulmonary disease, unspecified 2544 7.2
2 Y09 Y09 Assault by unspecified means 2353 6.7
3 I21 I21 Acute myocardial infarction 2274 6.5
4 H259 H259 Senile cataract, unspecified 2052 5.8
5 J45 J45 Asthma 1780 5.1

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Mortality Profile

Top (5) causes of death for age <= 5 years

Total No. of cases reviewed for age <= 5 years 212
No. ICD-10 Code Disease name No. of Cases %
1 P070 P070 Extremely low birth weight 67 31.6
2 P210 P210 Severe birth asphyxia 51 24.1
3 J189 J189 Pneumonia, unspecified 32 15.1
4 O601 O601 Preterm labour with preterm delivery 17 8.0
5 P22 P22 Respiratory distress of newborn 14 6.6

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 39
No. ICD-10 Code Disease name No. of Cases %
1 O67 O67 Labour and delivery complicated by intrapartum haemorrhage, NEC 6 15.4
2 O15 O15 Eclampsia 4 10.3
3 O721 O721 Other immediate postpartum haemorrhage 4 10.3
4 O669 O669 Obstructed labour, unspecified 3 7.7
5 O70 O70 Perineal laceration during delivery 2 5.1

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Mortality Profile

Top (5) causes of death between ages 30 & 70 years

Total No. of cases reviewed for causes of death (30 to 70 years) 412
No. ICD-10 Code Disease name No. of Cases %
1 I219 I219 Acute myocardial infarction, unspecified 118 28.6
2 J440 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 92 22.3
3 I469 I469 Cardiac arrest, unspecified 45 10.9
4 I61 I61 Intracerebral haemorrhage 28 6.8
5 B99 B99 Other and unspecified infectious diseases 19 4.6
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 98.0
Coverage of households having access to sanitary latrines (%) 99.0

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Surgeries done under the CS Office
Type No.
Major Surgeries 8089
Minor Surgeries 6151

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
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 12 6 1 7 5 41.7
Grade 6 42 16 4 20 22 52.4
Grade 7 2 0 0 0 2 100.0
Grade 8 9 7 0 7 2 22.2
Grade 9 121 29 17 46 75 62.0
Grade 10 182 3 154 157 25 13.7

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 11 100 54 29 83 17 17.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 265 94 115 209 56 21.1
Grade 15 76 36 30 66 10 13.2
Grade 16 303 168 86 254 49 16.2
Grade 17 3 2 1 3 0 0.0
Grade 18 2 1 0 1 1 50.0
Grade 19 2 0 0 0 2 100.0
Grade 20 138 86 43 129 9 6.5

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Civil Surgeon 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 1 1 0 1 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 4 0 0 0 4 100.0
Grade 10 4 1 0 1 3 75.0

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 1 0 0 0 1 100.0
Grade 12 1 0 1 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 6 3 1 4 2 33.3
Grade 15 1 1 0 1 0 0.0
Grade 16 4 3 1 4 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 3 1 0 1 2 66.7
Grade 20 6 5 1 6 0 0.0

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 3 0 3
Grade 5 4 3 7
Grade 6 10 3 13
Grade 7 15 4 19
Grade 8 48 18 66
Grade 9 11 28 39
Grade 10 3 96 99

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 21 15 36
Grade 12 6 0 6
Grade 13 61 43 104
Grade 14 146 212 358
Grade 15 24 10 34
Grade 16 84 36 120
Grade 17 28 14 42
Grade 18 6 3 9
Grade 19 5 3 8
Grade 20 43 16 59

25

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

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Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 3 1 4
Grade 12 0 0 0
Grade 13 1 1 2
Grade 14 2 0 2
Grade 15 0 0 0
Grade 16 2 1 3
Grade 17 6 1 7
Grade 18 0 1 1
Grade 19 0 0 0
Grade 20 1 0 1

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Status of Human Resources under DGHS updated during this report preparation
Man
power
Commu-
nity
Clinic
USC/
UHFWC/
RD
UHC DH/GH 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
San-
cti-
on-
ed
Fill-
ed-
up
Physician 0 0 68 31 53 29 61 23 0 0 8 2 1
Nurse 0 0 0 0 62 42 117 100 0 0 12 6 0
Medical Assistant 0 0 68 41 8 8 0 0 0 0 12 0 0
Medical Technologist 0 0 22 6 39 31 12 6 0 0 0 0 0
CHCP 221 180 0 0 0 0 0 0 0 0 0 0 33
HI 0 0 0 0 0 0 0 0 18 5 0 0 0
AHI 0 0 0 0 0 0 0 0 53 49 0 0 0
HA 0 0 0 0 0 0 0 0 265 222 0 0 68
Total 221 180 158 78 162 110 190 129 336 276 32 8 102

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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 1 1 1 0 3
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0

29

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) 1 0 0 0 1
Air conditioner (window) 0 1 0 0 1

30

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 1 0 0 0 1

31

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) 7 1 2 2 12
Laptop 1 0 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 0 0 4
Scanner 1 0 0 0 1
UPS 5 0 4 0 9
Fax 0 1 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0

32

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) 1 0 0 0 1
Multimedia 1 0 0 0 1
OHP 0 0 1 0 1
PA system 0 0 0 0 0
Land phone 1 0 0 0 1
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

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Important information and necessary issues you want to raise
Important information & necessary issues for Gopalganj : (1) Man power: Doctors, Nurse & Supporting Staff vacant post fill-up immediately (2) Equipments, Instruments & Logistic Support asper needs (3) Some training recent may make them more skillful which will help us to achieve good performance in future.The Local Health Bulletin ( LHB) contains all the health information of Gopalganj District. 01. Dr.Chowdhury Shofiqul Alam, Civil Surgeon, Gopalganj. 02. Dr. Tanvir Ahmed, MO ( Incharge), Civil Surgeon Office, Gopalganj. 03. Mr. Bikash Kanti Baul, Statistical Assistant, Civil Surgeon Office, Gopalganj. 04. Mrs. Ruksana Akter, EPI Superintendent, Civil Surgeon Office, Gopalganj. 05. Md. Abul Kalam Azad, Head Assistant, Civil Surgeon Office, Gopalganj. 06. Mrs. Kakoli Rani Bala, Accuntant, Civil Surgeon Office, Gopalganj. 07.Mr.Md. Husain Molla, Store Keeper, Civil Surgeon Office, Gopalganj. 08.Mr. Sanjoy Kumar Chakroborti, Assistant Store Keeper (EPI), Civil Surgeon Office, Gopalganj

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