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

Preface

Local Health Bulletin 2016 on behalf of Civil Surgeon Office Rangamati is going to Published.The Bulletin will present the existing human resource,equipment's and ongoing health activities in the district and will also explore some data that will reflect the outcome of the activities. Rangamati is the district of lake,hill and forest.The natural beauty of this district an extra ordinary charm and an enjoyable environment that attracts the tourist.This is for seeing and feeling but not the same for dwelling and providing service to the people.More than 80% of the total area of the district is hard to reach and in some areas it is very hard to approach where people live in the forest,surrounded by hills,having no road or water communication.In most of the lake areas,public transport is absent.hired boat is needed to reach the distant areas that cost a lot.All above have made it difficult for the health workers to meet people door to door,thereby provide satisfactory health service and adequate information collection to build up a sound data status.Of course,we are striving to achieve accuracy and reality.However,hope,this Bulletin will make platform for a totally realistic achievement at the coming days and a satisfactory outcome.Thanks to all who have contributed directly and indirectly to publish the Bulletin. Dr.Sneha Kanti Chakma Civil Surgeon Rangamati Hill District

Dr. Sneha Kanti Chakma
Civil Surgeon
Rangamati Civil Surgeon Office
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

2

EDITORIAL BOARD

Chief Editor

Dr. Sneha Kanti Chakma, Civil Surgeon, Rangamati


Special Acknowledgement

1. Dr. Sneha Kanti Chakma, Civil Surgeon, Rangamati

Editors

1. Dr. Sabrina Sultana, Deputy Civil Surgeon, Rangamati

2. Dr. Binode Shekhor Chakma, MO-CS, Rangamati

3. Supati Ranjan Chakma, Sr. Health Education Officer

4. Md.Shahjahan Majumder, AO, CS office,Rangamati

5. Md. Mozzam Hossain, Head assistant, Cs office, Rangamati

Contributors

1. Shukla Barua, Statistical Assistant

2. Dr. Joydhan Tanchangya, DMCH&IO

3. Dr. Helen Chakma , Field District Officer,UNFPA

4. Osimong Marma, HMIS Consultant


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.

Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

3

Basic Information
Name of District Rangamati
Organization Code 10001087
Name of Civil SurgeonDr. Sneha Kanti Chakma
Land Phone No. 1 035162114
Land Phone No. 2 035162017
FAX No. 035162017
Mobile No. 01554303477
Email rangamati@cs.dghs.gov.bd
GPS location of CS Office Lati: 22.6437 And Long: 92.1917
No. of Upazila in the District10
No. of Households in the District 190902
Population in the District 656979
Area of District in sq km 6116
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 0 0
General Hospital 1 100
Upazila Health Complexes 9 153
Union Sub Centers 11 0
Union Health & Family Welfare Centers (under DGHS) 37 0
Union Health & Family Welfare Centers (under DGFP) 31 0
Rural Dispensaries 0 0
Community Clinics 81 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

5

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 1 10
NGO Clinics/Facilities 6 140
10 Bed Hospitals 1 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

6

No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 16,718



Neonatal Mortality Rate: 2.8 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 35,688
Fully Vaccinated Children (<= 12 months): 95 %
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

7

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;

Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

8

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 1018 528 1229 1275 0 1115 15534 20699
At least 1 ANC 1018 528 1229 1703 180 1115 15534 21307
ANCs (4+) 442 128 238 808 50 139 6981 8786
Normal Delivery 645 255 9 287 42 225 14277 15740
Cesarean Section 190 0 0 503 228 80 0 1001
Other Assisted Delivery 17 0 0 21 0 21 0 59
PNC Within 2 days 245 250 167 964 228 567 8597 11018
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

9

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 0 0 1 0 0 6 9
Total Deliveries 852 255 9 811 270 326 14277 16800
Valid TT5 Coverage (%) 91
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

10

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 4089 3448 7,537 21160 22534 43,694 25249 25982 51231
Upazila Health Complex 11506 12076 23,582 63314 76708 140,022 74820 88784 163604
Union Sub-Centers 3774 4200 7,974 13869 15903 29,772 17643 20103 37746
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 8498 9322 17,820 10435 24393 34,828 18933 33715 52648
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 6700 6806 13,506 49358 71525 120,883 56058 78331 134389
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

11

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) 115 5447 5,562 880 903 1,783 995 6350 7345
Chest Disease (TB) Clinics/Hospitals 0 0 0 71 101 172 71 101 172
Private Clinics/Facilities 14 28 42 41 280 321 55 308 363
NGO Clinics/Facilities 11640 30652 42,292 15064 41999 57,063 26704 72651 99355
10 Bed Hospitals 379 412 791 1677 4336 6,013 2056 4748 6804
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
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

12

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 794 521 1,315 3122 3608 6,730 3916 4129 8045
Upazila Health Complex 467 384 851 2597 2087 4,684 3064 2471 5535
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 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

13

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 507 348 855 1436 1674 3,110 1943 2022 3965
Upazila Health Complex 919 775 1,694 3803 4289 8,092 4722 5064 9786
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 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

14

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 33 28 61 86 62 148 119 90 209
Upazila Health Complex 3 5 8 25 27 52 28 32 60
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
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

15

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 2347
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 835 35.6
2 J189 J189 Pneumonia, unspecified 830 35.4
3 B349 B349 Viral infection, unspecified 105 4.5
4 A419 A419 Septicaemia, unspecified 75 3.2
5 G039 G039 Meningitis, unspecified 20 0.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 10013
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1325 13.2
2 Y09 Y09 Assault by unspecified means 734 7.3
3 J449 J449 Chronic obstructive pulmonary disease, unspecified 461 4.6
4 I159 I159 Secondary hypertension, unspecified 388 3.9
5 K279 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 245 2.4
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

16

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 65
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 13 20.0
2 P36 P36 Bacterial sepsis of newborn 13 20.0
3 P071 P071 Other low birth weight 12 18.5
4 A419 A419 Septicaemia, unspecified 12 18.5
5 G039 G039 Meningitis, unspecified 7 10.8

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 2
No. ICD-10 Code Disease name No. of Cases %
1 O469 O469 Antepartum haemorrhage, unspecified 2 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

17

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) 144
No. ICD-10 Code Disease name No. of Cases %
1 J449 J449 Chronic obstructive pulmonary disease, unspecified 38 26.4
2 I64 I64 Stroke, not specified as haemorrhage or infarction 35 24.3
3 I21 I21 Acute myocardial infarction 33 22.9
4 T609 T609 Pesticide, unspecified 11 7.6
5 I509 I509 Heart failure, unspecified 8 5.6
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 36.0
Coverage of households having access to sanitary latrines (%) 81.0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

18

Surgeries done under the CS Office
Type No.
Major Surgeries 238
Minor Surgeries 1937
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

19

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 1 0 1 1 0 0.0
Grade 5 7 3 1 4 3 42.9
Grade 6 41 12 7 19 22 53.7
Grade 7 16 10 0 10 6 37.5
Grade 8 41 20 13 33 8 19.5
Grade 9 63 23 7 30 33 52.4
Grade 10 170 16 95 111 59 34.7
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

20

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 11 134 58 27 85 49 36.6
Grade 12 2 0 2 2 0 0.0
Grade 13 39 30 9 39 0 0.0
Grade 14 135 59 56 115 20 14.8
Grade 15 70 43 10 53 17 24.3
Grade 16 212 144 37 181 31 14.6
Grade 17 41 26 15 41 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 7 2 2 4 3 42.9
Grade 20 218 121 51 172 46 21.1
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

21

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 1 0 1 1 0 0.0
Grade 7 1 1 0 1 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 2 0 2 3 60.0
Grade 10 11 6 1 7 4 36.4
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

22

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 1 0 1 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 9 6 1 7 2 22.2
Grade 15 5 5 0 5 0 0.0
Grade 16 8 7 1 8 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 2 0 0 0 2 100.0
Grade 20 14 14 0 14 0 0.0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

23

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 0 1 1
Grade 5 5 1 6
Grade 6 3 4 7
Grade 7 34 2 36
Grade 8 45 43 88
Grade 9 15 13 28
Grade 10 13 58 71
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

24

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 55 28 83
Grade 12 17 3 20
Grade 13 151 25 176
Grade 14 34 55 89
Grade 15 26 12 38
Grade 16 49 25 74
Grade 17 82 34 116
Grade 18 0 3 3
Grade 19 21 2 23
Grade 20 26 15 41
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

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 0 0 0
Grade 6 1 1 2
Grade 7 6 0 6
Grade 8 2 1 3
Grade 9 1 0 1
Grade 10 2 0 2
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

26

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 4 1 5
Grade 12 2 0 2
Grade 13 10 1 11
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 3 0 3
Grade 17 9 0 9
Grade 18 0 0 0
Grade 19 2 0 2
Grade 20 2 0 2
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

27

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 48 40 84 39 31 13 13 6 0 3 0
Nurse 0 0 0 0 119 59 77 60 9 9 15 0 0
Medical Assistant 0 0 48 19 18 16 0 0 0 0 15 0 0
Medical Technologist 0 0 11 4 78 61 7 6 6 6 0 0 0
CHCP 142 139 0 0 0 0 0 0 0 0 0 0 52
HI 0 0 0 0 13 13 0 0 0 0 0 0 0
AHI 0 0 0 0 37 36 0 0 0 0 0 0 0
HA 0 0 0 0 185 160 0 0 0 0 0 0 5
Total 142 139 107 63 534 384 115 79 28 21 30 3 57
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

28

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 0 0 0 1
Microbus 0 0 0 0 0
Pickup 0 1 0 0 1
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

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) 5 0 0 0 5
Air conditioner (window) 1 2 0 0 3
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

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) 1 0 0 0 1
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 0 0 0 2
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

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) 10 0 2 3 15
Laptop 4 0 1 0 5
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 10 0 2 1 13
Scanner 1 0 0 0 1
UPS 5 0 4 0 9
Fax 1 0 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

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 1 0 0 0 1
PA system 0 0 1 0 1
Land phone 3 0 0 0 3
Mobile phone 0 0 0 0 0
Photocopier machine 0 0 1 0 1
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

33

Important information and necessary issues you want to raise
Rangamati District has no purpose built Civil Surgeon Office Building.The office work is done in old tin shed hospital building . for want of well planed store room, the storage materials suffers a lot and bears the the chance of damage. Store Medical officer post is vacant, resulting deficient looking after the store and therefore logistics management is at risk.
Local Health Bulletin 2016 for Rangamati Civil Surgeon Office, , Rangamati

34