Feedback
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 health bulletin. This bulletin contains all the health related information of 2015.This bulletin is published to disseminate the information related to health. I hope all the information of this bulletin will help for planning of health services of Panchagarh district. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG target. This health bulletin has also the information on safe drinking water and sanitation status of Panchagarh District. All the sanctioned and vacant post of Panchagarh District are published here,which will draw attention of the higher authority to reduce the gap of human resource in Panchagarh district in the coming year. Finally, I would like to give thanks and congratulate the initiator of this bulletin, staff of Panchagarh District health department who make this bulletin to be published for the authority. Dr. Abul Fattah Md. Ahsan Ali Civil Surgeon Panchagarh. Dr. Abul Fattah Md. Ahsan Ali Civil Surgeon Panchagarh Civil Surgeon Office

Dr. Abul Fattah Md. Ahsan Ali
Civil Surgeon
Panchagarh Civil Surgeon Office
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

2

EDITORIAL BOARD

Chief Editor

Dr. Abul Fattah Md. Ahsan Ali, Civil Surgeon


Editors

1. Dr.Md. Masud Alam, M.O

Contributors

1. Md.Solaiman Ali, Statistical Asstt

2. Md.Rofikul Islam, Head Asstt


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 Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

3

Basic Information
Name of District Panchagarh
Organization Code 10001515
Name of Civil SurgeonDr. Abul Fattah Md. Ahsan Ali
Land Phone No. 1 056861219
Land Phone No. 2 N/A
FAX No. 056861451
Mobile No. 01712535881
Email panchagarh@cs.dghs.gov.bd
GPS location of CS Office Lati: 26.3401 And Long: 88.5563
No. of Upazila in the District5
No. of Households in the District 206599
Population in the District 1002834
Area of District in sq km 1404.63
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 4 200
Union Sub Centers 43 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 34 0
Rural Dispensaries 0 0
Community Clinics 107 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 2 0
Chest Disease (TB) Clinics/Hospitals 0 0
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

5

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 11 110
NGO Clinics/Facilities 0 0
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

6

No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 21,506



Neonatal Mortality Rate: 13.9 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 59,835
Fully Vaccinated Children (<= 12 months): 94 %
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 1994 7404 7559 1498 0 4483 4958 27896
At least 1 ANC 1994 7404 7559 1498 0 4483 4958 27896
ANCs (4+) 990 1844 6708 1405 0 447 1600 12994
Normal Delivery 731 2476 1314 130 292 911 5561 11415
Cesarean Section 810 385 0 0 1325 47 992 3559
Other Assisted Delivery 7 45 0 0 11 0 0 63
PNC Within 2 days 1052 1707 863 0 1325 101 1432 6480
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 6 5 7 0 0 0 23 41
Total Deliveries 1548 2906 1314 130 1628 958 6553 15037
Valid TT5 Coverage (%) 46
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 9347 9547 18,894 8949 9051 18,000 18296 18598 36894
Upazila Health Complex 17206 18735 35,941 81246 91383 172,629 98452 110118 208570
Union Sub-Centers 18414 21952 40,366 56770 70562 127,332 75184 92514 167698
Union Health & Family Welfare Centers (under DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 5836 5787 11,623 21330 92222 113,552 27166 98009 125175
Rural/Urban/Thana Health Centers 0 0 0 0 0 0 0 0 0
Community Clinics 89710 99620 189,330 201983 398940 600,923 291693 498560 790253
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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) 0 0 0 0 6421 6,421 0 6421 6421
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
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 427 307 734 4152 2167 6,319 4579 2474 7053
Upazila Health Complex 6870 552 7,422 8307 4925 13,232 15177 5477 20654
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 Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 1732 1541 3,273 3273 6540 9,813 5005 8081 13086
Upazila Health Complex 2132 1950 4,082 5807 11013 16,820 7939 12963 20902
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 Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 59 52 111 165 119 284 224 171 395
Upazila Health Complex 3 2 5 29 32 61 32 34 66
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 Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

15

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 4983
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2395 48.1
2 J189 J189 Pneumonia, unspecified 1414 28.4
3 A419 A419 Septicaemia, unspecified 504 10.1
4 P210 P210 Severe birth asphyxia 39 0.8
5 T149 T149 Injury, unspecified 29 0.6

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 12467
No. ICD-10 Code Disease name No. of Cases %
1 Y09 Y09 Assault by unspecified means 1546 12.4
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1384 11.1
3 J45 J45 Asthma 861 6.9
4 K30 K30 Dyspepsia 786 6.3
5 I21 I21 Acute myocardial infarction 480 3.9
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

16

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 116
No. ICD-10 Code Disease name No. of Cases %
1 P210 P210 Severe birth asphyxia 70 60.3
2 A419 A419 Septicaemia, unspecified 25 21.6
3 J188 J188 Other pneumonia, organism unspecified 7 6.0
4 J180 J180 Bronchopneumonia, unspecified 2 1.7
5 A419 A419 Septicaemia, unspecified 1 0.9

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 18
No. ICD-10 Code Disease name No. of Cases %
1 O469 O469 Antepartum haemorrhage, unspecified 2 11.1
2 O730 O730 Retained placenta without haemorrhage 2 11.1
3 O149 O149 Pre-eclampsia, unspecified 2 11.1
4 O72 O72 Postpartum haemorrhage 1 5.6
5 O150 O150 Eclampsia in pregnancy 1 5.6
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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) 345
No. ICD-10 Code Disease name No. of Cases %
1 I619 I619 Intracerebral haemorrhage, unspecified 36 10.4
2 I639 I639 Cerebral infarction, unspecified 23 6.7
3 I21 I21 Acute myocardial infarction 22 6.4
4 J449 J449 Chronic obstructive pulmonary disease, unspecified 17 4.9
5 N18 N18 Chronic renal failure 12 3.5
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 97.0
Coverage of households having access to sanitary latrines (%) 93.0
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

18

Surgeries done under the CS Office
Type No.
Major Surgeries 597
Minor Surgeries 1462
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 0 0 0 0 0 0.0
Grade 5 8 2 0 2 6 75.0
Grade 6 47 12 1 13 34 72.3
Grade 7 8 3 1 4 4 50.0
Grade 8 43 19 8 27 16 37.2
Grade 9 65 23 14 37 28 43.1
Grade 10 103 5 60 65 38 36.9
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

20

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 11 120 58 14 72 48 40.0
Grade 12 3 3 0 3 0 0.0
Grade 13 14 13 0 13 1 7.1
Grade 14 143 74 60 134 9 6.3
Grade 15 31 25 1 26 5 16.1
Grade 16 177 83 80 163 14 7.9
Grade 17 14 11 3 14 0 0.0
Grade 18 7 7 0 7 0 0.0
Grade 19 18 15 3 18 0 0.0
Grade 20 129 76 31 107 22 17.1
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 0 0 0 0 0 0.0
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 1 1 2 3 60.0
Grade 10 4 2 2 4 0 0.0
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 5 5 0 5 0 0.0
Grade 15 0 0 0 0 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 2 2 0 2 0 0.0
Grade 20 6 6 0 6 0 0.0
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 1 0 1
Grade 5 3 0 3
Grade 6 10 0 10
Grade 7 13 3 16
Grade 8 24 18 42
Grade 9 11 7 18
Grade 10 6 68 74
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

24

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 49 13 62
Grade 12 9 0 9
Grade 13 43 32 75
Grade 14 70 59 129
Grade 15 19 3 22
Grade 16 46 40 86
Grade 17 24 10 34
Grade 18 10 3 13
Grade 19 16 7 23
Grade 20 39 12 51
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 1 1
Grade 9 1 0 1
Grade 10 2 0 2
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

26

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

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 43 35 72 32 36 10 3 1 03 2 0
Nurse 0 0 0 0 57 55 37 26 1 1 06 4 0
Medical Assistant 0 0 43 29 8 6 0 0 0 0 7 0 0
Medical Technologist 0 0 16 9 33 21 5 3 2 1 0 0 0
CHCP 107 104 0 0 0 0 0 0 0 0 0 0 18
HI 0 0 0 0 8 8 0 0 0 0 0 0 0
AHI 0 0 0 0 26 25 0 0 0 0 0 0 0
HA 0 0 0 0 130 122 0 0 0 0 0 0 37
Total 107 104 102 73 334 269 78 39 6 3 16 6 55
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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 1 1 0 3
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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) 0 0 0 0 0
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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) 9 1 0 0 10
Laptop 3 0 0 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 0 0 0 5
Scanner 2 0 0 0 2
UPS 7 0 0 0 7
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 Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

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) 0 0 0 0 0
Multimedia 0 0 0 0 0
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 0 0 0 0 0
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

33

Important information and necessary issues you want to raise
DRS Store, EPI Store, Guest Room, Photocopier machine require for proper management. Vehicles garage.
Local Health Bulletin 2016 for Panchagarh Civil Surgeon Office, Panchagarh Sadar, Panchagarh

34