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

Preface

Rajshahi district was a part of the pundra region of ancient Bengal and earlier it was known as "Beuleah". Along with all of Bangladesh, Rajshahi witnessed both great atroceties by the pakistan army and heroic struggles by freedom fighters during the liberation war in 1971 and it is a healthy, educational and friendly environmental city. The area of Rajshahi District is 2463 sq km. It has 9 upazilas, 72 unions with 462378 households. All the upazila is accessible through roads. The population is around 2913779. Bagmara upazila is the most populated and large upazila of this district. Most of the house is made of mud, brick and the road condition is very well. The Padma is the main river which passes beside the Rajshahi city. Most of the people in this district depend on agriculture.

Dr. Ferdous Nilufar
Civil Surgeon
Rajshahi Civil Surgeon Office
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

2

EDITORIAL BOARD

Chief Editor

Dr. Ferdous Nilufar, Civil Surgeon


Special Acknowledgement

1. Dr.Farhana Haq, Deputy Civil Surgeon

Editors

1. Md. Mahabubur Rashid, Statistical Officer

2. Co Editor : Harish Chandra Pk, Statistical Assistant

Contributors

1. Dr. D.M. Abu Hena Shahinujjaman, MOCS

2. Md. Abdur Rahman, Sr. Health Education Officer (In)

3. Sarder Md. Khayer Ali, District Health Superintendent

4. Nur Mohammad, District EPI Suprintendent

5. Md. Shah Alam, District Sanitary Inspector

6. Md. Alahi Bakhash, Office Assistant


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 Rajshahi Civil Surgeon Office, Boalia, Rajshahi

3

Basic Information
Name of District Rajshahi
Organization Code 10001556
Name of Civil SurgeonDr. Ferdous Nilufar
Land Phone No. 1 0721772030
Land Phone No. 2 0721772030
FAX No. 0721-812348
Mobile No. 01711173845
Email rajshahi@cs.dghs.gov.bd
GPS location of CS Office Lati: 24.3673 And Long: 88.5941
No. of Upazila in the District9
No. of Households in the District 462378
Population in the District 2913779.
Area of District in sq km 2463
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 1 1000
District Hospital 0 0
General Hospital 0 0
Upazila Health Complexes 10 462
Union Sub Centers 32 0
Union Health & Family Welfare Centers (under DGHS) 30 0
Union Health & Family Welfare Centers (under DGFP) 34 0
Rural Dispensaries 2 0
Community Clinics 233 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

5

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 94 850
NGO Clinics/Facilities 24 260
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

6

No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 45,906



Neonatal Mortality Rate: 3.8 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 120,231
Fully Vaccinated Children (<= 12 months): 94.3 %
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 0 14103 13422 2143 16158 0 12893 58719
At least 1 ANC 0 14103 13422 2143 16158 0 12893 58719
ANCs (4+) 0 7077 10453 1837 14243 0 4508 38118
Normal Delivery 0 6379 5508 1933 9451 0 8371 31642
Cesarean Section 0 57 210 1308 12884 0 0 14459
Other Assisted Delivery 0 0 0 0 0 0 0 0
PNC Within 2 days 0 7402 4315 2968 18645 0 6932 40262
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 0 0 5 1 8 0 23 37
Total Deliveries 0 6436 5718 3241 22335 0 8371 46101
Valid TT5 Coverage (%) 98.2
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 109346 115573 224,919 241345 335271 576,616 350691 450844 801535
Union Sub-Centers 65914 71638 137,552 146811 223842 370,653 212725 295480 508205
Union Health & Family Welfare Centers (under DGHS) 27643 54827 82,470 121487 164385 285,872 149130 219212 368342
Union Health & Family Welfare Centers (belong to DGFP) 11456 15734 27,190 21636 25385 47,021 33092 41119 74211
Rural/Urban/Thana Health Centers 2852 3734 6,586 7637 8389 16,026 10489 12123 22612
Community Clinics 103925 165319 269,244 522784 1372104 1,894,888 626709 1537423 2164132
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 6235 6,235 0 6235 6235
Chest Disease (TB) Clinics/Hospitals 9 1 10 991 725 1,716 1000 726 1726
Private Clinics/Facilities 44328 51984 96,312 67523 73547 141,070 111851 125531 237382
NGO Clinics/Facilities 5917 6281 12,198 6534 8373 14,907 12451 14654 27105
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 Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 4576 6384 10,960 24721 28847 53,568 29297 35231 64528
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 12352 13746 26,098 21685 36469 58,154 34037 50215 84252
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 3594 5627 9,221 25795 28261 54,056 29389 33888 63277
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 19376 26742 46,118 34985 45387 80,372 54361 72129 126490
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 0 0 0 0 0 0 0 0 0
Upazila Health Complex 4 2 6 29 23 52 33 25 58
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 3 5 8 11 14 25 14 19 33
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

15

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 3234
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1385 42.8
2 J189 J189 Pneumonia, unspecified 609 18.8
3 B99 B99 Other and unspecified infectious diseases 266 8.2
4 J45 J45 Asthma 152 4.7
5 A01 A01 Typhoid and paratyphoid fevers 134 4.1

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 22445
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 4288 19.1
2 K27 K27 Peptic ulcer, site unspecified 3547 15.8
3 T009 T009 Multiple superficial injuries, unspecified 1192 5.3
4 Y004 Y004 Assault by blunt object, street and highway 1125 5.0
5 J45 J45 Asthma 956 4.3
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

16

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 6
No. ICD-10 Code Disease name No. of Cases %
1 J12 J12 Viral pneumonia, NEC 3 50.0
2 J189 J189 Pneumonia, unspecified 1 16.7
3 J18 J18 Pneumonia, organism unspecified 1 16.7
4 I519 I519 Heart disease, unspecified 1 16.7
5 0.0

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 8
No. ICD-10 Code Disease name No. of Cases %
1 O141 O141 Severe pre-eclampsia 3 37.5
2 O721 O721 Other immediate postpartum haemorrhage 3 37.5
3 O152 O152 Eclampsia in the puerperium 2 25.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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) 52
No. ICD-10 Code Disease name No. of Cases %
1 I214 I214 Acute subendocardial myocardial infarction 6 11.5
2 J459 J459 Asthma, unspecified 5 9.6
3 I959 I959 Hypotension, unspecified 3 5.8
4 I501 I501 Left ventricular failure 3 5.8
5 J12 J12 Viral pneumonia, NEC 2 3.8
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 96.0
Coverage of households having access to sanitary latrines (%) 95.0
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

18

Surgeries done under the CS Office
Type No.
Major Surgeries 14500
Minor Surgeries 15852
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 6 4 1 5 1 16.7
Grade 6 67 37 13 50 17 25.4
Grade 7 4 1 0 1 3 75.0
Grade 8 56 28 25 53 3 5.4
Grade 9 91 46 28 74 17 18.7
Grade 10 109 26 58 84 25 22.9
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

20

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 11 164 125 32 157 7 4.3
Grade 12 2 2 0 2 0 0.0
Grade 13 22 16 2 18 4 18.2
Grade 14 77 43 18 61 16 20.8
Grade 15 89 64 13 77 12 13.5
Grade 16 333 151 103 254 79 23.7
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 14 10 1 11 3 21.4
Grade 20 204 115 45 160 44 21.6
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 0 1 1 0 0.0
Grade 6 1 0 1 1 0 0.0
Grade 7 1 0 0 0 1 100.0
Grade 8 0 0 0 0 0 0.0
Grade 9 6 3 2 5 1 16.7
Grade 10 10 7 1 8 2 20.0
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 1 1 0 1 0 0.0
Grade 13 1 1 0 1 0 0.0
Grade 14 10 8 0 8 2 20.0
Grade 15 4 2 1 3 1 25.0
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 3 2 0 2 1 33.3
Grade 20 13 12 0 12 1 7.7
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 16 5 21
Grade 6 11 11 22
Grade 7 35 10 45
Grade 8 33 27 60
Grade 9 46 26 72
Grade 10 15 22 37
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

24

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 84 33 117
Grade 12 0 0 0
Grade 13 67 37 104
Grade 14 18 5 23
Grade 15 10 8 18
Grade 16 102 59 161
Grade 17 13 8 21
Grade 18 2 0 2
Grade 19 10 4 14
Grade 20 43 12 55
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 1 1
Grade 5 0 0 0
Grade 6 0 1 1
Grade 7 7 0 7
Grade 8 4 3 7
Grade 9 1 0 1
Grade 10 1 0 1
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

26

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Civil Surgeon Office
Grade 11 4 0 4
Grade 12 2 0 2
Grade 13 6 1 7
Grade 14 0 0 0
Grade 15 2 0 2
Grade 16 5 1 6
Grade 17 6 0 6
Grade 18 3 0 3
Grade 19 4 0 4
Grade 20 2 0 2
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 76 63 212 177 0 0 19 19 154 9 0
Nurse 0 0 0 0 135 108 0 0 0 0 32 15 0
Medical Assistant 0 0 76 76 20 20 0 0 0 0 0 0 0
Medical Technologist 0 0 79 79 72 72 0 0 0 0 0 0 0
CHCP 252 235 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 21 17 0 0 0 0 0 0 0
AHI 0 0 0 0 56 49 0 0 0 0 0 0 0
HA 0 0 0 0 299 238 0 0 0 0 152 0 18
Total 252 235 231 218 815 681 0 0 19 19 338 24 18
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 1 0 0 0 1
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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) 1 0 0 0 1
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 1 0 1
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 Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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 0 0 10
Laptop 2 0 1 0 3
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 0 3 0 11
Scanner 3 0 0 0 3
UPS 4 0 3 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 Rajshahi Civil Surgeon Office, Boalia, Rajshahi

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

33

Important information and necessary issues you want to raise
Last year we could not put our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good result in future. (1) The vacant post should be filled immediately. (2) Our doctor and nurse has finished training on IMCI, ESD and waste Management (3) 233 Number of community clinics are running and 235 CHCP are working in this Community clinic. (4) Three months basic and practical training has finished of 232 CHCP's and 3 CHCP are running in three months basic and practical training (5) Now Doctors, Nurses, all health worker and CHCP have to be given proper service in health sector. Finally I am very happy to write this health bulletin of 2015 because this piece of information will help us to compare our progress in upcoming years. This is a very useful document and will help the public to understand the health services and provide us the useful advice for improvement in future.
Local Health Bulletin 2016 for Rajshahi Civil Surgeon Office, Boalia, Rajshahi

34