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 of Chuadanga district. This bulletin contains all the health related profile of Chuadanga District and also the performance of the year-2015.This bulletin is published to disseminate the health information to others. This bulletin will help to identify the laps and gaps of health services of the district. It also helps to prepare next year plan to improve the health services. This bulletin reflect the present health status of the district. The sanctioned and vacant post are also published in this bulletin which may draw the attention of higher authority to take necessary action. Finally, I would like to congratulate the MIS Department of DGHS for this health bulletin software,which may set us one step ahead toward Digital Bangladesh.Thanks. Dr. Pitambar Roy, Civil Surgeon, Chuadanga.

Dr. Pitambar Roy
Civil Surgeon
Chuadanga Civil Surgeon Office
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

2

EDITORIAL BOARD

Chief Editor

Dr. Pitambar Roy, Civil Surgeon


Editors

1. Md. Akter Hossain, Statistician

2. Golam Faruque, District Sanitary Inspector

Contributors

1. Dr. Md. Ataur Rahman , Medical Officer (ICT Focal Person)

2. Md. Robjel Haque, Senior Health Education Officer

3. Md. Abdur Razzak, District Health Superintendent

4. Md. Ashrafuzzaman, District EPI Superintendent


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 Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

3

Basic Information
Name of District Chuadanga
Organization Code 10001722
Name of Civil SurgeonDr. Pitambar Roy
Land Phone No. 1 76163113
Land Phone No. 2 76162423
FAX No. 76163664
Mobile No. 01712263706
Email chuadanga@cs.dghs.gov.bd
GPS location of CS Office Lati: 23.6356 And Long: 88.8476
No. of Upazila in the District4
No. of Households in the District 269958
Population in the District 1219905
Area of District in sq km 1158
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 3 93
Union Sub Centers 15 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 24 0
Rural Dispensaries 0 0
Community Clinics 118 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 20
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

5

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 43 440
NGO Clinics/Facilities 1 20
10 Bed Hospitals 0 0
20 Bed Hospitals 0 0
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

6

No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 22,804



Neonatal Mortality Rate: 4.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 43,583
Fully Vaccinated Children (<= 12 months): 97 %
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 2155 1825 0 183 6377 682 14108 25330
At least 1 ANC 2155 1825 0 183 6377 682 14108 25330
ANCs (4+) 1178 821 0 94 3830 385 7781 14089
Normal Delivery 1337 944 0 9 1146 465 13145 17046
Cesarean Section 268 356 0 148 4857 177 0 5806
Other Assisted Delivery 14 0 0 0 13 0 0 27
PNC Within 2 days 1619 1300 0 157 6016 642 7072 16806
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 3 0 0 0 0 0 8 11
Total Deliveries 1619 1300 0 157 6016 642 13145 22879
Valid TT5 Coverage (%) 97
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 15265 21475 36,740 54710 58271 112,981 69975 79746 149721
Upazila Health Complex 17250 22655 39,905 65517 93662 159,179 82767 116317 199084
Union Sub-Centers 18448 25538 43,986 73316 102314 175,630 91764 127852 219616
Union Health & Family Welfare Centers (under 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
Community Clinics 65826 137242 203,068 267353 565079 832,432 333179 702321 1035500
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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) 1202 1413 2,615 0 7941 7,941 1202 9354 10556
Chest Disease (TB) Clinics/Hospitals 0 0 0 2248 1502 3,750 2248 1502 3750
Private Clinics/Facilities 762 1097 1,859 1450 5344 6,794 2212 6441 8653
NGO Clinics/Facilities 1411 1221 2,632 4355 2351 6,706 5766 3572 9338
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 Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 6710 14530 21,240 20292 25262 45,554 27002 39792 66794
Upazila Health Complex 1780 2167 3,947 9311 10280 19,591 11091 12447 23538
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 Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 2632 2751 5,383 10849 13853 24,702 13481 16604 30085
Upazila Health Complex 1874 2079 3,953 6533 9605 16,138 8407 11684 20091
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 361 495 856 2311 3331 5,642 2672 3826 6498
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 34 36 70 255 200 455 289 236 525
Upazila Health Complex 0 0 0 42 17 59 42 17 59
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 Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

15

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 8303
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2800 33.7
2 J18 J18 Pneumonia, organism unspecified 1662 20.0
3 A419 A419 Septicaemia, unspecified 277 3.3
4 J21 J21 Acute bronchiolitis 220 2.6
5 J129 J129 Viral pneumonia, unspecified 190 2.3

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 29040
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 5172 17.8
2 K27 K27 Peptic ulcer, site unspecified 2243 7.7
3 I516 I516 Cardiovascular disease, unspecified 1880 6.5
4 V892 V892 Person injured in unspecified motor-vehicle accident, traffic 1120 3.9
5 A01 A01 Typhoid and paratyphoid fevers 1078 3.7
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

16

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 70
No. ICD-10 Code Disease name No. of Cases %
1 P21 P21 Birth asphyxia 15 21.4
2 A419 A419 Septicaemia, unspecified 11 15.7
3 J22 J22 Unspecified acute lower respiratory infection 9 12.9
4 T629 T629 Noxious substance eaten as food, unspecified 3 4.3
5 P071 P071 Other low birth weight 2 2.9

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 3
No. ICD-10 Code Disease name No. of Cases %
1 O72 O72 Postpartum haemorrhage 3 100.0
2 0.0
3 0.0
4 0.0
5 0.0
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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) 514
No. ICD-10 Code Disease name No. of Cases %
1 I516 I516 Cardiovascular disease, unspecified 167 32.5
2 I21 I21 Acute myocardial infarction 44 8.6
3 J961 J961 Chronic respiratory failure 41 8.0
4 I50 I50 Heart failure 21 4.1
5 T629 T629 Noxious substance eaten as food, unspecified 19 3.7
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 97.8
Coverage of households having access to sanitary latrines (%) 91.3
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

18

Surgeries done under the CS Office
Type No.
Major Surgeries 7088
Minor Surgeries 8262
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 7 5 1 6 1 14.3
Grade 6 23 13 5 18 5 21.7
Grade 7 1 0 0 0 1 100.0
Grade 8 62 32 16 48 14 22.6
Grade 9 2 2 0 2 0 0.0
Grade 10 76 4 70 74 2 2.6
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 93 58 13 71 22 23.7
Grade 12 0 0 0 0 0 0.0
Grade 13 2 0 1 1 1 50.0
Grade 14 29 27 0 27 2 6.9
Grade 15 47 36 2 38 9 19.1
Grade 16 185 97 50 147 38 20.5
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 20 113 58 36 94 19 16.8
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 2 1 0 1 1 50.0
Grade 9 2 2 0 2 0 0.0
Grade 10 5 4 1 5 0 0.0
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 0 0 0 1 100.0
Grade 13 1 0 1 1 0 0.0
Grade 14 5 5 0 5 0 0.0
Grade 15 1 1 0 1 0 0.0
Grade 16 3 1 2 3 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 5 0 5 1 16.7
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 0 0
Grade 5 8 3 11
Grade 6 6 3 9
Grade 7 21 0 21
Grade 8 27 32 59
Grade 9 10 18 28
Grade 10 7 39 46
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

24

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 40 14 54
Grade 12 3 0 3
Grade 13 70 24 94
Grade 14 6 0 6
Grade 15 17 8 25
Grade 16 51 20 71
Grade 17 35 26 61
Grade 18 2 0 2
Grade 19 18 2 20
Grade 20 13 5 18
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 1 0 1
Grade 8 2 1 3
Grade 9 1 0 1
Grade 10 4 0 4
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 1 0 1
Grade 13 1 3 4
Grade 14 1 0 1
Grade 15 0 0 0
Grade 16 1 0 1
Grade 17 3 0 3
Grade 18 0 0 0
Grade 19 2 0 2
Grade 20 2 0 2
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 33 26 32 21 21 18 8 6 2 2 0
Nurse 0 0 4 4 32 32 35 33 1 1 7 11 0
Medical Assistant 0 0 33 33 6 6 0 0 0 0 18 0 0
Medical Technologist 0 0 0 0 18 18 3 3 9 9 0 1 0
CHCP 118 118 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 10 10 0 0 0 0 0 0 0
AHI 0 0 0 0 31 31 0 0 0 0 0 0 0
HA 0 0 0 0 152 116 0 0 0 0 0 0 37
Total 118 118 70 63 281 234 59 54 18 16 27 14 37
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 0 0 2
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 1 0 0 2
Air conditioner (window) 0 0 0 0 0
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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 0 0 1 0 1
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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) 6 0 2 3 11
Laptop 3 1 0 0 4
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 1 0 1
Printer (laser) 5 0 0 0 5
Scanner 1 0 0 0 1
UPS 3 0 2 0 5
Fax 0 1 0 0 1
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

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

33

Important information and necessary issues you want to raise
Last year we were in a shortage of our own manpower still we had good position in Khulna division. Regards in patients care , out door services operative services of our district hospital and health complexes. We shall try our level best to create EMO posts in Chuadanga sadar hospital. Manpower against vacant post and for 100 beded is important priority. We need to connect adequate instruments, equipments. 1) X-ray service : Out of 3 (three) upazila health complexes X-ray service are avilable in 1(one) upazila only. New X-ray machine are needed to continue the X-ray service avilable. 2) Ambulance service: Out of 3 (three) upazila health complex Ambulance service are avilable in 1(one) upazila only. New, 2 (two) Ambulance are needed to continue the Ambulance service avilable. We are very happy to write this health bulletin. This documents will help us to make a comparisom with other cause and future program
Local Health Bulletin 2016 for Chuadanga Civil Surgeon Office, Chuadanga Sadar, Chuadanga

34