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

Preface

Well come to Health Bulletin of Sunamganj 250 bed District Sadar Hospital. I am very glad to publish this Health Bulletin. This may help us for planning for the next year.From this Bulletin the people can know the present status of the hospital and advise to improve it . Most of the sanction post of Doctors & Nurses are vacant. With shortage of manpower we are trying our best to provide optimum service. Recently (2009) hospital upgraded from 100 bed to 250 bed but the infrastructure is under construction. Dr Ashutush Das, Civil Surgeon/ Superintendent Sunamganj 250 bed District Sadar Hospital.


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

2

EDITORIAL BOARD

Chief Editor

Dr. Ashutush Das, Civil Surgeon


Editors

1. Dr. Md. Abul Kalam, Medical Officer

2. Md. Tazul Islam, Statistical 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 Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

3

Basic Information
Name of District Sunamganj
Organization Code 10002158
Name of Civil Surgeon
Land Phone No. 1 087161707
Land Phone No. 2 N/A
FAX No. 087161710
Mobile No.
Email sunamganj@cs.dghs.gov.bd
GPS location of CS Office Lati: N/A And Long: 91.4000
No. of Upazila in the District11
No. of Households in the District 377290
Population in the District 2788080
Area of District in sq km 3670
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

4

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Medical College Hospital 0 0
District Hospital 1 250
General Hospital 0 0
Upazila Health Complexes 9 298
Union Sub Centers 22 0
Union Health & Family Welfare Centers (under DGHS) 0 0
Union Health & Family Welfare Centers (under DGFP) 43 0
Rural Dispensaries 1 20
Community Clinics 217 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 1 6
Chest Disease (TB) Clinics/Hospitals 1 0
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

5

Existing Health Facilities
Facility Type Total No.of Faciliti(es) No. of Beds
Private Clinics/Facilities 4 40
NGO Clinics/Facilities 2 24
10 Bed Hospitals 0 0
20 Bed Hospitals 1 20
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

6

No. of Live Births & Child Deaths in the District (Jan-Dec, 2015)
Total No. of live births: 72,809



Neonatal Mortality Rate: 15.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 296,027
Fully Vaccinated Children (<= 12 months): 96 %
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 2136 18933 2160 0 1480 3851 45753 74313
At least 1 ANC 2136 18933 2160 0 1480 3851 35540 64100
ANCs (4+) 258 982 128 0 0 158 16982 18508
Normal Delivery 998 2847 1772 0 247 486 65551 71901
Cesarean Section 305 0 0 0 1233 116 0 1654
Other Assisted Delivery 6 151 37 0 0 0 0 194
PNC Within 2 days 2180 24164 3102 0 1480 1518 0 32444
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 12 0 0 0 0 110 125
Total Deliveries 1309 2998 1809 0 1480 602 65551 73749
Valid TT5 Coverage (%) 22
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 12968 12558 25,526 47722 43592 91,314 60690 56150 116840
Upazila Health Complex 50517 48858 99,375 198075 256974 455,049 248592 305832 554424
Union Sub-Centers 41328 42670 83,998 94394 130282 224,676 135722 172952 308674
Union Health & Family Welfare Centers (under DGHS) 3420 2335 5,755 2558 10513 13,071 5978 12848 18826
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 214154 445684 659,838 452752 822876 1,275,628 666906 1268560 1935466
Trauma Centers 0 0 0 0 0 0 0 0 0
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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) 259 330 589 0 7854 7,854 259 8184 8443
Chest Disease (TB) Clinics/Hospitals 158 167 325 874 849 1,723 1032 1016 2048
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 3510 5170 8,680 24234 21280 45,514 27744 26450 54194
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 Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 3316 3818 7,134 13787 15009 28,796 17103 18827 35930
Upazila Health Complex 7277 6883 14,160 26174 26317 52,491 33451 33200 66651
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 299 353 652 3653 2858 6,511 3952 3211 7163
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 Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 3685 3765 7,450 7175 8377 15,552 10860 12142 23002
Upazila Health Complex 7522 7161 14,683 16609 22202 38,811 24131 29363 53494
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 423 368 791 1163 2315 3,478 1586 2683 4269
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 Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 75 84 159 61 70 131 136 154 290
Upazila Health Complex 62 60 122 50 52 102 112 112 224
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 Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

15

Morbidity Profile

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

Total No. of admitted patients reviewed for under five morbidity profile 18924
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 4801 25.4
2 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 3809 20.1
3 P219 P219 Birth asphyxia, unspecified 973 5.1
4 A01 A01 Typhoid and paratyphoid fevers 628 3.3
5 E619 E619 Deficiency of nutrient element, unspecified 548 2.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 61841
No. ICD-10 Code Disease name No. of Cases %
1 K276 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 7326 11.8
2 A090 A090 Other and unspecified gastroenteritis and colitis of infectious origin 6786 11.0
3 X999 X999 Assault by sharp object, unspecified place 6005 9.7
4 J459 J459 Asthma, unspecified 3425 5.5
5 I219 I219 Acute myocardial infarction, unspecified 988 1.6
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

16

Mortality Profile

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

Total No. of cases reviewed for age <= 5 years 278
No. ICD-10 Code Disease name No. of Cases %
1 J189 J189 Pneumonia, unspecified 107 38.5
2 P219 P219 Birth asphyxia, unspecified 103 37.1
3 J180 J180 Bronchopneumonia, unspecified 35 12.6
4 A009 A009 Cholera, unspecified 7 2.5
5 J459 J459 Asthma, unspecified 3 1.1

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths 65
No. ICD-10 Code Disease name No. of Cases %
1 O151 O151 Eclampsia in labour 14 21.5
2 O669 O669 Obstructed labour, unspecified 12 18.5
3 O063 O063 Unspecified abortion, incomplete, with other and unspecified complications 9 13.8
4 O209 O209 Haemorrhage in early pregnancy, unspecified 6 9.2
5 E569 E569 Vitamin deficiency, unspecified 4 6.2
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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) 163
No. ICD-10 Code Disease name No. of Cases %
1 J449 J449 Chronic obstructive pulmonary disease, unspecified 51 31.3
2 J459 J459 Asthma, unspecified 24 14.7
3 I219 I219 Acute myocardial infarction, unspecified 22 13.5
4 O151 O151 Eclampsia in labour 14 8.6
5 J189 J189 Pneumonia, unspecified 10 6.1
Water & sanitation
Indicators District %
Coverage of households having access to safe drinking water (%) 82.0
Coverage of households having access to sanitary latrines (%) 77.0
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

18

Surgeries done under the CS Office
Type No.
Major Surgeries 72
Minor Surgeries 1143
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 12 7 0 7 5 41.7
Grade 6 49 22 3 25 24 49.0
Grade 7 13 6 0 6 7 53.8
Grade 8 153 68 19 87 66 43.1
Grade 9 40 6 2 8 32 80.0
Grade 10 372 9 58 67 305 82.0
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

20

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
District Total
Grade 11 176 57 7 64 112 63.6
Grade 12 2 2 0 2 0 0.0
Grade 13 84 48 11 59 25 29.8
Grade 14 136 71 38 109 27 19.9
Grade 15 70 47 7 54 16 22.9
Grade 16 463 209 98 307 156 33.7
Grade 17 26 8 8 16 10 38.5
Grade 18 17 2 2 4 13 76.5
Grade 19 6 3 0 3 3 50.0
Grade 20 228 60 40 100 128 56.1
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 2 0 0 0 2 100.0
Grade 7 0 0 0 0 0 0.0
Grade 8 1 1 0 1 0 0.0
Grade 9 3 1 1 2 1 33.3
Grade 10 6 4 0 4 2 33.3
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 0 0 0 1 100.0
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 6 3 0 3 3 50.0
Grade 16 4 1 0 1 3 75.0
Grade 17 0 0 0 0 0 0.0
Grade 18 1 0 0 0 1 100.0
Grade 19 2 2 0 2 0 0.0
Grade 20 7 2 3 5 2 28.6
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 6 0 6
Grade 5 18 1 19
Grade 6 7 1 8
Grade 7 24 6 30
Grade 8 46 17 63
Grade 9 6 7 13
Grade 10 9 44 53
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

24

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
District Total
Grade 11 50 14 64
Grade 12 13 1 14
Grade 13 161 39 200
Grade 14 60 45 105
Grade 15 26 4 30
Grade 16 114 82 196
Grade 17 47 38 85
Grade 18 10 3 13
Grade 19 2 0 2
Grade 20 12 5 17
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 1 0 1
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 2 1 3
Grade 8 1 0 1
Grade 9 0 0 0
Grade 10 3 0 3
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

26

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

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 22 5 186 104 59 22 5 3 8 3 0
Nurse 0 0 0 0 119 39 233 31 9 2 7 4 0
Medical Assistant 0 0 76 37 20 6 0 0 0 0 0 0 0
Medical Technologist 0 0 22 8 112 34 3 3 1 0 0 0 0
CHCP 244 244 0 0 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 29 27 0 0 0 0 0 0 0
AHI 0 0 0 0 87 85 0 0 0 0 0 0 0
HA 0 0 0 0 435 340 0 0 0 0 0 0 0
Total 244 244 120 50 988 635 295 56 15 5 15 7 0
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 1 0 2
Microbus 0 0 0 0 0
Pickup 0 0 1 0 1
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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

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 0 0 0 0 0
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 0 3 0 10
Laptop 4 0 0 0 4
Printer (dot matrix) 0 1 0 0 1
Printer (inkjet) 0 2 0 0 2
Printer (laser) 4 1 0 0 5
Scanner 1 0 0 0 1
UPS 4 0 4 0 8
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 Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

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 2 0 0 0 2
Mobile phone 0 0 0 0 0
Photocopier machine 0 1 0 0 1
Digital camera 1 0 0 0 1
Video camera 0 0 0 0 0
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

33

Important information and necessary issues you want to raise
I am very much happy to publish The Health Bulletin of Sunamganj District. The bulletin contains the health related data and information of 2015 of the District. In the Year 2015 we have been working with all our Strength and limitations to improve health status of our population but could not ensure public demand due to some reason. I like to mention some important factors which help us to good performance in future like 1) All the vacant post of Doctors, Nurse & paramedics should be filled-up 2) IMCI service providers (Doctors, Nurse & SACMO) should need to better training 3) For better maternal health service both Health & family planning field worker should work jointly. For that in all UHC`s & District Hospital vacant post of Gynee consultant & Anesthetist should be filled-up. Dr. Md. Abdul Hakim Civil Surgeon .Sunamganj
Local Health Bulletin 2016 for Sunamganj Civil Surgeon Office, Sunamganj Sadar, Sunamganj

34