Health Bulletin 2007
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Board of Publication Chief Advisor: Dr. Md. Shahjahan Biswas, Director General, Directorate General of Health Services (DGHS), Mohakhali, Dhaka. Advisors: 1. Dr. Md. Muzaffar Hossain, Director, Administration, DGHS, Mohakhali, Dhaka. 2. Dr. Saleh Muhammad Rafique, Director, Primary Health Care, DGHS, Mohakhali, Dhaka. 3. Dr. Md. Nazrul Islam, Director, Planning & Research, DGHS, Mohakhali, Dhaka. 4. Dr. Md. Akhtar Hossain Bhuiyan, Director, Hospital, DGHS, Mohakhali, Dhaka. 5. Prof. Dr. Moazzem Hossain , Director, Disease Control, DGHS, Mohakhali, Dhaka. 6. Dr. Md. Moazzam Hossain, Ex Director, MIS, DGHS, Mohakhali, Dhaka. 7. Dr. Ranjit Kumar Dey, N.P.O., WHO. Chief Editor: Dr. Md. Abdul Jalil PK, Line Director, Management Information System (MIS), DGHS, Mohakhali, Dhaka. Editors: 1. Dr. Md. Ansar Ali, Chief (HIU), MIS, DGHS, Mohakhali, Dhaka. 2. Dr. Abu Zamil Hussain Imam, Deputy Director, MIS, DGHS, Mohakhali, Dhaka. 3. Dr. AFM Nowsher Ali, Deputy Chief (Medical), MIS, DGHS, Mohakhali, Dhaka. 4. Dr. Md. Nazrul Islam, Asstt. Director, MIS, DGHS, Mohakhali, Dhaka. 5. Dr. Wahidul Mowla, Deputy Program Manager (DPM), MIS, DGHS, Mohakhali, Dhaka. 6. Dr. Munir Ahmed, Asstt. Chief (Medical), MIS, DGHS, Mohakhali, Dhaka. 7. Mr. Moinuddin Ahmad Bhuiyan, System Analyst, MIS, DGHS, Mohakhali, Dhaka. 8. Engr. Sukhendu Shekhor Roy, Programmer, MIS, DGHS, Mohakhali, Dhaka. Compiled and Analyzed by: Mr. Md. Ashraful Islam Babul, Deputy Chief (Non-Medical), MIS, DGHS, Mohakhali, Dhaka. Associate Editors: 1. Mr. Burhan uddin Ahmad, Asstt. Programmer, MIS, DGHS, Mohakhali, Dhaka. 2. Mr. Fakhrul Islam Khan, Statistician, MIS, DGHS, Mohakhali, Dhaka. Assisted Person: Mr. Md. Mahfuzur Rahman, Data Entry Operator, DGHS, Mohakhali, Dhaka. Implemented by: Management Information System (MIS), Directorate General of Health Services (DGHS), Mohakhali, Dhaka. Supported by: World Health Organization (WHO), Bangladesh. For further information: Phone:-(8802) 8816459 Management Information System(MIS), Fax: (8802) 8813875 Directorate General of Health Services(DGHS) E-mail: [email protected] Government of the People’s Republic of Bangladesh Web Site : www.dghs.org.bd ACRONYMS ANC Ante-natal Care Anes Anaesthesiology BMA Bangladesh Medical Association BMI Body Mass Index BSA Bangladesh Society of Anaesthesiology CDC Communicable Disease Control CMSD Central Medical Stores Depot CPR Contraceptive Prevalence Rate C-section Caesarean Section CSO Community Support Organization DGFP Directorate General of Family Planning DGHS Directorate General of Health Services DH District Hospital DMCH Dhaka Medical College Hospital EmOC Emergency Obstetric Care EPI Expanded Program on Immunization ESD Essential Service Delivery FWA Family Welfare Assistant GOB Government of Bangladesh HA Health Assistant HEB Health Education Bureau HIU Health Information Unit HMPD Health Manpower Development HNPSP Health Nutrition & Population Sector Program HOSP Hospital HR Human Resource IEDCR Institute of Epidemiology, Disease Control & Research IHT Institute of Health Technology IPGMR Institute of Post Graduate Medicine and Research IPHN Institute of Public Health Nutrition IPH Institute of Public Health LBW Low Birth Weight LLP Local Level Planning M&PDC Malaria & Paracytic Disease Control MATS Medical Assistant Training School MBDC Mycobacterial Disease Control MCH Maternal and Child Health MCH Medical College Hospital MCWC Maternal and Child Welfare Center MDG Millennium Development Goals MIS Management Information System MMR Maternal Mortality Rate/Ratio MNH Maternal and Neonatal Services MO Medical Officer MOHFW Ministry of Health & Family Welfare MP Member of Parliament MSD Medical Sub Depot NICVD National Institute of Cardiovascular Diseases i ACRONYMS NIDCH National Institute of Diseases of the Chest and Hospital NIKDU National Institute of Kidney Diseases & Urology NIMH&R National Institute of Mental Health and Research NIO National Institute of Ophthalmology NIPSOM National Institute of Preventive and Social Medicine NITOR National Institute of Traumatology & Orthopadic Rehabilitation OG Obstetrics and Gynaecology OGSB Obstetric & Gynaecological Society of Bangladesh PHC Primary Health Care PNC Post-Natal Care PPP Public Private Partnership PRSP Poverty Reduction Strategic Paper RIHD Rehabilitation Institute and Hospital for Disabled Rtd Retired SBA Skilled Births Attendant SSH Shaheed Sohrawardy Hospital SZMCH Shaheed Ziaur Rahman Medical College Hospital UH&FWC Union Health and Family Welfare Center UHC Upazilla Health Complex UN United Nations UNFPA United Nation Fund for Population Activity UNICEF United Nation International Children Emergency Fund VAW Violence Against Women WHO World Health Organization ii BANGLADESH : BASIC INFORMATION – 2005 Name of Activities Unit Source and Year A. GEOGRAPHY 1 Location Between 20°34 and 26°38 north latitude and between 80°01 and 92°41 east longitude. 147,570 Sq.Km. 2 Area (Sq.Km.) (56977 Sq. miles) 3 Forest Area (in 100%) 14.0 4 Total Cropped Area (in %) 71.4 5 Standard Time GMT + 6 hrs 6 Rainfall (Annual Variation in cm.) 119-147 B. ADMINISTRATION 7 Division 6 Statistical Pocket Book 8 Districts 64 Bangladesh 2006, BBS 9 Upazila/Thana 507 10 Union 4,484 11 Mouza 59,990 12 Village (approximately) 87,310 13 Household (in million) 25.49 14 Average size of Household 4.8 SVRS, 2004, BBS C. DEMOGRAPHY 15 Population (2001 Census) Total 123.375 million Statistical Pocket Book Male 63.90 million Bangladesh 2006, BBS Female 59.96 million 16 Population (2005 Estimated) Total 138.60 million Statistical Pocket Book Male 71.00 million Bangladesh 2006, BBS Female 67.60 million 17 Sex Ratio (M : F) 105.2 : 100 SVRS, 2004, BBS 18 Under 5 Population (in %) 11.7 SVRS, 2004, BBS 19 Under 15 Population (in %) 37.8 SVRS, 2004, BBS 20 Female Population (15-49 yrs in %) 51.7 SVRS, 2004, BBS 21 Populaton (60 yrs + in %) 6.2 SVRS, 2004, BBS 22 Population Denisity per sq.km. 926 SVRS, 2004, BBS 23 Crude Birth Rate (Per 1,000 pop.) 20.8 SVRS, 2004, BBS 24 Crude Death Rate (Per 1,000 pop.) 5.8 SVRS, 2004, BBS 25 Population Growth Rate (%) 1.42 SVRS, 2004, BBS 26 Total Fertility Rate (birth per women) 2.51 SVRS, 2004, BBS 27 Gross Reproduction rate 1.21 SVRS, 2004, BBS 28 Net Reproduction rate 1.18 SVRS, 2004, BBS 29 Urban Population (in millons) 32.4 SVRS, 2004, BBS 30 Life Expectancy at Birth Total 65.1 years SVRS, 2004, BBS Male 64.4 years SVRS, 2004, BBS Female 65.7 years SVRS, 2004, BBS 31 Mean Age at First Marriage Total 21.95 years SVRS, 2004, BBS Male 25.31 years SVRS, 2004, BBS Female 19.03 years SVRS, 2004, BBS iii D. HEALTH STATUS 32 Infant Mortality Rate (per 1000 live birth) 52 SVRS, 2004, BBS 33 Maternal Mortality Rate (per 1,000 live births) 3.65 SVRS, 2004, BBS 34 Neonatal Mortality Rate (per 1,000 live births) 36 SVRS, 2004, BBS 35 Under 5 Mortality Rate (per 1,000 live births) 74 SVRS, 2004, BBS 36 Percent of population using safe drinking water 97.4 SVRS, 2004, BBS Rural 96.9 SVRS, 2004, BBS Urban 99.9 SVRS, 2004, BBS 37 Percent of population using water seal latrines 46.2 SVRS, 2004, BBS 38 Prevalence of night blindness among pre school children Director, IPHN, 0.04 (HKL 2005) Mohakhali. 39 % of births attended by skilled personnel 13.4 SVRS, 2004, BBS 40 Malaria slide positivity rate (positive per hundred slide 6.49 MIS, 2005 examined) 41 Malaria incidence rate per 1000 population 0.34 MIS, 2005 42 TB incidence rate per 100000 population 99 MIS, 2005 % of smear-positive pulmonary TB cases detected put under TB Annual Report 43 62% DOTS 2005, NTCP, DGHS. % of smear-positive pulmonary TB cases detected cured 44 92% under DOTS 45 % urban of population with access to improved sanitation 78.6 SVRS, 2004, BBS % of <5 children with diarrhoea treated with ORT (ORS or 46 74.6 BD & HS, 2004 home made solution) % of <5 children with symptoms of ARI seeking care from 47 20.3 BD & HS, 2004 triained provider E. EDUCATION and ECONOMY 48 Per Capita GDP (in U.S.$) 306 Statistical Pocket Book 49 Per Capita Income (in US$) 476 Bangladesh 2006, BBS Per capita public health expenditure on 50 296 H&FP (Taka) 51 Adult Literacy Rate (Pop.15+),2004 51.6 SVRS, 2004, BBS F. HEALTH SERVICES PROVISION 52 No. of Hospital Beds 51,684 MIS, 2005 53 No. of Beds in Public Sector 35,579 MIS, 2005 54 No. of Beds in Health Sector 32,941 MIS, 2005 55 No. of Beds in Private Sector 16,105 MIS, 2005 56 No. of Hospitals in Public Sector 671 MIS, 2005 57 No. of Hospitals in Health Sector 537 MIS, 2005 58 No. of Clinics/Hospitals in Private Sector 1005 MIS, 2005 59 No. of Registered Physicians (as on ‘2007) 45,723 BMDC, 2007 No. of Registered Dental Surgeon (as on 60 2,945 BMDC, 2007 ‘2007) 61 No. of Government Medical colleges 14 MIS, 2005 62 No. of Private Medical & Dental colleges 34 MIS, 2005 No. of Private Institute of Health Technology 63 18 MIS, 2005 (IHT) 64 No. of Health Personnel (Govt. service) 103,210 MIS, 2006 65 No. of Physicians under BCS health Cadre 7,833 MIS, 2005 66 No. of Doctors under Health Services 10,338 MIS, 2005 67 No. of Registered Nurses (as on June‘2007) 21,715 BNC, 2007 68 No. of Nurses in Public sector 14,971 MIS, 2006 iv 69 No. Registered Mid-wives 19,354 BNC, 2005 70 No. of Dentists under BCS health cadre 536 MIS, 2005 71 No. of Medical Assistants (Health Services) 4,699 MIS, 2005 72 No. Medical Technologist (Lab) 1,311 MIS, 2005 73 No. of Medical Technologist (Radiography) 674 MIS, 2005 74 No. of Technicians 1,849 MIS, 2005 75 No. of Sanitary Inspectors 491 MIS, 2005 76 No. of Health Inspectors 1,400 MIS, 2005 77 No. of Assistant Health Inspectors 4,200 MIS, 2005 78 No. of Health Assistants 21,000 MIS, 2005 G. HEALTH SERVICES 79 No.