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Madaripur Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to inform you that we have able to publish district local health bulletin of Madaripur. Practically this is an attempt to disseminate information on our annual performance of 2015. This bulletin contains almost all information on health activities of 2015(January-December) about institutions and field services . I hope this health bulletin will help all level managers to analyze health status of our district also will help for planning and bridging the gaps in health services of the district. This health bulletin will help find out constraints and achievement of 2015. This bulletin also contains the status of MDG -4 & MDG-5 of district. It will also provide information about safe drinking water and sanitation status of this district . Health manpower of this district can be assessed from this bulletin . In this aspect, I would like to draw the attention of concerned authority to fill up vacant posts specially of consultant doctors . If there is any suggestion to improve and correct this bulletin , it will be highly appreciated . Lastly I like to offer thanks to MIS DGHS and other concerned staffs for their cordial cooperation to publish this bulletin .
Dr. Dilip Kumar Das
Civil Surgeon
Madaripur Civil Surgeon Office

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Dilip Kumar Das
Organization Code 10000262
Name of District Madaripur
Land Phone No. 1 0661-062309
Land Phone No. 2
FAX No. 62460
Mobile No. 01712865853
Email madaripur@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.1651 And Long: 90.2120
No. of Upazila in the District4
No. of Households in the District 221,284
Population in the District 1,198,251
Area of District in sq km 1,147

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital 0 0
District Hospital 1 100
General Hospital 0 0
Upazila Health Complexes 3 150
No. of Union Sub-Centres 13 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 128 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 17 230
No. of NGO Clinics/Facilities 2 0
No. of Other Hospitals

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 24,647


Total No. of children treated under IMCI Program 24,622
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 16.23 per 1,000 live births.

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 4
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;

Maternal health and MDG-5 (Whole District) (Jan-Dec, 2014)


Total No. of Recipients Who Took at least one ANC: 24,738
Total Number of Deliveries: 24,210
No. of Maternal Deaths: 41
Valid TT Coverage: 37.00 %
Maternal Mortality Ratio (MMR) is 166.35 per 100,000 live births.

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 5
No. of OPD & Emergency visits (Whole District)
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
District Hospital 10,957 13,391 24,348 8,964 10,956 19,920 44,268 11,252 9,041 20,293 3,066 2,863 5,929 26,222
Upazila Health Complex 42,563 65,543 108,106 20,881 19,187 40,068 148,174 9,564 9,199 18,763 2,368 2,260 4,628 23,391
Union Sub-Centres 38,520 66,273 104,793 9,931 13,832 23,763 128,556 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 12,091 58,644 70,735 10,016 10,010 20,026 90,761 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 293,431 606,116 899,547 109,739 139,985 249,724 1,149,271 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 233 10,620 10,853 2,129 2,100 4,229 15,082 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 463 200 663 16 0 16 679 0 0 0 0 0 0 0
Private Clinics/Facilities 21,864 27,385 49,249 6,178 2,337 8,515 57,764 0 0 0 0 0 0 0
NGO Clinics/Facilities 8,561 17,060 25,621 3,842 2,154 5,996 31,617 0 0 0 0 0 0 0
10 Bed Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Bed Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Other Hospitals 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 6
No. of Admissions & Deaths (Whole District)
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
District Hospital 8,771 7,630 16,401 2,364 2,517 4,881 21,282 17 6 23 67 47 114 137
Upazila Health Complex 6,457 7,098 13,555 1,551 1,346 2,897 16,452 46 28 74 6 9 15 89
Union Sub-Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 5,477 8,838 14,315 1,452 405 1,857 16,172 0 2 2 0 2 2 4
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 20,705 23,566 44,271 5,367 4,268 9,635 53,906 63 36 99 73 58 131 230

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 7

Top 10 diseases according to the number of patients admitted in all facilities in the district
Total number of admitted patients during the reporting period 34,429
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R456 Physical violence XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 5346 15.53
2 A099 Gastroenteritis and colitis of unspecified origin I: Certain infectious and parasitic diseases 4943 14.36
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1354 3.93
4 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 1258 3.65
5 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1077 3.13
6 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 979 2.84
7 T659 Toxic effect of unspecified substance XIX: Injury, poisoning and certain other consequences of external causes 896 2.60
8 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 573 1.66
9 J459 Asthma, unspecified X: Diseases of the respiratory system 555 1.61
10 O066 Unspecified abortion, complete or unspecified, complicated by delayed or excessive haemorrhage XV: Pregnancy, childbirth and the puerperium 212 0.62

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 8

Top 10 diseases according to the number of deaths among admitted patients in all facilities in the district
Total number of Deaths during the reporting period 214
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 25 11.68
2 J459 Asthma, unspecified X: Diseases of the respiratory system 24 11.21
3 I679 Cerebrovascular disease, unspecified XVI: Certain conditions originating in the perinatal period 16 7.48
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 14 6.54
5 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 13 6.07
6 I691 Sequelae of intracerebral haemorrhage IX: Diseases of the circulatory system 10 4.67
7 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 5 2.34
8 I501 Left ventricular failure IX: Diseases of the circulatory system 4 1.87
9 J960 Acute respiratory failure X: Diseases of the respiratory system 4 1.87
10 N183 Chronic kidney disease, stage 3 XIV: Diseases of the genitourinary system 3 1.40

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97
Coverage of households having access to sanitary latrines (%) 91
Surgeries & Interventions done in District
Type
No.
Major Surgeries 538
Minor Surgeries 2,080
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 126 57 32 37 29.37
Non Doctor 3 2 0 1 33.33
Class II 75 6 64 5 6.67
Class III 614 307 192 115 18.73
Class IV 138 72 35 31 22.46

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 10
Status of Human Resources (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained CSBA trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 43 28 55 37 22 13 5 2 0
Nurse 0 0 0 0 36 36 36 32 9 6 0
Medical Assistant 0 0 31 22 21 16 0 0 17 0 0
Medical Technologist 0 0 13 7 25 17 6 5 0 0 0
CHCP 138 121 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 17 13 0 0 0 0 0
AHI 0 0 0 0 51 50 0 0 0 0 0
HA 0 0 0 0 254 210 0 0 0 0 0

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 11
Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
Vehicles
Ambulance 0 0 0 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 12

Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 2 1 1 0 0
Air conditioner (window) 0 0 0 0 0
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 0 0 0
ICT equipment
Computer (desktop) 9 6 3 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 4 1 3 0 0
Fax 1 1 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 2 1 1 0 0


Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 13

Existing equipment at Civil Surgeon Office
Equipment Total (No.) Functional (No.) Non-functional Not Installed
Repairable (No.) Non-repairable (No.)
OHP 0 0 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 28 18 10 0 0

Madaripur Civil Surgeon Office | Health Bulletin 2015 | Page# 14

Important information and necessary issues for Madaripur Civil Surgeon Office