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Narsingdi Civil Surgeon Office | Health Bulletin 2015 |
Preface
This is my great pleasure to publish this HEALTH BULLETIN 2015 of District Narsingdi . This bulletin contains all the health related information of 2014. It is published to disseminate the information of district to other department and development partners of health .For health bulletin we gather data from wide range of sources across the district .The health managers .officers and health staff at the head and subordinate offices and health facilities and the fields , all were engaged to make huge data available, analyze them and prepare reports . I hope all the information of this bulletin will be helpful for planning and bridging the gaps in the health services of this district . This is an important publication and we use it as our reference of health data . we use health bulletin to understand how much progress we made in the past year in the health sector . we also understand through this bulletin where we made little progress , where we need to pay more attention and where we could do better . The health bulletin 2015 will contribute to improving transparency about health issues of the country . The bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets. The sanctioned and vacant posts are published in this bulletin . I like to take attention of the higher authority to look after this burning issue .I always belive that there is enough scope for perfection in the future health bulletin. I hope in future we can publish health bulletin 2015 by timely generation and dissemination of quality data by the help of valuable comment & suggestion from your side and MOHFW & MIS -Health. I express my sincere thanks to Professor Dr. Abul Kalam Azad, Additional director general (planning & development ) and Line director of MIS Health for providing his moral support . Positive attitude towards development of this health bulletin . This is my responsibility to thank all the team member of MIS Health for their continuous effort and creation.
Dr. Putul Roy
Civil Surgeon
Narsingdi Civil Surgeon Office

Narsingdi Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Putul Roy
Organization Code 10000451
Name of District Narsingdi
Land Phone No. 1 02-09463181
Land Phone No. 2
FAX No. 9451949
Mobile No. 01797000888
Email norshingdi@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.5557 And Long: 90.4246
No. of Upazila in the District6
No. of Households in the District 422,529
Population in the District 2,352,603
Area of District in sq km 1,112

Narsingdi 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 2 200
General Hospital 0 0
Upazila Health Complexes 5 174
No. of Union Sub-Centres 18 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 197 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 10
No. of Chest Disease Clinic (TB Clinics/Hospitals) 0 0
No. of Private Clinics/Facilities 40 420
No. of NGO Clinics/Facilities 1 10
No. of Other Hospitals

Narsingdi Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 52,493


Total No. of children treated under IMCI Program 186,911
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 6.71 per 1,000 live births.

Narsingdi 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: 78,283
Total Number of Deliveries: 56,657
No. of Maternal Deaths: 14
Valid TT Coverage: 36.00 %
Maternal Mortality Ratio (MMR) is 26.67 per 100,000 live births.

Narsingdi 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 83,157 105,501 188,658 31,380 31,807 63,187 251,845 37,405 35,482 72,887 9,864 10,160 20,024 92,911
Upazila Health Complex 82,843 142,073 224,916 29,050 31,683 60,733 285,649 10,070 10,171 20,241 5,274 2,183 7,457 27,698
Union Sub-Centres 56,178 132,211 188,389 25,142 27,239 52,381 240,770 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) 162,024 291,885 453,909 40,510 57,853 98,363 552,272 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 465,309 1,120,274 1,585,583 110,208 149,352 259,560 1,845,143 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) 116 3,682 3,798 200 3,172 3,372 7,170 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 19,393 31,231 50,624 9,642 0 9,642 60,266 7,937 10,035 17,972 2,213 2,352 4,565 22,537
NGO Clinics/Facilities 6,299 9,096 15,395 4,780 0 4,780 20,175 187 261 448 39 42 81 529
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

Narsingdi 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 6,770 6,846 13,616 2,405 1,740 4,145 17,761 110 93 203 85 75 160 363
Upazila Health Complex 5,645 10,756 16,401 1,091 1,152 2,243 18,644 25 14 39 4 4 8 47
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 0 568 568 0 0 0 568 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 4,349 10,342 14,691 900 805 1,705 16,396 4 5 9 4 1 5 14
NGO Clinics/Facilities 0 636 636 0 0 0 636 0 0 0 0 0 0 0
Total 16,764 29,148 45,912 4,396 3,697 8,093 54,005 139 112 251 93 80 173 424

Narsingdi 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 34,621
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 4666 13.48
2 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 3667 10.59
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2486 7.18
4 V019 Pedestrian injured in collision with pedal cycle, unspecified whether traffic or nontraffic accident XX: External causes of morbidity and mortality 841 2.43
5 B978 Other viral agents as the cause of diseases classified to other chapters I: Certain infectious and parasitic diseases 816 2.36
6 T459 Primarily systemic and haematological agent, unspecified XIX: Injury, poisoning and certain other consequences of external causes 766 2.21
7 J459 Asthma, unspecified X: Diseases of the respiratory system 766 2.21
8 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 737 2.13
9 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 731 2.11
10 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 421 1.22

Narsingdi 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 408
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 37 9.07
2 P209 Intrauterine hypoxia, unspecified XVI: Certain conditions originating in the perinatal period 31 7.60
3 J449 Chronic obstructive pulmonary disease, unspecified XVI: Certain conditions originating in the perinatal period 26 6.37
4 T818 Other complications of procedures, NEC XIX: Injury, poisoning and certain other consequences of external causes 22 5.39
5 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 19 4.66
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 12 2.94
7 J459 Asthma, unspecified X: Diseases of the respiratory system 11 2.70
8 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 10 2.45
9 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 9 2.21
10 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 8 1.96

Narsingdi Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85
Coverage of households having access to sanitary latrines (%) 91
Surgeries & Interventions done in District
Type
No.
Major Surgeries 3,380
Minor Surgeries 7,402
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 184 91 66 27 14.67
Non Doctor 5 4 0 1 20.00
Class II 138 14 117 7 5.07
Class III 936 496 347 93 9.94
Class IV 212 100 48 64 30.19

Narsingdi 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 69 67 63 53 46 35 3 3 0
Nurse 0 0 0 0 59 55 106 82 6 11 0
Medical Assistant 0 0 69 69 10 10 0 26 15 0 0
Medical Technologist 0 0 18 18 32 32 13 5 8 0 0
CHCP 223 193 0 0 0 0 0 0 0 0 6
HI 0 0 0 0 20 20 0 0 0 0 6
AHI 0 0 0 0 60 58 0 0 0 0 2
HA 0 0 0 0 298 280 0 0 0 0 15

Narsingdi 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 3 1 0 2 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Narsingdi 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) 0 0 0 0 0
Air conditioner (window) 1 1 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 9 6 2 1 0
Laptop 3 2 0 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 7 5 1 1 0
Scanner 2 2 0 0 0
UPS 6 4 0 2 0
Fax 2 0 0 2 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 2 0 0 0


Narsingdi 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 2 1 0 1 0
PA system (Sound) 1 1 0 0 0
Land phone 2 2 0 0 0
Mobile phone 1 1 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 43 30 3 10 0

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

Important information and necessary issues for Narsingdi Civil Surgeon Office
In the year 2014 we could not give maximum effort to improve the health status due to many reasons. I like to mention some important factors which will help us to bring good result in future. (1) the vacant post should be filled up immediately. (2) IMCI Training is necessary for Physicians, Nurses and SACMOs. (3) All the reparable equipments should be repaired as soon as possible. So,We are very glad to write this Health Bulletin of 2015. Because these documents will help us to compare our progress in coming years. It will also be helpful for people to understand health services and to provide us the useful advice for the improvement in future activities of our community.