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Netrokona Civil Surgeon Office | Health Bulletin 2015 |
Preface
Netrakona was originally a Subdivision of Previous Mymensingh district. It is situated at the Northeast corner of the Bangladesh in the downhill of the Garo hill. It has an area of 2841.39 sq. kilometres with Population 22,23,393. It has 10 Upazilas, 05 Pourashavas , 86 Unions, 258 Wards, & 4,49,322 Households. It has 1 district hospital (100 beds), 9 UHCs (412 beds), 1 MCWC (20 beds), 1 NGO TB hospital (60 beds), 7 Private hospitals (83 beds), 21 USC, 6 UH&FWC (belongs to DGHS) 55 UH&FWC, (belongs to DGFP) 1 NTC & 212 Community Clinics. There are two renowned areas which are one Hajrat Shah Sultan Komoruddin Roomi’s Rawza Sharif at Madanpur under Netrakona Sadar Upazila & another tribal Cultural Academy at Birishiri under Durgapur where national & international persons visit regularly. It is a small low-lying area, non-Industrialized, economically less solvent, agriculture based district. I am very glad to publish this health bulletin of this district. This bulletin contains all instructed health related information of 2014. This bulletin is published to disseminate the health information of Netrakona district through MOHFW worldwide to see the health status.
Dr. Bijan Kanti sarker
Civil Surgeon
Netrokona Civil Surgeon Office

Netrokona Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Bijan Kanti sarker
Organization Code 10000495
Name of District Netrakona
Land Phone No. 1 0951-061379
Land Phone No. 2 0951-61226
FAX No. 61379
Mobile No. 01712006814
Email netrokona@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.5215 And Long: 90.4400
No. of Upazila in the District10
No. of Households in the District 449,322
Population in the District 2,223,393
Area of District in sq km 2,841

Netrokona 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 9 412
No. of Union Sub-Centres 21 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 212 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 60
No. of Private Clinics/Facilities 7 83
No. of NGO Clinics/Facilities 3 33
No. of Other Hospitals

Netrokona Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 65,899


Total No. of children treated under IMCI Program 144,661
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (NMR) is 22.96 per 1,000 live births.

Netrokona 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: 65,450
Total Number of Deliveries: 35,718
No. of Maternal Deaths: 146
Valid TT Coverage: 55.00 %
Maternal Mortality Ratio (MMR) is 221.55 per 100,000 live births.

Netrokona 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 28,911 28,639 57,550 9,162 8,741 17,903 75,453 26,759 20,446 47,205 4,033 3,017 7,050 54,255
Upazila Health Complex 82,933 114,611 197,544 27,751 28,675 56,426 253,970 20,352 14,664 35,016 4,084 3,867 7,951 42,967
Union Sub-Centres 60,211 92,650 152,861 19,298 30,823 50,121 202,982 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 17,774 35,464 53,238 2,177 2,094 4,271 57,509 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 53,546 206,083 259,629 37,022 37,561 74,583 334,212 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 420,648 812,135 1,232,783 64,397 80,361 144,758 1,377,541 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) 85 6,377 6,462 4,295 4,290 8,585 15,047 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 4,492 2,489 6,981 20 15 35 7,016 0 0 0 0 0 0 0
Private Clinics/Facilities 3,433 4,666 8,099 797 746 1,543 9,642 0 0 0 0 0 0 0
NGO Clinics/Facilities 30,077 68,031 98,108 5,867 5,990 11,857 109,965 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

Netrokona 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 7,899 13,781 21,680 2,807 1,663 4,470 26,150 93 56 149 63 34 97 246
Upazila Health Complex 15,171 18,525 33,696 4,076 4,248 8,324 42,020 111 87 198 37 26 63 261
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 0 641 641 295 284 579 1,220 0 1 1 0 0 0 1
Chest Disease Clinics (TB clinics) 298 156 454 1 1 2 456 14 2 16 0 0 0 16
Private Clinics/Facilities 66 1,470 1,536 12 8 20 1,556 0 0 0 0 0 0 0
NGO Clinics/Facilities 166 1,362 1,528 51 42 93 1,621 1 2 3 4 3 7 10
Total 23,600 35,935 59,535 7,242 6,246 13,488 73,023 219 148 367 104 63 167 534

Netrokona 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 52,151
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 4962 9.51
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 3580 6.86
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 2947 5.65
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 2631 5.04
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2106 4.04
6 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 2069 3.97
7 B348 Other viral infections of unspecified site I: Certain infectious and parasitic diseases 1800 3.45
8 T002 Superficial injuries involving multiple regions of upper limb(s) XIX: Injury, poisoning and certain other consequences of external causes 1758 3.37
9 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1453 2.79
10 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 1334 2.56

Netrokona 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 396
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 46 11.62
2 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 31 7.83
3 J189 Pneumonia, unspecified XVI: Certain conditions originating in the perinatal period 28 7.07
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 25 6.31
5 I694 Sequelae of stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 21 5.30
6 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 18 4.55
7 J459 Asthma, unspecified X: Diseases of the respiratory system 17 4.29
8 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 16 4.04
9 R651 Systemic Inflammatory Response Syndrome of infectious origin with organ failure XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 14 3.54
10 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 12 3.03

Netrokona Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91
Coverage of households having access to sanitary latrines (%) 69
Surgeries & Interventions done in District
Type
No.
Major Surgeries 788
Minor Surgeries 44,766
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 252 132 44 76 30.16
Non Doctor 3 0 1 2 66.67
Class II 158 2 113 43 27.22
Class III 1191 608 364 219 18.39
Class IV 283 139 46 98 34.63

Netrokona 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 84 69 144 145 21 15 11 3 0
Nurse 0 0 0 0 127 80 40 33 17 5 0
Medical Assistant 0 0 84 67 18 16 0 0 53 0 0
Medical Technologist 0 0 27 7 85 55 6 6 0 0 0
CHCP 257 222 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 27 27 0 0 0 0 0
AHI 0 0 0 0 81 67 0 0 0 0 1
HA 0 0 0 0 396 350 0 0 0 0 85

Netrokona 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 2 1 1 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Netrokona 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) 5 3 2 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) 11 9 0 2 0
Laptop 4 3 0 1 0
Printer (dot matrix) 2 0 0 2 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 11 8 0 3 0
Scanner 2 2 0 0 0
UPS 7 4 0 3 0
Fax 2 0 1 1 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 2 2 0 0 0
Multimedia 2 1 1 0 0


Netrokona 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 3 3 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 2 1 1 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 55 37 6 12 0

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

Important information and necessary issues for Netrokona Civil Surgeon Office
Local Health Bulletin is a new concept in health sector towards digital Bangladesh vision 2021. We appreciate and express a lot of thanks for taking initiatives in this regard for gathering knowledge and taking decision about health related problems from existing health facilities. GOB &.NON-GOB (WHO, UNICEF, GAVIHSS, WORLD RENEW-SUSOMA, PARI DEVELOPMENT TRUST, SATHI etc.) are working together to perform in MDG-4 & MDG-5 to meet the targets. It will help in reducing gaps between Planning and execution of facilities and weaknesses could be properly Identified and steps towards correction should be easier. Here I like to mention some important factors which will help us to achieve good results in future. (1) The vacant post of H.R should be filled immediately. (2) Doctors, nurses and paramedics need more training (3) Adhunic Sadar Hospital (that is District Hospital) is 100 bedded. Bed occupancy rate is 180.62. So the incomplete infrastructure of this Hospital is a burning issue to this District. (4) Numbers of community clinics and the bed capacity of the district hospital as well as upazila health complexes should be increased. (5) All the repairable equipment's should be repaired as soon as possible. I think a govt. medical college hospital should be established as soon as possible & that is the demand of the time as well as demand of the people of Netrokona. Finally I am very happy to write this local health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.