Rajbari Civil Surgeon Office | Health Bulletin 2015 |
Preface
This is my great pleasure to publish this HEALTH BULLETIN 2014 of Rajbari district. The bulletin contains all the health related information of 2014. The bulletin contains the organization at a glance of the zilla, existing health facilities in this zilla, Number of patients served in OPD, Emergency & Indoor of the facilities.Top 10 diseases according to the number of patients admitted in the district hospital and upazilla health complexes in the year 2014, Top 10 diseases according to the number of deaths among the admitted patients in this district hospital and upazilla health complexes in year 2014, water & sanitation status of the district, BOR & HDR in this district hospital and upazilla health complexes, class wise man power data with percentage of vacant post, Category wise manpower in different health facilities, existing important equipment in district hospital. The sanctioned and vacant post are also published in this bulletin which may draw the attention of higher authority to take necessary action. As well as the local officials & elites to realize the working situation in the facilities. Finally i would like to congratulate the MIS Department of DGHS for this health bulletin software, which may set us one step ahead towards Digital Bangladesh.
Rajbari Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Md. Mahbubul Hoque
Organization Code
10000535
Name of District Rajbari
Land Phone No. 1
0641-065572
Land Phone No. 2 0641-65821
FAX No. 65454
Mobile No. 01711947936
Email rajbari@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.7078 And Long: 89.6483
No. of Upazila in the District 5
No. of Households in the District 238,153
Population in the District 1,081,271
Area of District in sq km 1,236
Rajbari 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
131
No. of Union Sub-Centres
28
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
127
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
20
No. of Chest Disease Clinic (TB Clinics/Hospitals)
0
0
No. of Private Clinics/Facilities
17
170
No. of NGO Clinics/Facilities
2
0
No. of Other Hospitals
Rajbari Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 24,239
Total No. of children treated under IMCI Program 118,235
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (NMR) is 18.03 per 1,000 live births.
Rajbari 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: 22,099
Total Number of Deliveries: 19,213
No. of Maternal Deaths: 35
Valid TT Coverage: 20.00 %
Maternal Mortality Ratio (MMR) is
144.40 per 100,000 live births.
Rajbari 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
36,005
53,233
89,238
4,983
7,125
12,108
101,346
5,833
5,498
11,331
804
854
1,658
12,989
Upazila Health Complex
36,495
104,345
140,840
10,286
11,441
21,727
162,567
5,213
4,188
9,401
1,021
728
1,749
11,150
Union Sub-Centres
83,562
117,743
201,305
13,889
18,729
32,618
233,923
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)
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
332,985
657,203
990,188
50,685
63,368
114,053
1,104,241
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)
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
6,563
14,198
20,761
2,323
2,838
5,161
25,922
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
Rajbari 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
6,819
9,479
16,298
1,784
1,213
2,997
19,295
87
57
144
17
15
32
176
Upazila Health Complex
6,697
8,069
14,766
2,039
1,351
3,390
18,156
16
7
23
8
1
9
32
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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
13,516
17,548
31,064
3,823
2,564
6,387
37,451
103
64
167
25
16
41
208
Rajbari 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
35,293
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
4695
13.30
2
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
3022
8.56
3
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
3009
8.53
4
K26 Duodenal ulcer
XI: Diseases of the digestive system
2682
7.60
5
A099 Gastroenteritis and colitis of unspecified origin
I: Certain infectious and parasitic diseases
1340
3.80
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
1307
3.70
7
V899 Person injured in unspecified vehicle accident
XX: External causes of morbidity and mortality
1194
3.38
8
T44 Poisoning by drugs primarily affecting the autonomic nervous system
XIX: Injury, poisoning and certain other consequences of external causes
1093
3.10
9
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
1064
3.01
10
M899 Disorder of bone, unspecified
XIII: Diseases of the musculoskeletal system and connective tissue
875
2.48
Rajbari 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
208
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
44
21.15
2
I629 Intracranial haemorrhage (nontraumatic), unspecified
IX: Diseases of the circulatory system
37
17.79
3
P21 Birth asphyxia
IX: Diseases of the circulatory system
33
15.87
4
J11 Influenza, virus not identified
X: Diseases of the respiratory system
21
10.10
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
17
8.17
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
13
6.25
7
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
XX: External causes of morbidity and mortality
11
5.29
8
T439 Psychotropic drug, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
9
4.33
9
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
7
3.37
10
I249 Acute ischaemic heart disease, unspecified
IX: Diseases of the circulatory system
4
1.92
Rajbari Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
94
Coverage of households having access to sanitary latrines (%)
91
Surgeries & Interventions done in District
Type
No.
Major Surgeries
390
Minor Surgeries
1,711
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
130
65
27
38
29.23
Non Doctor
3
2
1
0
0.00
Class II
87
7
79
1
1.15
Class III
536
315
164
57
10.63
Class IV
110
56
33
21
19.09
Rajbari 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
41
64
38
19
11
10
3
0
Nurse
0
0
0
0
48
48
40
39
58
16
0
Medical Assistant
0
0
43
43
7
7
0
0
41
0
0
Medical Technologist
0
0
0
0
27
25
6
6
0
1
0
CHCP
130
124
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
12
9
0
0
0
0
0
AHI
0
0
0
0
36
28
0
0
0
0
0
HA
0
0
0
0
147
140
0
0
0
0
0
Rajbari 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
Rajbari 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)
4
4
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)
6
4
2
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
3
0
2
0
Scanner
2
1
0
1
0
UPS
7
3
2
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
1
1
0
0
0
Rajbari 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
2
2
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
34
21
6
7
0
Rajbari Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Rajbari Civil Surgeon Office
Important information and necessary issues for Rajbari Civil Surgeon Office For the year 2014. We tried to our best to provide a good health services.To offer better health services we have to overcome some constrain :- 1) All the vacant post should be filled up. 2) Strengening of IMCI services by proper training of IMCI related health provider. 3) For better maternal health services both FWA & HA should work jointly. I am very glad to publish this Health Bulletn-2014. This may help us planning for the next year.From this document the people of the District will came to know the present health status of the District and they can give us useful advise for further improvement of their health status. Wish co-operation from peoples of all levels for approaching to achieve MDG Goals by reducing maternal, neonatal & under 5 death. Make meaningful celebration of awarding prizes to our Honorable Prime Minister from UN.