Dinajpur Civil Surgeon Office | Health Bulletin 2015 |
Preface
It is my great pleasure to publish this health bulletin of Dinajpur district for the year 2014. This bulletin contains all health related necessary information. I hope all this informations will help us and our development-partners for proper planning and improvement of health service delivery system. This bulletin contains the status of MDG-4 and MDG-5. Which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the district. Sanction and vacant post of all categorical manpower are published in this bulletin, which reflect acute shortage of Doctors& Staff. I would like to draw attention of the higher authority to look into this issue. Finally I like to express my thanks and gratitude to Director of MIS for his cordial and continuous support and also express thanks to all the technical hands of MIS for their great contribution
Dr.Sultan md. Shamsuzzaman
Civil Surgeon
Dinajpur Civil Surgeon Office.
Dinajpur Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Sultan md. Shamsuzzaman
Organization Code
10001213
Name of District Dinajpur
Land Phone No. 1
-053165006
Land Phone No. 2
FAX No. 53165125
Mobile No. 01711632283
Email dinajpur@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 25.3734 And Long: 88.3814
No. of Upazila in the District 13
No. of Households in the District 627,586
Population in the District 2,920,982
Area of District in sq km 3,559
Dinajpur Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital
1
500
District Hospital
0
0
General Hospital
1
250
Upazila Health Complexes
12
410
No. of Union Sub-Centres
31
0
No. of Rural/Urban/Thana Dispensaries
1
0
No. of Community Clinics
318
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
38
400
No. of NGO Clinics/Facilities
5
435
No. of Other Hospitals
Dinajpur Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 55,895
Total No. of children treated under IMCI Program 168,911
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (NMR) is 11.31 per 1,000 live births.
Dinajpur 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: 65,436
Total Number of Deliveries: 56,216
No. of Maternal Deaths: 65
Valid TT Coverage: 33.00 %
Maternal Mortality Ratio (MMR) is
116.29 per 100,000 live births.
Dinajpur 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
90,302
49,280
139,582
11,407
9,530
20,937
160,519
12,101
9,045
21,146
2,611
1,120
3,731
24,877
Upazila Health Complex
337,724
389,215
726,939
50,281
53,060
103,341
830,280
30,494
28,531
59,025
4,026
4,003
8,029
67,054
Union Sub-Centres
246,141
285,123
531,264
43,214
46,387
89,601
620,865
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
8,328
16,786
25,114
629
687
1,316
26,430
0
0
0
0
0
0
26,430
Community Clinics
1,131,349
2,199,601
3,330,950
156,731
165,946
322,677
3,653,627
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)
799
7,934
8,733
2,075
2,080
4,155
12,888
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
447
264
711
0
0
0
711
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
111,399
108,087
219,486
12,560
12,566
25,126
244,612
106
62
168
11
12
23
191
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
Dinajpur 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
6,636
5,016
11,652
1,125
931
2,056
13,708
26
19
45
8
7
15
60
Upazila Health Complex
17,686
26,505
44,191
3,271
2,787
6,058
50,249
62
39
101
10
8
18
119
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
582
582
209
217
426
1,008
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
8,985
2,868
11,853
0
0
0
11,853
0
0
0
0
0
0
0
NGO Clinics/Facilities
5,713
7,428
13,141
2,444
2,442
4,886
18,027
187
109
296
30
28
58
354
Total
39,020
42,399
81,419
7,049
6,377
13,426
94,845
275
167
442
48
43
91
533
Dinajpur 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
94,845
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
10164
10.72
2
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
4065
4.29
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2116
2.23
4
J459 Asthma, unspecified
X: Diseases of the respiratory system
2093
2.21
5
A010 Typhoid fever
I: Certain infectious and parasitic diseases
2086
2.20
6
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
1769
1.87
7
Y040 Assault by bodily force, home
XX: External causes of morbidity and mortality
1606
1.69
8
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1516
1.60
9
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
1065
1.12
10
B34 Viral infection of unspecified site
I: Certain infectious and parasitic diseases
864
0.91
Dinajpur 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
533
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J969 Respiratory failure, unspecified
X: Diseases of the respiratory system
37
6.94
2
J459 Asthma, unspecified
X: Diseases of the respiratory system
23
4.32
3
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
17
3.19
4
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
16
3.00
5
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
7
1.31
6
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
6
1.13
7
N189 Chronic renal failure, unspecified
XIV: Diseases of the genitourinary system
5
0.94
8
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
4
0.75
9
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
4
0.75
10
P073 Other preterm infants
XVI: Certain conditions originating in the perinatal period
3
0.56
Dinajpur Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99
Coverage of households having access to sanitary latrines (%)
89
Surgeries & Interventions done in District
Type
No.
Major Surgeries
10,366
Minor Surgeries
11,998
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
290
106
80
104
35.86
Non Doctor
3
2
0
1
33.33
Class II
266
12
179
75
28.20
Class III
1095
726
239
130
11.87
Class IV
368
263
67
38
10.33
Dinajpur 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
105
84
138
74
35
21
14
8
0
Nurse
0
0
0
0
148
117
108
68
51
38
0
Medical Assistant
0
0
105
94
24
23
0
0
62
0
0
Medical Technologist
0
0
0
0
79
70
3
3
0
0
0
CHCP
323
314
0
0
0
0
0
0
0
0
18
HI
0
0
0
0
30
22
0
0
0
0
0
AHI
0
0
0
0
83
81
0
0
14
0
0
HA
0
0
0
0
414
370
0
0
55
0
49
Dinajpur 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
3
0
0
0
Microbus
0
0
0
0
0
Pickup
1
1
0
0
0
Dinajpur 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)
1
1
0
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)
15
10
0
5
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
6
2
0
4
0
Scanner
3
2
0
1
0
UPS
7
5
0
2
0
Fax
1
1
0
0
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
2
0
0
0
Dinajpur 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
0
0
0
0
0
Digital camera
2
2
0
0
0
Video camera
0
0
0
0
0
Total
48
35
0
13
0
Dinajpur Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Dinajpur Civil Surgeon Office
Last Year we could not give our maximum efforts to improve the Health Status due to many reasons. Here I Iike to suggest some important issues which will help to achieve our goal for the Improvement of health status of the district in up-coming years.1- The vacant post should be filled immediately.2-Doctors and nurses need more training on IMCI,EOC and ICT. 3-All Upzilla Health Complex should be upgrade from 31 bed to 50 bed. 4- Female HA need CSBA training . Finally. I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. this is vary useful document and will help to pubilic to understand health services and to provide us the useful advice for improvement in future.
