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Joypurhat Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of Joypurhat district -2015 with cordial support of MIS, DGHS. This bulletin contains all health related information of 2014. This bulletin is published to disseminate the information to District Level offices. I hope all the information of this bulletin will help for making plan and also help to know the health situation of this district. The bulletin contains the status of MDG 4 and MDG 5 which will help to implement the MDG targets. We also incorporate here the status of safe drinking water and sanitation facilities of this district. Morbidity and Mortality profile are shown here. So we can easily find out the cause of Morbidity and Mortality. I would like to congratulate the Line Director of MIS, DGHS and the initiator of the health bulletin software for moving us one step ahead toward e-health. Dr. S.M. Abdul Jalil Civil Surgeon,Joypurhat
Dr. S.M. Abdul Jalil
Civil Surgeon
Joypurhat Civil Surgeon Office

Joypurhat Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. S.M. Abdul Jalil
Organization Code 10001297
Name of District Joypurhat
Land Phone No. 1 -057162207
Land Phone No. 2
FAX No. 0
Mobile No. 01712529003
Email joypurhat@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.0000 And Long: 89.0000
No. of Upazila in the District5
No. of Households in the District 242,556
Population in the District 941,386
Area of District in sq km 995

Joypurhat 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 1 150
General Hospital 0 0
Upazila Health Complexes 5 200
No. of Union Sub-Centres 12 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 112 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 1 10
No. of Other Hospitals

Joypurhat Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 19,958


Total No. of children treated under IMCI Program 47,939
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 12.88 per 1,000 live births.

Joypurhat 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: 20,141
Total Number of Deliveries: 14,698
No. of Maternal Deaths: 26
Valid TT Coverage: 42.00 %
Maternal Mortality Ratio (MMR) is 130.27 per 100,000 live births.

Joypurhat 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 59,574 105,850 165,424 17,600 15,284 32,884 198,308 1,440 1,107 2,547 250 212 462 3,009
Upazila Health Complex 63,955 119,667 183,622 34,001 12,860 46,861 230,483 9,024 8,053 17,077 2,554 1,432 3,986 21,063
Union Sub-Centres 69,716 103,493 173,209 15,815 3,200 19,015 192,224 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 368,277 818,096 1,186,373 50,688 58,651 109,339 1,295,712 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 20,509 20,509 0 7,110 7,110 27,619 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 789 1,367 2,156 33 40 73 2,229 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 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

Joypurhat 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 7,065 10,850 17,915 1,424 955 2,379 20,294 202 131 333 72 55 127 460
Upazila Health Complex 6,888 10,541 17,429 1,099 937 2,036 19,465 18 15 33 0 1 1 34
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 0 418 418 0 0 0 418 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 564 2,809 3,373 24 38 62 3,435 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 14,517 24,618 39,135 2,547 1,930 4,477 43,612 220 146 366 72 56 128 494

Joypurhat 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 44,211
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 6378 14.43
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1581 3.58
3 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1520 3.44
4 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 1247 2.82
5 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1181 2.67
6 J459 Asthma, unspecified X: Diseases of the respiratory system 857 1.94
7 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 730 1.65
8 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 682 1.54
9 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 453 1.02
10 A99 Unspecified viral haemorrhagic fever I: Certain infectious and parasitic diseases 424 0.96

Joypurhat 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 492
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 67 13.62
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 47 9.55
3 I159 Secondary hypertension, unspecified XVI: Certain conditions originating in the perinatal period 37 7.52
4 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 29 5.89
5 J459 Asthma, unspecified X: Diseases of the respiratory system 26 5.28
6 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 17 3.46
7 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 9 1.83
8 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 8 1.63
9 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 6 1.22
10 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 3 0.61

Joypurhat Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100
Coverage of households having access to sanitary latrines (%) 86
Surgeries & Interventions done in District
Type
No.
Major Surgeries 1,930
Minor Surgeries 4,572
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 142 62 27 53 37.32
Non Doctor 5 2 0 3 60.00
Class II 134 3 121 10 7.46
Class III 481 295 143 43 8.94
Class IV 155 92 28 35 22.58

Joypurhat 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 33 23 63 35 43 28 10 6 8
Nurse 0 0 0 0 55 52 76 69 26 22 10
Medical Assistant 0 0 33 33 8 7 0 0 12 0 0
Medical Technologist 0 0 0 0 31 30 3 3 0 0 0
CHCP 113 111 0 0 0 0 0 0 0 0 60
HI 0 0 0 0 10 10 0 0 0 0 0
AHI 0 0 0 0 31 31 0 0 0 0 0
HA 0 0 0 0 150 142 0 0 0 0 0

Joypurhat 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


Joypurhat 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) 2 2 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 0 0 1 0
ICT equipment
Computer (desktop) 10 8 0 2 0
Laptop 1 1 0 0 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 2 2 0 0
Scanner 0 0 0 0 0
UPS 5 4 0 1 0
Fax 0 0 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 1 1 0 0 0


Joypurhat 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) 1 1 0 0 0
Land phone 3 3 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 1 1 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 34 27 3 4 0

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

Important information and necessary issues for Joypurhat Civil Surgeon Office
1. As per manpower status,inadequate number of doctors is posted against the sanctioned post of Joypurhat District. So, I would like to draw attention to the higher authority to make solution regarding increasing the number of doctors as soon as possible for better health service. 2. All equipments and OT facilities are available in Akkelpur upzalia, Joypurhat. Junior Consultant Gyane & Anesthesia is not posted against the vacant post for a long time. EoMC activities has been stooped due to pair. So make solution to continue EoMC activities in Akkelpur upzalia, Joypurhat.