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Natore Civil Surgeon Office | Health Bulletin 2015 |
Preface
It is my great pleasure that we have been able to prepare the compiled " District Health Bulletin-2014" consisting health related informations from the upazilas of district Natore.The automated health bulletin is already prepared from all upazila Health Complexes and those informations are compiled in district health bulletin which presents an overview of achievements in different health indicators of our district. The informations in this bulletin is just a compilation of the data provided by the Upozila Health Complexes. So I would like to convey my thanks and gratitude to all of them who worked hard to prepare the bulletin. My special thanks to MIS of DGHS and concern personnel of Civil Surgeon office, Natore for their great effort to present the bulletin in due time. Finally I would like to mention that the data presented in this bulletin will be meaningless if we do not analyze and interpret them. We have to find out our strength and weakness in our services provided to the community. Our effort will be successful if we can engage our full strength to overcome the identified weakness and sustain the success for betterment of health status of our community people for whom we all are working together.
Dr.Ferdous Nilufar
Civil Surgeon
Natore Civil Surgeon Office

Natore Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr.Ferdous Nilufar
Organization Code 10001432
Name of District Natore
Land Phone No. 1 -077166770
Land Phone No. 2 -077166205
FAX No. 77162912
Mobile No. 01711173845
Email natore@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.4096 And Long: 88.9833
No. of Upazila in the District6
No. of Households in the District 391,104
Population in the District 1,779,350
Area of District in sq km 1,896

Natore 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 5 193
No. of Union Sub-Centres 5 0
No. of Rural/Urban/Thana Dispensaries 1 0
No. of Community Clinics 188 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 2 30
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 55 670
No. of NGO Clinics/Facilities 7 0
No. of Other Hospitals

Natore Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 39,190


Total No. of children treated under IMCI Program 364,268
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 9.06 per 1,000 live births.

Natore 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: 47,907
Total Number of Deliveries: 39,353
No. of Maternal Deaths: 7
Valid TT Coverage: 36.00 %
Maternal Mortality Ratio (MMR) is 17.86 per 100,000 live births.

Natore 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 75,358 50,874 126,232 24,000 26,508 50,508 176,740 4,897 4,517 9,414 1,831 1,851 3,682 13,096
Upazila Health Complex 141,886 199,493 341,379 94,466 42,146 136,612 477,991 22,624 23,334 45,958 3,837 4,102 7,939 53,897
Union Sub-Centres 48,075 57,215 105,290 7,740 10,130 17,870 123,160 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 96,155 114,439 210,594 15,485 20,261 35,746 246,340 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 86,785 160,715 247,500 45,507 55,559 101,066 348,566 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 560,995 1,180,246 1,741,241 106,747 119,630 226,377 1,967,618 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) 512 10,996 11,508 3,675 3,823 7,498 19,006 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 1,667 1,199 2,866 70 75 145 3,011 0 0 0 0 0 0 0
Private Clinics/Facilities 64,538 73,039 137,577 11,891 12,814 24,705 162,282 2,724 3,664 6,388 614 330 944 7,332
NGO Clinics/Facilities 16,632 28,913 45,545 6,216 6,638 12,854 58,399 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

Natore 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 10,212 11,254 21,466 2,226 2,246 4,472 25,938 135 100 235 35 22 57 292
Upazila Health Complex 12,539 14,579 27,118 1,650 1,564 3,214 30,332 60 26 86 7 2 9 95
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 1,088 1,088 0 0 0 1,088 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 7,122 10,217 17,339 960 1,437 2,397 19,736 14 15 29 2 2 4 33
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 29,873 37,138 67,011 4,836 5,247 10,083 77,094 209 141 350 44 26 70 420

Natore 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 77,094
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 9751 12.65
2 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 5884 7.63
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 5713 7.41
4 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 5663 7.35
5 J459 Asthma, unspecified X: Diseases of the respiratory system 4412 5.72
6 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 3470 4.50
7 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 3370 4.37
8 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 2880 3.74
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2737 3.55
10 F48 Other neurotic disorders V: Mental and behavioural disorders 2141 2.78

Natore 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 420
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 73 17.38
2 I509 Heart failure, unspecified IX: Diseases of the circulatory system 56 13.33
3 T600 Organophosphate and carbamate insecticides IX: Diseases of the circulatory system 43 10.24
4 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 39 9.29
5 J459 Asthma, unspecified X: Diseases of the respiratory system 26 6.19
6 C97 Malignant neoplasms of independent (primary) multiple sites II: Neoplasms 21 5.00
7 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 21 5.00
8 R17 Unspecified jaundice XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 16 3.81
9 K92 Other diseases of digestive system XI: Diseases of the digestive system 15 3.57
10 E14 Unspecified diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 13 3.10

Natore Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98
Coverage of households having access to sanitary latrines (%) 100
Surgeries & Interventions done in District
Type
No.
Major Surgeries 1,046
Minor Surgeries 8,309
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 169 88 38 43 25.44
Non Doctor 5 2 1 2 40.00
Class II 121 8 108 5 4.13
Class III 715 465 172 78 10.91
Class IV 207 92 63 52 25.12

Natore 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 55 46 75 48 33 23 8 0 0
Nurse 0 0 0 0 63 58 60 58 16 15 0
Medical Assistant 0 0 55 55 10 10 0 0 45 0 0
Medical Technologist 0 0 15 15 41 41 7 7 0 0 0
CHCP 205 187 0 0 0 0 0 0 0 0 36
HI 0 0 0 0 16 16 0 0 0 0 0
AHI 0 0 0 0 48 48 0 0 0 0 0
HA 0 0 0 0 236 197 0 0 0 0 18

Natore 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 2 0 0 0
Microbus 1 1 0 0 0
Pickup 0 0 0 0 0


Natore 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) 4 4 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) 10 8 2 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 2 0 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 3 3 0 0 0
Fax 1 1 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Natore 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 2 2 0 0 0
Mobile phone 0 0 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 1 1 0 0 0
Video camera 0 0 0 0 0
Total 38 33 5 0 0

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

Important information and necessary issues for Natore Civil Surgeon Office
In Comparison to last Year data,MMR and NMR have been reduced and at the same time percentage of fully vaccinated children (FVC) is increased in Natore district. Complete registration of all adolescent girl and women of child bearing age (15-49 yrs) should be done properly to increase TT coverage which is not up to the mark at present. Number of IMCI and EOC trained doctors and nurses are very few in our district, So more physicians and nurses should be trained to serve the people of rural areas. Repair or replacement of the medical equipments are required to provide a better service to the community . It is not impossible to improve our services if we do our own duties sincerely with the resources we have.