Thakurgaon Civil Surgeon Office | Health Bulletin 2015 |
Preface
It is my great pleasure to publish this HEALTH BULLETIN-2015 of Thakurgaon District. It contains all the health related information's of 2014 that can be disseminated to other departments & development partners of health. We used wide range of sources across the district to gather the datas. The information of this health bulletins are of great importance. These will be helpful for planning & bridging the laps and gaps in the health services of this district. It will help us to understand how much progress we have achieved in the last year, also those issues where more progress could be achieved. The health bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets. The sanctioned & vacant posts are published in this bulletin which seeks necessary steps of higher authority. I always believe that there is enough scope for perfection in future. Finally, I acknowledge deeply the contributions of my associates who worked hard and closely with me to publish the HEALTH BULLETIN 2015
Thakurgaon Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Md. Nazrul Islam
Organization Code
10001686
Name of District Thakurgaon
Land Phone No. 1
0561-052096
Land Phone No. 2
FAX No. 56153460
Mobile No. 01820520010
Email thakurgaon@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.0000 And Long: 88.0000
No. of Upazila in the District 5
No. of Households in the District 341,439
Population in the District 1,456,501
Area of District in sq km 1,810
Thakurgaon 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
4
200
No. of Union Sub-Centres
13
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
145
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
25
250
No. of NGO Clinics/Facilities
2
30
No. of Other Hospitals
Thakurgaon Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 31,419
Total No. of children treated under IMCI Program 80,489
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 30.20 per 1,000 live births.
Thakurgaon 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: 35,313
Total Number of Deliveries: 11,375
No. of Maternal Deaths: 47
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is
149.59 per 100,000 live births.
Thakurgaon 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
55,702
62,399
118,101
24,210
24,970
49,180
167,281
5,030
1,420
6,450
264
80
344
6,794
Upazila Health Complex
47,090
83,311
130,401
8,682
10,953
19,635
150,036
6,375
7,461
13,836
1,055
1,130
2,185
16,021
Union Sub-Centres
70,738
98,467
169,205
14,609
17,569
32,178
201,383
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
30,768
54,302
85,070
11,231
18,251
29,482
114,552
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
18,040
26,011
44,051
5,055
6,076
11,131
55,182
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
302,238
501,237
803,475
55,730
72,651
128,381
931,856
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)
756
28,169
28,925
400
411
811
29,736
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
3,550
2,510
6,060
165
70
235
6,295
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
76
296
372
24
27
51
423
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
Thakurgaon 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
11,151
8,133
19,284
11,988
6,961
18,949
38,233
192
74
266
233
170
403
669
Upazila Health Complex
9,379
16,487
25,866
1,295
1,111
2,406
28,272
58
43
101
1
0
1
102
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
30
938
968
0
0
0
968
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
20,560
25,558
46,118
13,283
8,072
21,355
67,473
250
117
367
234
170
404
771
Thakurgaon 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
65,082
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
8374
12.87
2
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
8164
12.54
3
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
6623
10.18
4
V346 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus, passenger, traffic accident
XX: External causes of morbidity and mortality
2764
4.25
5
J118 Influenza with other manifestations, virus not identified
X: Diseases of the respiratory system
2465
3.79
6
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
1844
2.83
7
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
1691
2.60
8
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
1210
1.86
9
F419 Anxiety disorder, unspecified
V: Mental and behavioural disorders
1093
1.68
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
1046
1.61
Thakurgaon 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
692
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
143
20.66
2
P072 Extreme immaturity
XVI: Certain conditions originating in the perinatal period
92
13.29
3
J188 Other pneumonia, organism unspecified
XVI: Certain conditions originating in the perinatal period
42
6.07
4
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
37
5.35
5
J459 Asthma, unspecified
X: Diseases of the respiratory system
35
5.06
6
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
32
4.62
7
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
29
4.19
8
I249 Acute ischaemic heart disease, unspecified
IX: Diseases of the circulatory system
22
3.18
9
V739 Bus occupant injured in collision with car, pick-up truck or van, unspecified bus occupant, traffic accident
XX: External causes of morbidity and mortality
14
2.02
10
G049 Encephalitis, myelitis and encephalomyelitis, unspecified
VI: Diseases of the nervous system
12
1.73
Thakurgaon Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
92
Coverage of households having access to sanitary latrines (%)
86
Surgeries & Interventions done in District
Type
No.
Major Surgeries
1,316
Minor Surgeries
14,233
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
154
66
21
67
43.51
Non Doctor
3
1
0
2
66.67
Class II
96
3
80
13
13.54
Class III
608
346
192
70
11.51
Class IV
139
101
33
5
3.60
Thakurgaon 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
51
35
76
35
22
13
5
2
0
Nurse
0
0
0
0
54
44
38
38
4
2
0
Medical Assistant
0
0
51
42
8
7
0
0
11
0
0
Medical Technologist
0
0
0
0
33
27
3
3
0
0
0
CHCP
145
134
0
0
0
0
0
0
0
0
17
HI
0
0
0
0
11
6
0
0
0
0
0
AHI
0
0
0
0
38
37
0
0
0
0
0
HA
0
0
0
0
190
183
0
0
0
0
72
Thakurgaon 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
2
1
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Thakurgaon 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
0
1
0
0
Air conditioner (window)
6
6
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
1
1
0
0
0
ICT equipment
Computer (desktop)
9
8
0
1
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
2
2
0
0
0
UPS
5
3
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Thakurgaon 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
1
1
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
1
0
0
1
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
40
34
2
4
0
Thakurgaon Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Thakurgaon Civil Surgeon Office
Important information and necessary issues for Thakurgaon Civil Surgeon Office- The Health Bulletin 2015 will contribute to improving about health issues. Last year we have tried our best to improve the health status but could not ensure public demand due to some reasons. I like to mention some important factors which will help us for better performance in future. 1) All the vacant posts of Doctor, Nurse and Paramedics should be filled up, 2) IMCI service providers need regular training, 3) For better maternal & neo-natal health service both health and family planning departments need to work combindly. 4) Sit capacity of hospitals should be increased. We are very glad to write this Health Bulletin of 2015. This will help us for our better performance in future.
