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Meherpur Civil Surgeon Office | Health Bulletin 2015 |
Preface
We are very much delighted to get the opportunity to publish the Health Bulletin- 2015 of Meherpur District. This bulletin contains all the health related informations of the year 2014. This bulletin is published to disseminate the health related informations of this District. We hope all the informations of this bulletin will help for planning and bridging the gaps in health services of this District. This document will help us to compare our progress in coming years. We also understand through this bulletin where we made little progress, where we need to pay more attention and where we could do better.This is very useful document and will help people to understand health services to improve utilization of available health services of the country. We express our sincere thanks to the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. We are very much grateful to Professor Dr. Abul Kalam Azad, Additional Director General of Health Services (Planning & Development), and Director MIS , DGHS for his excellent leadership.
DR. Mohammad Azizur Rahman Siddiqui
Civil Surgeon
Meherpur Civil Surgeon Office

Meherpur Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDR. Mohammad Azizur Rahman Siddiqui
Organization Code 10001897
Name of District Meherpur
Land Phone No. 1 -079162354
Land Phone No. 2 -079162498
FAX No. 79163162
Mobile No. 01819824010
Email meherpur@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.4670 And Long: 88.3858
No. of Upazila in the District3
No. of Households in the District 148,425
Population in the District 619,059
Area of District in sq km 735

Meherpur 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 0 0
General Hospital 1 250
Upazila Health Complexes 3 81
No. of Union Sub-Centres 12 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 72 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 0
No. of Private Clinics/Facilities 23 204
No. of NGO Clinics/Facilities 4 70
No. of Other Hospitals

Meherpur Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 13,541


Total No. of children treated under IMCI Program 17,307
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 6.42 per 1,000 live births.

Meherpur 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: 12,628
Total Number of Deliveries: 13,574
No. of Maternal Deaths: 14
Valid TT Coverage: 84.00 %
Maternal Mortality Ratio (MMR) is 103.39 per 100,000 live births.

Meherpur 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 42,604 61,902 104,506 46,009 45,096 91,105 195,611 1,509 1,910 3,419 2,038 2,061 4,099 7,518
Upazila Health Complex 83,522 128,976 212,498 9,620 12,029 21,649 234,147 3,801 1,985 5,786 329 271 600 6,386
Union Sub-Centres 30,434 56,965 87,399 87,399 800 88,199 175,598 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 19,373 38,494 57,867 1,587 1,889 3,476 61,343 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 334,043 583,161 917,204 29,394 36,224 65,618 982,822 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 6,754 6,754 1,564 0 1,564 8,318 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 1,111 770 1,881 44 44 88 1,969 0 0 0 0 0 0 0
Private Clinics/Facilities 3,640 9,004 12,644 2,934 3,081 6,015 18,659 0 0 0 0 0 0 0
NGO Clinics/Facilities 2,422 9,794 12,216 2,011 2,018 4,029 16,245 692 1,054 1,746 69 96 165 1,911
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

Meherpur 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 5,137 5,909 11,046 8,190 8,201 16,391 27,437 72 85 157 90 73 163 320
Upazila Health Complex 3,801 1,985 5,786 329 271 600 6,386 11 5 16 1 0 1 17
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 279 1,732 2,011 72 74 146 2,157 0 0 0 0 0 0 0
NGO Clinics/Facilities 669 1,598 2,267 369 574 943 3,210 0 0 0 0 0 0 0
Total 9,886 11,224 21,110 8,960 9,120 18,080 39,190 83 90 173 91 73 164 337

Meherpur 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 46,462
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 4241 9.13
2 K25 Gastric ulcer XI: Diseases of the digestive system 3981 8.57
3 O80 Single spontaneous delivery XV: Pregnancy, childbirth and the puerperium 3766 8.11
4 V031 Pedestrian injured in collision with car, pick-up truck or van, traffic accident XX: External causes of morbidity and mortality 3756 8.08
5 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 3631 7.81
6 I639 Cerebral infarction, unspecified IX: Diseases of the circulatory system 2445 5.26
7 T402 Other opioids XIX: Injury, poisoning and certain other consequences of external causes 2289 4.93
8 Y00 Assault by blunt object XX: External causes of morbidity and mortality 1960 4.22
9 O034 Spontaneous abortion, incomplete, without complication XV: Pregnancy, childbirth and the puerperium 1945 4.19
10 F411 Generalized anxiety disorder V: Mental and behavioural disorders 1458 3.14

Meherpur 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 337
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 61 18.10
2 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 57 16.91
3 I50 Heart failure IX: Diseases of the circulatory system 52 15.43
4 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 42 12.46
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 39 11.57
6 J459 Asthma, unspecified X: Diseases of the respiratory system 22 6.53
7 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 15 4.45
8 X91 Assault by hanging, strangulation and suffocation XX: External causes of morbidity and mortality 15 4.45
9 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 13 3.86
10 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 6 1.78

Meherpur 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 (%) 97
Surgeries & Interventions done in District
Type
No.
Major Surgeries 917
Minor Surgeries 9,559
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 102 27 12 63 61.76
Non Doctor 5 2 1 2 40.00
Class II 73 3 66 4 5.48
Class III 321 172 94 55 17.13
Class IV 113 47 21 45 39.82

Meherpur 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 22 14 33 13 41 9 1 2 0
Nurse 0 0 0 0 26 26 43 42 1 6 0
Medical Assistant 0 0 22 22 3 3 0 0 11 0 0
Medical Technologist 0 0 0 0 17 14 3 3 0 0 0
CHCP 72 73 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 6 1 0 0 0 0 13
AHI 0 0 0 0 19 19 0 0 0 0 0
HA 0 0 0 0 94 82 0 0 0 0 0

Meherpur 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


Meherpur 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) 1 1 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 0 1 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 4 2 0 1
Scanner 1 1 0 0 0
UPS 8 4 4 0 0
Fax 1 0 1 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 2 2 0 0 0


Meherpur 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 6 3 3 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 42 27 14 0 1

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

Important information and necessary issues for Meherpur Civil Surgeon Office
Meherpur Civil Surgeon Office Health Bulletin 2014 Page 14 Important information and necessary issues for Meherpur Civil Surgeon Office Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filledup immediately. 2. Our doctors and Staffs need more training 3. Number of community clinic should be increased (Ward wise) 4. All the repairable equipment’s should be repaired as soon as possible 5. We need female HA who is trained up CSBA training.6.EOC Activities are running at Mujibnagar UHC,Meherpur. Really, I am very glad to publish this health bulletin of 2014 because this document will help us to compare our progress in coming year This is very useful document and will help the public to understand health services and health status to provide us the useful advice for improvement in future.