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Narail Civil Surgeon Office | Health Bulletin 2015 |
Preface
This is my great pleasure to publish this HEALTH BULLETIN 2015 of District Narail. . Narail is an emerging district for health providing situated in the south east part of Bangladesh under Khulna Division. Narail District town is situated on the bank of River Chittra . There are three Upazila , four thana, three Municipility and thirty nine Union . Some famous people`s was borned in this soil of Narail . Those people who contributes to the Country and abroad are mentioned below. Birshresta Nur Mohammad Sheake , S, M, Sultan , Amol senz, Pondit Robi Sankar . Also Masrafi Bin Mortoza Kawsik Captain of Bangladesh team in Cricket World Cup 2015,born in this District. . The health bulletin 2015 will contribute to improving transparency about health issues of the country .The bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets.Out of seven Health Institutions in Bangladesh two institutions of Narail District i.e. Sadar Hospital and Lohagara Upazila Health Complex,Narail have recently been selected for getting award for observing “Safe Motherhood Day’’. Also Borogati Community Clinic of Narail Sadar Upazila hass been selected for best CC award in all over Bangladesh. In Narail District Many Post of Doctors are lying vacant.So we have to face a lot of problems in delivering health services to the people. The sanctioned and vacant posts are published in this bulletin.I like to take attention of the higher authority to look after this burning issue.I express my sincere thanks to Professor Dr. Abul Kalam Azad, Additional director general (planning & development)and Line director of MIS Health for providing his moral support.Positive attitude towards development of this health bulletin.This is my responsibility to thank all the team member of MIS Health for their continuous effort and creation .
Dr. Subrata Kumar Saha
Civil Surgeon
Narail Civil Surgeon Office

Narail Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Subrata Kumar Saha
Organization Code 10001912
Name of District Narail
Land Phone No. 1 0481-048162422
Land Phone No. 2 0481-048162105
FAX No. 48162105
Mobile No. 01712540888
Email narail@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.1035 And Long: 89.3000
No. of Upazila in the District3
No. of Households in the District 140,344
Population in the District 712,259
Area of District in sq km 990

Narail 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 2 81
No. of Union Sub-Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 87 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 10
No. of Chest Disease Clinic (TB Clinics/Hospitals) 0 0
No. of Private Clinics/Facilities 24 240
No. of NGO Clinics/Facilities 6 0
No. of Other Hospitals

Narail Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 16,053


Total No. of children treated under IMCI Program 82,842
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 21.37 per 1,000 live births.

Narail 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: 21,991
Total Number of Deliveries: 16,339
No. of Maternal Deaths: 22
Valid TT Coverage: 70.00 %
Maternal Mortality Ratio (MMR) is 137.05 per 100,000 live births.

Narail 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 30,893 55,434 86,327 7,423 8,217 15,640 101,967 5,832 3,979 9,811 1,243 1,014 2,257 12,068
Upazila Health Complex 53,096 76,050 129,146 10,699 10,209 20,908 150,054 5,041 3,865 8,906 1,440 1,105 2,545 11,451
Union Sub-Centres 54,461 52,678 107,139 13,273 15,840 29,113 136,252 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) 25,555 143,119 168,674 19,369 24,732 44,101 212,775 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 170,015 368,031 538,046 27,114 28,773 55,887 593,933 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 12,701 12,701 1,736 1,656 3,392 16,093 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 0 0 0 0 0 0 0 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

Narail 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 5,770 8,287 14,057 2,870 1,683 4,553 18,610 102 74 176 40 35 75 251
Upazila Health Complex 3,340 5,742 9,082 957 811 1,768 10,850 15 8 23 2 3 5 28
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 0 517 517 0 0 0 517 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 244 3,223 3,467 160 0 160 3,627 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 9,354 17,769 27,123 3,987 2,494 6,481 33,604 117 82 199 42 38 80 279

Narail 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 32,009
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 3087 9.64
2 O65 Obstructed labour due to maternal pelvic abnormality XV: Pregnancy, childbirth and the puerperium 2873 8.98
3 Y00 Assault by blunt object XX: External causes of morbidity and mortality 1830 5.72
4 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 1524 4.76
5 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1318 4.12
6 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 825 2.58
7 V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle XX: External causes of morbidity and mortality 871 2.72
8 J45 Asthma X: Diseases of the respiratory system 767 2.40
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 732 2.29
10 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 321 1.00

Narail 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 270
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 G46 Vascular syndromes of brain in cerebrovascular diseases VI: Diseases of the nervous system 43 15.93
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 40 14.81
3 P07 Disorders related to short gestation and low birth weight, NEC VI: Diseases of the nervous system 32 11.85
4 I50 Heart failure IX: Diseases of the circulatory system 29 10.74
5 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 24 8.89
6 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 14 5.19
7 Q21 Congenital malformations of cardiac septa XVII: Congenital malformations, deformations and chromosomal abnormalities 12 4.44
8 A87 Viral meningitis I: Certain infectious and parasitic diseases 9 3.33
9 P36 Bacterial sepsis of newborn XVI: Certain conditions originating in the perinatal period 7 2.59
10 J45 Asthma X: Diseases of the respiratory system 5 1.85

Narail Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 81
Coverage of households having access to sanitary latrines (%) 85
Surgeries & Interventions done in District
Type
No.
Major Surgeries 4,853
Minor Surgeries 8,554
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 115 36 15 64 55.65
Non Doctor 4 2 1 1 25.00
Class II 77 1 73 3 3.90
Class III 424 184 136 104 24.53
Class IV 89 54 19 16 17.98

Narail 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 39 20 34 16 39 12 10 4 0
Nurse 0 0 0 0 32 32 48 48 17 28 9
Medical Assistant 0 0 39 39 4 4 0 0 30 0 0
Medical Technologist 0 0 0 0 14 12 8 6 0 1 0
CHCP 99 87 0 0 0 0 0 0 0 0 9
HI 0 0 0 0 10 8 0 0 0 0 0
AHI 0 0 0 0 30 26 0 0 0 0 2
HA 0 0 0 0 149 79 0 0 0 0 0

Narail 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 1 2 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Narail 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 1 1 0 0 0
ICT equipment
Computer (desktop) 10 9 1 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 6 6 0 0 0
Fax 2 1 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 1 1 0 0 0


Narail 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 1 1 0 0 0
Digital camera 1 1 0 0 0
Video camera 0 0 0 0 0
Total 40 34 6 0 0

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

Important information and necessary issues for Narail Civil Surgeon Office
• Caesarean Section in all upazila & District Hospital is going on smoothly . • Normal delivery in Lohagora UHC sharply increased • Normal delivery started on CC • Confidence of the doctors and nurses has increased after “Life Saving Skill” training • Referral due to obstetrical complication decreased as doctors and nurses can manage more obstetrical complication after “Life Saving Skill” training • Local recruitment of doctors, nurses and supporting staffs under MNHI fund supports Hospital Management. • Private CSBA working in the community . • Referral from community area is increased the linkage between Hospital and community. • MNH services increased in all facilities. • MIS system markedly improved due to supply of Desktop Computer, laptop, tab,modem, webcam and other necessary supplies . • Community Groups and Community Support Groups are more aware about management of CC and the health facility of the pregnant women. • Institutional delivery had been increased significantly by trained manpower. • Construction/ reconstruction works need to be finished ASAP • 100 beded hospital is running with 50 beded manpower. Manpower need to be sanctioned for 100 bed hospital • Gynecologist, Surgeon and Anesthetist need to be ensured for 24/7 service in DH and UHC. • Waste disposal system should be improved