Lakshmipur Civil Surgeon Office | Health Bulletin 2013 |
Preface
It is our great pleasure to publish this yearly Local Health Bulletin for 2nd time. We tried our best to minimize error, but may be some error there, that will be corrected or revised next time. We thanks everybody related to prepare and publish this Local Health Bulletin.
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Md. Abdullah
Name of District Lakshmipur
Telephone No. 038155336
FAX No. 38162474
Mobile No. 01712641654
Email laksmipur@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.9412 And Long: 90.8398
No. of Upazila in the District 5
No. of Households in the District 338,155
No. of Population in the District 1,687,893
Area of District in sq km 1,654
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 2
Existing health facilities in District
Facility Type
Total
No. of Beds
Medical College Hospital
0
0
District Hospital
1
100
General Hospital
0
0
Upazila Health Complexes
5
143
No. of Union Sub-Centres
21
0
No. of Union Health and Family Welfare Centres (under DGHS)
33
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
154
0
No of Trauma Centres
0
0
No. of MCWCs
2
20
No. of Chest Disease Clinic (TB clinics/Hospitals)
0
0
No. of Private Clinics/Facilities
17
180
No. of NGO Clinics/Facilities
0
0
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 3
Child health and MDG-4 (No.) (January-December, 2012)
No. of Live Birth: 48,250
Total No. of children treated under IMCI Program 22,611
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2012)
Neonatal Mortality Rate (NMR) is 31.52 per 1,000 live births.
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 4
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother in the Upazila
Maternal health and MDG-5 (No.) (January-December, 2012)
All ANC Receiptients: 16,732
Total Number of Deliveries: 48,388
No. of Maternal Death: 91
Valid TT Coverage: 46.00 %
Maternal Mortality Ratio (MMR)(January-December, 2012)
Maternal Mortality Ratio (MMR) is
188.60 per 100,000 live births.
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 5
No. of OPD & Emergency visits & Deaths at District
Health Facility
OPD
Emergency
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
District Hospital
133,471
57,432
76,039
15,913
8,995
5,713
3,282
707
Upazila Health Complex
180,245
78,706
101,539
51,956
110,751
9,212
101,539
2,353
Union Sub-Centres
28,181
18,969
9,212
2,353
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
763,758
269,704
494,054
126,265
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
1,105,655
482,243
680,844
196,487
119,746
14,925
104,821
3,060
No. of Admissions & Deaths at District
Health Facility
Admission
Death
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
District Hospital
13,644
6,625
7,019
1,026
157
116
41
13
Upazila Health Complex
15,919
7,802
8,117
2,260
32
17
15
12
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
29,563
14,427
15,136
3,286
189
133
56
25
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 6
Top 10 diseases according to the number of patients admitted in all facilities of district during the reporting period
Total number of admitted patients during the reporting period
32979
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
A009 Cholera, unspecified
7360
22.32
2
X952 Assault by other and unspecified firearm discharge, school, other institution and public administrative area
4863
14.75
3
J189 Pneumonia, unspecified
2459
7.46
4
K27 Peptic ulcer, site unspecified
1841
5.58
5
A99 Unspecified viral haemorrhagic fever
1047
3.17
6
V82 Occupant of streetcar injured in transport accident
805
2.44
7
O66 Other obstructed labour
766
2.32
8
J45 Asthma
556
1.69
9
A010 Typhoid fever
440
1.33
10
X68 Intentional self-poisoning by and exposure to pesticides
431
1.31
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in all facilities of district during the reporting period
Total number of Deaths during the reporting period
224
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1
I21 Acute myocardial infarction
24
10.71
2
T46 Poisoning by agents primarily affecting the cardiovascular system
21
9.38
3
S097 Multiple injuries of head
13
5.80
4
A150 Tuberculosis of lung, confirmed by sputum microscopy with or without culture
12
5.36
5
J189 Pneumonia, unspecified
11
4.91
6
I11 Hypertensive heart disease
11
4.91
7
I259 Chronic ischaemic heart disease, unspecified
9
4.02
8
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
8
3.57
9
E14 Unspecified diabetes mellitus
8
3.57
10
V82 Occupant of streetcar injured in transport accident
7
3.13
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
94
Coverage of households having access to sanitary latrines (%)
81
Surgeries & Interventions done in District
Type
No.
Major Surgeries
371
Minor Surgeries
1265
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
133
53
10
70
52.63
Non Doctor
2
0
0
2
100.00
Class II
90
36
8
46
51.11
Class III
621
331
181
109
17.55
Class IV
113
76
14
23
20.35
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 9
Status of Human Resources (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
57
7
54
21
20
13
0
4
Nurse
0
0
8
0
49
14
52
29
7
7
Medical Assistant
0
0
51
51
7
7
0
0
18
0
Medical Technologist
0
0
0
0
41
30
6
6
0
0
CHCP
201
183
0
0
0
0
0
0
0
0
HI
0
0
0
0
23
18
0
0
0
0
AHI
0
0
0
0
68
66
0
0
0
0
HA
0
0
0
0
340
286
0
0
0
0
CSBA trained***
0
0
0
0
0
37
0
0
0
0
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 10
Existing equipments at Civil Surgeon Office
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA)
0
0
0
0
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
0
0
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 11
Existing equipments at Civil Surgeon Office
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 12
Existing equipments at Civil Surgeon Office
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
0
0
0
0
0
Centrifuge machine (electric)
0
0
0
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
0
0
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 13
Existing equipments at Civil Surgeon Office
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
0
0
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
0
0
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
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
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 14
Existing equipments 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)
3
0
3
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)
6
4
2
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
0
0
0
0
0
UPS
8
4
0
4
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
1
1
0
0
0
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 15
Existing equipments at Civil Surgeon Office
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed
Repairable (No.)
Non-repairable (No.)
OHP
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
0
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
33
21
8
4
0
Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 16
Important information and necessary issues for Lakshmipur Civil Surgeon Office |
I tried my best to input all accurate data of our district. We need 1MBPS internet connectivity for more smooth ICT works and alternative source of power supply needed for continuous support. Our manpower shortage is also a bar. In these sector we aspect support from concern authorities.