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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.
Dr. Md. Abdullah
Civil Surgeon
Lakshmipur Civil Surgeon Office

Lakshmipur Civil Surgeon Office | Health Bulletin 2013 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. 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 District5
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.