HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Civil Surgeon Office, This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Lakshmipur district to others. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this district. Government health office has many data stored on line. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information of safe drinking water and sanitation status of our district. All the sanctioned and vacant posts are published in this bulletin of running month. I like to take attention of the higher authority to look into to this issue. On conclusion, I would like to thanks the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh and thanks all staffs involved in this procedure
Dr. Md. Golam Faruque Bhuyan
Civil Surgeon
Lakshmipur Civil Surgeon Office

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. Md. Golam Faruque Bhuyan
Name of District Lakshmipur
Telephone No. 038161336
FAX No. 38162474
Mobile No. 01712620409
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 2014 | 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 10 0
No. of Union Health and Family Welfare Centres (under DGHS) 11 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 175 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 24 310
No. of NGO Clinics/Facilities 0 0

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 47,643


Total No. of children treated under IMCI Program 63,773
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 26.28 per 1,000 live births.

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | 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, 2013)


All ANC Receiptients: 42,070
Total Number of Deliveries: 47,643
No. of Maternal Death: 74
Valid TT Coverage: 92.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 155.32 per 100,000 live births.

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | 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 148,306 49,456 98,850 40,782 9,612 6,178 3,434 2,448
Upazila Health Complex 167,807 12,746 155,061 41,944 18,533 10,166 8,367 2,974
Union Sub-Centres 139,944 71,196 68,748 20,903 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 723,896 246,153 477,743 81,009 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 1,179,953 429,007 800,402 184,638 28,145 16,344 11,801 5,422
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 15,913 7,960 7,953 5,926 125 79 46 24
Upazila Health Complex 16,005 7,865 8,140 4,007 36 15 21 9
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 31,918 15,825 16,093 9,933 161 94 67 33

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | 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 31727
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 A009 Cholera, unspecified 5871 18.50
2 J45 Asthma 5102 16.08
3 K27 Peptic ulcer, site unspecified 1925 6.07
4 J189 Pneumonia, unspecified 1894 5.97
5 O669 Obstructed labour, unspecified 1497 4.72
6 V892 Person injured in unspecified motor-vehicle accident, traffic 1001 3.16
7 A99 Unspecified viral haemorrhagic fever 835 2.63
8 A01 Typhoid and paratyphoid fevers 683 2.15
9 T602 Other insecticides 662 2.09
10 J45 Asthma 623 1.96

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | 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 161
Serial No.
ICD-10 Code with Disease Name
No. of cases
%
1 I21 Acute myocardial infarction 35 21.74
2 I516 Cardiovascular disease, unspecified 18 11.18
3 T602 Other insecticides 9 5.59
4 P36 Bacterial sepsis of newborn 7 4.35
5 V492 Unspecified car occupant injured in collision with other and unspecified motor vehicles in nontraffic accident 7 4.35
6 E14 Unspecified diabetes mellitus 7 4.35
7 I119 Hypertensive heart disease without (congestive) heart failure 6 3.73
8 J11 Influenza, virus not identified 6 3.73
9 J15 Bacterial pneumonia, NEC 4 2.48
10 G05 Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere 3 1.86

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96
Coverage of households having access to sanitary latrines (%) 82
Surgeries & Interventions done in District
Type
No.
Major Surgeries 1432
Minor Surgeries 1952
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 133 57 13 63 47.37
Non Doctor 2 1 1 0 0.00
Class II 93 10 33 50 53.76
Class III 626 329 181 116 18.53
Class IV 113 74 12 27 23.89

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | 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 50 7 63 39 20 14 22 8
Nurse 0 0 8 0 51 19 50 32 7 7
Medical Assistant 0 0 51 51 7 7 0 0 18 0
Medical Technologist 0 0 0 0 28 15 3 3 0 0
CHCP 185 185 0 0 0 0 0 0 0 0
HI 0 0 0 0 23 20 0 0 0 0
AHI 0 0 0 0 68 64 0 0 0 0
HA 0 0 0 0 340 276 0 0 0 0
CSBA trained*** 0 0 0 0 0 32 0 0 0 0

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | 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 2014 | 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 2014 | 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 2014 | 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 2014 | 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) 4 2 2 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 7 2 0 0
Laptop 2 1 1 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 1 1 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 2014 | 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 39 27 8 4 0

Lakshmipur Civil Surgeon Office | Health Bulletin 2014 | 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 unlimited(10GB sealing) 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 this sector we aspect support from concern authorities. Laptop/Twin Tab for concern officers and staffs are also needed for continues monitoring and self up-gradation. We have no separate EPI store and good room for MIS. So initiative should be given to established a separate EPI store and well furnished MIS room. A guest room also needed to build over Civil Surgeon Office. One Statistical Assistant post should be created for Civil Surgeon Office. A Motor Cycle with fuel and maintenance cost should be given to Statistical Assistant to look after MIS's activity and equipment of our district.