Mymensingh Civil Surgeon Office | Health Bulletin 2015 |
Preface
It is my great pleasure to publish this Health Bulletin 2015 of Civil Surgeon Office, Mymensingh. This bulletin contains almost all the health related information of 2014.It is published to disseminate the information of upazila Health Complexes to the other departments and development partners of health. For health bulletin we collected data from wide range of sources across the district. The health managers, officers and staff of the head and subordinate offices and health facilities and the fields, all were engaged to make huge data available, analyze them and prepare reports. I hope all the information in the bulletin will be helpful for planning and bridging the gaps in the health services of the district. We use health bulletin to understand how much progress we
made in the past year in the health sector. We also understand through this bulletin where we made little progress, where we need to pay more attention and where we could do better. The bulletin contains the status of MDG-4 &MDG-5 which will help to locate the MDG targets. The sanctioned and vacant posts are published in the bulletin. I like to pay attention of the higher authority. I express my sincere thanks to professor Dr. Abul Kalam Azad additional director general (planning & development) and line director MIS Health for providing his overall support and positive attitude towards development of this health bulletin. This is my responsibility to thank all the team members of MIS Health for their continuous support and creation of health bulletin software for one step ahead towards DIGITAL BANGLADESH.
Finally, I acknowledge deeply the continuous of my associates who worked hard and closely with me to publish the Health Bulletin 2015.
Mymensingh Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr .A K M Mostafa Kamal
Organization Code
10000395
Name of District Mymensingh
Land Phone No. 1
-09165720
Land Phone No. 2
FAX No. 9161160
Mobile No. 01719599394
Email mymensingh@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.4506 And Long: 90.2500
No. of Upazila in the District 13
No. of Households in the District 1,125,206
Population in the District 5,521,928
Area of District in sq km 4,395
Mymensingh Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital
1
1,000
District Hospital
0
0
General Hospital
0
0
Upazila Health Complexes
11
513
No. of Union Sub-Centres
43
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
584
0
No of Trauma Centres
1
20
No. of MCWCs (belongs to DGFP)
1
20
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
0
No. of Private Clinics/Facilities
104
1400
No. of NGO Clinics/Facilities
6
100
No. of Other Hospitals
Mymensingh Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 110,264
Total No. of children treated under IMCI Program 571,630
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 27.49 per 1,000 live births.
Mymensingh 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: 69,722
Total Number of Deliveries: 97,462
No. of Maternal Deaths: 185
Valid TT Coverage: 42.00 %
Maternal Mortality Ratio (MMR) is
167.78 per 100,000 live births.
Mymensingh 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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Upazila Health Complex
195,686
248,009
443,695
48,290
36,315
84,605
528,300
88,228
345,040
433,268
9,871
7,929
17,800
451,068
Union Sub-Centres
164,909
241,225
406,134
36,775
29,536
66,311
472,445
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
27,279
79,620
106,899
18,103
1,067
19,170
126,069
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
3,731
36,723
40,454
13,531
16,423
29,954
70,408
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
850,194
1,718,282
2,568,476
196,627
228,884
425,511
2,993,987
0
0
0
0
0
0
0
Trauma Centres
5,667
3,641
9,308
929
800
1,729
11,037
0
0
0
0
0
0
0
MCWCs (belongs to DGFP)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
1,597
1,920
3,517
29
37
66
3,583
0
0
0
0
0
0
0
Private Clinics/Facilities
8,647
18,755
27,402
1,309
1,269
2,578
29,980
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
6,195
8,282
14,477
751
1,009
1,760
16,237
0
0
0
0
0
0
0
Other Hospitals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Mymensingh 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
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Upazila Health Complex
30,349
41,867
72,216
8,325
5,621
13,946
86,162
83
43
126
19
25
44
170
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
155
93
248
25
10
35
283
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
5,220
21,091
26,311
1,702
1,761
3,463
29,774
22
54
76
8
10
18
94
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
35,724
63,051
98,775
10,052
7,392
17,444
116,219
105
97
202
27
35
62
264
Mymensingh 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
73,303
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
11693
15.95
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
7369
10.05
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
6398
8.73
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
5377
7.34
5
A010 Typhoid fever
I: Certain infectious and parasitic diseases
2611
3.56
6
D649 Anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1961
2.68
7
J45 Asthma
X: Diseases of the respiratory system
1703
2.32
8
V899 Person injured in unspecified vehicle accident
XX: External causes of morbidity and mortality
1140
1.56
9
T659 Toxic effect of unspecified substance
XIX: Injury, poisoning and certain other consequences of external causes
1023
1.40
10
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
804
1.10
Mymensingh 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
167
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
37
22.16
2
J45 Asthma
X: Diseases of the respiratory system
23
13.77
3
P210 Severe birth asphyxia
X: Diseases of the respiratory system
14
8.38
4
K297 Gastritis, unspecified
XI: Diseases of the digestive system
13
7.78
5
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
12
7.19
6
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
10
5.99
7
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
7
4.19
8
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
6
3.59
9
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
5
2.99
10
X850 Assault by drugs, medicaments and biological substances, home
XX: External causes of morbidity and mortality
4
2.40
Mymensingh 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 (%)
85
Surgeries & Interventions done in District
Type
No.
Major Surgeries
350
Minor Surgeries
11,830
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
342
255
72
15
4.39
Non Doctor
0
0
0
0
0.00
Class II
173
73
100
0
0.00
Class III
1572
902
615
55
3.50
Class IV
306
235
40
31
10.13
Mymensingh 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
125
115
207
173
0
0
42
3
0
Nurse
0
0
0
0
145
128
0
0
53
22
0
Medical Assistant
0
0
110
110
20
20
0
0
66
0
0
Medical Technologist
0
0
12
10
77
70
0
0
12
0
0
CHCP
503
440
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
51
51
0
0
8
0
4
AHI
0
0
0
0
153
150
0
24
0
0
0
HA
0
0
0
0
770
607
0
0
228
0
12
Mymensingh 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
2
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Mymensingh 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)
4
4
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
0
0
0
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
5
5
0
0
0
Printer (laser)
3
3
0
0
0
Scanner
0
0
0
0
0
UPS
8
8
0
0
0
Fax
1
1
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
1
1
0
0
0
Mymensingh 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)
0
0
0
0
0
Land phone
0
0
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
35
34
1
0
0
Mymensingh Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Mymensingh Civil Surgeon Office
I try my level best to input all accurate data of our district. We need unlimited (10GB ) 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 continuous monitoring and self up-gradation. For increasing quality of data it is necessary to start Quarterly / at least half yearly ‘Data Review Meeting’ at Dist level. A well furnished MIS room need at CS office. A Motor Cycle with fuel and maintenance cost should be given to District and Upazila level Statistical personnel to look after MIS's activities and equipments.