Netrokona Civil Surgeon Office | Health Bulletin 2015 |
Preface
Netrakona was originally a Subdivision of Previous Mymensingh district. It is situated at the Northeast corner of the Bangladesh in the downhill of the Garo hill. It has an area of 2841.39 sq. kilometres with Population 22,23,393. It has 10 Upazilas, 05 Pourashavas , 86 Unions, 258 Wards, & 4,49,322 Households. It has 1 district hospital (100 beds), 9 UHCs (412 beds), 1 MCWC (20 beds), 1 NGO TB hospital (60 beds), 7 Private hospitals (83 beds), 21 USC, 6 UH&FWC (belongs to DGHS) 55 UH&FWC, (belongs to DGFP) 1 NTC & 212 Community Clinics. There are two renowned areas which are one Hajrat Shah Sultan Komoruddin Roomi’s Rawza Sharif at Madanpur under Netrakona Sadar Upazila & another tribal Cultural Academy at Birishiri under Durgapur where national & international persons visit regularly. It is a small low-lying area, non-Industrialized, economically less solvent, agriculture based district. I am very glad to publish this health bulletin of this district. This bulletin contains all instructed health related information of 2014. This bulletin is published to disseminate the health information of Netrakona district through MOHFW worldwide to see the health status.
Netrokona Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Bijan Kanti sarker
Organization Code
10000495
Name of District Netrakona
Land Phone No. 1
0951-061379
Land Phone No. 2 0951-61226
FAX No. 61379
Mobile No. 01712006814
Email netrokona@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.5215 And Long: 90.4400
No. of Upazila in the District 10
No. of Households in the District 449,322
Population in the District 2,223,393
Area of District in sq km 2,841
Netrokona 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
9
412
No. of Union Sub-Centres
21
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
212
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
20
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
60
No. of Private Clinics/Facilities
7
83
No. of NGO Clinics/Facilities
3
33
No. of Other Hospitals
Netrokona Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 65,899
Total No. of children treated under IMCI Program 144,661
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (NMR) is 22.96 per 1,000 live births.
Netrokona 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: 65,450
Total Number of Deliveries: 35,718
No. of Maternal Deaths: 146
Valid TT Coverage: 55.00 %
Maternal Mortality Ratio (MMR) is
221.55 per 100,000 live births.
Netrokona 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
28,911
28,639
57,550
9,162
8,741
17,903
75,453
26,759
20,446
47,205
4,033
3,017
7,050
54,255
Upazila Health Complex
82,933
114,611
197,544
27,751
28,675
56,426
253,970
20,352
14,664
35,016
4,084
3,867
7,951
42,967
Union Sub-Centres
60,211
92,650
152,861
19,298
30,823
50,121
202,982
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
17,774
35,464
53,238
2,177
2,094
4,271
57,509
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
53,546
206,083
259,629
37,022
37,561
74,583
334,212
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
420,648
812,135
1,232,783
64,397
80,361
144,758
1,377,541
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)
85
6,377
6,462
4,295
4,290
8,585
15,047
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
4,492
2,489
6,981
20
15
35
7,016
0
0
0
0
0
0
0
Private Clinics/Facilities
3,433
4,666
8,099
797
746
1,543
9,642
0
0
0
0
0
0
0
NGO Clinics/Facilities
30,077
68,031
98,108
5,867
5,990
11,857
109,965
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
Netrokona 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
7,899
13,781
21,680
2,807
1,663
4,470
26,150
93
56
149
63
34
97
246
Upazila Health Complex
15,171
18,525
33,696
4,076
4,248
8,324
42,020
111
87
198
37
26
63
261
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
641
641
295
284
579
1,220
0
1
1
0
0
0
1
Chest Disease Clinics (TB clinics)
298
156
454
1
1
2
456
14
2
16
0
0
0
16
Private Clinics/Facilities
66
1,470
1,536
12
8
20
1,556
0
0
0
0
0
0
0
NGO Clinics/Facilities
166
1,362
1,528
51
42
93
1,621
1
2
3
4
3
7
10
Total
23,600
35,935
59,535
7,242
6,246
13,488
73,023
219
148
367
104
63
167
534
Netrokona 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
52,151
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
4962
9.51
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
3580
6.86
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
2947
5.65
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2631
5.04
5
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
2106
4.04
6
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
2069
3.97
7
B348 Other viral infections of unspecified site
I: Certain infectious and parasitic diseases
1800
3.45
8
T002 Superficial injuries involving multiple regions of upper limb(s)
XIX: Injury, poisoning and certain other consequences of external causes
1758
3.37
9
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1453
2.79
10
F419 Anxiety disorder, unspecified
V: Mental and behavioural disorders
1334
2.56
Netrokona 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
396
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
46
11.62
2
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
31
7.83
3
J189 Pneumonia, unspecified
XVI: Certain conditions originating in the perinatal period
28
7.07
4
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
25
6.31
5
I694 Sequelae of stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
21
5.30
6
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
18
4.55
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
17
4.29
8
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
16
4.04
9
R651 Systemic Inflammatory Response Syndrome of infectious origin with organ failure
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
14
3.54
10
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
12
3.03
Netrokona Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
91
Coverage of households having access to sanitary latrines (%)
69
Surgeries & Interventions done in District
Type
No.
Major Surgeries
788
Minor Surgeries
44,766
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
252
132
44
76
30.16
Non Doctor
3
0
1
2
66.67
Class II
158
2
113
43
27.22
Class III
1191
608
364
219
18.39
Class IV
283
139
46
98
34.63
Netrokona 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
84
69
144
145
21
15
11
3
0
Nurse
0
0
0
0
127
80
40
33
17
5
0
Medical Assistant
0
0
84
67
18
16
0
0
53
0
0
Medical Technologist
0
0
27
7
85
55
6
6
0
0
0
CHCP
257
222
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
27
27
0
0
0
0
0
AHI
0
0
0
0
81
67
0
0
0
0
1
HA
0
0
0
0
396
350
0
0
0
0
85
Netrokona 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
1
1
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Netrokona 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)
5
3
2
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)
11
9
0
2
0
Laptop
4
3
0
1
0
Printer (dot matrix)
2
0
0
2
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
11
8
0
3
0
Scanner
2
2
0
0
0
UPS
7
4
0
3
0
Fax
2
0
1
1
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
2
1
1
0
0
Netrokona 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
3
3
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
2
1
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
55
37
6
12
0
Netrokona Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Netrokona Civil Surgeon Office
Local Health Bulletin is a new concept in health sector towards digital Bangladesh vision 2021. We appreciate and express a lot of thanks for taking initiatives in this regard for gathering knowledge and taking decision about health related problems from existing health facilities. GOB &.NON-GOB (WHO, UNICEF, GAVIHSS, WORLD RENEW-SUSOMA, PARI DEVELOPMENT TRUST, SATHI etc.) are working together to perform in MDG-4 & MDG-5 to meet the targets. It will help in reducing gaps between Planning and execution of facilities and weaknesses could be properly Identified and steps towards correction should be easier. Here I like to mention some important factors which will help us to achieve good results in future. (1) The vacant post of H.R should be filled immediately. (2) Doctors, nurses and paramedics need more training (3) Adhunic Sadar Hospital (that is District Hospital) is 100 bedded. Bed occupancy rate is 180.62. So the incomplete infrastructure of this Hospital is a burning issue to this District. (4) Numbers of community clinics and the bed capacity of the district hospital as well as upazila health complexes should be increased. (5) All the repairable equipment's should be repaired as soon as possible. I think a govt. medical college hospital should be established as soon as possible & that is the demand of the time as well as demand of the people of Netrokona. Finally I am very happy to write this local health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
