Noakhali Civil Surgeon Office | Health Bulletin 2015 |
Preface
It gives me an immense pleasure that The Health Bulletin of management information system (MIS) under the DGHS are going to published each and every upazilla & district throughout Bangladesh. I am glad to publish this health bulletin of Noakhali district. This bulletin contains all the health related information of 2014.For health bulletin we gather data from wide range of sources across the district. I hope all the information of this bulletin will be helpful for planning and bridging the gaps in the health services of this 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 health bulletin 2014 will contribute to improving transparency about health issues of the country. 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 this bulletin. I like to draw attention of the higher authority to look after this burning issue .I always believe that there is enough scope for perfection in the future health bulletin. I am looking forward to better version in the coming year by the help of valuable comment & suggestion from your side and MOHFW & MIS -Health. This is my responsibility to thank all the team member of MIS Health for their continuous effort and creation of health bulletin software for setting us one step ahead towards " Digital Bangladesh".
Noakhali Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon DR. MOHAMMAD DELWAR HOSSAIN
Organization Code
10001050
Name of District Noakhali
Land Phone No. 1
0321-061068
Land Phone No. 2 0321-61406
FAX No. 61044
Mobile No. 01719671824
Email noakhali@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 22.8414 And Long: 91.2293
No. of Upazila in the District 9
No. of Households in the District 518,904
Population in the District 3,505,426
Area of District in sq km 3,686
Noakhali 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
0
0
General Hospital
1
250
Upazila Health Complexes
8
331
No. of Union Sub-Centres
25
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
267
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
3
30
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
0
No. of Private Clinics/Facilities
68
950
No. of NGO Clinics/Facilities
2
10
No. of Other Hospitals
Noakhali Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 97,160
Total No. of children treated under IMCI Program 349,217
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 3.01 per 1,000 live births.
Noakhali 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: 110,256
Total Number of Deliveries: 97,517
No. of Maternal Deaths: 73
Valid TT Coverage: 48.00 %
Maternal Mortality Ratio (MMR) is
75.13 per 100,000 live births.
Noakhali 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
118,474
153,032
271,506
39,566
39,618
79,184
350,690
16,013
15,188
31,201
5,887
4,310
10,197
41,398
Union Sub-Centres
72,170
93,415
165,585
51,001
71,480
122,481
288,066
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
18,008
23,512
41,520
17,363
22,116
39,479
80,999
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
32,229
66,352
98,581
16,038
30,083
46,121
144,702
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
511,881
950,715
1,462,596
99,211
116,884
216,095
1,678,691
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)
72
99
171
0
5,075
5,075
5,246
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
1,605
1,336
2,941
205
55
260
3,201
0
0
0
0
0
0
0
Private Clinics/Facilities
29,429
29,285
58,714
20,670
22,870
43,540
102,254
1,143
1,621
2,764
441
577
1,018
3,782
NGO Clinics/Facilities
3,110
11,209
14,319
822
588
1,410
15,729
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
Noakhali 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
13,754
18,411
32,165
5,388
4,113
9,501
41,666
57
33
90
53
25
78
168
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
379
379
0
0
0
379
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
19,223
17,224
36,447
10,980
6,146
17,126
53,573
42
33
75
4
6
10
85
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
32,977
36,014
68,991
16,368
10,259
26,627
95,618
99
66
165
57
31
88
253
Noakhali 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
41,666
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
8506
20.41
2
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
6450
15.48
3
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
2509
6.02
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1999
4.80
5
J45 Asthma
X: Diseases of the respiratory system
1585
3.80
6
J121 Respiratory syncytial virus pneumonia
X: Diseases of the respiratory system
1244
2.99
7
D464 Refractory anaemia, unspecified
II: Neoplasms
697
1.67
8
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
678
1.63
9
O06 Unspecified abortion
XV: Pregnancy, childbirth and the puerperium
540
1.30
10
F064 Organic anxiety disorder
V: Mental and behavioural disorders
358
0.86
Noakhali 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
168
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
19
11.31
2
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
17
10.12
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
X: Diseases of the respiratory system
14
8.33
4
P361 Sepsis of newborn due to other and unspecified streptococci
XVI: Certain conditions originating in the perinatal period
11
6.55
5
A520 Cardiovascular syphilis
I: Certain infectious and parasitic diseases
9
5.36
6
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
8
4.76
7
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
8
4.76
8
X48 Accidental poisoning by and exposure to pesticides
XX: External causes of morbidity and mortality
6
3.57
9
J960 Acute respiratory failure
X: Diseases of the respiratory system
4
2.38
10
J46 Status asthmaticus
X: Diseases of the respiratory system
3
1.79
Noakhali Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
93
Coverage of households having access to sanitary latrines (%)
87
Surgeries & Interventions done in District
Type
No.
Major Surgeries
222
Minor Surgeries
2,937
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
260
120
57
83
31.92
Non Doctor
3
1
0
2
66.67
Class II
128
5
60
63
49.22
Class III
1309
718
260
331
25.29
Class IV
245
145
20
80
32.65
Noakhali 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
76
158
101
0
0
20
5
0
Nurse
0
0
0
0
116
60
0
0
2
7
0
Medical Assistant
0
0
84
84
14
14
0
0
77
0
0
Medical Technologist
0
0
0
0
92
69
0
0
0
0
0
CHCP
319
261
0
0
0
0
0
0
0
0
18
HI
0
0
0
0
29
28
0
0
0
0
0
AHI
0
0
0
0
86
84
0
0
0
0
5
HA
0
0
0
0
430
304
0
0
0
0
48
Noakhali 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
1
1
0
0
0
Microbus
0
0
0
0
0
Pickup
1
0
0
1
0
Noakhali 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)
2
2
0
0
0
Air conditioner (window)
0
0
0
0
0
Generator
Generator (diesel/petrol)
1
1
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)
8
8
0
0
0
Laptop
4
3
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
7
6
1
0
0
Scanner
1
1
0
0
0
UPS
5
5
0
0
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
0
0
0
0
0
Noakhali 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
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
36
32
3
1
0
Noakhali Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Noakhali Civil Surgeon Office
Noakhali is a costal district. There are vast char lands and many small islands. There is no health facilities in Nijhum Dwip , Harni and Chanandi union. For proper health care service one 10 beded hospital should be established in Nijum Dwip and H&FWC each for Horni & Chanandi Union.
Besides vaccant posts specially Medical Technologist of all discipline , Senior Staff Nurse and Class IV employees .
The IT Focal Person , CS, UH&FPO, MO ( incharge) & Statistician should have regular training.