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

Lalmonirhat Civil Surgeon Office | Health Bulletin 2015 |
Preface
The Health Population and Nutrition Sector Development Program (HPNSDP) has been initiated by The Ministry of Health and Family Welfare, Government of Bangladesh for a period of five years from July 2011 to June 2016. There are 32 Operational Plans (OPs). Health Information Systems and e-Health (HIS-EH) one of them.I am delighted that the Local Health Bulletin is going to be published from The Office of Civil Surgeon Lalmonirhat.This Health Bulletin is the year of 2015 and there are available data for the period of January 2014 to December 2014. It is expected that this Health Bulletin will help us to understand progressing trend. From this lesson, we would be benefited achieving the Goal. I hope that The facility Specific data will guide and help the policy makers and other concerned to take future step in improving the Health Services.I like to thank all who were involved in developing and editing The Health Bulletin and Special thanks to MIS, DGHS for providing technical and financial support. Dr. A S M Abdus Samad Civil Surgeon Lalmonirhat.
Dr. A. S. M. Abdus Samad
Civil Surgeon
Lalmonirhat Civil Surgeon Office

Lalmonirhat Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr. A. S. M. Abdus Samad
Organization Code 10001352
Name of District Lalmonirhat
Land Phone No. 1 0591-059161534
Land Phone No. 2
FAX No. 59161444
Mobile No. 01715158774
Email lalmonirhat@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 25.9194 And Long: 89.4559
No. of Upazila in the District5
No. of Households in the District 294,986
Population in the District 1,401,816
Area of District in sq km 1,242

Lalmonirhat 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 5 210
No. of Union Sub-Centres 12 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 161 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 10
No. of Chest Disease Clinic (TB Clinics/Hospitals) 0 0
No. of Private Clinics/Facilities 12 120
No. of NGO Clinics/Facilities 2 20
No. of Other Hospitals

Lalmonirhat Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 30,586


Total No. of children treated under IMCI Program 152,101
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (NMR) is 24.59 per 1,000 live births.

Lalmonirhat 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: 33,741
Total Number of Deliveries: 31,097
No. of Maternal Deaths: 45
Valid TT Coverage: 37.00 %
Maternal Mortality Ratio (MMR) is 147.13 per 100,000 live births.

Lalmonirhat 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 48,421 54,229 102,650 4,209 3,145 7,354 110,004 8,068 6,711 14,779 2,567 2,745 5,312 20,091
Upazila Health Complex 45,857 50,021 95,878 11,922 11,123 23,045 118,923 11,001 11,312 22,313 3,105 3,345 6,450 28,763
Union Sub-Centres 57,311 76,308 133,619 6,474 8,510 14,984 148,603 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 5,506 6,447 11,953 1,378 1,622 3,000 14,953 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 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 405,350 703,653 1,109,003 68,772 67,671 136,443 1,245,446 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) 188 8,395 8,583 3,523 4,197 7,720 16,303 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 0 0 0 0 0 0 0 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 5,214 6,530 11,744 965 1,105 2,070 13,814 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

Lalmonirhat 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 3,564 5,668 9,232 1,568 908 2,476 11,708 37 36 73 26 16 42 115
Upazila Health Complex 6,586 9,015 15,601 1,434 1,678 3,112 18,713 33 20 53 13 5 18 71
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 0 516 516 0 0 0 516 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 625 3,728 4,353 85 66 151 4,504 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 345 345 0 0 0 345 0 0 0 0 0 0 0
Total 10,775 19,272 30,047 3,087 2,652 5,739 35,786 70 56 126 39 21 60 186

Lalmonirhat 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 30,421
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 6423 21.11
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 4858 15.97
3 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 2844 9.35
4 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation XI: Diseases of the digestive system 1693 5.57
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1682 5.53
6 J450 Predominantly allergic asthma X: Diseases of the respiratory system 705 2.32
7 V395 Passenger injured in collision with other and unspecified motor vehicles in traffic accident XX: External causes of morbidity and mortality 587 1.93
8 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 416 1.37
9 F411 Generalized anxiety disorder V: Mental and behavioural disorders 313 1.03
10 O021 Missed abortion XV: Pregnancy, childbirth and the puerperium 273 0.90

Lalmonirhat 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 186
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 30 16.13
2 R570 Cardiogenic shock XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 25 13.44
3 P210 Severe birth asphyxia IX: Diseases of the circulatory system 24 12.90
4 J46 Status asthmaticus X: Diseases of the respiratory system 20 10.75
5 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 18 9.68
6 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 14 7.53
7 I509 Heart failure, unspecified IX: Diseases of the circulatory system 10 5.38
8 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 10 5.38
9 J129 Viral pneumonia, unspecified X: Diseases of the respiratory system 8 4.30
10 V395 Passenger injured in collision with other and unspecified motor vehicles in traffic accident XX: External causes of morbidity and mortality 5 2.69

Lalmonirhat Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99
Coverage of households having access to sanitary latrines (%) 90
Surgeries & Interventions done in District
Type
No.
Major Surgeries 190
Minor Surgeries 2,356
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 140 56 16 68 48.57
Non Doctor 4 2 0 2 50.00
Class II 84 9 58 17 20.24
Class III 599 366 148 85 14.19
Class IV 145 93 29 23 15.86

Lalmonirhat 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 47 34 51 23 42 15 5 4 0
Nurse 0 0 0 0 57 48 39 34 12 6 0
Medical Assistant 0 0 43 31 8 5 0 0 10 0 0
Medical Technologist 0 0 12 6 38 29 9 4 0 0 0
CHCP 170 155 0 0 0 0 0 0 0 0 17
HI 0 0 0 0 12 7 0 0 0 0 0
AHI 0 0 0 0 36 36 0 0 0 0 0
HA 0 0 0 0 180 169 0 0 0 0 11

Lalmonirhat 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 10 7 2 1 0
Bus 0 0 0 0 0
Jeep 1 1 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Lalmonirhat 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) 9 9 0 0 0
Air conditioner (window) 11 10 1 0 0
Generator
Generator (diesel/petrol) 9 8 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 9 7 2 0 0
ICT equipment
Computer (desktop) 58 49 7 2 0
Laptop 174 169 5 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 9 9 0 0 0
Printer (laser) 21 21 0 0 0
Scanner 6 6 0 0 0
UPS 50 49 1 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 172 170 2 0 0
Multimedia 6 6 0 0 0


Lalmonirhat 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) 1 1 0 0 0
Land phone 10 10 0 0 0
Mobile phone 6 6 0 0 0
Photocopier machine 1 1 0 0 0
Digital camera 1 1 0 0 0
Video camera 0 0 0 0 0
Total 565 540 22 3 0

Lalmonirhat Civil Surgeon Office | Health Bulletin 2015 | Page# 14

Important information and necessary issues for Lalmonirhat Civil Surgeon Office
(1) Lalmonirhat District Hospital is Women Friendly Hospital. (2) Inadequqte doctor posting, specially Sr. Consultant, Jr. consultant. (3) Lalmonirhat District Hospital is Comprehensive EmOC facilities. 24/7 EmOC Services are available but Sesearian section done 8.00 a.m.to 2.30 p.m.in the district hospital. (4) Inadequate Cleaner, Aya, Secuirity guard and other supporting staff in the district hospital. (5) Most of the Community Clinic in various Upazila should be repair for the betterment of Community Health Service. (6) District Hospital situated in one side of the district and distance of the Upazila like 12 kms, 35 kms, 65 kms, 85 kms from the district. (7) Hard to reach area Dahogram-angorpota 10 beded hospital about 120 kms from the district and doctor posted here. (8) Most of people are not aware about ANC, PNC and institutional delivery. (9) In the year 2014 we have received three computer, one laptop & one PDA from MIS for Civil Surgeon Office. Thanks to all. Dr. A.S.M.Abdus Samad Civil Surgeon Lalmonirhat.