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Naogaon Civil Surgeon Office | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Naogaon District. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Naogaon District to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this District. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. 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 on safe drinking water and sanitation status of the district. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.AKM Mozaher Hossain
Civil Surgeon
Naogaon Civil Surgeon Office

Naogaon Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr.AKM Mozaher Hossain
Organization Code 10001393
Name of District Naogaon
Land Phone No. 1 6500-074162341
Land Phone No. 2 6500-74162303
FAX No. 74162303
Mobile No. 01711578378
Email naogaon@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.8225 And Long: 88.9383
No. of Upazila in the District11
No. of Households in the District 557,850
Population in the District 2,633,694
Area of District in sq km 3,436

Naogaon 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 11 500
No. of Union Sub-Centres 105 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 300 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 2 40
No. of Chest Disease Clinic (TB Clinics/Hospitals) 0 0
No. of Private Clinics/Facilities 72 760
No. of NGO Clinics/Facilities 48 0
No. of Other Hospitals

Naogaon Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 53,055


Total No. of children treated under IMCI Program 394,987
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (NMR) is 18.81 per 1,000 live births.

Naogaon 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: 56,291
Total Number of Deliveries: 53,195
No. of Maternal Deaths: 48
Valid TT Coverage: 87.00 %
Maternal Mortality Ratio (MMR) is 90.47 per 100,000 live births.

Naogaon 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 78,965 74,054 153,019 12,643 18,195 30,838 183,857 7,953 8,854 16,807 1,239 1,783 3,022 19,829
Upazila Health Complex 139,340 208,770 348,110 48,546 55,503 104,049 452,159 18,235 17,952 36,187 2,429 2,669 5,098 41,285
Union Sub-Centres 126,354 198,237 324,591 30,157 32,175 62,332 386,923 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 27,912 31,032 58,944 7,498 8,109 15,607 74,551 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 45,223 174,590 219,813 32,312 35,066 67,378 287,191 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 821,668 1,893,029 2,714,697 143,882 165,267 309,149 3,023,846 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) 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 67 327 394 35 40 75 469 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

Naogaon 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 7,537 9,552 17,089 1,254 1,805 3,059 20,148 180 156 336 2 3 5 341
Upazila Health Complex 14,469 21,789 36,258 3,187 3,443 6,630 42,888 121 67 188 10 14 24 212
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) 0 453 453 0 0 0 453 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 0 289 289 0 0 0 289 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 288 3,519 3,807 21 86 107 3,914 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 4,375 4,375 0 0 0 4,375 0 0 0 0 0 0 0
Total 22,294 39,977 62,271 4,462 5,334 9,796 72,067 301 223 524 12 17 29 553

Naogaon 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 63,036
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 8830 14.01
2 Y00 Assault by blunt object XX: External causes of morbidity and mortality 5190 8.23
3 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 2316 3.67
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1932 3.06
5 J45 Asthma X: Diseases of the respiratory system 1754 2.78
6 T44 Poisoning by drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 898 1.42
7 T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs XIX: Injury, poisoning and certain other consequences of external causes 878 1.39
8 I11 Hypertensive heart disease IX: Diseases of the circulatory system 754 1.20
9 J17 Pneumonia in diseases classified elsewhere X: Diseases of the respiratory system 746 1.18
10 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 734 1.16

Naogaon 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 553
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 45 8.14
2 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 42 7.59
3 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 40 7.23
4 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 30 5.42
5 T659 Toxic effect of unspecified substance XIX: Injury, poisoning and certain other consequences of external causes 29 5.24
6 O15 Eclampsia XV: Pregnancy, childbirth and the puerperium 18 3.25
7 O72 Postpartum haemorrhage XV: Pregnancy, childbirth and the puerperium 15 2.71
8 I21 Acute myocardial infarction IX: Diseases of the circulatory system 14 2.53
9 A86 Unspecified viral encephalitis I: Certain infectious and parasitic diseases 13 2.35
10 R570 Cardiogenic shock XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 12 2.17

Naogaon 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 (%) 97
Surgeries & Interventions done in District
Type
No.
Major Surgeries 1,542
Minor Surgeries 8,357
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 311 139 48 124 39.87
Non Doctor 3 2 0 1 33.33
Class II 186 7 141 38 20.43
Class III 1259 726 375 158 12.55
Class IV 314 130 58 126 40.13

Naogaon 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 99 72 166 90 42 23 16 12 0
Nurse 0 0 0 0 148 108 46 40 28 7 0
Medical Assistant 0 0 99 98 20 20 0 0 35 0 0
Medical Technologist 0 0 0 0 75 70 3 3 0 0 0
CHCP 300 296 0 0 0 0 0 0 0 0 24
HI 0 0 0 0 27 19 0 0 0 0 0
AHI 0 0 0 0 82 70 0 0 0 0 0
HA 0 0 0 0 410 344 0 0 0 0 71

Naogaon 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 0 1 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Naogaon 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) 0 0 0 0 0
Air conditioner (window) 1 1 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 1 1 0 0 0
ICT equipment
Computer (desktop) 10 10 0 0 0
Laptop 3 2 0 1 0
Printer (dot matrix) 1 0 0 1 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 8 0 0 0
Scanner 2 1 0 1 0
UPS 4 3 0 1 0
Fax 1 1 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 2 2 0 0 0
Multimedia 1 1 0 0 0


Naogaon 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 1 1 0 0 0
Video camera 0 0 0 0 0
Total 42 36 1 5 0

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

Important information and necessary issues for Naogaon Civil Surgeon Office
In the year 2014 we could not give maximum effort to improve the health status due to many reasons.We are very glad to write this Health Bulletin of 2014,because these documents will help us to compare our progress in coming years. It will also be helpful for people to understand health services and to provide us the useful advice for the improvement in future activities of our community.