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Nilphamari Civil Surgeon Office | Health Bulletin 2015 |
Preface
This is the 4th time we are going to publish the HEALTH BULLETIN of Nilphamari District and it is my pleasure that I have the opportunity to take part in publishing this bulletin for consecutive third time. In comprison of the first one this bulletin is more mature and informative . We have lot of limitations in defferent side in spite of that we have lot of acheivement . We should let all the people know about this wonderful acheivements and this Bulletin will play vital role in it . It will help us to know about the gaps in our performance and also to compare our status regarding health service and acheivments with other districts. It will also help the policy makers to take dicission in giving inputs to upgrade of this district . With this Health Bulletin we can prove that we are in the right track in acheiving the goal of MDG 4 and MDG 5 in spite of our limitation in different sectors. Dr.Md.Abdur Rashid Civil Surgeon Nilphamari
Dr.Md.Abdur Rashid
Civil Surgeon
Nilphamari Civil Surgeon Office

Nilphamari Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil SurgeonDr.Md.Abdur Rashid
Organization Code 10001463
Name of District Nilphamari
Land Phone No. 1 0551-061302
Land Phone No. 2 0551-61218
FAX No. 61218
Mobile No. 01712226624
Email nilphamari@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 25.5540 And Long: 88.5040
No. of Upazila in the District6
No. of Households in the District 382,891
Population in the District 1,944,930
Area of District in sq km 1,643

Nilphamari 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 1 100
Upazila Health Complexes 6 200
No. of Union Sub-Centres 21 0
No. of Rural/Urban/Thana Dispensaries 1 0
No. of Community Clinics 173 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 2 20
No. of Chest Disease Clinic (TB Clinics/Hospitals) 1 20
No. of Private Clinics/Facilities 59 255
No. of NGO Clinics/Facilities 2 140
No. of Other Hospitals

Nilphamari Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 36,473


Total No. of children treated under IMCI Program 95,351
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (NMR) is 28.16 per 1,000 live births.

Nilphamari 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: 40,837
Total Number of Deliveries: 37,503
No. of Maternal Deaths: 58
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR) is 159.02 per 100,000 live births.

Nilphamari 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 46,044 51,913 97,957 10,290 15,831 26,121 124,078 13,800 18,118 31,918 4,012 3,614 7,626 39,544
Upazila Health Complex 49,302 52,483 101,785 16,265 18,265 34,530 136,315 11,855 14,179 26,034 4,541 4,545 9,086 35,120
Union Sub-Centres 87,533 91,121 178,654 14,432 25,321 39,753 218,407 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 83,547 196,409 279,956 45,123 45,992 91,115 371,071 0 0 0 0 0 0 2,573
Rural/Urban/Thana Dispensaries 4,515 8,308 12,823 1,177 1,100 2,277 15,100 0 0 0 0 0 0 15,100
Community Clinics 206,258 169,654 375,912 120,224 121,554 241,778 617,690 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) 680 13,877 14,557 3,022 3,709 6,731 21,288 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 2,611 5,064 7,675 106 189 295 7,970 0 0 0 0 0 0 0
Private Clinics/Facilities 569 921 1,490 175 304 479 1,969 0 0 0 0 0 0 0
NGO Clinics/Facilities 26,062 70,312 96,374 15,429 16,100 31,529 127,903 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 28,374 33,049 61,423 3,660 4,219 7,879 69,302 1,123 1,450 2,573 610 750 1,360 3,933

Nilphamari 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 8,966 15,538 24,504 3,567 2,389 5,956 30,460 65 59 124 52 44 96 220
Upazila Health Complex 13,928 18,802 32,730 5,117 7,110 12,227 44,957 53 42 95 11 26 37 132
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 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 87 0 87 0 0 0 87 0 0 0 0 0 0 0
Private Clinics/Facilities 640 1,722 2,362 191 287 478 2,840 0 0 0 0 0 0 0
NGO Clinics/Facilities 1,549 1,748 3,297 166 194 360 3,657 0 0 0 0 0 0 0
Total 25,170 37,810 62,980 9,041 9,980 19,021 82,001 118 101 219 63 70 133 352

Nilphamari 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 93,278
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 10928 11.72
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 8941 9.59
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 8901 9.54
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 6001 6.43
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 4258 4.56
6 J459 Asthma, unspecified X: Diseases of the respiratory system 2120 2.27
7 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 1952 2.09
8 D63 Anaemia in chronic diseases classified elsewhere III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1011 1.08
9 O809 Single spontaneous delivery, unspecified XV: Pregnancy, childbirth and the puerperium 752 0.81
10 K358 Acute appendicitis, other and unspecified XI: Diseases of the digestive system 745 0.80

Nilphamari 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 411
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 57 13.87
2 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 49 11.92
3 I46 Cardiac arrest X: Diseases of the respiratory system 38 9.25
4 G463 Brain stem stroke syndrome VI: Diseases of the nervous system 35 8.52
5 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 27 6.57
6 I41 Myocarditis in diseases classified elsewhere IX: Diseases of the circulatory system 24 5.84
7 J45 Asthma X: Diseases of the respiratory system 24 5.84
8 D63 Anaemia in chronic diseases classified elsewhere III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 21 5.11
9 I158 Other secondary hypertension IX: Diseases of the circulatory system 20 4.87
10 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 14 3.41

Nilphamari Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100
Coverage of households having access to sanitary latrines (%) 89
Surgeries & Interventions done in District
Type
No.
Major Surgeries 72
Minor Surgeries 153
Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
District Total
Class I Doctor 182 120 27 35 19.23
Non Doctor 3 1 0 2 66.67
Class II 3 1 0 2 66.67
Class III 783 601 103 79 10.09
Class IV 186 115 46 25 13.44

Nilphamari 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 62 41 74 42 22 11 5 3 0
Nurse 0 0 0 0 64 42 40 35 24 12 0
Medical Assistant 0 0 61 37 10 6 0 0 16 0 0
Medical Technologist 0 0 22 15 45 39 6 4 6 0 0
CHCP 173 173 0 0 0 0 0 0 0 0 0
HI 17 14 0 0 0 0 0 0 4 0 0
AHI 51 47 0 0 0 0 0 0 4 0 0
HA 253 194 0 0 0 0 0 0 31 0 38

Nilphamari 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 7 5 1 1 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


Nilphamari 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) 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) 61 49 8 4 0
Laptop 424 212 204 8 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 50 36 11 3 0
Scanner 8 8 0 0 0
UPS 37 33 4 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 10 10 0 0 0
Multimedia 8 8 0 0 0


Nilphamari 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 2 2 0 0 0
Mobile phone 6 6 0 0 0
Photocopier machine 1 0 0 1 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 619 373 228 18 0

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

Important information and necessary issues for Nilphamari Civil Surgeon Office