Rangpur Civil Surgeon Office | Health Bulletin 2015 |
Preface
It is a matter of pleasure that a Health Bulletin of Rangpur District is going to be published. This Bulletin contains all the information regarding Health services during the year 2014. The aim of this publication is to disseminate these Information to other department related to Health service. I hope this Bulletin will help for proper planing and implementation of Health services of Rangpur District for the next year. This Bulletin also can find out the constrains and achievement during the year 2014. In this Bulletin all the sanctioned and vacant post of Rangpur District are published. So the higher authority will give attention regurding this situation and take necessary action. I would like to congratulate the initiator of this Bulletin which has created a good medium for proper dissemination of health services related information.Finally I'd like to thanks MIS and grateful to the Honorable ADG (planing & dev.) Sir who are still now working to success the HIS and e-health services throughout the country and abroad.
Rangpur Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Md. Mozammel Hossain
Organization Code
10001616
Name of District Rangpur
Land Phone No. 1
-052162150
Land Phone No. 2
FAX No. 52162989
Mobile No. 01712771185
Email rangpur@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 25.7333 And Long: 89.2500
No. of Upazila in the District 8
No. of Households in the District 720,621
Population in the District 3,112,975
Area of District in sq km 2,367
Rangpur Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital
1
1,000
District Hospital
0
0
General Hospital
0
0
Upazila Health Complexes
7
331
No. of Union Sub-Centres
85
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
310
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
20
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
20
No. of Private Clinics/Facilities
53
2550
No. of NGO Clinics/Facilities
1
10
No. of Other Hospitals
Rangpur Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 56,753
Total No. of children treated under IMCI Program 394,558
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (NMR) is 29.18 per 1,000 live births.
Rangpur 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: 81,717
Total Number of Deliveries: 66,308
No. of Maternal Deaths: 67
Valid TT Coverage: 39.00 %
Maternal Mortality Ratio (MMR) is
118.06 per 100,000 live births.
Rangpur 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
125,675
179,374
305,049
34,067
39,018
73,085
378,134
28,187
29,026
57,213
3,679
4,160
7,839
65,052
Union Sub-Centres
271,991
33,621
305,612
50,917
58,934
109,851
415,463
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
56,124
62,654
118,778
42,234
34,521
76,755
195,533
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
900,655
1,403,454
2,304,109
199,261
205,709
404,970
2,709,079
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)
314
5,631
5,945
782
856
1,638
7,583
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
3,521
2,453
5,974
121
98
219
6,193
0
0
0
0
0
0
0
Private Clinics/Facilities
45,321
35,234
80,555
13,632
10,323
23,955
104,510
19,876
14,987
34,863
8,432
5,439
13,871
48,734
NGO Clinics/Facilities
578
1,012
1,590
432
435
867
2,457
2,456
4,365
6,821
1,871
1,302
3,173
9,994
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
Rangpur 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
14,289
25,636
39,925
2,586
2,290
4,876
44,801
45
38
83
8
12
20
103
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
1,342
1,342
0
0
0
1,342
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
32
17
49
0
0
0
49
0
0
0
0
0
0
0
Private Clinics/Facilities
18,654
15,432
34,086
8,675
4,012
12,687
46,773
34
13
47
9
10
19
66
NGO Clinics/Facilities
489
1,765
2,254
279
103
382
2,636
0
0
0
0
0
0
0
Total
33,464
44,192
77,656
11,540
6,405
17,945
95,601
79
51
130
17
22
39
169
Rangpur 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
44,801
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
4741
10.58
2
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
2566
5.73
3
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
1679
3.75
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1527
3.41
5
O750 Maternal distress during labour and delivery
XV: Pregnancy, childbirth and the puerperium
1204
2.69
6
V899 Person injured in unspecified vehicle accident
XX: External causes of morbidity and mortality
1095
2.44
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
920
2.05
8
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
599
1.34
9
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
567
1.27
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
422
0.94
Rangpur 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
99
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J459 Asthma, unspecified
X: Diseases of the respiratory system
13
13.13
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
6
6.06
3
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
5
5.05
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
5
5.05
5
J969 Respiratory failure, unspecified
X: Diseases of the respiratory system
4
4.04
6
J06 Acute upper respiratory infections of multiple and unspecified sites
X: Diseases of the respiratory system
3
3.03
7
J15 Bacterial pneumonia, NEC
X: Diseases of the respiratory system
3
3.03
8
E43 Unspecified severe protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
2
2.02
9
O083 Shock following abortion and ectopic and molar pregnancy
XV: Pregnancy, childbirth and the puerperium
2
2.02
10
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
X: Diseases of the respiratory system
2
2.02
Rangpur Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95
Coverage of households having access to sanitary latrines (%)
87
Surgeries & Interventions done in District
Type
No.
Major Surgeries
272
Minor Surgeries
6,750
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
213
110
101
2
0.94
Non Doctor
3
1
1
1
33.33
Class II
105
11
84
10
9.52
Class III
801
626
108
67
8.36
Class IV
257
178
57
22
8.56
Rangpur 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
0
0
0
0
0
0
10
5
0
Nurse
0
0
0
0
96
89
0
0
52
27
0
Medical Assistant
0
0
87
85
14
14
0
0
38
0
0
Medical Technologist
0
0
0
0
46
39
0
0
0
0
0
CHCP
310
306
0
0
0
0
0
0
0
0
20
HI
0
0
0
0
24
21
0
0
0
0
113
AHI
0
0
0
0
73
73
0
0
0
0
0
HA
0
0
0
0
363
329
0
0
0
0
0
Rangpur 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
0
0
0
0
0
Rangpur 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)
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)
8
7
0
0
1
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
0
0
0
0
0
UPS
4
4
0
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Rangpur 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
0
0
0
0
0
Photocopier machine
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
25
24
0
0
1
Rangpur Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Rangpur Civil Surgeon Office
We are thankful to Government to take part in developing Digital Bangladesh by publishing Health Bulletin of Rangpur District. But we think that it should be known to everybody that we could not give our maximum efforts to improve the health status of Rangpur district last year due to many reasons which are not our intentional. We like to mention here some important factors which will help us to improve our performance in future. First of all the vacant post should be filled-up immediately such as Consultant (sr. & Jr.) of medicine, surgery, Anesthesia, Gynae, Pediatrics, & Orthopedics and nurse etc.We want to give a standard treatment service to our people in Rangpur but we face so many difficult issues mostly the shortness of manpower. Our Doctors & Nurses need more training on IMCI. We are very happy to write this Health Bulletin 2014. Because this document will help us to compare our progress in upcoming year. This is very useful document which will help the public to understand health services and provide us the useful advice for improvement in future.
