Meherpur Civil Surgeon Office | Health Bulletin 2015 |
Preface
We are very much delighted to get the opportunity to publish the Health Bulletin- 2015 of Meherpur District. This bulletin contains all the health related informations of the year 2014. This bulletin is published to disseminate the health related informations of this District. We hope all the informations of this bulletin will help for planning and bridging the gaps in health services of this District. This document will help us to compare our progress in coming years. We also understand through this bulletin where we made little progress, where we need to pay more attention and where we could do better.This is very useful document and will help people to understand health services to improve utilization of available health services of the country. We express our sincere thanks to the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. We are very much grateful to Professor Dr. Abul Kalam Azad, Additional Director General of Health Services (Planning & Development), and Director MIS , DGHS for his excellent leadership.
Meherpur Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon DR. Mohammad Azizur Rahman Siddiqui
Organization Code
10001897
Name of District Meherpur
Land Phone No. 1
-079162354
Land Phone No. 2 -079162498
FAX No. 79163162
Mobile No. 01819824010
Email meherpur@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.4670 And Long: 88.3858
No. of Upazila in the District 3
No. of Households in the District 148,425
Population in the District 619,059
Area of District in sq km 735
Meherpur 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
3
81
No. of Union Sub-Centres
12
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
72
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
0
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
0
No. of Private Clinics/Facilities
23
204
No. of NGO Clinics/Facilities
4
70
No. of Other Hospitals
Meherpur Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 13,541
Total No. of children treated under IMCI Program 17,307
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (NMR) is 6.42 per 1,000 live births.
Meherpur 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: 12,628
Total Number of Deliveries: 13,574
No. of Maternal Deaths: 14
Valid TT Coverage: 84.00 %
Maternal Mortality Ratio (MMR) is
103.39 per 100,000 live births.
Meherpur 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
42,604
61,902
104,506
46,009
45,096
91,105
195,611
1,509
1,910
3,419
2,038
2,061
4,099
7,518
Upazila Health Complex
83,522
128,976
212,498
9,620
12,029
21,649
234,147
3,801
1,985
5,786
329
271
600
6,386
Union Sub-Centres
30,434
56,965
87,399
87,399
800
88,199
175,598
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
19,373
38,494
57,867
1,587
1,889
3,476
61,343
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
334,043
583,161
917,204
29,394
36,224
65,618
982,822
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
6,754
6,754
1,564
0
1,564
8,318
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
1,111
770
1,881
44
44
88
1,969
0
0
0
0
0
0
0
Private Clinics/Facilities
3,640
9,004
12,644
2,934
3,081
6,015
18,659
0
0
0
0
0
0
0
NGO Clinics/Facilities
2,422
9,794
12,216
2,011
2,018
4,029
16,245
692
1,054
1,746
69
96
165
1,911
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
Meherpur 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
5,137
5,909
11,046
8,190
8,201
16,391
27,437
72
85
157
90
73
163
320
Upazila Health Complex
3,801
1,985
5,786
329
271
600
6,386
11
5
16
1
0
1
17
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)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Private Clinics/Facilities
279
1,732
2,011
72
74
146
2,157
0
0
0
0
0
0
0
NGO Clinics/Facilities
669
1,598
2,267
369
574
943
3,210
0
0
0
0
0
0
0
Total
9,886
11,224
21,110
8,960
9,120
18,080
39,190
83
90
173
91
73
164
337
Meherpur 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
46,462
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
4241
9.13
2
K25 Gastric ulcer
XI: Diseases of the digestive system
3981
8.57
3
O80 Single spontaneous delivery
XV: Pregnancy, childbirth and the puerperium
3766
8.11
4
V031 Pedestrian injured in collision with car, pick-up truck or van, traffic accident
XX: External causes of morbidity and mortality
3756
8.08
5
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
3631
7.81
6
I639 Cerebral infarction, unspecified
IX: Diseases of the circulatory system
2445
5.26
7
T402 Other opioids
XIX: Injury, poisoning and certain other consequences of external causes
2289
4.93
8
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
1960
4.22
9
O034 Spontaneous abortion, incomplete, without complication
XV: Pregnancy, childbirth and the puerperium
1945
4.19
10
F411 Generalized anxiety disorder
V: Mental and behavioural disorders
1458
3.14
Meherpur 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
337
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
61
18.10
2
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
57
16.91
3
I50 Heart failure
IX: Diseases of the circulatory system
52
15.43
4
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
42
12.46
5
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
39
11.57
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
22
6.53
7
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
15
4.45
8
X91 Assault by hanging, strangulation and suffocation
XX: External causes of morbidity and mortality
15
4.45
9
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
13
3.86
10
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
6
1.78
Meherpur 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
917
Minor Surgeries
9,559
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
102
27
12
63
61.76
Non Doctor
5
2
1
2
40.00
Class II
73
3
66
4
5.48
Class III
321
172
94
55
17.13
Class IV
113
47
21
45
39.82
Meherpur 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
22
14
33
13
41
9
1
2
0
Nurse
0
0
0
0
26
26
43
42
1
6
0
Medical Assistant
0
0
22
22
3
3
0
0
11
0
0
Medical Technologist
0
0
0
0
17
14
3
3
0
0
0
CHCP
72
73
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
6
1
0
0
0
0
13
AHI
0
0
0
0
19
19
0
0
0
0
0
HA
0
0
0
0
94
82
0
0
0
0
0
Meherpur 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
1
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Meherpur 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)
1
0
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
0
1
0
0
ICT equipment
Computer (desktop)
8
7
1
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
7
4
2
0
1
Scanner
1
1
0
0
0
UPS
8
4
4
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
2
2
0
0
0
Meherpur 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
6
3
3
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
42
27
14
0
1
Meherpur Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Meherpur Civil Surgeon Office
Meherpur Civil Surgeon Office Health Bulletin 2014 Page 14
Important information and necessary issues for Meherpur Civil Surgeon Office
Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filledup immediately. 2. Our doctors and Staffs need more training 3. Number of community clinic should be increased (Ward wise) 4. All the repairable equipment’s should be repaired as soon as possible 5. We need female HA who is trained up CSBA training.6.EOC Activities are running at Mujibnagar UHC,Meherpur. Really, I am very glad to publish this health bulletin of 2014 because this document will help us to compare our progress in coming year This is very useful document and will help the public to understand health services and health status to provide us the useful advice for improvement in future.