Narail Civil Surgeon Office | Health Bulletin 2015 |
Preface
This is my great pleasure to publish this HEALTH BULLETIN 2015 of District Narail. . Narail is an emerging district for health providing situated in the south east part of Bangladesh under Khulna Division. Narail District town is situated on the bank of River Chittra . There are three Upazila , four thana, three Municipility and thirty nine Union . Some famous people`s was borned in this soil of Narail . Those people who contributes to the Country and abroad are mentioned below. Birshresta Nur Mohammad Sheake , S, M, Sultan , Amol senz, Pondit Robi Sankar . Also Masrafi Bin Mortoza Kawsik Captain of Bangladesh team in Cricket World Cup 2015,born in this District. . The health bulletin 2015 will contribute to improving transparency about health issues of the country .The bulletin contains the status of MDG-4 & MDG-5 which will help to locate the MDG targets.Out of seven Health Institutions in Bangladesh two institutions of Narail District i.e. Sadar Hospital and Lohagara Upazila Health Complex,Narail have recently been selected for getting award for observing “Safe Motherhood Day’’. Also Borogati Community Clinic of Narail Sadar Upazila hass been selected for best CC award in all over Bangladesh. In Narail District Many Post of Doctors are lying vacant.So we have to face a lot of problems in delivering health services to the people. The sanctioned and vacant posts are published in this bulletin.I like to take attention of the higher authority to look after this burning issue.I express my sincere thanks to Professor Dr. Abul Kalam Azad, Additional director general (planning & development)and Line director of MIS Health for providing his moral support.Positive attitude towards development of this health bulletin.This is my responsibility to thank all the team member of MIS Health for their continuous effort and creation .
Narail Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Subrata Kumar Saha
Organization Code
10001912
Name of District Narail
Land Phone No. 1
0481-048162422
Land Phone No. 2 0481-048162105
FAX No. 48162105
Mobile No. 01712540888
Email narail@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.1035 And Long: 89.3000
No. of Upazila in the District 3
No. of Households in the District 140,344
Population in the District 712,259
Area of District in sq km 990
Narail 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
2
81
No. of Union Sub-Centres
7
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
87
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
24
240
No. of NGO Clinics/Facilities
6
0
No. of Other Hospitals
Narail Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 16,053
Total No. of children treated under IMCI Program 82,842
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 21.37 per 1,000 live births.
Narail 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: 21,991
Total Number of Deliveries: 16,339
No. of Maternal Deaths: 22
Valid TT Coverage: 70.00 %
Maternal Mortality Ratio (MMR) is
137.05 per 100,000 live births.
Narail 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
30,893
55,434
86,327
7,423
8,217
15,640
101,967
5,832
3,979
9,811
1,243
1,014
2,257
12,068
Upazila Health Complex
53,096
76,050
129,146
10,699
10,209
20,908
150,054
5,041
3,865
8,906
1,440
1,105
2,545
11,451
Union Sub-Centres
54,461
52,678
107,139
13,273
15,840
29,113
136,252
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)
25,555
143,119
168,674
19,369
24,732
44,101
212,775
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
170,015
368,031
538,046
27,114
28,773
55,887
593,933
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
12,701
12,701
1,736
1,656
3,392
16,093
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
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
Narail 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
5,770
8,287
14,057
2,870
1,683
4,553
18,610
102
74
176
40
35
75
251
Upazila Health Complex
3,340
5,742
9,082
957
811
1,768
10,850
15
8
23
2
3
5
28
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
517
517
0
0
0
517
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
244
3,223
3,467
160
0
160
3,627
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
9,354
17,769
27,123
3,987
2,494
6,481
33,604
117
82
199
42
38
80
279
Narail 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
32,009
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
3087
9.64
2
O65 Obstructed labour due to maternal pelvic abnormality
XV: Pregnancy, childbirth and the puerperium
2873
8.98
3
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
1830
5.72
4
J06 Acute upper respiratory infections of multiple and unspecified sites
X: Diseases of the respiratory system
1524
4.76
5
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
1318
4.12
6
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
825
2.58
7
V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle
XX: External causes of morbidity and mortality
871
2.72
8
J45 Asthma
X: Diseases of the respiratory system
767
2.40
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
732
2.29
10
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
321
1.00
Narail 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
270
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
G46 Vascular syndromes of brain in cerebrovascular diseases
VI: Diseases of the nervous system
43
15.93
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
40
14.81
3
P07 Disorders related to short gestation and low birth weight, NEC
VI: Diseases of the nervous system
32
11.85
4
I50 Heart failure
IX: Diseases of the circulatory system
29
10.74
5
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
24
8.89
6
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
14
5.19
7
Q21 Congenital malformations of cardiac septa
XVII: Congenital malformations, deformations and chromosomal abnormalities
12
4.44
8
A87 Viral meningitis
I: Certain infectious and parasitic diseases
9
3.33
9
P36 Bacterial sepsis of newborn
XVI: Certain conditions originating in the perinatal period
7
2.59
10
J45 Asthma
X: Diseases of the respiratory system
5
1.85
Narail Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
81
Coverage of households having access to sanitary latrines (%)
85
Surgeries & Interventions done in District
Type
No.
Major Surgeries
4,853
Minor Surgeries
8,554
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
115
36
15
64
55.65
Non Doctor
4
2
1
1
25.00
Class II
77
1
73
3
3.90
Class III
424
184
136
104
24.53
Class IV
89
54
19
16
17.98
Narail 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
39
20
34
16
39
12
10
4
0
Nurse
0
0
0
0
32
32
48
48
17
28
9
Medical Assistant
0
0
39
39
4
4
0
0
30
0
0
Medical Technologist
0
0
0
0
14
12
8
6
0
1
0
CHCP
99
87
0
0
0
0
0
0
0
0
9
HI
0
0
0
0
10
8
0
0
0
0
0
AHI
0
0
0
0
30
26
0
0
0
0
2
HA
0
0
0
0
149
79
0
0
0
0
0
Narail 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
3
1
2
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Narail 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)
1
1
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
1
1
0
0
0
ICT equipment
Computer (desktop)
10
9
1
0
0
Laptop
3
2
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
6
6
0
0
0
Fax
2
1
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
1
1
0
0
0
Narail 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
2
2
0
0
0
Mobile phone
0
0
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
40
34
6
0
0
Narail Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Narail Civil Surgeon Office
• Caesarean Section in all upazila & District Hospital is going on smoothly .
• Normal delivery in Lohagora UHC sharply increased
• Normal delivery started on CC
• Confidence of the doctors and nurses has increased after “Life Saving Skill” training
• Referral due to obstetrical complication decreased as doctors and nurses can manage more obstetrical
complication after “Life Saving Skill” training
• Local recruitment of doctors, nurses and supporting staffs under MNHI fund supports Hospital Management.
• Private CSBA working in the community .
• Referral from community area is increased the linkage between Hospital and community.
• MNH services increased in all facilities.
• MIS system markedly improved due to supply of Desktop Computer, laptop, tab,modem, webcam and other
necessary supplies .
• Community Groups and Community Support Groups are more aware about management of CC and the health facility of the pregnant women.
• Institutional delivery had been increased significantly by trained manpower.
• Construction/ reconstruction works need to be finished ASAP
• 100 beded hospital is running with 50 beded manpower. Manpower need to be sanctioned for 100 bed hospital
• Gynecologist, Surgeon and Anesthetist need to be ensured for 24/7 service in DH and UHC.
• Waste disposal system should be improved
