Satkhira Civil Surgeon Office | Health Bulletin 2015 |
Preface
At the very out set.I am highly glad to publish this health bulletin of Satkhira District.This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of District to other line department and development partners of health,like WHO,.UNICEF,JICA etc.I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this district.Government health office has many data stored in the file.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 5 which will help to localize the MDG targets.of this district have taken all possible care in the preparation of this bulletin in such a manner that it would meet the requirements of doctors and personal of other line department.All the sanctioned and vacant posts are published in this bulletin of 2015.In conclusion my grateful thanks and congratulations to the initiator of the health bulletin software for setting us one step a head toward Digital Bangladesh.
Dr.Saleh Ahmed
Civil Surgeon
Satkhira.
Satkhira Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr.Saleh Ahmed
Organization Code
10001925
Name of District Satkhira
Land Phone No. 1
-047163502
Land Phone No. 2
FAX No. 47162819
Mobile No. 01715255633
Email satkhira@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 23.0000 And Long: 89.0000
No. of Upazila in the District 7
No. of Households in the District 428,596
Population in the District 2,030,648
Area of District in sq km 6,674
Satkhira Civil Surgeon Office | Health Bulletin 2015 | Page# 2
Existing health facilities in the District
Facility Type
Total
No. of Beds
Medical College Hospital
1
0
District Hospital
1
100
General Hospital
0
0
Upazila Health Complexes
6
281
No. of Union Sub-Centres
9
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
213
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
2
40
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
0
No. of Private Clinics/Facilities
71
760
No. of NGO Clinics/Facilities
1
10
No. of Other Hospitals
Satkhira Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 39,126
Total No. of children treated under IMCI Program 93,909
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 6.21 per 1,000 live births.
Satkhira 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: 39,365
Total Number of Deliveries: 39,365
No. of Maternal Deaths: 28
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR) is
71.56 per 100,000 live births.
Satkhira 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
88,999
112,679
201,678
21,943
26,820
48,763
250,441
2,897
2,072
4,969
1,423
1,739
3,162
8,131
Upazila Health Complex
89,657
135,689
225,346
52,309
32,451
84,760
310,106
16,875
12,547
29,422
7,589
4,435
12,024
41,446
Union Sub-Centres
27,678
21,965
49,643
11,456
18,657
30,113
79,756
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
71,886
121,615
193,501
52,347
46,789
99,136
292,637
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
527,929
998,786
1,526,715
189,897
210,795
400,692
1,927,407
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)
1,415
21,998
23,413
2,204
1,236
3,440
26,853
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
2,225
1,967
4,192
35
0
35
4,227
0
0
0
0
0
0
0
Private Clinics/Facilities
2,135
19,897
22,032
456
0
456
22,488
0
0
0
0
0
0
0
NGO Clinics/Facilities
457
29,867
30,324
5,589
0
5,589
35,913
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
Satkhira 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
8,044
10,189
18,233
3,335
4,076
7,411
25,644
420
282
702
161
196
357
1,059
Upazila Health Complex
9,876
18,769
28,645
3,985
4,237
8,222
36,867
121
98
219
12
11
23
242
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
1,134
1,134
532
602
1,134
2,268
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
2,378
3,897
6,275
1,032
1,232
2,264
8,539
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
589
589
22
29
51
640
0
0
0
0
0
0
0
Total
20,298
34,578
54,876
8,906
10,176
19,082
73,958
541
380
921
173
207
380
1,301
Satkhira 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
62,511
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
13678
21.88
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
12987
20.78
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
12572
20.11
4
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
10681
17.09
5
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
6909
11.05
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
1521
2.43
7
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1411
2.26
8
D552 Anaemia due to disorders of glycolytic enzymes
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
961
1.54
9
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
904
1.45
10
E14 Unspecified diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
815
1.30
Satkhira 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
1,206
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
344
28.52
2
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
291
24.13
3
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
164
13.60
4
J459 Asthma, unspecified
X: Diseases of the respiratory system
98
8.13
5
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
74
6.14
6
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
69
5.72
7
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
47
3.90
8
I110 Hypertensive heart disease with (congestive) heart failure
IX: Diseases of the circulatory system
45
3.73
9
D649 Anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
42
3.48
10
A010 Typhoid fever
I: Certain infectious and parasitic diseases
32
2.65
Satkhira Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90
Coverage of households having access to sanitary latrines (%)
88
Surgeries & Interventions done in District
Type
No.
Major Surgeries
10,955
Minor Surgeries
17,405
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
208
99
29
80
38.46
Non Doctor
3
0
1
2
66.67
Class II
161
3
151
7
4.35
Class III
943
547
228
168
17.82
Class IV
186
103
46
37
19.89
Satkhira 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
70
53
111
58
27
18
0
0
0
Nurse
0
0
0
0
86
84
71
71
0
5
0
Medical Assistant
0
0
76
75
12
11
0
0
14
0
0
Medical Technologist
0
0
0
0
48
35
3
3
0
0
0
CHCP
0
222
0
0
0
0
0
0
0
0
90
HI
0
0
0
0
21
20
0
0
0
0
80
AHI
0
0
0
0
65
65
0
0
0
0
0
HA
0
0
0
0
325
258
0
0
0
0
0
Satkhira 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
2
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Satkhira 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)
4
4
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)
7
7
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
8
6
2
0
0
Scanner
1
1
0
0
0
UPS
6
5
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Satkhira 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
2
1
1
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
39
35
3
1
0
Satkhira Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Satkhira Civil Surgeon Office
Last year we could provide better health service in comparison to yr 2014.The following important factors helped us for this achievement- Many vacant posts were filled (This process is still running). 2.Many doctors and sisters were trained on IMCI and NCD and other emerging and re-emerging diseases (This should be contained). 3.Repairing and new constructions of health facilities were satisfactory. 4. Drugs and logistics supply were adequate and regular. 5. Above all a positive attitude observed among the doctors,nurses and all other staffs of Health service.I hope this commitment to serve man kind will be further intensified day by day.I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years.This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.