Moulvibazar Civil Surgeon Office | Health Bulletin 2015 |
Preface
Health Bulletin is a new concept in the Health MIS, which help us to see our total activity & our status. From which we can take our intervention in various aspect. I like to thanks Prof. A.K.Azad ,ADG (Planning) & Line Director, MIS, DGHS for initiation of such activities.
Moulvibazar Civil Surgeon Office | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Civil Surgeon Dr. Satyakam Chakraborty
Organization Code
10002115
Name of District Maulvibazar
Land Phone No. 1
0861-052296
Land Phone No. 2
FAX No. 86163730
Mobile No. 01819807953
Email moulvibazar@cs.dghs.gov.bd
GPS location of Civl Surgeon office Lati: 24.4800 And Long: 91.7600
No. of Upazila in the District 7
No. of Households in the District 289,566
Population in the District 1,816,547
Area of District in sq km 2,701
Moulvibazar 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
250
General Hospital
0
0
Upazila Health Complexes
7
193
No. of Union Sub-Centres
20
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
174
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
10
No. of Chest Disease Clinic (TB Clinics/Hospitals)
1
0
No. of Private Clinics/Facilities
28
274
No. of NGO Clinics/Facilities
15
0
No. of Other Hospitals
Moulvibazar Civil Surgeon Office | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole District) (Jan-Dec, 2014)
No. of Live Births: 49,453
Total No. of children treated under IMCI Program 248,322
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (NMR) is 19.59 per 1,000 live births.
Moulvibazar 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: 42,834
Total Number of Deliveries: 50,196
No. of Maternal Deaths: 124
Valid TT Coverage: 76.00 %
Maternal Mortality Ratio (MMR) is
250.74 per 100,000 live births.
Moulvibazar 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
77,835
82,270
160,105
11,587
13,355
24,942
185,047
27,416
30,524
57,940
5,440
6,487
11,927
69,867
Upazila Health Complex
144,991
172,963
317,954
54,602
0
54,602
372,556
37,762
27,758
65,520
15,281
0
15,281
80,801
Union Sub-Centres
171,266
182,494
353,760
52,136
0
52,136
405,896
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
39,197
81,000
120,197
39,118
0
39,118
159,315
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
360,761
625,062
985,823
147,091
0
147,091
1,132,914
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)
232
798
1,030
68
74
142
1,172
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
1,809
1,768
3,577
85
0
85
3,662
0
0
0
0
0
0
0
Private Clinics/Facilities
412
356
768
54
65
119
887
1,647
1,867
3,514
2,014
0
2,014
5,528
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
Moulvibazar 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
11,520
15,495
27,015
5,706
3,125
8,831
35,846
146
129
275
35
30
65
340
Upazila Health Complex
12,158
16,225
28,383
6,595
5,647
12,242
40,625
36
28
64
7
8
15
79
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
1,136
2,672
3,808
877
987
1,864
5,672
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
24,814
34,392
59,206
13,178
9,759
22,937
82,143
182
157
339
42
38
80
419
Moulvibazar 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
72,780
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
5231
7.19
2
P22 Respiratory distress of newborn
XVI: Certain conditions originating in the perinatal period
3716
5.11
3
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
3212
4.41
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
2856
3.92
5
X99 Assault by sharp object
XX: External causes of morbidity and mortality
2809
3.86
6
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
1426
1.96
7
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
912
1.25
8
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
596
0.82
9
F419 Anxiety disorder, unspecified
V: Mental and behavioural disorders
472
0.65
10
I50 Heart failure
IX: Diseases of the circulatory system
312
0.43
Moulvibazar 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
422
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I46 Cardiac arrest
IX: Diseases of the circulatory system
82
19.43
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
54
12.80
3
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
48
11.37
4
D64 Other anaemias
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
43
10.19
5
I43 Cardiomyopathy in diseases classified elsewhere
IX: Diseases of the circulatory system
31
7.35
6
I50 Heart failure
IX: Diseases of the circulatory system
24
5.69
7
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
16
3.79
8
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
15
3.55
9
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
11
2.61
10
P39 Other infections specific to the perinatal period
XVI: Certain conditions originating in the perinatal period
10
2.37
Moulvibazar Civil Surgeon Office | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
97
Coverage of households having access to sanitary latrines (%)
88
Surgeries & Interventions done in District
Type
No.
Major Surgeries
1,654
Minor Surgeries
8,765
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
District Total
Class I
Doctor
202
122
32
48
23.76
Non Doctor
3
1
0
2
66.67
Class II
153
12
101
40
26.14
Class III
883
472
268
143
16.19
Class IV
165
102
40
23
13.94
Moulvibazar 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
76
63
71
58
52
31
59
5
0
Nurse
0
0
0
0
69
41
86
71
24
4
0
Medical Assistant
0
0
76
44
11
10
0
0
8
0
0
Medical Technologist
0
0
0
0
38
26
11
10
0
0
0
CHCP
194
174
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
20
17
0
0
0
0
24
AHI
0
0
0
0
61
58
0
0
0
0
0
HA
0
0
0
0
305
291
0
0
0
0
0
Moulvibazar 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
12
7
3
2
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
Moulvibazar 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)
25
23
2
0
0
Air conditioner (window)
7
7
0
0
0
Generator
Generator (diesel/petrol)
7
4
3
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
2
0
0
0
ICT equipment
Computer (desktop)
89
85
3
1
0
Laptop
73
70
3
0
0
Printer (dot matrix)
1
1
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
80
75
5
0
0
Scanner
24
24
0
0
0
UPS
77
75
1
1
0
Fax
2
2
0
0
0
Intercom
37
37
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
40
40
0
0
0
Multimedia
10
10
0
0
0
Moulvibazar 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)
2
2
0
0
0
Land phone
9
9
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
6
5
1
0
0
Digital camera
5
5
0
0
0
Video camera
0
0
0
0
0
Total
510
484
22
4
0
Moulvibazar Civil Surgeon Office | Health Bulletin 2015 | Page# 14
Important information and necessary issues for Moulvibazar Civil Surgeon Office
01. HR recruitment should be done every year from January -March Calender regularly. So that vacant post should be filled up regularly which will help to achieve the goal.
02. Any innovative idea regarding strengthening of Health System should encourage.
Civil Surgeon,Moulvibazar.