NOWSHERA  HEALTH  CENTER  Union  Council  Taru  Jabba  

 

4th  Quarterly  Morbidity  &  Progress  Report    

For  the  Period  of  October-­‐December  2014  

                                                                                                                                                         

 

 

 

Morbidity  Report  from  1st  October  to  December  31st  2014      

In  the  final  quarter  of  2014,  our  MCH  center  attended  to  3,105  women,  men  and  children  in   its  OPD.  A  total  of  

2,807   (90.4%)   were   women,   14   (0.5%)   men   and   362   (9.1%)   were   children   of   which   gender   distribution   was  

somewhat  equal.  Although  this  is  primarily  a  women’s  clinic,  we  do  not  turn  away  any  male  patients  should  they  

present  at  the  premises  with  an  emergency  medical  problem  of  primary  health  level.        

 

MCH   Statistics:   In   the   reporting   period   of   these   past   three   months,   antenatal   services   were   sought   by   258  

women  while  172  came  for  post-­‐natal  checkups.  Family  planning  services  were  provided  to  98  women  while  64  

women  sought  advice  and  guidance  for  both  primary  and  secondary  infertility  issues.    

Distribution  of  Types  of  MCH  Services  Provided  

 

 

The  main   services   sought   in   our  MCH   center   are   a   range   of   gynecological   pathologies  which  were   provided   to  

1,186  women.  They  include:  

 

Gynecological  Presentation    Amenorrhea   126  Dysmenorrhea   174  Leukoria   220  P/V  Discharge   106  P/V  Bleeding   43  Ovarian  Cyst   68  Irregular  Period   136  Polymenorrhgia   89  

 

PID  (Pelvic  Inflammatory  Disease)   147  Fibroid   13  

Total   1,186    

Primary  Health  Statistics:   A   total   of   1,351  women  and   children  were   treated   for   a   variety  of   primary  health  

problems;   interestingly   the   most   common   complaints   were   general   body   aches   and   a   sense   of   weakness  

accounting  for  nearly  one  quarter  of  the  statistics  (21.6%).  As  discussed  in  our  earlier  reports,  these  are  a  group  of  

symptoms   that   often   have   no   real   pathology   but   are   used   by   patients   to   describe   what   we   take   as   signs   of  

depression.  At  a  primary  health  level,  we  do  not  have  staff  qualified  to  diagnose  depression  which  is  why  we  have  

placed  this  as  a  category  titled  as  such.  The  surge  in  these  complaints  amongst  women  is  not  surprising  as  most  of  

them  came  as  IDPs  in  this  area  last  winter  thinking  that  this  displacement  would  be  a  temporary  measure  while  

the  military  rid  their  areas  of  residence  of  the  Taliban  terrorists.  Unfortunately  this  ‘temporary’  period  is  now  over  

a  year  old  and  there  is  no  sign  of  success  on  the  horizon.  Their  frustration  and  lack  of  control  over  their  own  lives  

is   leading   to   depressive   states   of  mind.   At   our   OPD   level   in   the  MCH   center,   we   can   only   provide   them  with  

vitamins  that  act  as  placebos  and  all  the  while  augment  their  poor  diet.    

 

Anemia   (12.4%)   came   as   the   second   most   common   complaint   while   Diarrhea,   which   dominates   the   scene   in  

summers,  was  at  third  place  (9%)  attributable  to  the  winter  season.  Other  ailments  presented  were:      

Primary  Health  Presentation    Anemia   158  

Abdominal  Pain   103  Respiratory  Tract  Infections   125  Enteric  Fever  (Typhoid)   81  Dyspepsia   101  Vomiting   82  Scabies   98  Food  Poisoning   6  Urinary  Tract  Infections   123  Hypertension   69  Suspected  Meningitis   0  Burns   9  Acute  Appendicitis   0  Jaundice     52  General  Body  Aches  and  Weakness   161  Diarrhea   165  

 

Non-­‐RTA  related  injuries  were  presented  by  11  patients.  Our  location  off  the  main  road  means  that  we  are  often  

 

presented   with   road   traffic   accidents   and   in   this   3-­‐month   period   only   3   cases   were   provided   with   immediate  

emergency  care.  These  constitute  the  men  seen  at  the  centre.    The  total  number  of  referrals  during  these  three  

months  was  26  patients.  

 

Pathology  Lab  Statistics:  The  pathology   lab  conducted  a   total  of  525  routine   investigative   tests   in   this   three-­‐

month  period.    The  table  below  shows  the  breakdown:  

 

Lab  Test  Performed  from  1st  Oct  to  31st  Dec  2014    Pregnancy  Urine  Test   124  

Urine  Routine  Examination   61  Blood  Grouping     73  Blood  Hb   143  Blood  Glucose   35  Vidal  Test   41  Blood  Malarial  Parasite  (MP)   26  RA  Factor   9  Toxoplasma   9  SGPT   4  

Total  Tests   525    

Ultrasound  Investigations:  This  is  the  first  quarter  to  offer  ultrasound  services  to  our  patients  with  the  donated  

equipment.  A  total  of  92  women  utilized  the  ultrasound  services  and  the  investigations  conducted  were  as  follows  

Ultrasound  investigations  1st  Oct  to  December  31th  2014    Ultrasound  for  antenatal  check  up   33  

Ultrasound  abdomen  only   22  

Ultrasound  pelvis  only     16  Ultrasound  abdomen  and  pelvis   18  

Ultrasound  for  fatty  liver   3  Total     92  

 

   

 

 

For  additional  details  please  find  the  Morbidity  Matrix  as  Annex  1  

 

Annex  1.  Morbidity  Matrix  

                                                                 RMF  Health  Centre  Nowshera  from  October  to  December  2014  

              Months   Oct-­‐14   Nov-­‐14   Dec-­‐14   Total         Total  Patients  for  the  month   1,001   1,048   1,056   3,105  

1   Female   892   948   967   2,807       Male   3   5   6   14       Total  Adults               2,821  

2   Children  (Male)   58   52   35   145       Children  (Female)   48   43   48   139       Total  children   106   95   83   284       MCH  Details                    

1   Antenatal  Care   86   90   82   258  2   Postnatal  Care   58   62   52   172  3   Family  Planning   36   28   34   98  4   Infertility   12   32   20   64  5   Amenorrhea   6   62   58   126  

 

6   Dysmenorrhea   72   57   45   174  7   Leukoria   80   73   67   220  8   P/V  Discharge   32   32   42   106  9   P/V  Bleeding   8   10   25   43  

10   Ovarian  Cyst   28   22   18   68  11   Irregular  Period   52   52   32   136  12   Polymenorrhgia   31   28   30   89  13   PID  Pelvic  Inflammatory  Disease   50   41   56   147  14   Fibroid   2   8   3   13  

    Total  MCH                 1,714  

    Primary  Health  Details                  15   Anemia   50   56   62   168  16   Abdominal  Pain   15   38   32   85  17   Respiratory  Tract  Infections   25   42   53   120  18   Enteric  Fever  (Typhoid)   23   36   25   84  19   Dyspepsia   22   10   7   39  20   Vomiting   10   4   15   29  21   Scabies   36   42   45   123  22   Food  Poisoning   4   3   2   9  23   Urinary  Tract  Infections   32   39   48   119  24   Hypertension   67   24   33   124  25   Suspected  Meningitis   0   0   3   3  26   Burns   6   2   0   8  27   Acute  Appendicitis   2   0   1   3  28   Jaundice     17   4   2   23  29   General  Body  Aches  &  Weakness   88   94   110   292  30   Diarrhea   42   35   45   122  

    Total  Primary  Health               1,351  31   Non-­‐RTA  Injuries   2   6   3   11  32   RTA  (Road  Traffic  Accident)   1   0   2   3  33   Referral   6   16   4   26  

        1001   1048   1056   3,105  

   Lab  Tests  Performed  from  Oct  to  Dec  2014                  

    Lab  Test  and  Ultrasound   Oct-­‐14   Nov-­‐14   Dec-­‐14   Total         Pregnancy  Urine  Test   41   38   45   124       Urine  Routine  Examination   13   17   31   61       Blood  Grouping     25   27   21   73       Blood  Hb   48   52   43   143       Blood  Glucose   9   12   14   35       Vidal  Test   15   13   13   41       Blood  Malarial  Parasite  (MP)   9   11   6   26  

 

    RA  Factor   3   2   4   9       Toxoplasma   2   3   4   9       SGPT   1   1   2   4       Ultrasound  for  Antenatal  Check-­‐up       10   23   33       Ultrasound  Abdomen         5   17   22       Ultrasound  Pelvis       11   5   16       Ultrasound  Abdomen  &  Pelvis       7   11   18       Ultrasound  Fatty  Liver       2   1   3       Total  Tests  Performed   166   211   240   617