Post on 14-Mar-2021
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