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Modhukhali Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Madhukhali upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the informations of Madhukhali upazila to other line departments and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored. 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 MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2015. I would like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh. Dr. Hasina Begum UH&FPO Madhukhali Upazila Health Complex
Dr. Hasina Begum
UH&FPO
Modhukhali Upazila Health Complex

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Madhukhali
Organization Code 10000113
Name of UHFPO Dr. Hasina Begum
Land Phone No. 1 -0632656009
Land Phone No. 2
FAX No.
Mobile No. 01718317619
Email madhukhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 90.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 41,789
Population in the Upazila 230,654
Area of Upazila in sq km 209.00

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 5 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 24 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 0 0

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,867


Under 5 Mortality Rate: 23.737 (Per 1,000 live births)
Infant Mortality Rate: 21.261 (Per 1,000 live births)
Neonatal Mortality Rate: 19.950 (Per 1,000 live births)
Still Birth Rate: 16.747 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 24,760
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
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;



No. of Maternal Deaths: 10
Total No. of Recipients Who Took at least one ANC: 8,530
Total Number of Deliveries: 3,577
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR) is: 145.62 per 100,000 live births.

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 5

No. of OPD & Emergency visits at Upazila
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
Upazila Health Complex 13,650 27,839 41,489 7,950 10,182 18,132 59,621 5,144 11,332 16,476 591 879 1,470 17,946
Union Sub-Centres 8,245 9,895 18,140 1,985 2,843 4,828 22,968 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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 36,610 82,805 119,415 8,512 9,159 17,671 137,086 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 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 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

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 6

No. of Admissions & Deaths at Upazila
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
Upazila Health Complex 2,189 2,874 5,063 564 736 1,300 6,363 4 3 7 1 0 1 8
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 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 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

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 7

Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period 6,264
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 1327 21.18
2 Y048 Assault by bodily force, other specified places XX: External causes of morbidity and mortality 1045 16.68
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 965 15.41
4 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 834 13.31
5 J450 Predominantly allergic asthma X: Diseases of the respiratory system 767 12.24
6 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 514 8.21
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 227 3.62
8 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 281 4.49
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 179 2.86
10 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 88 1.40

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period 8
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J450 Predominantly allergic asthma X: Diseases of the respiratory system 3 37.50
2 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 1 12.50
3 V892 Person injured in unspecified motor-vehicle accident, traffic X: Diseases of the respiratory system 1 12.50
4 N19 Unspecified renal failure XIV: Diseases of the genitourinary system 1 12.50
5 I50 Heart failure IX: Diseases of the circulatory system 1 12.50
6 I52 Other heart disorders in diseases classified elsewhere IX: Diseases of the circulatory system 1 12.50
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,948
Bed Occupancy Rates (%) 87.92
Average Length of Hospital Stay (No. of days per patient) 1.94
Hospital Death Rate (%) 0.16


Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 3,476

 

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 9 6 2 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 56 24 22 10 17.86
Class IV 19 3 8 8 42.11
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 6 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 8 2 2 16.67
Class IV 3 2 0 1 33.33
Rural Dispensaries
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Community Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 24 6 18 0 0.00
Class IV 0 0 0 0 0.00

 

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 19 12 5 2 10.53
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 92 38 42 12 13.04
Class IV 22 5 8 9 40.91
Other Hospitals & Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 0 0 0 0 0.00
Class IV 0 0 0 0 0.00

 

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (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 9 9 9 8 0 0 1 0 0
Nurse 0 0 0 0 11 11 0 0 2 1 0
Medical Assistant 0 0 9 9 2 2 0 0 7 0 14
Medical Technologist 0 0 0 0 4 3 0 0 0 0 13
CHCP 24 24 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 26 18 0 0 0 0 0

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA) 1 1 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 1 1 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 7 5 2 0 0
Ventilator 0 0 0 0 0


Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
ECG machine 1 1 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 2 1 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer 2 1 1 0 0
Centrifuge machine (electric) 0 0 0 0 0
Colorimeter 4 2 1 1 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 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) 8 7 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 7 7 0 0 0
Scanner 0 0 0 0 0
UPS 7 6 1 0 0
Fax 0 0 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


Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP 1 1 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 0 1 0 0
Mobile phone 1 0 1 0 0
Total 57 39 17 1 0

Modhukhali Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Modhukhali Upazila Health Complex
Last year we could not give our maximum efforts to improve the Health status due to many reasons. Here I would like to mention some Important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctors and Nurses Need more Training on IMCI. NCD,BFHI,EOC, Others 3.. All the Repairable equipments should be repaired as soon as possible finaly. 5. intrastructure of 50 bed extension is Under construction. services of hospital is going to be More developed hope fully. I am very happl to write this health bulletin of 2014 . because this document will help us to compare our progress in uncoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement to future .Madhukhali Health Complex Will be a Model Upazila Health Complex, It is our Commitment.