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Nagarkanda Upazila Health Complex | Health Bulletin 2015 |
Preface
After many years the DG Health published "A new Health Bulletin" Which contains everything of Health service from UHC to H& FWC, RD & CC. The HW at UHC, H & FWC RD & CC level do a lot of work.. On different types of Health services, But our Reporting system is very weak, So peoples could not know the Actual position of Health services throughout the country. Now at present govt. take decision to make a Health Bulletin which will meet all sectors of Health services. We thanks DGHS to introducing a new system Health Bulletin on Health services. This HB also contains the Informations on safe drinking water & sanitation status of the upazilla. This HB indicates achievement & failure of achievement at different sectors of Health services.
Dr. Tarun Mandal
UH&FPO
Nagarkanda Upazila Health Complex

Nagarkanda Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nagarkanda
Organization Code 10000120
Name of UHFPO Dr. Tarun Mandal
Land Phone No. 1 -0632756115
Land Phone No. 2
FAX No.
Mobile No. 01743944390
Email nagarkanda@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: N/A
No. of Unions in the Upazila17
No. of Households in the Upazila 69,356
Population in the Upazila 378,812
Area of Upazila in sq km 348.26

Nagarkanda 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 50
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 15 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 14 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 37 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 2 0
No. of NGO Clinics/Facilities 0 0

Nagarkanda Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,544


Under 5 Mortality Rate: 41.387 (Per 1,000 live births)
Infant Mortality Rate: 26.090 (Per 1,000 live births)
Neonatal Mortality Rate: 15.298 (Per 1,000 live births)
Still Birth Rate: 7.125 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 6,645
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months): 0%

Nagarkanda 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: 9,987
Total Number of Deliveries: 9,544
Valid TT Coverage: 40.00 %
Maternal Mortality Ratio (MMR) is: 104.78 per 100,000 live births.

Nagarkanda 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 6,103 15,583 21,686 1,703 1,588 3,291 24,977 2,191 1,677 3,868 612 418 1,030 4,898
Union Sub-Centres 13,693 33,331 47,024 1,695 2,453 4,148 51,172 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) 6,578 35,292 41870 1,124 2,378 3,502 45,372 0 0 0 0 0 0 3,502
Community Clinics 74,482 165,641 240,123 17,996 21,629 39,625 279,748 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 4,624 4,624 0 0 0 4,624 0 0 0 0 0 0 0

Nagarkanda 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 2,414 2,677 5,091 298 304 602 5,693 3 2 5 1 1 2 7
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

Nagarkanda 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 5,693
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y092 Assault by unspecified means, school, other institution and public administrative area XX: External causes of morbidity and mortality 1310 23.01
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 917 16.11
3 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 373 6.55
4 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 248 4.36
5 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 158 2.78
6 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 152 2.67
7 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 143 2.51
8 K913 Postoperative intestinal obstruction XI: Diseases of the digestive system 132 2.32
9 J459 Asthma, unspecified X: Diseases of the respiratory system 130 2.28
10 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 82 1.44

Nagarkanda 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 7
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 3 42.86
2 J459 Asthma, unspecified X: Diseases of the respiratory system 2 28.57
3 V892 Person injured in unspecified motor-vehicle accident, traffic IX: Diseases of the circulatory system 0 0.00
4 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 0 0.00
5 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 0 0.00
6 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 2 28.57
7 K913 Postoperative intestinal obstruction XI: Diseases of the digestive system 0 0.00
8 K913 Postoperative intestinal obstruction XI: Diseases of the digestive system 0 0.00
9 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 0 0.00
10 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 63.00
Coverage of households having access to sanitary latrines (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,296
Bed Occupancy Rates (%) 89.29
Average Length of Hospital Stay (No. of days per patient) 2.86
Hospital Death Rate (%) 0.10


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,306

 

Nagarkanda 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 21 8 1 12 57.14
Non Doctor 0 0 0 0 0.00
Class II 22 1 19 2 9.09
Class III 98 50 17 31 31.63
Class IV 26 8 6 12 46.15
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 15 5 5 5 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 20 6 10 4 20.00
Class IV 5 1 0 4 80.00
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 40 17 18 5 12.50
Class IV 0 0 0 0 0.00

 

Nagarkanda 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 36 13 6 17 47.22
Non Doctor 0 0 0 0 0.00
Class II 22 1 19 2 9.09
Class III 158 73 45 40 25.32
Class IV 31 9 6 16 51.61
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

 

Nagarkanda 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 15 10 21 9 0 0 1 0 0
Nurse 0 0 0 0 22 20 0 0 0 2 0
Medical Assistant 0 0 15 15 2 2 0 0 6 0 0
Medical Technologist 0 0 5 2 9 3 0 0 0 0 0
CHCP 40 35 0 0 0 0 0 0 0 0 10
HI 0 0 0 0 4 2 0 0 0 0 9
AHI 0 0 0 0 11 11 0 0 0 0 0
HA 0 0 0 0 55 38 0 0 0 0 0

Nagarkanda 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 0 0 1 0
X-ray machine (300 mA) 2 1 1 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 0 1 1 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 0 0 0 0 0
Portable OT Light 10 9 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 4 0 4 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 4 0 4 0 0


Nagarkanda 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 0 0 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 2 1 1 0 0


Nagarkanda 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 0 0 0 0 0
Centrifuge machine (electric) 4 0 4 0 0
Colorimeter 2 0 2 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nagarkanda 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


Nagarkanda 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) 3 0 3 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 1 0 1 0 0
ICT equipment
Computer (desktop) 6 3 2 1 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 2 1 0
Scanner 0 0 0 0 0
UPS 7 4 2 1 0
Fax 0 0 0 0 0
Intercom 1 0 1 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 0 0 0 0 0


Nagarkanda 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 0 0 0 0 0
PA system (Sound) 1 0 1 0 0
Land phone 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 63 25 33 5 0

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

Important information and necessary issues for Nagarkanda Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons.Here we to like mention some important factors which will help us to achive good results in future. 01 Repaire of community clinic and electricity or generator support is very essential. 02. The vaccant posts should be filled immediately. 03. Our doctor,SACMO and nurse need more traning on IMCI.04. We need to start EMOC services immediately.05. We need a well equipipped storeroom.06. We need another stomach wash room because of huge number of poisoning patients.07. We need one MT(lab), One MT(Radio) and Pharmacist immediately.08. A photo copy Machine to maintion official documents.09. All the repairable equipped should be repaired as soon as possible. Finaly I am very happy t0 write this health bullitin 2014 because this documents will help us to monitor our progress in up coming 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.For runing Ambulance we need sufficint budget for the purchase of tiar,battery etc.