Madarganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to published this health bulletin Madarganj Upazila. This Health Bulletin Containsall the health relation 2014.I hope all there locaation of this bulletin with help for planing helth service of this Upazila.
Madarganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Madarganj
Organization Code
10000212
Name of UHFPO Dr. Md. Mehedi Iqbal
Land Phone No. 1
0982556-0982556016
Land Phone No. 2
FAX No.
Mobile No.
01711475964
Email madarganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.8939 And
Long:
89.8933
No. of Unions in the Upazila 7
No. of Households in the Upazila 63,199
Population in the Upazila 279,198
Area of Upazila in sq km 225.38
Madarganj 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
4
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
4
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
32
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
6
0
No. of NGO Clinics/Facilities
0
0
Madarganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,440
Under 5 Mortality Rate: 63.975 (Per 1,000 live births)
Infant Mortality Rate: 33.385 (Per 1,000 live births)
Neonatal Mortality Rate: 20.963 (Per 1,000 live births)
Still Birth Rate: 19.565 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,555
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months):
Madarganj 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:
12
Total No. of Recipients Who Took at least one ANC:
8,606
Total Number of Deliveries:
5,041
Valid TT Coverage: 83.00 %
Maternal Mortality Ratio (MMR) is:
186.34 per 100,000 live births.
Madarganj 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
11,851
14,646
26,497
1,419
1,669
3,088
29,585
1,872
2,161
4,033
519
568
1,087
5,120
Union Sub-Centres
22,798
27,985
50,783
2,815
3,242
6,057
56,840
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
99,589
169,719
269,308
18,626
21,789
40,415
309,723
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
Madarganj 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
1,020
1,028
2,048
223
227
450
2,498
2
2
4
0
0
0
4
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
Madarganj 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
2,488
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y08 Assault by other specified means
XX: External causes of morbidity and mortality
445
17.89
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
334
13.42
3
Y76 Obstetric and gynaecological devices associated with adverse incidents
XX: External causes of morbidity and mortality
210
8.44
4
J17 Pneumonia in diseases classified elsewhere
X: Diseases of the respiratory system
152
6.11
5
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
138
5.55
6
R52 Pain, NEC
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
129
5.18
7
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
105
4.22
8
J96 Respiratory failure, NEC
X: Diseases of the respiratory system
99
3.98
9
T81 Complications of procedures, NEC
XIX: Injury, poisoning and certain other consequences of external causes
49
1.97
10
R162 Hepatomegaly with splenomegaly, NEC
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
37
1.49
Madarganj 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
6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J459 Asthma, unspecified
X: Diseases of the respiratory system
2
33.33
2
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
16.67
3
N946 Dysmenorrhoea, unspecified
X: Diseases of the respiratory system
1
16.67
4
R074 Chest pain, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
16.67
5
O218 Other vomiting complicating pregnancy
XV: Pregnancy, childbirth and the puerperium
1
16.67
6
S091 Injury of muscle and tendon of head
XIX: Injury, poisoning and certain other consequences of external causes
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Madarganj Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
98.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
9,645
Bed Occupancy Rates (%)
85.24
Average Length of Hospital Stay (No. of days per patient)
3.88
Hospital Death Rate (%)
0.24
Madarganj Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
2,315
Madarganj 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
16
4
4
8
50.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
4
6
60.00
Class III
104
52
38
14
13.46
Class IV
24
18
3
3
12.50
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
4
0
2
2
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
6
2
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
32
10
20
2
6.25
Class IV
0
0
0
0
0.00
Madarganj 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
16
1
4
11
68.75
Non Doctor
0
0
0
0
0.00
Class II
10
5
5
0
0.00
Class III
84
52
20
12
14.29
Class IV
24
18
2
4
16.67
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
Madarganj 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
4
2
9
6
3
0
0
1
0
Nurse
0
0
0
0
11
4
0
0
3
1
0
Medical Assistant
0
0
4
4
2
2
3
3
5
0
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
0
CHCP
32
30
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
3
3
0
0
0
AHI
0
0
0
0
0
0
9
9
0
0
8
HA
0
0
0
0
0
0
45
42
0
0
8
Madarganj 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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
2
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
3
2
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
5
5
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
5
5
0
0
0
Sterilizer
5
5
0
0
0
Sucker machine (electric)
2
1
1
0
0
Ventilator
4
4
0
0
0
Madarganj 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
23
2
21
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Madarganj 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)
0
0
0
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
2
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Madarganj 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
1
1
0
0
0
Refrigerator
2
2
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Madarganj 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)
4
4
0
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
0
0
0
0
0
ICT equipment
Computer (desktop)
6
6
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
1
1
0
0
0
UPS
1
0
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
0
0
0
0
0
Multimedia
1
1
0
0
0
Madarganj 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)
0
0
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
87
60
27
0
0
Madarganj Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Madarganj Upazila Health Complex
