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Melandaha Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad that the Health Bulletin 2014 of Melandah upazila is coming out in due time.This bulletin contains all the health relateded information of 2015.This Bulletin is published to disssminate the Health releted information of Melandah upazila to other line depertment & partners of Health. I Hope all the information of this bulletin will Help for planning and bridging the gaps in Health service of this upazila. This Health bulletin will help us to find constrains and also to see the results and achivements of 2014. IT contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets.This Health bulletin has also the infomation on safe drinking water and sanitation status of this upazila. All sanctioned and vacant posts are Shown in this bulletin .I like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the inititor of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Thank you all.Dr. Md. Shamsul Haque UH&FPO Melandah Upazila Health complex. Jamalpur.
Dr.Md. Shamsul Haque
UH&FPO
Melandaha Upazila Health Complex

Melandaha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Melandaha
Organization Code 10000218
Name of UHFPO Dr.Md. Shamsul Haque
Land Phone No. 1 0-0982656025
Land Phone No. 2
FAX No.
Mobile No. 01711858867
Email melandah@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 90.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 85,488
Population in the Upazila 313,252
Area of Upazila in sq km 238.75

Melandaha 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 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 2 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 40 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 1 0

Melandaha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,411


Under 5 Mortality Rate: 61.665 (Per 1,000 live births)
Infant Mortality Rate: 26.312 (Per 1,000 live births)
Neonatal Mortality Rate: 21.859 (Per 1,000 live births)
Still Birth Rate: 19.161 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 22,783
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 93%

Melandaha 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: 11
Total No. of Recipients Who Took at least one ANC: 8,960
Total Number of Deliveries: 7,411
Valid TT Coverage: 44.00 %
Maternal Mortality Ratio (MMR) is: 148.43 per 100,000 live births.

Melandaha 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 29,654 43,208 72,862 4,682 6,421 11,103 83,965 4,507 4,255 8,762 530 631 1,161 9,923
Union Sub-Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 13,780 14,347 28,127 800 934 1,734 29,861 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 68,100 160,618 228,718 16,250 18,022 34,272 262,990 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

Melandaha 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 1,245 1,496 2,741 91 105 196 2,937 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

Melandaha 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 2,937
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 1071 36.47
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 503 17.13
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 275 9.36
4 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 243 8.27
5 F42 Obsessive-compulsive disorder V: Mental and behavioural disorders 149 5.07
6 A02 Other salmonella infections I: Certain infectious and parasitic diseases 119 4.05
7 J45 Asthma X: Diseases of the respiratory system 108 3.68
8 A07 Other protozoal intestinal diseases I: Certain infectious and parasitic diseases 101 3.44
9 T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 44 1.50
10 J16 Pneumonia due to other infectious organisms, NEC X: Diseases of the respiratory system 35 1.19

Melandaha 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 4
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 1 25.00
2 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation XI: Diseases of the digestive system 1 25.00
3 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1 25.00
4 I260 Pulmonary embolism with mention of acute cor pulmonale IX: Diseases of the circulatory system 1 25.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

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


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,349
Bed Occupancy Rates (%) 45.75
Average Length of Hospital Stay (No. of days per patient) 2.84
Hospital Death Rate (%) 0.14


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 3,235

 

Melandaha 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 22 11 3 8 36.36
Non Doctor 0 0 0 0 0.00
Class II 15 1 13 1 6.67
Class III 110 58 44 8 7.27
Class IV 25 11 4 10 40.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 2 2 0 0 0.00
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 40 10 30 0 0.00
Class IV 0 0 0 0 0.00

 

Melandaha 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 32 18 5 9 28.13
Non Doctor 0 0 0 0 0.00
Class II 15 1 13 1 6.67
Class III 151 69 75 7 4.64
Class IV 27 17 10 0 0.00
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

 

Melandaha 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 2 2 22 14 8 7 2 1 0
Nurse 0 0 0 0 15 15 0 0 0 0 0
Medical Assistant 0 0 2 2 2 2 8 8 12 0 0
Medical Technologist 0 0 1 1 0 0 0 0 0 0 0
CHCP 40 40 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 12
AHI 0 0 0 0 11 11 0 0 0 0 0
HA 0 0 0 0 55 54 0 0 0 0 0

Melandaha 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 2 2 0 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 4 3 1 0 0
Ventilator 0 0 0 0 0


Melandaha 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 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Melandaha 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 4 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Melandaha 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 1 1 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Melandaha 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) 2 2 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 1 1 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 46 44 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 5 5 0 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 0 0 0 0 0


Melandaha 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 1 0 0 0
Mobile phone 1 1 0 0 0
Total 100 95 4 1 0

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

Important information and necessary issues for Melandaha Upazila Health Complex
1)Ensure reguler supply of Electricity during load shedding by ips/ Genaretor. 2 )Reguler Fual supply of Genarator. 3) Ensure sufffient number of skilled or Tranid Persons(Doctors,Anaesthetic OT staffs) in 24 hour. 4) Reguler arrengement of refresher Traning of concern staffs .5) Ensure OT supply logestic&Equiments. 6) Awareness develoment Health program level. 7) Adequate supply of asssential drugs. 8) Strengthening of referral system in all section govt & also community level. 9) Ensure ambulence services in 24 hours. 10) also ensure safty enviroment for doctors,Nurses & releted Staffs 11) Ensure photo copy machine.12) Anaesthsa(con)/ post is vacant.12) We need one new building for EPI store & office of HI&SI. There is no meeting/Conferenec room in this Premises.