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Nikhli Upazila Health Complex | Health Bulletin 2015 |
Preface
It’s an immense pleaser for me to publish the health bulletin of Nikli Upazila. It contains all the health related information of the year 2014. This Bulletin is published in collaboration with other Govt: Sectors. I hope this will be helpful for planning & implementing the health services of this upazila. This Bulletin will focus on the achievements to the local people on 2014, at the same time also states the status of MDG targets. It contains the safe drinking water & sanitation condition of this upazila. All Sanction & Vacant posts are published here. I would like to draw the attention of the authority concern to pay attention into the issue. Finally I would like congratulate & encourage at e-health programmed like this which will lead us step forward towards Digital Bangladesh.
DR.MD.ABDUL MOJID
UH&FPO
Nikhli Upazila Health Complex

Nikhli Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nikhli
Organization Code 10000250
Name of UHFPO DR.MD.ABDUL MOJID
Land Phone No. 1 -0943256004
Land Phone No. 2
FAX No.
Mobile No. 01716435893
Email nikli@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 91.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 31,495
Population in the Upazila 153,937
Area of Upazila in sq km 214.00

Nikhli 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 0 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) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 16 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 3 0

Nikhli Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,950


Under 5 Mortality Rate: 37.722 (Per 1,000 live births)
Infant Mortality Rate: 24.810 (Per 1,000 live births)
Neonatal Mortality Rate: 17.468 (Per 1,000 live births)
Still Birth Rate: 8.861 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 16,865
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months): 0%

Nikhli 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: 5
Total No. of Recipients Who Took at least one ANC: 2,671
Total Number of Deliveries: 3,970
Valid TT Coverage: 94.00 %
Maternal Mortality Ratio (MMR) is: 126.58 per 100,000 live births.

Nikhli 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 50,205 51,657 101,862 5,632 5,204 10,836 112,698 4,742 3,158 7,900 2,540 1,525 4,065 11,965
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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 1,648 2,853 4501 1,981 3,389 5,370 9,871 0 0 0 0 0 0 5,370
Community Clinics 42,890 119,146 162,036 13,946 16,328 30,274 192,310 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 7,452 10,206 17,658 1,035 952 1,987 19,645 0 0 0 0 0 0 0

Nikhli 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 1,401 1,475 2,876 796 524 1,320 4,196 2 3 5 4 2 6 11
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

Nikhli 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 4,042
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 773 19.12
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 575 14.23
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 573 14.18
4 J459 Asthma, unspecified X: Diseases of the respiratory system 253 6.26
5 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 180 4.45
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 150 3.71
7 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 103 2.55
8 V87 Traffic accident of specified type but victim's mode of transport unknown XX: External causes of morbidity and mortality 71 1.76
9 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 40 0.99
10 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 22 0.54

Nikhli 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 4 36.36
2 J459 Asthma, unspecified X: Diseases of the respiratory system 2 18.18
3 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 1 9.09
4 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 1 9.09
5 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 2 18.18
6 Y730 Gastroenterology and urology devices associated with adverse incidents, diagnostic and monitoring devices XX: External causes of morbidity and mortality 1 9.09
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 87.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 7,883
Bed Occupancy Rates (%) 69.67
Average Length of Hospital Stay (No. of days per patient) 1.95
Hospital Death Rate (%) 0.27


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 2,124

 

Nikhli 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 17 10 2 5 29.41
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 70 42 18 10 14.29
Class IV 19 14 3 2 10.53
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 8 5 0 3 37.50
Class IV 8 2 3 3 37.50
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 16 6 10 0 0.00
Class IV 0 0 0 0 0.00

 

Nikhli 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 17 10 2 5 29.41
Non Doctor 0 0 0 0 0.00
Class II 8 0 6 2 25.00
Class III 92 50 19 23 25.00
Class IV 23 16 4 3 13.04
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

 

Nikhli 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 0 0 10 6 7 5 1 0 0
Nurse 0 0 0 0 11 5 0 0 0 0 0
Medical Assistant 0 0 0 0 9 4 0 0 3 0 0
Medical Technologist 0 0 0 0 8 4 0 0 0 0 0
CHCP 16 16 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 3 2 0 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0 0
HA 0 0 0 0 40 36 0 0 0 0 7

Nikhli 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) 0 0 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 0 0 0 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 0 0 0 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 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Nikhli 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Nikhli 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 0 0 0 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


Nikhli 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 0 0 0 0 0


Nikhli 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) 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) 0 0 0 0 0
Laptop 0 0 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 0 0 0
Scanner 0 0 0 0 0
UPS 0 0 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


Nikhli 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 0 0 0 0 0
Mobile phone 0 0 0 0 0
Total 0 0 0 0 0

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

Important information and necessary issues for Nikhli Upazila Health Complex
Last year we give our maximum efforts to improve the health status but there is many deficiency in our hospital. Here I like mention some important factors which will help us to achieve good results in future. 1.Our doctor and nurse need more training on IMCI. 2. Number community clinics should be increased. 3. All the repairable equipments should be repaired as soon as possible. 4. All deputation order of officers and staffs to other organizations should be canceled. 5. Residential quoter is available for doctors, nurse and others staff. Finally i am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming 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.