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Muktagacha Upazila Health Complex | Health Bulletin 2015 |
Preface
I am highly glad to publish this health bulletin of Muktagacha Upazilla,Mymensingh. Muktagacha is located at 24.454100°N 90.161300°E . It has 103011 units of house hold and total area 314.71 km². Muktagacha has one pourashava/10 Unions, 261 Mauzas/Mahallas, and 283 villages. Muktagacha has always been a place to nourish the various cultural activities. The Zaminders of Muktagacha were always conscious of cultural activities. Raja Jagat Kishore Acharya Choudhury was a true patroner of culture. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of the upazilla to other line department 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 upazilla. Government health office has many data stored in the line. 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 MDG4 and MDG5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazilla. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to take attention of the higher authority to look into this issue. Finally I would like to congratulate DGHS on the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr. Md. Harun Or Rashid
UH&FPO
Muktagacha Upazila Health Complex

Muktagacha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Muktagacha
Organization Code 10000387
Name of UHFPO Dr. Md. Harun Or Rashid
Land Phone No. 1 -0902875218
Land Phone No. 2
FAX No.
Mobile No. 01711362469
Email muktagacha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.4541 And Long: 90.1613
No. of Unions in the Upazila10
No. of Households in the Upazila 103,011
Population in the Upazila 409,638
Area of Upazila in sq km 314.71

Muktagacha 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) 6 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 6 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 39 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 20 0
No. of NGO Clinics/Facilities 0 0

Muktagacha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,066


Under 5 Mortality Rate: 40.702 (Per 1,000 live births)
Infant Mortality Rate: 31.436 (Per 1,000 live births)
Neonatal Mortality Rate: 23.274 (Per 1,000 live births)
Still Birth Rate: 11.361 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 15,849
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Muktagacha 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: 15
Total No. of Recipients Who Took at least one ANC: 10,390
Total Number of Deliveries: 9,118
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR) is: 165.45 per 100,000 live births.

Muktagacha 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 44,797 56,550 101,347 1,778 1,674 3,452 104,799 4,344 3,862 8,206 1,522 1,390 2,912 11,118
Union Sub-Centres 25,867 32,215 58,082 1,217 1,449 2,666 60,748 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 98,265 212,569 310,834 19,940 23,294 43,234 354,068 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

Muktagacha 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 1,888 4,680 6,568 487 360 847 7,415 3 2 5 0 0 0 5
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

Muktagacha 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 7,415
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1151 15.52
2 K297 Gastritis, unspecified XI: Diseases of the digestive system 668 9.01
3 X850 Assault by drugs, medicaments and biological substances, home XX: External causes of morbidity and mortality 642 8.66
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 412 5.56
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 272 3.67
6 T509 Other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 221 2.98
7 J459 Asthma, unspecified X: Diseases of the respiratory system 185 2.49
8 V099 Pedestrian injured in unspecified transport accident XX: External causes of morbidity and mortality 93 1.25
9 C689 Urinary organ, unspecified II: Neoplasms 66 0.89
10 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 63 0.85

Muktagacha 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 5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K259 Gastric ulcer, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 2 40.00
2 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 1 20.00
3 J459 Asthma, unspecified XI: Diseases of the digestive system 1 20.00
4 J969 Respiratory failure, unspecified X: Diseases of the respiratory system 1 20.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

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


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,860
Bed Occupancy Rates (%) 78.30
Average Length of Hospital Stay (No. of days per patient) 1.19
Hospital Death Rate (%) 0.07


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 3,064

 

Muktagacha 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 10 7 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 2 8 1 9.09
Class III 103 61 28 14 13.59
Class IV 19 13 2 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 3 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 0 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 7 1 0 0.00
Class IV 4 3 1 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 50 10 28 12 24.00
Class IV 0 0 0 0 0.00

 

Muktagacha 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 20 9 11 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 2 8 1 9.09
Class III 117 72 31 14 11.97
Class IV 23 17 2 4 17.39
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

 

Muktagacha 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 10 10 10 10 0 0 0 0 0
Nurse 0 0 0 0 11 10 0 0 2 4 0
Medical Assistant 0 0 10 10 2 2 0 0 10 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 50 38 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 13 13 0 0 0 0 0
HA 0 0 0 0 65 51 0 0 0 0 2

Muktagacha 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 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 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 5 3 2 0 0
Ventilator 1 1 0 0 0


Muktagacha 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 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 2 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Muktagacha 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) 1 1 0 0 0
Colorimeter 2 1 1 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


Muktagacha 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


Muktagacha 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 0 0 0 2
Generator
Generator (diesel/petrol) 2 1 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) 9 7 0 2 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 3 0 0 3 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


Muktagacha 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 52 36 9 5 2

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

Important information and necessary issues for Muktagacha Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reason. Here, I 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& Nutrition,ANC,PNC and safe delivery, NCD, Disaster management 3) All the repairable equipments should be repaired as soon as possible.4) Local leaders and Public participation in Health System will help a lot for further progress.5) Dedication, service oriented faithful mind both from the service provider and receiver needed .6) Emphasis on Health education. Finally, I am very happy to write this Health Bulletin of 2015 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 important in future.