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Nandail Upazila Health Complex | Health Bulletin 2015 |
Preface
Nandail is one of the twelve upazilla of Mymensingh disitrict. It is about 48 k.m. away from the district head quater.This upazila is surrounded by the Hosenpur and Taraill upazila of Kisoregonj district , Goforgaon and Isharwegonj upazila of Mymensingh district. More then 430799 lacs people reside here. So it is an important place both geographically and population density. Patients from the whole upazila and also from the surrounding upazila comes in this UHC for treatment and admission.But unlike most of the other part of the country rate of literacy is still very poor here (About 45%) . This is why, providing health services is a big challenge for the government health workers in this upazila. In spite of all the circumstances proper initiatives has helped us to reach a satisfactory level in the delivery of health care service and also in attaining the health related Milleniun Development Goal.
Dr Md Abul Kashem
UH&FPO
Nandail Upazila Health Complex

Nandail Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nandail
Organization Code 10000404
Name of UHFPO Dr Md Abul Kashem
Land Phone No. 1 -0902964016
Land Phone No. 2
FAX No.
Mobile No. 01711103076
Email nandail@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.3357 And Long: 90.4124
No. of Unions in the Upazila12
No. of Households in the Upazila 88,705
Population in the Upazila 430,799
Area of Upazila in sq km 326.00

Nandail 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 5 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 7 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 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 0 0
No. of NGO Clinics/Facilities 0 0

Nandail Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,594


Under 5 Mortality Rate: 44.611 (Per 1,000 live births)
Infant Mortality Rate: 40.338 (Per 1,000 live births)
Neonatal Mortality Rate: 30.748 (Per 1,000 live births)
Still Birth Rate: 39.191 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 33,533
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 97%

Nandail 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: 18
Total No. of Recipients Who Took at least one ANC: 20,660
Total Number of Deliveries: 9,774
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR) is: 187.62 per 100,000 live births.

Nandail 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 13,665 17,982 31,647 4,333 3,529 7,862 39,509 4,785 4,980 9,765 1,315 1,024 2,339 12,104
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) 0 0 0 0 0 0 0 15,261 44,694 59,955 7,767 8,737 16,504 16,504
Community Clinics 0 0 0 0 0 0 0 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) 263 157 420 2 0 2 422 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

Nandail 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 2,184 3,395 5,579 1,229 817 2,046 7,625 15 2 17 2 4 6 23
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

Nandail 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 7,625
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A099 Gastroenteritis and colitis of unspecified origin I: Certain infectious and parasitic diseases 1698 22.27
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1223 16.04
3 Z00 General examination and investigation of persons without complaint and reported diagnosis XXI: External causes of morbidity and mortality 917 12.03
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 914 11.99
5 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 880 11.54
6 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 223 2.92
7 T21 Burn and corrosion of trunk XIX: Injury, poisoning and certain other consequences of external causes 199 2.61
8 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 197 2.58
9 V82 Occupant of streetcar injured in transport accident XX: External causes of morbidity and mortality 189 2.48
10 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 147 1.93

Nandail 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 23
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 9 39.13
2 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 4 17.39
3 I694 Sequelae of stroke, not specified as haemorrhage or infarction X: Diseases of the respiratory system 4 17.39
4 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 3 13.04
5 O862 Urinary tract infection following delivery XV: Pregnancy, childbirth and the puerperium 1 4.35
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 1 4.35
7 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 4.35
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 65.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,082
Bed Occupancy Rates (%) 88.12
Average Length of Hospital Stay (No. of days per patient) 2.11
Hospital Death Rate (%) 0.30


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 458
Minor Surgeries 2,752

 

Nandail 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 10 4 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 15 1 11 3 20.00
Class III 159 82 44 33 20.75
Class IV 25 8 3 14 56.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 4 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 4 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 5 3 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 4 3 3 30.00
Class IV 5 0 0 5 100.00
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 36 19 15 2 5.56
Class IV 0 0 0 0 0.00

 

Nandail 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 33 17 9 7 21.21
Non Doctor 0 0 0 0 0.00
Class II 15 1 11 3 20.00
Class III 176 90 50 36 20.45
Class IV 30 8 3 19 63.33
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

 

Nandail 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 12 12 21 18 0 0 2 0 0
Nurse 0 0 0 0 15 13 0 0 3 0 0
Medical Assistant 0 0 12 12 2 2 0 0 2 0 0
Medical Technologist 0 0 0 0 8 5 0 0 0 0 0
CHCP 36 34 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 5 5 0 0 0 0 0
AHI 0 0 0 0 15 15 0 0 0 0 0
HA 0 0 0 0 75 54 0 0 54 0 0

Nandail 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 3 3 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 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 5 5 0 0 0
Portable OT Light 3 3 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 4 3 1 0 0
Ventilator 0 0 0 0 0


Nandail 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 3 3 0 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Nandail 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) 3 3 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 2 2 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 0 0 0 1


Nandail 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 0 0 0 1
Refrigerator 4 4 0 0 0
Vehicles
Ambulance 3 1 2 0 0


Nandail 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) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 1 0 0 1
ICT equipment
Computer (desktop) 6 3 2 0 1
Laptop 42 24 16 0 2
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 3 0 0
Scanner 0 0 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 40 40 0 0 0
Multimedia 1 1 0 0 0


Nandail 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 156 123 27 0 6

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

Important information and necessary issues for Nandail Upazila Health Complex
Important information and necessary is uses for Nandail Upazila Health Complex. Number of Admission-Below-5-Male-1229,Female-817, Above- Male-2184,Female-3395 Grand Total-7625,Number of Death-5-Below-Male-2,Female-4, Number of Above-Male-15,Female-2,Grand Total-23, Number of POD Patient Below-5-Male-4333,Female-3529, Above- Male-13665,Female- 17982, Grand total-39509, Emergency Patient Number of Below-5-Male- 1315,Female-1024, Above-Male-4785, Female-4980,Upazila Total IMCI Patient 8555,Nandail Health Complex Morbidly Profit-1. Diarrhea-1698,2. Peplic Ulcrer-1223,3. Pneumonia-917, 4. Assault-914, 5.Entiric Fever-880, 6.Bronchial Aathma-223,7. Urinary Treat Infcction-199 8. Bronehieetasion -197, Road Traffie Accident-189,10. Other-147.Nandail Health Complex Mortality Profite 1.Pneumonia-9,2. Asthma-4, 3. CVA-4. 4. Heart Failure-3, 5. Typhoid Fever-1 6. Peptie Ulcrer-1, 7. Tubercutosios-1Total Patient days in 365 day-16082,Bed Occupancy Rates 88.12,Average Length of Hospital Stay-2,* Hospital Death Rate-0.30-, Major Surgeries458, Minor Surgeries-2752,Coverage of households having access to safe drinking water 100%, Coverage of households having access to sanitary latrines 65%, Number of Nandail Upazila Pregnant women reccived atteastone 12304 , Normal deliveres -8369, Cesarean deliveres-1313 , Live Births in the-9369, Still Births - 376, Maternal Deaths -18,neonatal deaths(0-28 days)300, Infant deatha (0-11 month)=387,Under 5 deaths (0-5 years)=428,ANC-1389, PNC--6393, Nandail Upazila Health Complex 2015 TB Patient Below-5-Male-2,Female-0, Above- Male-263,Female-157,union Level Report /2015- Male-40570,Female-73862,Grant Total-114432 Nandail Upazila Comminity Clinics Total -patients Below-5-Male-11705, Female-13273 Upazila Comminity Clinics Total Above , Male- 75225 Female- 143931,Grant Total- 244134. Immediately needed manpower in Nandail upozila health complex includes;Night guard -three post,ML-SS-7, post,Cleaner- 4 post, Junior mechanic 1 pos