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Naria Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very happy to publish this health bulletin. This bulletin contains all the health related information of year 2014. This bulletin is published to disseminate the information for all health departments and development partners who contribute a lot to develop the health scenario of Bangladesh. I hope all the information of this bulletin will help for local planning the existing health services of this upazila.Health bulletin 2015 contains the remarkable achievements in our health sector.It contains many data and statistics which will help us to find out the remaining constraints. Finally I would like to congratulate the initiator of health bulletin software for settling us one step ahead forward Digital Bangladesh. Dr. Motiur Rahman. UH&FPO. UHC, Naria, Shariatpur.
Dr Matiur Rahman
UH&FPO
Naria Upazila Health Complex

Naria Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Naria
Organization Code 10000551
Name of UHFPO Dr Matiur Rahman
Land Phone No. 1 -060159110
Land Phone No. 2
FAX No.
Mobile No. 01716609030
Email naria@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.3093 And Long: 90.4292
No. of Unions in the Upazila15
No. of Households in the Upazila 50,507
Population in the Upazila 291,980
Area of Upazila in sq km 206.25

Naria 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 8 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 3 25
No. of NGO Clinics/Facilities 0 0

Naria Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,992


Under 5 Mortality Rate: 42.390 (Per 1,000 live births)
Infant Mortality Rate: 32.043 (Per 1,000 live births)
Neonatal Mortality Rate: 21.696 (Per 1,000 live births)
Still Birth Rate: 8.011 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 18,942
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Naria 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: 8
Total No. of Recipients Who Took at least one ANC: 6,007
Total Number of Deliveries: 5,729
Valid TT Coverage: 99.00 %
Maternal Mortality Ratio (MMR) is: 133.51 per 100,000 live births.

Naria 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 12,589 21,698 34,287 6,247 7,321 13,568 47,855 1,812 2,082 3,894 158 147 305 4,199
Union Sub-Centres 13,172 19,267 32,439 4,322 4,678 9,000 41,439 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) 15,678 20,690 36368 7,846 8,212 16,058 52,426 0 0 0 0 0 0 16,058
Community Clinics 22,645 25,697 48,342 8,762 10,244 19,006 67,348 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

Naria 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 1,812 2,082 3,894 158 147 305 4,199 5 3 8 0 0 0 8
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

Naria 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 4,199
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 H27 Other disorders of lens VII: Diseases of the eye and adnexa 587 13.98
2 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 335 7.98
3 R456 Physical violence XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 985 23.46
4 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 247 5.88
5 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1 0.02
6 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 0 0.00
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 0 0.00
8 J45 Asthma X: Diseases of the respiratory system 0 0.00
9 X45 Accidental poisoning by and exposure to alcohol XX: External causes of morbidity and mortality 0 0.00
10 I20 Angina pectoris IX: Diseases of the circulatory system 0 0.00

Naria 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 8
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I63 Cerebral infarction IX: Diseases of the circulatory system 2 25.00
2 I20 Angina pectoris IX: Diseases of the circulatory system 2 25.00
3 C341 Upper lobe, bronchus or lung IX: Diseases of the circulatory system 2 25.00
4 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 1 12.50
5 G009 Bacterial meningitis, unspecified VI: Diseases of the nervous system 1 12.50
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Naria 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.) 10,258
Bed Occupancy Rates (%) 90.66
Average Length of Hospital Stay (No. of days per patient) 2.44
Hospital Death Rate (%) 0.19


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 547

 

Naria 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 9 1 3 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 106 62 29 15 14.15
Class IV 23 11 7 5 21.74
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 4 2 5 45.45
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 4 1 6 54.55
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 4 4 0 0 0.00
Class IV 4 2 2 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 27 13 10 4 14.81
Class IV 0 0 0 0 0.00

 

Naria 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 24 9 7 8 33.33
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 139 88 32 19 13.67
Class IV 23 11 5 7 30.43
Other Hospitals & Clinics
Class I Doctor 24 5 7 12 50.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 144 79 40 25 17.36
Class IV 27 23 9 -5 -18.52

 

Naria 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 15 7 9 4 0 0 1 1 0
Nurse 0 0 0 0 10 7 0 0 0 0 0
Medical Assistant 0 0 15 8 2 2 0 0 4 0 0
Medical Technologist 0 0 0 0 5 2 0 0 0 0 0
CHCP 27 23 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 1 0 0 0 0 0
AHI 0 0 0 0 12 12 0 0 0 0 0
HA 0 0 0 0 60 57 0 0 0 0 0

Naria 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 0 0 1 0
X-ray machine (300 mA) 1 1 0 0 0
Ultrasonogram machine 1 1 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 2 1 1 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 2 2 0 0 0
Sucker machine (electric) 4 3 1 0 0
Ventilator 0 0 0 0 0


Naria 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Naria 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 1 1 0 0 0
Centrifuge machine (electric) 2 1 1 0 0
Colorimeter 4 2 2 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


Naria 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 2 1 1 0 0
Vehicles
Ambulance 2 1 0 1 0


Naria 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 0 0 0 0 0
ICT equipment
Computer (desktop) 8 7 0 1 0
Laptop 22 21 0 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 3 2 0 0
Scanner 1 1 0 0 0
UPS 1 1 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 1 1 0 0 0


Naria 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 0 1 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 0 1 0 0
Mobile phone 1 1 0 0 0
Total 72 58 10 4 0

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

Important information and necessary issues for Naria Upazila Health Complex
Last years we could not give over maximum efforts in improving the health status of Naria Upazila due to many reasons . Here I would like to which will help us mention some important factors which will help us to achieve good results in future. 1. The vacant posts should be filled immediately .2. Our Doctors need more training on IMCI & EOC .3. We need a new X-ray machine for better health service. 4, DSF program is going on this upazila .Logistic & supporting stuff are not available in time.4.Also instrument and furniture are not sufficient in the community clinics which should be increased .Finally I am very happy to the eHEALTH Bulletin2015 because this documents will help us to compare our progress in upcoming years. This very useful documents and will help the public to understand health service and to provide us the useful advice for improvement in the future, Dr. Motiur Rahman, UH&FPO,Naria, Shariatpur.