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Nagarpur Upazila Health Complex | Health Bulletin 2015 |
Preface
THE PRIMARY HEALTH CARE SERVICES IN THIS AREA WAS STARTED AT1973 UNDER "THANA HEALTH CARE PROJECT". IN 1984 IT WAS NAMED UPAZILLA HEALTH COMPLEX. IT HAS 50 BED FOR ADMITED PATIENT AND ORT CORNER, IMCI CORNER, NEW BORN CARE UNIT. BASIC EOC ALSO FUNTIONAL
DR. MINOTI RANI SAHA
UH&FPO
Nagarpur Upazila Health Complex

Nagarpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nagarpur
Organization Code 10000634
Name of UHFPO DR. MINOTI RANI SAHA
Land Phone No. 1 -0923373009
Land Phone No. 2
FAX No.
Mobile No. 01741205640
Email nagarpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 62,971
Population in the Upazila 311,879
Area of Upazila in sq km 270.77

Nagarpur 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 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 4 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 35 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 1 0
No. of Private Clinics/Facilities 7 0
No. of NGO Clinics/Facilities 1 0

Nagarpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,534


Under 5 Mortality Rate: 23.416 (Per 1,000 live births)
Infant Mortality Rate: 19.437 (Per 1,000 live births)
Neonatal Mortality Rate: 14.998 (Per 1,000 live births)
Still Birth Rate: 6.887 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 47,424
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Nagarpur 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: 0
Total No. of Recipients Who Took at least one ANC: 7,954
Total Number of Deliveries: 7,144
Valid TT Coverage: 17.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Nagarpur 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 21,700 21,100 42,800 5,100 7,600 12,700 55,500 510 750 1,260 102 201 303 1,563
Union Sub-Centres 2,400 3,300 5,700 724 1,278 2,002 7,702 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 20,550 26,705 47,255 4,432 6,210 10,642 57,897 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 44,110 65,905 110,015 12,405 16,555 28,960 138,975 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

Nagarpur 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 1,321 3,063 4,384 102 230 332 4,716 8 2 10 0 0 0 10
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

Nagarpur 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 4,384
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1620 36.95
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 521 11.88
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 324 7.39
4 T38 Poisoning by hormones and their synthetic substitutes and antagonists, NEC XIX: Injury, poisoning and certain other consequences of external causes 208 4.74
5 I059 Mitral valve disease, unspecified IX: Diseases of the circulatory system 198 4.52
6 J45 Asthma X: Diseases of the respiratory system 418 9.53
7 V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident XX: External causes of morbidity and mortality 189 4.31
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 232 5.29
9 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 190 4.33
10 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 65 1.48

Nagarpur 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 10
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 2 20.00
2 J459 Asthma, unspecified X: Diseases of the respiratory system 3 30.00
3 I21 Acute myocardial infarction XIX: Injury, poisoning and certain other consequences of external causes 3 30.00
4 K769 Liver disease, unspecified XI: Diseases of the digestive system 1 10.00
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 10.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91.00
Coverage of households having access to sanitary latrines (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,743
Bed Occupancy Rates (%) 69.82
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 0.49


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 388

 

Nagarpur 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 3 3 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 11 1 10 0 0.00
Class III 96 38 30 28 29.17
Class IV 19 13 3 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 3 1 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 1 0 3 75.00
Rural Dispensaries
Class I Doctor 2 0 1 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 1 0 0.00
Class IV 2 2 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 35 16 18 1 2.86
Class IV 0 0 0 0 0.00

 

Nagarpur 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 7 4 20.00
Non Doctor 0 0 0 0 0.00
Class II 11 1 10 0 0.00
Class III 114 80 52 -18 -15.79
Class IV 26 17 3 6 23.08
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

 

Nagarpur 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 11 10 9 7 0 0 2 1 0
Nurse 0 0 0 0 11 11 0 0 8 3 0
Medical Assistant 0 0 11 11 2 2 0 0 7 0 0
Medical Technologist 0 0 6 0 7 7 0 0 0 0 0
CHCP 35 34 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 12 12 0 0 0 0 1
HA 0 0 0 0 60 46 0 0 0 0 8

Nagarpur 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 1 1 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 1 0 1 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 1 1 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 1 1 0 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Nagarpur 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 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Nagarpur 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 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Nagarpur 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 1 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 2 1 0 0 1


Nagarpur 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) 1 0 1 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 0 0 0 1
ICT equipment
Computer (desktop) 9 8 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 2 2 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


Nagarpur 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 0 1 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 45 37 5 1 2

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

Important information and necessary issues for Nagarpur Upazila Health Complex