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Manda Upazila Health Complex | Health Bulletin 2015 |
Preface
Manda Upazila is conslituted with 14 Union & 42 wards and total Population is 3,79906. This Upazila is very poor and major union is below land.Kusumba union is very femous union, seven Gombus Mosque is inhabitants of on five taka note.This Upazila is situated on the side of the river Atrai. 9 sub-centre, 6 new createated union sub-centre,48 Community Clinic is funtioning here.About 4 Lac. People getup Health and Femily Planning facilities through this centres. Beside this a fifty bed Hospital also provided services to the peaple.
Dr.Md. Atiqur Rahman Khan
UH&FPO
Manda Upazila Health Complex

Manda Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Manda
Organization Code 10001382
Name of UHFPO Dr.Md. Atiqur Rahman Khan
Land Phone No. 1 -0742562004
Land Phone No. 2
FAX No.
Mobile No. 01718013831
Email manda@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.7584 And Long: 88.7113
No. of Unions in the Upazila14
No. of Households in the Upazila 96,606
Population in the Upazila 379,906
Area of Upazila in sq km 375.94

Manda 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 9 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 48 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 6 18
No. of NGO Clinics/Facilities 0 0

Manda Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,734


Under 5 Mortality Rate: 42.281 (Per 1,000 live births)
Infant Mortality Rate: 32.454 (Per 1,000 live births)
Neonatal Mortality Rate: 23.791 (Per 1,000 live births)
Still Birth Rate: 3.362 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 33,351
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 99.5%

Manda 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: 13
Total No. of Recipients Who Took at least one ANC: 7,941
Total Number of Deliveries: 7,760
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR) is: 168.09 per 100,000 live births.

Manda 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 13,720 20,529 34,249 4,997 5,593 10,590 44,839 2,306 1,621 3,927 501 530 1,031 4,958
Union Sub-Centres 41,858 66,974 108,832 8,957 9,242 18,199 127,031 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 176,123 402,283 578,406 27,343 31,608 58,951 637,357 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

Manda 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 1,975 2,639 4,614 271 292 563 5,177 11 6 17 0 1 1 18
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

Manda 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 5,177
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y00 Assault by blunt object XX: External causes of morbidity and mortality 1362 26.31
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1207 23.31
3 T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs XIX: Injury, poisoning and certain other consequences of external causes 389 7.51
4 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 384 7.42
5 J45 Asthma X: Diseases of the respiratory system 383 7.40
6 N39 Other disorders of urinary system XIV: Diseases of the genitourinary system 341 6.59
7 J189 Pneumonia, unspecified X: Diseases of the respiratory system 276 5.33
8 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 210 4.06
9 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 119 2.30
10 F70 Mild mental retardation V: Mental and behavioural disorders 75 1.45

Manda 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 18
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 D63 Anaemia in chronic diseases classified elsewhere III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 7 38.89
2 J17 Pneumonia in diseases classified elsewhere X: Diseases of the respiratory system 4 22.22
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 3 16.67
4 J123 Human metapneumovirus pneumonia X: Diseases of the respiratory system 1 5.56
5 N16 Renal tubulo-interstitial disorders in diseases classified elsewhere XIV: Diseases of the genitourinary system 1 5.56
6 A17 Tuberculosis of nervous system I: Certain infectious and parasitic diseases 1 5.56
7 Y15 Poisoning by and exposure to alcohol, undetermined intent XX: External causes of morbidity and mortality 1 5.56
8 0 0.00
9 0 0.00
10 0 0.00

Manda 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 (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,097
Bed Occupancy Rates (%) 66.28
Average Length of Hospital Stay (No. of days per patient) 2.34
Hospital Death Rate (%) 0.35


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 284

 

Manda 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 9 2 10 47.62
Non Doctor 0 0 0 0 0.00
Class II 16 0 13 3 18.75
Class III 126 84 32 10 7.94
Class IV 31 16 7 8 25.81
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 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 15 0 0 15 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 24 19 4 1 4.17
Class IV 9 7 0 2 22.22
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 48 23 25 0 0.00
Class IV 0 0 0 0 0.00

 

Manda 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 36 4 0 32 88.89
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 142 86 42 14 9.86
Class IV 34 20 7 7 20.59
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

 

Manda 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 10 21 11 0 0 2 0 1
Nurse 0 0 0 0 16 13 0 0 2 1 1
Medical Assistant 0 0 15 15 2 2 0 0 3 0 0
Medical Technologist 0 0 0 0 7 7 0 0 0 0 0
CHCP 48 48 0 0 0 0 0 0 0 0 10
HI 0 0 0 0 4 2 0 0 0 0 10
AHI 0 0 0 0 12 9 0 0 0 0 0
HA 0 0 0 0 60 56 0 0 0 0 0

Manda 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) 1 0 1 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 2 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 4 2 2 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 3 3 0 0 0
Ceiling mounting OT Light 1 1 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 4 3 1 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Manda 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 5 3 2 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Manda 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 3 2 0 1 0


Manda 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 3 1 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 0 0 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 58 58 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 1 0 1 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Manda 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 127 116 10 1 0

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

Important information and necessary issues for Manda Upazila Health Complex
In this Manda Upazila is very urgently needed One Disital -300MA X-ray machine, One photocopy machine & One Ultrasonogram machine for good health care.