Niamatpur Upazila Health Complex | Health Bulletin 2015 |
Preface
It is our great pleasure to publish this health bulletin,being inspired by the dynamic initiative of MIS division of DGHS. We work a lot with many limitations but still our achievement is an instance among SAARC countries goal.But many people actually don’t know what we do here and what are our limitations. This bulletin will Provide an opportunity to know our achievement, our limitations and challenges in the working field. On the other hand, our higher authority will be able to see at a glance where is the most vulnerable corner and it will help them to take quick necessary action more correctly. This will help and potentiate our activities and we together will be able to run fast towards our goal. Finally,we would like to congratulate and thank the MIS division and initiator of the health bulletin software for such a time needed initiative and this will uplift our status in the race of building Digital Bangladesh.
Dr Md Rezaul Karim
UH&FPO
Niamatpur Upazila Health Complex
Niamatpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Niamatpur
Organization Code
10001395
Name of UHFPO Dr.Md.Rezaul Karim
Land Phone No. 1
-0742756014
Land Phone No. 2
FAX No.
Mobile No.
01718225722
Email neyamatpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
89.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 57,691
Population in the Upazila 250,260
Area of Upazila in sq km 449.00
Niamatpur 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
7
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
1
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
30
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
5
0
No. of NGO Clinics/Facilities
0
0
Niamatpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,065
Under 5 Mortality Rate: 42.066 (Per 1,000 live births)
Infant Mortality Rate: 30.504 (Per 1,000 live births)
Neonatal Mortality Rate: 17.466 (Per 1,000 live births)
Still Birth Rate: 0.738 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 40,303
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 96%
Niamatpur 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:
3,542
Total Number of Deliveries:
4,068
Valid TT Coverage: 31.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Niamatpur 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
14,430
22,539
36,969
2,820
2,891
5,711
42,680
1,413
1,120
2,533
211
285
496
3,029
Union Sub-Centres
4,020
5,505
9,525
238
261
499
10,024
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)
12,647
36,193
48840
6,520
6,849
13,369
62,209
0
0
0
0
0
0
13,369
Community Clinics
78,942
156,174
235,116
14,126
15,423
29,549
264,665
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
Niamatpur 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
1,551
1,958
3,509
461
568
1,029
4,538
4
7
11
2
0
2
13
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
Niamatpur 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
4,538
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
659
14.52
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
624
13.75
3
T44 Poisoning by drugs primarily affecting the autonomic nervous system
XIX: Injury, poisoning and certain other consequences of external causes
170
3.75
4
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
145
3.20
5
F41 Other anxiety disorders
V: Mental and behavioural disorders
133
2.93
6
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
127
2.80
7
J17 Pneumonia in diseases classified elsewhere
X: Diseases of the respiratory system
119
2.62
8
E44 Protein-energy malnutrition of moderate and mild degree
IV: Endocrine, nutritional and metabolic diseases
106
2.34
9
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
94
2.07
10
J47 Bronchiectasis
X: Diseases of the respiratory system
66
1.45
Niamatpur 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
13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R570 Cardiogenic shock
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
4
30.77
2
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
2
15.38
3
I69 Sequelae of cerebrovascular disease
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
2
15.38
4
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
2
15.38
5
J45 Asthma
X: Diseases of the respiratory system
1
7.69
6
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
1
7.69
7
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1
7.69
8
0
0.00
9
0
0.00
10
0
0.00
Niamatpur 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 (%)
93.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
11,243
Bed Occupancy Rates (%)
61.61
Average Length of Hospital Stay (No. of days per patient)
2.48
Hospital Death Rate (%)
0.29
Niamatpur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
313
Niamatpur 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
1
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
12
0
7
5
41.67
Class III
65
32
19
14
21.54
Class IV
19
4
3
12
63.16
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
5
2
1
12.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
6
3
0
0.00
Class IV
1
1
0
0
0.00
Rural Dispensaries
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
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
30
15
14
1
3.33
Class IV
0
0
0
0
0.00
Niamatpur 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
17
8
3
6
35.29
Non Doctor
0
0
0
0
0.00
Class II
12
0
7
5
41.67
Class III
74
37
23
14
18.92
Class IV
20
5
3
12
60.00
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
Niamatpur 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
8
7
9
4
0
0
1
1
0
Nurse
0
0
0
0
12
7
0
0
1
1
0
Medical Assistant
0
0
8
8
2
2
0
0
8
0
0
Medical Technologist
0
0
0
0
6
5
0
0
0
0
0
CHCP
30
29
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
2
1
0
0
0
0
0
AHI
0
0
0
0
7
5
0
0
0
0
0
HA
0
0
0
0
35
28
0
0
0
0
5
Niamatpur 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)
0
0
0
0
0
X-ray machine (300 mA)
1
1
0
0
0
Ultrasonogram machine
0
0
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
1
1
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Niamatpur 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
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Niamatpur 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)
2
1
0
1
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
2
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Niamatpur 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
Niamatpur 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
2
2
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)
8
6
1
1
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
6
5
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
0
0
0
0
0
Multimedia
1
1
0
0
0
Niamatpur 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
58
44
11
3
0
Niamatpur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Niamatpur Upazila Health Complex