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Monirampur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin Monirampur upazila.This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of this upazila to other line department and development partners of Health.I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila.Government health offices have many data stored in the file.This health bulletin will help us to find constrains and also to see the results and achievements of 2014.The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets.This health bulletin has also the information on safe drinking water and sanitation status of the upazila.All the Sanctioned and vaccant posts are published in this bulletin.I like to draw attention of the higher authority to look into this issue.Finally I would like to congratulate the intiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh. Dr.Md.Abul Kalam azad. Upazila Health & Family Planning Officer, Monirampur,Jessore
Dr.Md.Abul Kalam Azad
UH&FPO
Monirampur Upazila Health Complex

Monirampur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Monirampur
Organization Code 10001763
Name of UHFPO Dr.Md.Abul Kalam Azad
Land Phone No. 1 -0422778230
Land Phone No. 2
FAX No.
Mobile No. 01718071234
Email manirampur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0088 And Long: 89.2354
No. of Unions in the Upazila17
No. of Households in the Upazila 100,153
Population in the Upazila 449,155
Area of Upazila in sq km 444.75

Monirampur 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 17 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) 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

Monirampur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,583


Under 5 Mortality Rate: 45.268 (Per 1,000 live births)
Infant Mortality Rate: 35.698 (Per 1,000 live births)
Neonatal Mortality Rate: 25.520 (Per 1,000 live births)
Still Birth Rate: 1.975 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 24,592
Fully Vaccinated Children (<= 12 months): 91.00 %
Fully Vaccinated Children (<= 23 months): 92%

Monirampur 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: 12
Total No. of Recipients Who Took at least one ANC: 4,728
Total Number of Deliveries: 6,596
Valid TT Coverage: 88.00 %
Maternal Mortality Ratio (MMR) is: 182.29 per 100,000 live births.

Monirampur 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 13,812 19,209 33,021 4,928 6,578 11,506 44,527 1,395 1,572 2,967 995 803 1,798 4,765
Union Sub-Centres 2,955 8,073 11,028 1,305 1,603 2,908 13,936 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 70,544 146,157 216,701 9,857 10,916 20,773 237,474 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

Monirampur 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 2,434 3,633 6,067 210 419 629 6,696 18 7 25 0 0 0 25
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

Monirampur 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 6,696
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 777 11.60
2 Y04 Assault by bodily force XX: External causes of morbidity and mortality 652 9.74
3 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 450 6.72
4 A94 Unspecified arthropod-borne viral fever I: Certain infectious and parasitic diseases 367 5.48
5 B95 Streptococcus and staphylococcus as the cause of diseases classified to other chapters I: Certain infectious and parasitic diseases 296 4.42
6 J45 Asthma X: Diseases of the respiratory system 215 3.21
7 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 199 2.97
8 K35 Acute appendicitis XI: Diseases of the digestive system 197 2.94
9 T440 Anticholinesterase agents XIX: Injury, poisoning and certain other consequences of external causes 189 2.82
10 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 111 1.66

Monirampur 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 25
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 G46 Vascular syndromes of brain in cerebrovascular diseases VI: Diseases of the nervous system 7 28.00
2 I21 Acute myocardial infarction IX: Diseases of the circulatory system 4 16.00
3 J45 Asthma VI: Diseases of the nervous system 4 16.00
4 T440 Anticholinesterase agents XIX: Injury, poisoning and certain other consequences of external causes 2 8.00
5 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 1 4.00
6 I25 Chronic ischaemic heart disease IX: Diseases of the circulatory system 1 4.00
7 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1 4.00
8 K56 Paralytic ileus and intestinal obstruction without hernia XI: Diseases of the digestive system 1 4.00
9 B15 Acute hepatitis A I: Certain infectious and parasitic diseases 1 4.00
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1 4.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 63.00
Coverage of households having access to sanitary latrines (%) 92.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 15,954
Bed Occupancy Rates (%) 87.42
Average Length of Hospital Stay (No. of days per patient) 2.38
Hospital Death Rate (%) 0.37


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 349
Minor Surgeries 129

 

Monirampur 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 5 2 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 104 48 20 36 34.62
Class IV 19 12 3 4 21.05
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 17 14 2 1 5.88
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 19 13 3 3 15.79
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 43 27 14 2 4.65
Class IV 0 0 0 0 0.00

 

Monirampur 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 26 20 4 2 7.69
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 166 88 37 41 24.70
Class IV 21 14 3 4 19.05
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

 

Monirampur 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 17 17 9 7 0 0 1 1 0
Nurse 0 0 0 0 11 11 0 0 0 0 0
Medical Assistant 0 0 17 15 2 2 0 0 0 0 0
Medical Technologist 0 0 2 1 8 6 0 0 0 0 0
CHCP 43 41 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 13 5 0 0 0 0 0
HA 0 0 0 0 65 43 0 0 0 0 9

Monirampur 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 0 1 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 4 2 2 0 0
Sucker machine (electric) 3 2 1 0 0
Ventilator 0 0 0 0 0


Monirampur 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 3 3 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 2 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Monirampur 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 2 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Monirampur 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) 5 5 0 0 0
Generator
Generator (diesel/petrol) 3 2 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 6 1 0 0
Laptop 41 39 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 0 0 0
Fax 0 0 0 0 0
Intercom 6 6 0 0 0
Internet fixed line 4 4 0 0 0
Internet wireless line 41 39 2 0 0
Multimedia 1 1 0 0 0


Monirampur 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 160 142 15 3 0

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

Important information and necessary issues for Monirampur Upazila Health Complex
Important Information and necessary issue for Upazila Health Complex,Monirampur,Jessore.Last year we tried to give our maximum efforts to improve the health status.Here i like to mention some important factors which will help us to achieve more good result in future.(1) The vaccant posts should be filled.(2) Our X-ray machine should be repaired immediately.(3) Non structured community clinics and Sub-centers should be made structured soon.(4) There is no structures in union sub-centers.(5)All the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years.This is very useful document and will help the public to understand health services and to provide us the usefull advices to improve in future. Dr.Md.Abul Kalam Azad, Upazila Health & Family Planning Officer, Monirampur,Jessore