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Mehendiganj Upazila Health Complex | Health Bulletin 2015 |
Preface
By the grace of almighty ALLAH ,I am very much glad to publish this bulletin for this upazila. This bulletin contains all the health related information of 2015.This bulletin is published to disseminate all the health information of this upazila to other line department and development partners of health services. I hope all the information of this bulletin will help us for planning and bridging the gaps in health services of the upazila. This health bulletin will find out the failure and achievements of health services of this upazila in 2015.This bulletin’s information will help us to cover the MDG targets. Finally I would like to congratulate the initiator of the health bulletin for setting our step ahead toward digital Bangladesh. Dr. Jashim Uddin Howlader UH&FPO Mehendiganj,Barisal.
Dr. Jashim Uddin Hawlader
UH&FPO
Mehendiganj Upazila Health Complex

Mehendiganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Mehendiganj
Organization Code 10001988
Name of UHFPO Dr. Jashim Uddin Hawlader
Land Phone No. 1 04325-0432556014
Land Phone No. 2
FAX No.
Mobile No. 01719874171
Email mehendiganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.8264 And Long: 90.5279
No. of Unions in the Upazila13
No. of Households in the Upazila 65,231
Population in the Upazila 321,347
Area of Upazila in sq km 420.46

Mehendiganj 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) 9 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 0 0
No. of NGO Clinics/Facilities 0 0

Mehendiganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,994


Under 5 Mortality Rate: 10.340 (Per 1,000 live births)
Infant Mortality Rate: 6.226 (Per 1,000 live births)
Neonatal Mortality Rate: 4.114 (Per 1,000 live births)
Still Birth Rate: 5.670 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 19,902
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Mehendiganj 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: 6,115
Total Number of Deliveries: 8,262
Valid TT Coverage: 30.00 %
Maternal Mortality Ratio (MMR) is: 133.42 per 100,000 live births.

Mehendiganj 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 6,782 8,108 14,890 5,052 5,305 10,357 25,247 1,736 1,520 3,256 562 34 596 3,852
Union Sub-Centres 2,850 5,880 8,730 2,564 2,976 5,540 14,270 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 569 785 1,354 687 985 1,672 3,026 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 58,191 151,188 209,379 15,636 18,011 33,647 243,026 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

Mehendiganj 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 1,088 1,674 2,762 783 987 1,770 4,532 7 9 16 11 13 24 40
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

Mehendiganj 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 4,532
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 934 20.61
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 516 11.39
3 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 418 9.22
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 234 5.16
5 J459 Asthma, unspecified X: Diseases of the respiratory system 68 1.50
6 V031 Pedestrian injured in collision with car, pick-up truck or van, traffic accident XX: External causes of morbidity and mortality 37 0.82
7 T28 Burn and corrosion of other internal organs XIX: Injury, poisoning and certain other consequences of external causes 33 0.73
8 P394 Neonatal skin infection XVI: Certain conditions originating in the perinatal period 31 0.68
9 R522 Other chronic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 26 0.57
10 R520 Acute pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 24 0.53

Mehendiganj 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 40
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 17 42.50
2 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 9 22.50
3 J961 Chronic respiratory failure X: Diseases of the respiratory system 7 17.50
4 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 4 10.00
5 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 5.00
6 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1 2.50
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
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.) 9,968
Bed Occupancy Rates (%) 88.10
Average Length of Hospital Stay (No. of days per patient) 2.20
Hospital Death Rate (%) 0.88


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 568

 

Mehendiganj 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 11 1 6 4 36.36
Class III 122 59 28 35 28.69
Class IV 19 13 2 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 4 1 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 2 3 4 44.44
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 3 0 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 5 0 3 37.50
Class IV 4 2 0 2 50.00
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 38 15 15 8 21.05
Class IV 0 0 0 0 0.00

 

Mehendiganj 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 22 10 2 10 45.45
Non Doctor 0 0 0 0 0.00
Class II 11 1 6 4 36.36
Class III 175 84 45 46 26.29
Class IV 23 17 2 4 17.39
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

 

Mehendiganj 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 13 8 9 3 0 0 1 0 0
Nurse 0 0 0 0 10 7 0 0 7 4 0
Medical Assistant 0 0 13 5 2 2 0 0 5 0 0
Medical Technologist 0 0 0 0 6 2 0 0 0 0 0
CHCP 38 30 0 0 0 0 0 0 30 0 0
HI 0 0 0 0 5 5 0 0 5 0 0
AHI 0 0 0 0 14 14 0 0 14 0 0
HA 0 0 0 0 70 47 0 0 47 0 0

Mehendiganj 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 0 0 1 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 2 0 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Mehendiganj 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 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 12 6 6 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Mehendiganj 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 0 0 1
Vehicles
Ambulance 6 3 2 0 1


Mehendiganj 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) 2 0 2 0 0
Generator (gas) 0 0 0 0 0
Solar panel 2 2 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 5 5 0 0 0
Laptop 43 35 8 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 0 1
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 6 5 0 1 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 35 35 0 0 0
Multimedia 1 1 0 0 0


Mehendiganj 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 139 112 21 3 3

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

Important information and necessary issues for Mehendiganj Upazila Health Complex
Important information and necessary issues for Mehendiganj Upazila Health Complex We try to our level best to improve the health status of this upazila instead of many struggles. If the following problems are solved then we can improve our health services to a standard level. 1. Immediate fill up of the vacant posts. 2. Proper training to all the health stuffs. 3. All repairable equipments should be repaired and to ensure the availability of the necessary equipments. 4. Number of community clinic and the bed capacity of the health complex should be increased. 5. Proper steps in proper time. 6. No supply of short dated and unintended medicine and equipments. Finally I am very much happy to write the health bulletin of 2013 because this document will help us to compare our progress in upcoming years… Dr. Jashim Uddin Howlader UHFPO mehendiganj, Barisal.