HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Nagarkanda Upazila Health Complex | Health Bulletin 2014 |
Preface
After many years the DG Health published "A new Health Bulletin" Which contains everything of Health service from UHC to H& FWC, RD & CC. The HW at UHC, H & FWC RD & CC level do a lot of work.. On different types of Health services, But our Reporting system is very weak, So peoples could not know the Actual position of Health services throughout the country. Now at present govt. take decision to make a Health Bulletin which will meet all sectors of Health services. We thanks DGHS to introducing a new system Health Bulletin on Health services. This HB also contains the Informations on safe drinking water & sanitation status of the upazilla. This HB indicates achievement & failure of achievement at different sectors of Health services.
Dr. Sunil Kumar chakravorty
UH&FPO
Nagarkanda Upazila Health Complex

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaNagarkanda
Name of UHFPO Dr. Sunil Kumar chakravorty
Telephone No. 0632756115
FAX No. 0
Mobile No. 01711908727
Email nagarkanda@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 0.0000
No. of Unions in the Upazila17
No. of Households in the Upazila 69,356
No. of Population in the Upazila 365,247
Area of Upazila in sq km 348.26

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of Union Sub-Centres 15 0
No. of Union Health and Family Welfare Centres 15 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 35 0
No of Trauma Centres 0 0
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 2 0
No. of NGO Clinics/Facilities 0 0

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,856


Total No. of children treated under IMCI Program 6,223
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 17.35 per 1,000 live births.

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 4

Legends

  • R.P.W-
  • Registered Pregnanat Woman
  • 1st ANC-
  • No. of 1st ANC recipients
  • R.P.W-
  • No. of 4th ANC recipients
  • C. Preg-
  • No. of complicated pregnancies
  • N. deli-
  • No. of normal deliveries
  • V. deli-
  • No. of vaginal deliveries
  • C. deli-
  • No. of cesarean deliveries
  • PNC-
  • No. of PNC services provided to mother in the Upazila

Maternal health and MDG-5 (No.) (January-December, 2013)


All ANC Receiptients: 8059
Total Number of Deliveries: 10500
No. of Maternal Death: 16
Valid TT Coverage: 41.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 162.34 per 100,000 live births.

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 5

No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 14,800 4,052 10,748 6,774 1,431 1,003 428 790
Union Sub-Centres 41,549 13,225 28,324 9,788 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 41,273 19,360 21,913 11,114 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 203,391 49,849 153,542 32,586 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 9,253 0 9,253 0 0 0 0 0
Total 310,266 86,486 223,780 60,262 1,431 1,003 428 790
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 4,698 2,208 2,490 579 13 8 5 0
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,698 2,208 2,490 579 13 8 5 0

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 6

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 5277
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y092 Assault by unspecified means, school, other institution and public administrative area 1104 20.92
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 792 15.01
3 K270 Peptic ulcer, site unspecified, acute with haemorrhage 340 6.44
4 V892 Person injured in unspecified motor-vehicle accident, traffic 236 4.47
5 T629 Noxious substance eaten as food, unspecified 141 2.67
6 J180 Bronchopneumonia, unspecified 140 2.65
7 I119 Hypertensive heart disease without (congestive) heart failure 133 2.52
8 K913 Postoperative intestinal obstruction 123 2.33
9 J459 Asthma, unspecified 120 2.27
10 A880 Enteroviral exanthematous fever [Boston exanthem] 76 1.44

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 7

Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period 13
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I119 Hypertensive heart disease without (congestive) heart failure 5 38.46
2 J459 Asthma, unspecified 3 23.08
3 V892 Person injured in unspecified motor-vehicle accident, traffic 3 23.08
4 K270 Peptic ulcer, site unspecified, acute with haemorrhage 2 15.38
5 T629 Noxious substance eaten as food, unspecified 0 0.00
6 J180 Bronchopneumonia, unspecified 0 0.00
7 K913 Postoperative intestinal obstruction 0 0.00
8 K913 Postoperative intestinal obstruction 0 0.00
9 K270 Peptic ulcer, site unspecified, acute with haemorrhage 0 0.00
10 A880 Enteroviral exanthematous fever [Boston exanthem] 0 0.00

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 45.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 16,957
Bed Occupancy Rates (%) 92.91
Average Length of Hospital Stay (No. of days per patient) 3.20
Hospital Death Rate (%) 0.24


Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1442

 

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 21 6 1 14 66.67
Non Doctor 0 0 0 0 0.00
Class II 20 1 19 0 0.00
Class III 98 56 12 30 30.61
Class IV 26 6 6 14 53.85
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 2 2 11 73.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 20 8 9 3 15.00
Class IV 5 1 0 4 80.00
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 41 18 18 5 12.20
Class IV 0 0 0 0 0.00

 

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 36 8 3 25 69.44
Non Doctor 0 0 0 0 0.00
Class II 20 1 19 0 0.00
Class III 139 74 30 35 25.18
Class IV 31 7 6 18 58.06
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

 

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 12

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 15 4 21 7 0 0 1 0
Nurse 0 0 0 0 20 20 0 0 0 2
Medical Assistant 0 0 15 15 2 2 0 0 6 0
Medical Technologist 0 0 5 2 10 5 0 0 0 0
CHCP 41 36 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 11 7 0 0 0 0
HA 0 0 0 0 55 41 0 0 0 0
CSBA trained*** 0 0 0 0 10 9 0 0 0 0

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 13

Existing equipments 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) 2 1 1 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 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 2 1 0 1 0
Autoclave 2 1 0 1 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 2 1 0 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 8 4 2 2 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 8 4 2 2 0


Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 14

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 6 3 2 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 15

Existing equipments 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) 8 4 2 2 0
Colorimeter 4 2 2 0 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 10 5 4 1 0
Microscope (binocular) 0 0 0 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 16

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 0 0 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 2 1 0 1 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 17

Existing equipments 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) 6 3 3 0 0
Generator
Generator (diesel/petrol) 0 0 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 1 1 0 0
ICT equipment
Computer (desktop) 7 6 0 1 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 6 1 0 0
Scanner 0 0 0 0 0
UPS 2 1 0 1 0
Fax 0 0 0 0 0
Intercom 2 1 1 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 0 0 0 0 0


Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 18

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP
PA system (Sound) 2 1 1 0 0
Land phone 0 0 0 0 0
Mobile phone 1 1 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 91 51 25 15 0

Nagarkanda Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Nagarkanda Upazila Health Complex |
 Last year we could not give our maximum efforts to improve the health status due to many reasons.Here like mention some important factors which will help us toachive good results in future. 01 Repaire of community clinic and electricity or generator support is very essential. 02. The vaccant post should be filled immediately. 03. Our doctor,SACMO and nurse need more traning IMCI.04. We need start EMOC services immediately.05. We need a well equipt storeroom.06. We need anotherstomach wash room because of huge number of poisoning patients.07. We need one MT(lab)immediately.08. One photostat Machine to improve official documents.09. All the repairable equipments should be repaired as soon as possible. FinalyI am very happy t0 write this health bullitin 2012 because this documents will help us to compare our progress in up coming years. This is very useful documents and will help the public to understart health services and to provide us the useful advice for improvement in future.For runing Ambulance we need sufficint budget for the pursage of tiar,battery etc.