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Madarganj Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to published this health bulletin Madarganj Upazila. This Health Bulletin Containsall the health relation 2012.I hope all therelation of thisbulletinwith help for planing helt service of this Upazila.
Dr. A M Z Kadir
UH&FPO
Madarganj Upazila Health Complex

Madarganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaMadarganj
Name of UHFPO Dr. A M Z Kadir
Telephone No. 0982556016
FAX No. 0
Mobile No. 01717628102
Email madarganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.8939 And Long: 89.8933
No. of Unions in the Upazila7
No. of Households in the Upazila 63,199
No. of Population in the Upazila 279,198
Area of Upazila in sq km 225.38

Madarganj 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 4 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 32 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 6 0
No. of NGO Clinics/Facilities 0 0

Madarganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,321


Total No. of children treated under IMCI Program 6,909
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 8.86 per 1,000 live births.

Madarganj 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: 1214
Total Number of Deliveries: 13843
No. of Maternal Death: 8
Valid TT Coverage: 82.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 126.56 per 100,000 live births.

Madarganj 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 10,865 4,552 6,313 1,067 4,255 1,952 2,303 310
Union Sub-Centres 34,017 18,099 15,918 6,967 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 221,000 76,000 145,000 13,455 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 265,882 98,651 167,231 21,489 4,255 1,952 2,303 310
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 2,777 1,365 1,412 403 14 7 7 2
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 2,777 1,365 1,412 403 14 7 7 2

Madarganj 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 2777
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y08 Assault by other specified means 552 19.88
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 250 9.00
3 Y76 Obstetric and gynaecological devices associated with adverse incidents 244 8.79
4 J17 Pneumonia in diseases classified elsewhere 141 5.08
5 R50 Fever of unknown origin 136 4.90
6 R52 Pain, NEC 134 4.83
7 V87 Traffic accident of specified type but victim's mode of transport unknown 111 4.00
8 J96 Respiratory failure, NEC 82 2.95
9 T81 Complications of procedures, NEC 32 1.15
10 R162 Hepatomegaly with splenomegaly, NEC 28 1.01

Madarganj 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 16
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J459 Asthma, unspecified 7 43.75
2 R100 Acute abdomen 3 18.75
3 N946 Dysmenorrhoea, unspecified 2 12.50
4 R074 Chest pain, unspecified 2 12.50
5 O218 Other vomiting complicating pregnancy 1 6.25
6 S091 Injury of muscle and tendon of head 1 6.25
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,380
Bed Occupancy Rates (%) 57.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.03


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1668

 

Madarganj 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 9 1 2 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 0 5 5 50.00
Class III 72 42 18 12 16.67
Class IV 20 2 14 4 20.00
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 4 0 2 2 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 6 2 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 32 10 20 2 6.25
Class IV 0 0 0 0 0.00

 

Madarganj 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 16 1 4 11 68.75
Non Doctor 0 0 0 0 0.00
Class II 10 5 5 0 0.00
Class III 84 52 20 12 14.29
Class IV 24 18 2 4 16.67
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

 

Madarganj 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 4 2 9 3 3 0 0 1
Nurse 0 0 0 0 11 5 0 0 2 1
Medical Assistant 0 0 4 4 2 2 3 3 5 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0
CHCP 32 30 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 3 3 0 0
AHI 0 0 0 0 0 0 9 9 0 0
HA 0 0 0 0 0 0 45 35 0 0
CSBA trained*** 0 0 0 0 0 0 8 8 0 0

Madarganj 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 1 0 0 0
X-ray machine (300 mA) 0 0 0 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 1 1 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 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 3 2 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 3 2 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 4 4 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 5 5 0 0 0
Sterilizer 5 5 0 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 4 4 0 0 0


Madarganj 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 1 1 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 4 2 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Madarganj 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) 0 0 0 0 0
Colorimeter 2 1 1 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 0 0 0 0 0
Microscope (binocular) 3 2 1 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


Madarganj 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 1 1 0 0 0
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 1 1 0 0 0
Deep freeze (RBC) 1 1 0 0 0
Refrigerator 2 2 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 1 1 0 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


Madarganj 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) 4 4 0 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 0 0 0 0 0
ICT equipment
Computer (desktop) 6 6 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Madarganj 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) 0 0 0 0 0
Land phone 1 1 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 69 61 8 0 0

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

Important information and necessary issues for Madarganj Upazila Health Complex |