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

Nikhli Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Nikli upazila.This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Nikli upazila health service status to other line department and development partners of health service.I hope all the information of this bulletin will help for planning and bridging the gaps in health services.. This health bulletin will help us to find contents and also to see the results and achievement of upazila health service in 2013. The bulletin contains the status of MDG4 and MDG5 which will help to re plan the implementation of MDG goal. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2013.I like to take attention of the higher authority to look for this issue. Finally i would like to congratulate the initiator of the health bulletin software planner for setting us one step ahead toward Digital Bangladesh.
DR.MD.ABDUL MOJID
UH&FPO
Nikhli Upazila Health Complex

Nikhli Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaNikhli
Name of UHFPO DR.MD.ABDUL MOJID
Telephone No. 0943256004
FAX No. 0
Mobile No. 01716435893
Email nikli@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 91.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 31,495
No. of Population in the Upazila 153,937
Area of Upazila in sq km 214.00

Nikhli 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 31
No. of Union Sub-Centres 0 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 15 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 0 0
No. of NGO Clinics/Facilities 1 0

Nikhli Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,924


Total No. of children treated under IMCI Program 14,754
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 7.65 per 1,000 live births.

Nikhli 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: 1902
Total Number of Deliveries: 3372
No. of Maternal Death: 1
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 25.48 per 100,000 live births.

Nikhli 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 97,863 49,205 48,658 5,532 5,900 3,742 2,158 1,540
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 21,425 6,444 14,981 6,424 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 143,380 48,740 94,640 25,604 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 17,658 7,452 10,206 1,035 0 0 0 0
Total 280,326 111,841 168,485 38,595 5,900 3,742 2,158 1,540
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 2,876 1,401 1,475 796 4 2 2 3
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 2,876 1,401 1,475 796 4 2 2 3

Nikhli 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 3672
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 857 23.34
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 762 20.75
3 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 540 14.71
4 A04 Other bacterial intestinal infections 500 13.62
5 B349 Viral infection, unspecified 201 5.47
6 K27 Peptic ulcer, site unspecified 195 5.31
7 A01 Typhoid and paratyphoid fevers 125 3.40
8 A010 Typhoid fever 85 2.31
9 O080 Genital tract and pelvic infection following abortion and ectopic and molar pregnancy 14 0.38
10 D50 Iron deficiency anaemia 10 0.27

Nikhli 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 7
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J170 Pneumonia in bacterial diseases classified elsewhere 3 42.86
2 J42 Unspecified chronic bronchitis 2 28.57
3 J18 Pneumonia, organism unspecified 1 14.29
4 J459 Asthma, unspecified 1 14.29
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 82.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 7,767
Bed Occupancy Rates (%) 69.00
Average Length of Hospital Stay (No. of days per patient) 2.20
Hospital Death Rate (%) 0.19


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 2029

 

Nikhli 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 16 9 2 5 31.25
Non Doctor 0 0 0 0 0.00
Class II 8 0 6 2 25.00
Class III 92 51 19 22 23.91
Class IV 23 16 4 3 13.04
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 8 5 0 3 37.50
Class IV 8 2 3 3 37.50
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 16 6 10 0 0.00
Class IV 0 0 0 0 0.00

 

Nikhli 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 9 2 5 31.25
Non Doctor 0 0 0 0 0.00
Class II 8 0 6 2 25.00
Class III 92 50 19 23 25.00
Class IV 23 16 4 3 13.04
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

 

Nikhli 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 0 0 9 5 7 6 1 1
Nurse 0 0 0 0 8 6 0 0 1 0
Medical Assistant 0 0 0 0 9 3 0 0 0 0
Medical Technologist 0 0 0 0 8 3 0 0 0 0
CHCP 16 16 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 1 0 0 0 0
AHI 0 0 0 0 8 7 0 0 0 0
HA 0 0 0 0 40 33 0 0 0 0
CSBA trained*** 16 16 0 0 0 0 0 0 0 0

Nikhli 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) 0 0 0 0 0
X-ray machine (300 mA) 1 0 0 1 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 0 0 1 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 1 1 0 0 0
Autoclave 1 1 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 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


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


Nikhli 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 0 0 0 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) 5 1 4 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


Nikhli 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 3 3 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


Nikhli 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 3 1 2 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 7 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 0 0 0 0 0
UPS 0 0 0 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Nikhli 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 39 30 7 2 0

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

Important information and necessary issues for Nikhli Upazila Health Complex |
 Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I would like to mention some important factors which will help us to achieve good results in future. (1). the vacant posts should be filled immediately. (2). our doctors, nurse and paramedic need more training on IMCI/EMOc And Computer Traning.(3.) 2 (Two) community clinic is not built of this upazila ,of the CC no 17. Number of community clinic and the bed capacity of the health complex should be increased (4.) All the repairable equipment’s should be repaired and all repairbul equipments shoud be supply for cmsd soon as possible . I am very happy to write this health bulletin of 2013, 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 useful advice for improvement in future.