Iswarganj Upazila Health Complex | Health Bulletin 2014 |
Preface
It is my Great pleasure to have the opportunity to publish the local health bulletin 2014.With this publication it is easy to address to local health problems and it plays a great role to improve the overall health problems and to give a better health service. I especially thank Prof. Abul Kalam Azad A.D.G. DGHS & Director MIS. Dhaka For his overall Co-operation.
Iswarganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Iswarganj
Name of UHFPO Dr. Lakshmi Narayan Majumder
Telephone No. 0902756018
FAX No. 0
Mobile No. 01712714484
Email iswarganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.4123 And Long: 90.2340
No. of Unions in the Upazila 11
No. of Households in the Upazila 81,042
No. of Population in the Upazila 413,244
Area of Upazila in sq km 285.50
Iswarganj 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
3
0
No. of Union Health and Family Welfare Centres
6
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
42
0
No of Trauma Centres
0
0
No. of MCWCs
0
0
No. of Chest Disease Clinics (TB clinics)
1
0
No. of Private Clinics/Facilities
0
0
No. of NGO Clinics/Facilities
0
0
Iswarganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,532
Total No. of children treated under IMCI Program 9,364
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Iswarganj 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: 7727
Total Number of Deliveries: 8534
No. of Maternal Death: 15
Valid TT Coverage: 27.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Iswarganj 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
33,677
14,994
18,683
6,852
12,410
5,180
7,230
2,050
Union Sub-Centres
35,428
16,083
19,345
6,635
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
85,312
18,844
66,468
17,238
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
155,719
50,216
105,503
37,004
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)
374
244
130
3
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
310,510
100,381
210,129
67,732
12,410
5,180
7,230
2,050
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
6,846
2,627
4,219
1,734
12
3
9
6
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
6,846
2,627
4,219
1,734
12
3
9
6
Iswarganj 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
0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1634
0.00
2
J18 Pneumonia, organism unspecified
712
0.00
3
K25 Gastric ulcer
514
0.00
4
X850 Assault by drugs, medicaments and biological substances, home
388
0.00
5
D539 Nutritional anaemia, unspecified
320
0.00
6
J11 Influenza, virus not identified
167
0.00
7
J45 Asthma
144
0.00
8
I10 Essential (primary) hypertension
113
0.00
9
X48 Accidental poisoning by and exposure to pesticides
112
0.00
10
O08 Complications following abortion and ectopic and molar pregnancy
82
0.00
Iswarganj 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
0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J18 Pneumonia, organism unspecified
7
0.00
2
I679 Cerebrovascular disease, unspecified
3
0.00
3
G039 Meningitis, unspecified
2
0.00
4
J45 Asthma
2
0.00
5
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1
0.00
6
N19 Unspecified renal failure
1
0.00
7
I10 Essential (primary) hypertension
1
0.00
8
K253 Gastric ulcer, acute without haemorrhage or perforation
1
0.00
9
0
0.00
10
0
0.00
Iswarganj Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
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.)
1,773
Bed Occupancy Rates (%)
98.00
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
0.30
Iswarganj Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
543
Iswarganj 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
12
3
6
28.57
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
182
117
38
27
14.84
Class IV
28
18
4
6
21.43
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
6
2
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
2
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
4
2
0
0.00
Class IV
3
3
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
44
20
22
2
4.55
Class IV
0
0
0
0
0.00
Iswarganj 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
32
16
7
9
28.13
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
182
117
38
27
14.84
Class IV
28
18
4
6
21.43
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
Iswarganj 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
11
8
21
14
0
0
1
0
Nurse
0
0
0
0
15
15
0
0
1
2
Medical Assistant
0
0
11
11
2
2
0
0
0
0
Medical Technologist
0
0
0
0
7
7
0
0
0
0
CHCP
44
42
0
0
0
0
0
0
0
0
HI
0
0
0
0
6
6
0
0
0
0
AHI
0
0
0
0
19
19
0
0
0
0
HA
0
0
0
0
95
71
0
0
71
0
CSBA trained***
0
0
0
0
0
6
0
0
0
0
Iswarganj 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
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
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
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Iswarganj 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
1
1
0
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
Iswarganj 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)
1
1
0
0
0
Colorimeter
1
1
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)
1
1
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
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Iswarganj 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)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
1
1
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
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
Iswarganj 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)
1
0
0
1
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
0
1
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
4
2
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
1
1
0
0
0
Iswarganj 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
0
1
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
54
47
5
2
0
Iswarganj Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Iswarganj Upazila Health Complex |
Iswarganj Upzila Is a south eastern Upzila of Mymensingh Disrtict. There are a 50 bed hospital in the Upazila. It has three union sub center under DGHS.There are 42 running Community clinic and 6 Community clinic are proposed in the Upazia .CHCPs,health assistants & FWAs are providing services at community clinics.I feel proud that my staffs are delivering good service to the poor villagers with so many limitations. I like to mention some important factors which will help us to improve our service in future. Theses are: 1. The vacant posts should be filled up immediately. 2. Our doctors and nurses need more training on IMCI. 3. Number of community clinics should be increased. 4. All the repairable equipment’s should be repaired as early as possible. Finally I am very happy to publish this health bulletin of 2014, because this document will help us to compare our progress in upcoming years.
