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Muktagacha Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very much glad to publish this health bulletin of Muktagacha Upazila Mymensingh. This bulletin contains all the health related data and information of Muktagacha upazila , Mymensingh of 2013. Finally I would like to congratulate the initiartor of the health bulletin software for setting us one step ahead toward Digital Bangladesh. I hope success of this health bulletin software.
Dr. Sufia Shirin
UH&FPO
Muktagacha Upazila Health Complex

Muktagacha Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaMuktagacha
Name of UHFPO Dr. Sufia Shirin
Telephone No. 0902875218
FAX No. 0
Mobile No. 01727734732
Email muktagacha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.4541 And Long: 90.1613
No. of Unions in the Upazila10
No. of Households in the Upazila 90,789
No. of Population in the Upazila 409,638
Area of Upazila in sq km 314.70

Muktagacha 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 4 0
No. of Union Health and Family Welfare Centres 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 39 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 0 0

Muktagacha Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,063


Total No. of children treated under IMCI Program 19,346
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 29.46 per 1,000 live births.

Muktagacha 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: 9030
Total Number of Deliveries: 9104
No. of Maternal Death: 18
Valid TT Coverage: 26.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 198.61 per 100,000 live births.

Muktagacha 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 70,021 28,457 41,564 15,107 8,257 4,800 3,457 1,612
Union Sub-Centres 54,774 25,576 29,198 2,209 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 266,912 83,357 183,555 39,486 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 391,707 137,390 254,317 56,802 8,257 4,800 3,457 1,612
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 6,625 2,014 4,611 651 10 6 4 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 6,625 2,014 4,611 651 10 6 4 0

Muktagacha 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 7276
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 K297 Gastritis, unspecified 1125 15.46
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 684 9.40
3 X850 Assault by drugs, medicaments and biological substances, home 619 8.51
4 A010 Typhoid fever 363 4.99
5 T509 Other and unspecified drugs, medicaments and biological substances 270 3.71
6 J189 Pneumonia, unspecified 240 3.30
7 J459 Asthma, unspecified 207 2.84
8 V099 Pedestrian injured in unspecified transport accident 97 1.33
9 C689 Urinary organ, unspecified 91 1.25
10 I159 Secondary hypertension, unspecified 87 1.20

Muktagacha 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 10
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J459 Asthma, unspecified 4 40.00
2 I516 Cardiovascular disease, unspecified 2 20.00
3 I490 Ventricular fibrillation and flutter 1 10.00
4 N189 Chronic renal failure, unspecified 1 10.00
5 T509 Other and unspecified drugs, medicaments and biological substances 1 10.00
6 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1 10.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 86.00
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.) 9,370
Bed Occupancy Rates (%) 83.00
Average Length of Hospital Stay (No. of days per patient) 1.42
Hospital Death Rate (%) 0.15


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 2583

 

Muktagacha 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 7 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 2 8 1 9.09
Class III 103 61 28 14 13.59
Class IV 19 13 2 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 1 1 4 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 2 1 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 7 1 0 0.00
Class IV 4 3 0 1 25.00
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 50 10 28 12 24.00
Class IV 0 0 0 0 0.00

 

Muktagacha 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 19 10 4 5 26.32
Non Doctor 0 0 0 0 0.00
Class II 11 2 8 1 9.09
Class III 117 72 31 14 11.97
Class IV 23 16 2 5 21.74
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

 

Muktagacha 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 10 5 9 9 0 0 0 0
Nurse 0 0 0 0 12 11 0 0 3 2
Medical Assistant 0 0 10 10 2 2 0 0 11 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0
CHCP 50 38 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 13 13 0 0 0 0
HA 0 0 0 0 65 51 0 0 0 0
CSBA trained*** 0 0 0 0 0 2 0 0 0 0

Muktagacha 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 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 0 0 0 0 0
Autoclave 0 0 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 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 1 1 0 0 0


Muktagacha 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 3 1 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


Muktagacha 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 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) 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Muktagacha 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 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 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


Muktagacha 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 0 0 0 2
Generator
Generator (diesel/petrol) 2 1 1 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) 9 7 0 2 0
Laptop 40 40 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 3 0 0 3 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


Muktagacha 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 89 73 9 5 2

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

Important information and necessary issues for Muktagacha Upazila Health Complex |
 Last year we could not give maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to acheive good results in future. (1) The vacant post should be filled immediately. (2) Our doctors and nurse need more training on IMCI / EMoc. (3) Number of community clinic and the bed capacity of the health complex should be increased 31 beds to 50 beded also manpower and MSR. (4) All the repairable equipments should be repaired as soon as possible. I am very happy to write this health bulletin of 2013. This is very useful document and will help the public to understand health services to provide us the useful advice for improvement in future.