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

Naria Upazila Health Complex | Health Bulletin 2014 |
Preface
I welcome everybody to this health bulletin. This bulletin contains all the health related information of year 2013. This bulletin is published to disseminate the information of Health Service of NARIA Upazila. I hope all the information of this bulletin will help for local planning and bridging the gaps in HEALTH SERVICE of this upazila. It will help us to find constrains the status of MDG4 and MDG5. All vacant posts are published in this bulletin of 2013. I would like to take attention of the higher authority to look into this issue. Finally, I would like to pay my heart felt gratitude to the honorable Prime Minister and to the Leadership of MIS section of our Health Directorate for whom their efforts has eventually come to a reality.
Dr Matiur Rahman
UH&FPO
Naria Upazila Health Complex

Naria Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaNaria
Name of UHFPO Dr Matiur Rahman
Telephone No. 060159110
FAX No. 0
Mobile No. 01716609030
Email naria@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.3093 And Long: 90.4292
No. of Unions in the Upazila15
No. of Households in the Upazila 46,507
No. of Population in the Upazila 242,435
Area of Upazila in sq km 206.25

Naria 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 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 16 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 3 25
No. of NGO Clinics/Facilities 0 0

Naria Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,675


Total No. of children treated under IMCI Program 11,683
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 21.82 per 1,000 live births.

Naria 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: 465
Total Number of Deliveries: 4989
No. of Maternal Death: 8
Valid TT Coverage: 97.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 171.12 per 100,000 live births.

Naria 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 31,071 10,820 20,251 5,139 2,897 1,922 975 536
Union Sub-Centres 16,937 7,572 9,365 2,383 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 31,411 7,310 24,101 7,101 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 65,568 21,856 43,712 9,164 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 0 218 97 121 19
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 144,987 47,558 97,429 23,787 3,115 2,019 1,096 657
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 3,369 1,521 1,848 821 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 3,369 1,521 1,848 821 13 8 5 0

Naria 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 4190
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 445 10.62
2 J110 Influenza with pneumonia, virus not identified 301 7.18
3 R456 Physical violence 1407 33.58
4 K27 Peptic ulcer, site unspecified 382 9.12
5 R509 Fever, unspecified 307 7.33
6 R100 Acute abdomen 106 2.53
7 V892 Person injured in unspecified motor-vehicle accident, traffic 252 6.01
8 I20 Angina pectoris 117 2.79
9 J46 Status asthmaticus 85 2.03
10 X48 Accidental poisoning by and exposure to pesticides 53 1.26

Naria 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 J46 Status asthmaticus 6 46.15
2 I20 Angina pectoris 3 23.08
3 I63 Cerebral infarction 2 15.38
4 J159 Bacterial pneumonia, unspecified 1 7.69
5 G009 Bacterial meningitis, unspecified 1 7.69
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Naria 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.) 9,882
Bed Occupancy Rates (%) 87.33
Average Length of Hospital Stay (No. of days per patient) 2.89
Hospital Death Rate (%) 0.38


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 316

 

Naria 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 5 1 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 97 67 20 10 10.31
Class IV 19 10 3 6 31.58
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 0 0 11 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 4 2 5 45.45
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 4 4 0 0 0.00
Class IV 4 1 2 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 27 13 10 4 14.81
Class IV 0 0 0 0 0.00

 

Naria 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 24 7 2 15 62.50
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 139 88 32 19 13.67
Class IV 23 11 5 7 30.43
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

 

Naria 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 9 6 0 0 1 1
Nurse 0 0 0 0 10 9 0 0 3 0
Medical Assistant 0 0 17 12 2 2 0 0 5 0
Medical Technologist 0 0 0 0 5 3 0 0 0 0
CHCP 27 23 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 3 0 0 0 0
AHI 0 0 0 0 12 12 0 0 0 0
HA 0 0 0 0 60 38 0 0 0 0
CSBA trained*** 0 0 0 9 0 2 0 0 0 0

Naria 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) 1 1 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 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 1 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 2 1 1 0 0
Sucker machine (electric) 4 3 1 0 0
Ventilator 0 0 0 0 0


Naria 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 0 0 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


Naria 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) 2 1 1 0 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 2 1 1 0 0
Microscope (binocular) 2 1 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


Naria 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 1 1 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


Naria 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 1 1 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) 12 6 5 1 0
Laptop 4 2 1 1 0
Printer (dot matrix) 2 1 1 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 2 1 1 0
Scanner 2 1 1 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Naria 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 56 31 21 4 0

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

Important information and necessary issues for Naria Upazila Health Complex |
 Last year we could not give over maximum efforts in improving the health status of NARIA Upazila 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 need more training on IMCI and EOC. 3. We need an ultrasound machine, ECG machine and a new X-ray machine for better health services. 4. Also instruments and furniture are not sufficient in the community clinics which should be increased. Finally I am very happy to write this e-HEALTH bulletin of 2013 because this documents 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 the future. Dr. Matiur Rahman. UH&FPO. NARIA , SHARIATPUR.