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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Nakhla Upazila Health Complex | Health Bulletin 2014 |
Preface
Nakla upazilla is a relatively well communicable upazilla of Sherpur district.It is 19 km west from Sherpur.It has 09 unions with 47035 households.The area of upazilla is 147 sq km & the population is around 210788.Gonopaddi union is the most populated & large union of this upazilla.The upazilla health complex is located in the center of the upazilla.The socio-economic condition is very poor in this upazilla.Most of the people in this upazilla depended on agriculture.
Dr.Md.Emran Hossain (Acting)
UH&FPO
Nakhla Upazila Health Complex

Nakhla Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaNakhla
Name of UHFPO Dr.Md.Emran Hossain (Acting)
Telephone No. 0932375015
FAX No. 0
Mobile No. 01685505902
Email nakla@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 0.0000 And Long: 0.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 47,906
No. of Population in the Upazila 210,788
Area of Upazila in sq km 147.00

Nakhla 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 1 0
No. of Union Health and Family Welfare Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 23 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

Nakhla Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,440


Total No. of children treated under IMCI Program 14,311
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 26.58 per 1,000 live births.

Nakhla 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: 1682
Total Number of Deliveries: 4936
No. of Maternal Death: 11
Valid TT Coverage: 35.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 247.75 per 100,000 live births.

Nakhla 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 30,616 17,941 12,675 7,325 6,194 3,437 2,757 2,134
Union Sub-Centres 20,187 9,423 10,764 3,544 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 86,454 39,043 47,411 11,564 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 137,257 66,407 70,850 22,433 6,194 3,437 2,757 2,134
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 3,497 1,843 1,654 457 5 3 2 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 3,497 1,843 1,654 457 5 3 2 2

Nakhla 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 3954
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y08 Assault by other specified means 673 17.02
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 381 9.64
3 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 251 6.35
4 S099 Unspecified injury of head 209 5.29
5 D509 Iron deficiency anaemia, unspecified 188 4.75
6 N39 Other disorders of urinary system 180 4.55
7 J189 Pneumonia, unspecified 158 4.00
8 J459 Asthma, unspecified 130 3.29
9 T622 Other ingested (parts of) plant(s) 87 2.20
10 T62 Toxic effect of other noxious substances eaten as food 80 2.02

Nakhla 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 J189 Pneumonia, unspecified 1 14.29
2 S099 Unspecified injury of head 2 28.57
3 J459 Asthma, unspecified 1 14.29
4 T30 Burn and corrosion, body region unspecified 1 14.29
5 I516 Cardiovascular disease, unspecified 1 14.29
6 T21 Burn and corrosion of trunk 1 14.29
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 89.00
Coverage of households having access to sanitary latrines (%) 79.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 14,622
Bed Occupancy Rates (%) 80.00
Average Length of Hospital Stay (No. of days per patient) 3.72
Hospital Death Rate (%) 0.17


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 783

 

Nakhla 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 2 3 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 72 44 24 4 5.56
Class IV 20 9 3 8 40.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 2 2 4 50.00
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 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 1 1 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 28 16 12 0 0.00
Class IV 0 0 0 0 0.00

 

Nakhla 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 18 4 5 9 50.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 110 68 37 5 4.55
Class IV 20 9 3 8 40.00
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

 

Nakhla 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 9 4 9 5 0 0 0 1
Nurse 0 0 0 0 10 10 0 0 3 0
Medical Assistant 0 0 9 9 2 2 0 0 11 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0
CHCP 28 28 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0
HA 0 0 0 0 40 39 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Nakhla 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) 1 0 1 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) 1 0 1 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 1 0 1 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 2 2 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 3 2 1 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Nakhla 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 5 4 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Nakhla 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 2 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nakhla 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 0 0 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


Nakhla 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) 3 2 1 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 5 5 0 0 0
Laptop 26 25 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 2 2 0 0 0
Scanner 0 0 0 0 0
UPS 1 1 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


Nakhla 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 68 59 9 0 0

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

Important information and necessary issues for Nakhla Upazila Health Complex |