Nagarpur Upazila Health Complex | Health Bulletin 2014 |
Preface
THE PRIMARY HEALTH CARE SERVICES IN THIS AREA WAS STARTED AT1973 UNDER "THANA HEALTH CARE PROJECT". IN 1984 IT WAS NAMED UPAZILLA HEALTH COMPLEX. IT HAS 31 BED FOR ADMITED PATIENT AND ORT CORNER, IMCI CORNER, NEW BORN CARE UNIT. BASIC EOC ALSO FUNTIONAL HERE.PRESENTLY IT IS GOING TO BE 50 BEDED UPAZILLA HEALTH COMPLEX.
Nagarpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Nagarpur
Name of UHFPO DR. MINOTI RANI SAHA
Telephone No. 0923373009
FAX No. 0
Mobile No. 01741205640
Email nagarpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila 12
No. of Households in the Upazila 62,971
No. of Population in the Upazila 306,489
Area of Upazila in sq km 267.52
Nagarpur 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
2
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
35
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
7
0
No. of NGO Clinics/Facilities
1
0
Nagarpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,509
Total No. of children treated under IMCI Program 44,927
Fully Vaccinated Children: 88.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 17.67 per 1,000 live births.
Nagarpur 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: 1585
Total Number of Deliveries: 7166
No. of Maternal Death: 1
Valid TT Coverage: 19.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
15.36 per 100,000 live births.
Nagarpur 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
34,987
15,159
19,828
10,884
2,332
1,062
1,270
615
Union Sub-Centres
18,381
8,831
9,550
4,568
18,381
8,831
9,550
4,568
Union Health and Family Welfare Centre (under DGHS)
36,762
17,662
19,100
9,136
36,762
17,662
19,100
9,136
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
198,388
78,520
119,868
19,724
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
90,130
41,652
48,478
24,588
255,863
106,075
149,788
34,043
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
4,200
1,280
2,920
2
20
8
12
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
4,200
1,280
2,920
2
20
8
12
2
Nagarpur 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
4202
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
T149 Injury, unspecified
1416
33.70
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
412
9.80
3
J18 Pneumonia, organism unspecified
276
6.57
4
T38 Poisoning by hormones and their synthetic substitutes and antagonists, NEC
116
2.76
5
I059 Mitral valve disease, unspecified
156
3.71
6
J45 Asthma
368
8.76
7
V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident
132
3.14
8
I10 Essential (primary) hypertension
320
7.62
9
K27 Peptic ulcer, site unspecified
172
4.09
10
C689 Urinary organ, unspecified
80
1.90
Nagarpur 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
22
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I633 Cerebral infarction due to thrombosis of cerebral arteries
6
27.27
2
P210 Severe birth asphyxia
1
4.55
3
J159 Bacterial pneumonia, unspecified
2
9.09
4
A014 Paratyphoid fever, unspecified
2
9.09
5
I219 Acute myocardial infarction, unspecified
1
4.55
6
J448 Other specified chronic obstructive pulmonary disease
2
9.09
7
T201 Burn of first degree of head and neck
1
4.55
8
I219 Acute myocardial infarction, unspecified
3
13.64
9
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
3
13.64
10
I200 Unstable angina
1
4.55
Nagarpur 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 (%)
86.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,929
Bed Occupancy Rates (%)
105.00
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
0.49
Nagarpur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
22
Minor Surgeries
320
Nagarpur 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
3
4
2
22.22
Non Doctor
0
0
0
0
0.00
Class II
11
1
10
0
0.00
Class III
96
54
34
8
8.33
Class IV
19
13
3
3
15.79
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
3
0
1
25.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
8
0
0
0.00
Class IV
4
2
0
2
50.00
Rural Dispensaries
Class I
Doctor
2
0
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
3
1
0
0.00
Class IV
2
2
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
35
16
18
1
2.86
Class IV
0
0
0
0
0.00
Nagarpur 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
20
9
7
4
20.00
Non Doctor
0
0
0
0
0.00
Class II
11
1
10
0
0.00
Class III
114
80
52
-18
-15.79
Class IV
26
17
3
6
23.08
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
Nagarpur 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
6
6
9
9
0
0
3
0
Nurse
0
0
0
0
12
11
0
0
4
0
Medical Assistant
0
0
6
6
2
2
0
0
1
0
Medical Technologist
0
0
6
6
8
8
0
0
0
0
CHCP
35
34
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
AHI
0
0
0
0
12
9
9
0
0
0
HA
0
0
0
0
60
56
0
0
0
0
CSBA trained***
0
0
0
0
9
9
0
0
0
0
Nagarpur 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)
2
1
1
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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
2
0
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
2
2
0
0
0
Operating microscope
1
1
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
2
2
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Nagarpur 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
3
2
1
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
2
2
0
0
0
Nagarpur 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
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
1
1
0
0
0
Microscope (binocular)
1
1
0
0
0
Obstetric equipment
Fetal Monitor
1
1
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
Nagarpur 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
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
0
1
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
Nagarpur 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)
1
1
0
0
0
Generator
Generator (diesel/petrol)
1
1
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)
8
8
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
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
Nagarpur 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
59
55
3
1
0
Nagarpur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Nagarpur Upazila Health Complex |
1. Internet connectivity over Grammen Phone Modem is too poor here.3G/4G/ Wi Fi Modem/connection can be used to meet the demand.
2. Electricity supply is not sufficient here so alternative power supply applicable to meet the demand.