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

Nykongchari Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of naikhongchari Upazila. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Upazila. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the Upazila. All the sanctioned and vacant posts are published in this bulletin of 2013. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for seeting us one step ahead toward digital Bangladesh. Dr. Rokeya Khaton Upazila Health& F.P Officer Naikhongchari, Bandarban.
DR. Rokeya Khatun
UH&FPO
Nykongchari Upazila Health Complex

Nykongchari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaNykongchari
Name of UHFPO DR. Rokeya Khatun
Telephone No. 036141019
FAX No. 0
Mobile No. 01711010179
Email nakhoyngchari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 21.0000 And Long: 92.0000
No. of Unions in the Upazila5
No. of Households in the Upazila 11,267
No. of Population in the Upazila 64,007
Area of Upazila in sq km 432.00

Nykongchari 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 1 0
No. of Union Health and Family Welfare Centres 2 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 8 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

Nykongchari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,797


Total No. of children treated under IMCI Program 5,519
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 0.00 per 1,000 live births.

Nykongchari 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: 134
Total Number of Deliveries: 1544
No. of Maternal Death: 0
Valid TT Coverage: 97.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Nykongchari 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 16,766 5,499 11,267 11,287 544 376 168 146
Union Sub-Centres 9,913 4,046 5,867 4,135 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 28,400 10,048 18,352 17,523 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 55,079 19,593 35,486 32,945 544 376 168 146
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 2,500 1,500 1,000 2,073 4 3 1 4
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 2,500 1,500 1,000 2,073 4 3 1 4

Nykongchari 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 4573
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X999 Assault by sharp object, unspecified place 300 6.56
2 A009 Cholera, unspecified 522 11.41
3 B500 Plasmodium falciparum malaria with cerebral complications 160 3.50
4 A083 Other viral enteritis 468 10.23
5 V892 Person injured in unspecified motor-vehicle accident, traffic 62 1.36
6 J180 Bronchopneumonia, unspecified 524 11.46
7 V971 Person injured while boarding or alighting from aircraft 601 13.14
8 A010 Typhoid fever 143 3.13
9 C760 Head, face and neck 89 1.95
10 J458 Mixed asthma 104 2.27

Nykongchari 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 8
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 C760 Head, face and neck 3 37.50
2 J180 Bronchopneumonia, unspecified 5 62.50
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 60.00
Coverage of households having access to sanitary latrines (%) 70.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12
Bed Occupancy Rates (%) 40.41
Average Length of Hospital Stay (No. of days per patient) 1.75
Hospital Death Rate (%) 0.02


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 74

 

Nykongchari 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 1 2 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 9 0 6 3 33.33
Class III 51 28 13 10 19.61
Class IV 21 11 4 6 28.57
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 3 1 5 55.56
Class IV 4 2 1 1 25.00
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 1 0 1 50.00
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 8 5 3 0 0.00
Class IV 0 0 0 0 0.00

 

Nykongchari 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 13 1 2 10 76.92
Non Doctor 0 0 0 0 0.00
Class II 9 0 6 3 33.33
Class III 70 37 17 16 22.86
Class IV 26 14 5 7 26.92
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

 

Nykongchari 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 4 0 9 3 0 0 0 0
Nurse 0 0 0 0 9 6 0 0 6 0
Medical Assistant 0 0 4 1 2 2 0 0 4 0
Medical Technologist 0 0 0 0 5 4 0 0 0 0
CHCP 8 8 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0
HA 0 0 0 0 25 22 0 0 0 0
CSBA trained*** 0 0 0 0 0 1 0 0 0 0

Nykongchari 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 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Nykongchari 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 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Nykongchari 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 0 0 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) 6 1 2 3 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


Nykongchari 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 1 0 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


Nykongchari 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 0 0 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 6 6 0 0 0
Laptop 10 10 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Nykongchari 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 2 2 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 40 34 2 4 0

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

Important information and necessary issues for Nykongchari Upazila Health Complex |
 Inspite of having many deficiency we tried to give our maximum efforts to improve the health status in last year. Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctor and nurse need more training on IMCI. 3. One ECG machine should be provided in emergency basis. 4. All the repairable equipment’s should be repaired as soon as possible 5. Number of Community clinic should be increased. finally i am very happy to write this health Bulletin 2013 because this document 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 future.