Nasirnagar Upazila Health Complex | Health Bulletin 2014 |
Preface
It is my great pleasure to publish this health bulletin of Upazila Health complex.Nasirnagar which contains all health related infomtions of 2013 and activities performed by doctors and health staffs.I hope that all the informations of this bulletin will help for future planning & bridging the gaps of health services of this upazila.This health bulletin will help us to see the results and achievements of various health activities of 2013. This bulletin contains the status of MDG4 and MDG5 Which will help us to fix up the MDG Target. This health bulletin contains the information of safe drinking water and sanitation status of this upazila. All the sanctioned and vaccaned posts are published in this bullitine of the year 2013. I like to take attention to the higher authority to extend their hands to solve these issues.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Nasirnagar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Nasirnagar
Name of UHFPO Dr.Md.Ziaul Islam
Telephone No. 0852656004
FAX No. 0
Mobile No. 01711948232
Email nasirnagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.1935 And Long: 91.1964
No. of Unions in the Upazila 13
No. of Households in the Upazila 56,792
No. of Population in the Upazila 317,462
Area of Upazila in sq km 311.25
Nasirnagar 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
3
0
No. of Union Health and Family Welfare Centres
3
0
No. of Rural/Urban/Thana Dispensaries
1
10
No. of Community Clinics
20
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
1
20
No. of NGO Clinics/Facilities
1
0
Nasirnagar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,800
Total No. of children treated under IMCI Program 19,450
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Nasirnagar 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: 1840
Total Number of Deliveries: 9962
No. of Maternal Death: 2
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Nasirnagar 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
32,277
14,434
17,843
6,775
7,503
4,302
3,201
1,803
Union Sub-Centres
21,516
6,716
14,800
4,910
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
67,004
9,204
57,800
11,570
0
0
0
0
Rural/Urban/Thana Dispensaries
14,138
6,982
7,156
5,522
0
0
0
0
Community Clinics
117,458
37,848
79,610
30,006
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
7,900
2,500
5,400
2,500
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
268,193
77,684
182,609
61,283
7,503
4,302
3,201
1,803
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
3,300
1,810
1,490
2,020
20
11
9
6
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
255
80
175
56
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
3,555
1,890
1,665
2,076
20
11
9
6
Nasirnagar 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
5320
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1374
25.83
2
Y00 Assault by blunt object
1058
19.89
3
J189 Pneumonia, unspecified
687
12.91
4
R100 Acute abdomen
351
6.60
5
X69 Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances
274
5.15
6
J459 Asthma, unspecified
212
3.98
7
A010 Typhoid fever
162
3.05
8
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
155
2.91
9
I10 Essential (primary) hypertension
151
2.84
10
I119 Hypertensive heart disease without (congestive) heart failure
149
2.80
Nasirnagar 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
26
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
4
15.38
2
P219 Birth asphyxia, unspecified
4
15.38
3
I679 Cerebrovascular disease, unspecified
4
15.38
4
J459 Asthma, unspecified
3
11.54
5
N18 Chronic renal failure
2
7.69
6
X69 Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances
1
3.85
7
A419 Septicaemia, unspecified
1
3.85
8
Y00 Assault by blunt object
1
3.85
9
J189 Pneumonia, unspecified
1
3.85
10
A010 Typhoid fever
1
3.85
Nasirnagar Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
Coverage of households having access to sanitary latrines (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
14,024
Bed Occupancy Rates (%)
76.84
Average Length of Hospital Stay (No. of days per patient)
2.64
Hospital Death Rate (%)
0.49
Nasirnagar Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
176
Nasirnagar 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
21
5
0
16
76.19
Non Doctor
0
0
0
0
0.00
Class II
15
1
9
5
33.33
Class III
97
62
16
19
19.59
Class IV
22
11
4
7
31.82
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
1
1
6
75.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
2
0
6
75.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
1
0
2
66.67
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
2
1
3
50.00
Class IV
3
2
0
1
33.33
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
30
14
13
3
10.00
Class IV
0
0
0
0
0.00
Nasirnagar 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
34
8
1
25
73.53
Non Doctor
0
0
0
0
0.00
Class II
19
1
9
9
47.37
Class III
147
79
31
37
25.17
Class IV
37
16
9
12
32.43
Other Hospitals & Clinics
Class I
Doctor
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
4
0
0
4
100.00
Class III
6
0
0
6
100.00
Class IV
12
3
2
7
58.33
Nasirnagar 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
13
4
21
5
0
0
2
0
Nurse
0
0
4
0
15
10
0
0
0
0
Medical Assistant
0
0
11
5
2
2
0
0
1
0
Medical Technologist
0
0
1
0
7
2
0
0
0
0
CHCP
33
27
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
3
0
0
0
0
AHI
0
0
0
0
11
11
0
0
0
0
HA
0
0
0
0
55
42
0
0
0
0
CSBA trained***
0
0
0
0
11
0
0
0
0
0
Nasirnagar 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)
0
0
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)
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
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
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
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Nasirnagar 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
5
3
2
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
1
1
0
0
0
Nasirnagar 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
1
1
0
0
0
Electrolyte analyzer
1
1
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
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
1
0
0
0
1
Phototherapy unit
0
0
0
0
0
Nasirnagar 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
1
1
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)
1
1
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
1
0
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
1
1
0
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
Nasirnagar 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
2
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)
7
7
0
0
0
Laptop
25
25
0
0
0
Printer (dot matrix)
1
1
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
Nasirnagar 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
78
73
4
0
1
Nasirnagar Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Nasirnagar Upazila Health Complex |
Last year we could not give our maximum efforts to improve the health status due to many reasons.Here I like to mention some important factors which will help us to achieve good results in future. 1)Pair doctors posts should be filled up for Emoc service need immediately.2) W e have 10 SSN out of 14 & We have no medical technologist(Lab) out of three So, all vacant posts should filled up immediately. 3) We have a old model ambulance.Now we need a good & well equipped ambulance. 4) We have a 300mm X-ray machine.In the last year due to some mechanical defect X-ray service is stopped.The X-ray machine is immediately repairable & all the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming year. 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.
