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Muradnagar Upazila Health Complex | Health Bulletin 2014 |
Preface
সালাম নিন, বর্তমান সরকারের ডির্জিটাল বাংলাদেশ গঠনের মহতী প্রয়াস এবং স্বাস্থ্য অধিদপ্তরের মহাপরিচালক, অতিরিক্ত মহাপরিচালকদ্বয় সহ অন্যান্য কর্মকর্তাগনের সরকারেরর লক্ষ্য ব্যস্তবায়নের উদ্দেশ্যে স্বাস্থ্য বিষয়ক হেলথ্‌ বুলিটিং প্রকাশের উদ্যোগ গ্রহন করাতে আমি আপনাদেরকে জানাই আমার আন্তরিক শুভেচ্ছা ও অভিনন্দন। আর আমার উপজেলার এই বুলিটিং প্রকাশ করতে পেরে আমি নিজকে ধন্য মনে করছি। আমার প্রকাশিত হেলথ্‌ বুলিটিং-এ মুরাদনগর উপজেলার 2013 সনের স্বাস্থ্য বিষয়ক বিভিন্ন তথ্য-উপাত্ত সংযোজন করা হয়েছে। এই তথ্য-উপাত্ত বিশ্লেষণ করে বিভিন্ন সমস্যাবলী চিহ্নিত এবং সমাধান করে ভবিষ্যতে স্বাস্থ্য সেবার মান উন্নয়ন করা যাবে। মুরাদনগর উপজেলার হেলথ্‌ বুলিটিং-এ একনজরে উপজেলার স্বাস্থ্য বিষয়ক বিভিন্ন তথ্য উপস্থাপন করা হয়েছে।
Dr. Md. Abdul Matin
UH&FPO
Muradnagar Upazila Health Complex

Muradnagar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaMuradnagar
Name of UHFPO Dr. Md. Abdul Matin
Telephone No. 0802656122
FAX No. 0
Mobile No. 01716415949
Email muradnagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 91.0000
No. of Unions in the Upazila22
No. of Households in the Upazila 104,670
No. of Population in the Upazila 622,526
Area of Upazila in sq km 340.50

Muradnagar 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 7 0
No. of Union Health and Family Welfare Centres 15 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 39 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 7 20
No. of NGO Clinics/Facilities 0 0

Muradnagar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 18,121


Total No. of children treated under IMCI Program 10,221
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 9.11 per 1,000 live births.

Muradnagar 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: 212
Total Number of Deliveries: 18121
No. of Maternal Death: 4
Valid TT Coverage: 11.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 22.07 per 100,000 live births.

Muradnagar 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 39,638 16,521 23,117 11,748 9,327 4,612 4,715 2,186
Union Sub-Centres 39,535 14,642 24,893 12,883 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 194,032 67,423 126,609 64,159 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 16,460 6,163 10,297 1,235 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 306,125 104,749 184,916 90,025 9,327 4,612 4,715 2,186
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 4,794 2,283 2,511 1,564 19 10 9 11
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 4,794 2,283 2,511 1,564 19 10 9 11

Muradnagar 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 6358
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X85 Assault by drugs, medicaments and biological substances 971 15.27
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 893 14.05
3 K26 Duodenal ulcer 668 10.51
4 J189 Pneumonia, unspecified 412 6.48
5 A01 Typhoid and paratyphoid fevers 298 4.69
6 J84 Other interstitial pulmonary diseases 227 3.57
7 T44 Poisoning by drugs primarily affecting the autonomic nervous system 193 3.04
8 O669 Obstructed labour, unspecified 103 1.62
9 V031 Pedestrian injured in collision with car, pick-up truck or van, traffic accident 81 1.27
10 I10 Essential (primary) hypertension 63 0.99

Muradnagar 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 30
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 8 26.67
2 G81 Hemiplegia 6 20.00
3 J449 Chronic obstructive pulmonary disease, unspecified 4 13.33
4 I21 Acute myocardial infarction 3 10.00
5 T44 Poisoning by drugs primarily affecting the autonomic nervous system 2 6.67
6 J459 Asthma, unspecified 2 6.67
7 I120 Hypertensive renal disease with renal failure 2 6.67
8 V031 Pedestrian injured in collision with car, pick-up truck or van, traffic accident 1 3.33
9 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 3.33
10 I131 Hypertensive heart and renal disease with renal failure 1 3.33

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 89.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 6,358
Bed Occupancy Rates (%) 82.69
Average Length of Hospital Stay (No. of days per patient) 2.61
Hospital Death Rate (%) 0.47


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 285

 

Muradnagar 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 7 2 12 57.14
Non Doctor 0 0 0 0 0.00
Class II 15 1 13 1 6.67
Class III 142 78 33 31 21.83
Class IV 26 16 3 7 26.92
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 15 4 4 7 46.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 15 7 4 4 26.67
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 7 3 1 3 42.86
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 7 2 5 35.71
Class IV 7 5 1 1 14.29
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 80 22 17 41 51.25
Class IV 0 0 0 0 0.00

 

Muradnagar 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 43 14 7 22 51.16
Non Doctor 0 0 0 0 0.00
Class II 15 1 13 1 6.67
Class III 171 88 40 43 25.15
Class IV 33 21 4 8 24.24
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

 

Muradnagar 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 22 12 21 9 0 0 0 0
Nurse 0 0 0 0 15 14 0 0 0 0
Medical Assistant 0 0 22 17 2 1 0 0 0 0
Medical Technologist 0 0 7 4 10 7 0 0 0 0
CHCP 80 39 0 0 0 0 0 0 0 0
HI 0 0 0 0 6 6 0 0 0 0
AHI 0 0 0 0 18 16 0 0 0 0
HA 0 0 0 0 90 68 0 0 0 0
CSBA trained*** 0 2 0 0 0 8 0 0 0 0

Muradnagar 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 0 0 1 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 0 0 1
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 0 1 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 1 1 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 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Muradnagar 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 6 2 0 4 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


Muradnagar 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 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) 4 2 0 2 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


Muradnagar 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 1 1 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 1 0 0 1 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 3 2 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


Muradnagar 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 0 1 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 0 0 2 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) 4 4 0 0 0
Laptop 1 0 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 4 2 0 2 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


Muradnagar 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) 1 0 1 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 56 36 2 17 1

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

Important information and necessary issues for Muradnagar Upazila Health Complex |
 1.As I mentioned earlier this Health Complex was established in 1965 as 10 bedded Rural Health Center. Later on in 1975 upgraded to 31 bedded Health complex. Considering , increasing population and local health demand this health complex now should be upgraded to 50 bedded on 12.09.2006. 2.There are very shortage of rooms or spaces for separate IMCI corner, ORT corner, DOTS corner, Nutrition corner, NCD corner, and store, doctors rooms, doctor`s rest room, reception counter etc. More Health Complex & field staffs like S.S.N,Pharmacist,Physio Therapist,MT(Lab),HA,MLSS,OT BOY,Sweeper and are needed. 3. This health bulletin will be much helpful for local level planning and future improvement of health services of Muradnagar specially. Dr. Abdul Matin, UH&FPO. UHC. Muradnagar. Comilla. Computer Compose – Md. Jahangir Alam, (MT EPI).