Naniarchar Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Naniarchar upazila.
This bulletin contains all the health related information of 2013. This
bulletin is published to disseminate the information of Naniarchr
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 bulletin. 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 setting us one step ahead toward Digital
Bangladesh. 000000000000
Naniarchar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Naniarchar
Name of UHFPO Dr. Anuradha Biswas
Telephone No. 00
FAX No. 0
Mobile No. 01731467062
Email naniarchar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila 4
No. of Households in the Upazila 7,947
No. of Population in the Upazila 49,358
Area of Upazila in sq km 239.89
Naniarchar 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
10
No. of Union Sub-Centres
1
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
4
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
Naniarchar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,354
Total No. of children treated under IMCI Program 2,584
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 5.91 per 1,000 live births.
Naniarchar 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: 78
Total Number of Deliveries: 1354
No. of Maternal Death: 2
Valid TT Coverage: 89.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
147.71 per 100,000 live births.
Naniarchar 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
14,193
6,136
8,057
2,684
470
239
231
233
Union Sub-Centres
3,897
1,924
1,973
1,793
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
14,067
5,247
8,820
9,473
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
32,157
13,307
18,850
13,950
470
239
231
233
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
490
230
260
287
3
1
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
490
230
260
287
3
1
2
2
Naniarchar 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
777
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
70
9.01
2
Y00 Assault by blunt object
29
3.73
3
J18 Pneumonia, organism unspecified
21
2.70
4
A010 Typhoid fever
20
2.57
5
T44 Poisoning by drugs primarily affecting the autonomic nervous system
11
1.42
6
A94 Unspecified arthropod-borne viral fever
10
1.29
7
J46 Status asthmaticus
10
1.29
8
O03 Spontaneous abortion
6
0.77
9
I10 Essential (primary) hypertension
6
0.77
10
T210 Burn of unspecified degree of trunk
4
0.51
Naniarchar 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
3
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J18 Pneumonia, organism unspecified
1
33.33
2
I10 Essential (primary) hypertension
1
33.33
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
1
33.33
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
Naniarchar Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
48.00
Coverage of households having access to sanitary latrines (%)
32.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
2
Bed Occupancy Rates (%)
57.21
Average Length of Hospital Stay (No. of days per patient)
1.01
Hospital Death Rate (%)
0.18
Naniarchar Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
250
Naniarchar 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
0
1
8
88.89
Non Doctor
0
0
0
0
0.00
Class II
10
0
4
6
60.00
Class III
52
29
19
4
7.69
Class IV
21
9
9
3
14.29
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
0
0
0
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
0
0
1
100.00
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
7
0
7
0
0.00
Class IV
0
0
0
0
0.00
Naniarchar 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
0
1
12
92.31
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
54
29
19
6
11.11
Class IV
21
9
9
3
14.29
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
Naniarchar 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
1
0
0
0
0
Nurse
0
0
0
0
10
5
0
0
5
5
Medical Assistant
0
0
4
1
2
1
0
0
1
0
Medical Technologist
0
0
1
1
5
5
0
0
0
0
CHCP
7
7
0
0
0
0
0
0
0
0
HI
0
0
0
0
1
1
0
0
0
0
AHI
0
0
0
0
3
3
0
0
0
0
HA
4
4
0
0
15
14
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Naniarchar 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)
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
0
0
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
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Naniarchar 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
4
2
2
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
Naniarchar 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
1
1
0
0
0
Microscope (binocular)
3
2
1
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
Naniarchar 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
1
0
1
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
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
Naniarchar 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)
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)
10
8
2
0
0
Laptop
3
2
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
4
1
0
0
Scanner
1
1
0
0
0
UPS
9
7
2
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
0
0
0
0
0
Naniarchar 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
0
1
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
47
35
12
0
0
Naniarchar Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Naniarchar Upazila Health Complex |
Important information and necessary issues for Naniarchar Upazila Health Complex
Last year we could not give our maximum efforts improve the health
status due to many reasons. 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. Number of community clinic and the bed capacity of
the health complex should be increased 3. All the repairable equipment’s
should be repaired as soon as possible 4. Govt. approved this hospital
as a 31 bed hospital. But infrastructure should be improved as like as a
31 bed hospital. 5. Moreover, this is a remote upazila, in monsoon,
communication with this upazila by boat is easier. But in summer it is
much more difficult to communicate. One 3rd of our land goes under water
in a certain period in the year due to increase level of the water of
kaptai lake. So we suffer more to provide effcetive service. Finally I
am very happy to write this health bulletin of 2012 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.