Manda Upazila Health Complex | Health Bulletin 2014 |
Preface
Manda Upazila is conslituted with 14 Union & 42 wards and total Population is 3,79906. This Upazila is very poor and major union is below land.Kusumba union is very femous union, seven Gombus Mosque is inhabitants of on five taka note.This Upazila is situated on the side of the river Atrai. 9 sub-centre, 6 new createated union sub-centre,48 Community Clinic is funtioning here.About 4 Lac. People getup Health and Femily Planning facilities through this centres. Beside this a fifty bed Hospital also provided services to the peaple.
Manda Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Manda
Name of UHFPO Dr.A.T.M Mokaram Hossain
Telephone No. 0742562004
FAX No. 0
Mobile No. 01712277931
Email manda@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.7584 And Long: 88.7113
No. of Unions in the Upazila 14
No. of Households in the Upazila 96,606
No. of Population in the Upazila 379,906
Area of Upazila in sq km 375.94
Manda 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
9
0
No. of Union Health and Family Welfare Centres
8
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
48
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
65
No. of NGO Clinics/Facilities
0
0
Manda Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,422
Total No. of children treated under IMCI Program 107,727
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 29.74 per 1,000 live births.
Manda 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: 7465
Total Number of Deliveries: 6439
No. of Maternal Death: 9
Valid TT Coverage: 22.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
140.14 per 100,000 live births.
Manda 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
27,141
10,856
16,285
9,593
3,986
2,557
1,429
933
Union Sub-Centres
90,860
32,289
58,571
16,537
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
551,875
141,530
410,345
70,558
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
669,876
184,675
485,201
96,688
3,986
2,557
1,429
933
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
4,093
2,002
2,091
434
11
5
6
0
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
4,093
2,002
2,091
434
11
5
6
0
Manda 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
4527
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y00 Assault by blunt object
917
20.26
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
546
12.06
3
T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
281
6.21
4
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
199
4.40
5
V892 Person injured in unspecified motor-vehicle accident, traffic
193
4.26
6
N39 Other disorders of urinary system
180
3.98
7
J45 Asthma
152
3.36
8
J189 Pneumonia, unspecified
152
3.36
9
I110 Hypertensive heart disease with (congestive) heart failure
109
2.41
10
F70 Mild mental retardation
24
0.53
Manda 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
11
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
3
27.27
2
D63 Anaemia in chronic diseases classified elsewhere
2
18.18
3
J17 Pneumonia in diseases classified elsewhere
2
18.18
4
J123 Human metapneumovirus pneumonia
1
9.09
5
N16 Renal tubulo-interstitial disorders in diseases classified elsewhere
1
9.09
6
A17 Tuberculosis of nervous system
1
9.09
7
Y15 Poisoning by and exposure to alcohol, undetermined intent
1
9.09
8
0
0.00
9
0
0.00
10
0
0.00
Manda Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
93.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,285
Bed Occupancy Rates (%)
61.83
Average Length of Hospital Stay (No. of days per patient)
2.56
Hospital Death Rate (%)
0.25
Manda Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
2
Minor Surgeries
178
Manda 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
4
0
17
80.95
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
118
65
47
6
5.08
Class IV
26
15
6
5
19.23
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I
Doctor
15
0
0
15
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
24
19
4
1
4.17
Class IV
9
7
0
2
22.22
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
48
23
25
0
0.00
Class IV
0
0
0
0
0.00
Manda 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
36
4
0
32
88.89
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
142
86
42
14
9.86
Class IV
34
20
7
7
20.59
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
Manda 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
15
0
21
4
0
0
2
0
Nurse
0
0
0
0
16
16
0
0
2
1
Medical Assistant
0
0
15
13
2
2
0
0
3
0
Medical Technologist
0
0
0
0
7
7
0
0
0
0
CHCP
48
48
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
3
0
0
0
0
AHI
0
0
0
0
12
12
0
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
Manda 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
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
4
2
2
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
3
3
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Manda 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
2
2
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
Manda 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)
3
2
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
0
0
0
0
0
Microscope (binocular)
4
4
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
0
0
0
0
0
Phototherapy unit
1
1
0
0
0
Manda 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
1
1
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
Manda 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)
4
3
1
0
0
Generator
Generator (diesel/petrol)
2
1
1
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)
2
2
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
2
2
0
0
0
Scanner
1
1
0
0
0
UPS
1
0
1
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
2
2
0
0
0
Manda 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
48
10
1
0
Manda Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Manda Upazila Health Complex |
In this Manda Upazila is very urgently needed One X-ray machine, One photocopy machine & One Ultrasonogram machine for good health care.