Niamatpur Upazila Health Complex | Health Bulletin 2014 |
Preface
It is our great pleasure to publish this health bulletin,being inspired by the dynamic initiative of MIS division of DGHS.We work a lot with many limitations but still our achievement is an examplary one among SAARC countries and we are near to achieve the MDG 4 &MDG 5 goal.But many people actually don’t know what we do here and what are our limitations..This bulletin will creat an opportunity to make them know our achievement,our limitations and challenges in the working field.On the other hand,our higher authority will be able to see at a glance where is the most vulnerable corner and it will help them to take quick necessary dicisions more correctly.This will help and potentiate our activities and we together will be able to run fast towards our goal.Finally,we would like to congratulate and thank the MIS division and initiator of the health bulletin software for such a time needed initiative and this will uplift our status in the race of building Digital Bangladesh. Dr Md.Ishaque. UH&FPO Niamatpur Health Complex Naogaon.
Niamatpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Niamatpur
Name of UHFPO Dr.Md.Ishaque
Telephone No. 0742756014
FAX No. 0
Mobile No. 01716439071
Email neyamatpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 89.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 57,691
No. of Population in the Upazila 250,260
Area of Upazila in sq km 449.00
Niamatpur 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
8
0
No. of Union Health and Family Welfare Centres
6
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
30
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
4
0
No. of NGO Clinics/Facilities
0
0
Niamatpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,939
Total No. of children treated under IMCI Program 40,303
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 32.75 per 1,000 live births.
Niamatpur 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: 544
Total Number of Deliveries: 3941
No. of Maternal Death: 3
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
76.16 per 100,000 live births.
Niamatpur 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
29,911
12,458
17,453
4,552
2,233
1,313
920
375
Union Sub-Centres
8,111
3,428
4,683
530
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
38,272
9,939
28,333
8,879
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
210,952
77,241
133,711
31,669
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
287,246
103,066
184,180
45,630
2,233
1,313
920
375
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
3,067
1,434
1,633
625
14
10
4
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
3,067
1,434
1,633
625
14
10
4
0
Niamatpur 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
3692
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
296
8.02
2
K26 Duodenal ulcer
285
7.72
3
E44 Protein-energy malnutrition of moderate and mild degree
192
5.20
4
V892 Person injured in unspecified motor-vehicle accident, traffic
187
5.07
5
M844 Pathological fracture, NEC
150
4.06
6
J150 Pneumonia due to Klebsiella pneumoniae
124
3.36
7
I110 Hypertensive heart disease with (congestive) heart failure
51
1.38
8
N390 Urinary tract infection, site not specified
33
0.89
9
A010 Typhoid fever
25
0.68
10
W87 Exposure to unspecified electric current
21
0.57
Niamatpur 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
14
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I459 Conduction disorder, unspecified
3
21.43
2
J47 Bronchiectasis
2
14.29
3
P21 Birth asphyxia
2
14.29
4
R570 Cardiogenic shock
1
7.14
5
K72 Hepatic failure, NEC
1
7.14
6
T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
1
7.14
7
R572 Septic shock
1
7.14
8
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1
7.14
9
K315 Obstruction of duodenum
1
7.14
10
I23 Certain current complications following acute myocardial infarction
1
7.14
Niamatpur Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
9,611
Bed Occupancy Rates (%)
52.66
Average Length of Hospital Stay (No. of days per patient)
2.84
Hospital Death Rate (%)
0.00
Niamatpur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
293
Niamatpur 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
4
0
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
13
0
11
2
15.38
Class III
63
33
19
11
17.46
Class IV
20
6
4
10
50.00
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
8
0
1
7
87.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
4
5
0
0.00
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
30
15
15
0
0.00
Class IV
0
0
0
0
0.00
Niamatpur 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
17
4
1
12
70.59
Non Doctor
0
0
0
0
0.00
Class II
13
0
11
2
15.38
Class III
72
37
24
11
15.28
Class IV
21
7
4
10
47.62
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
Niamatpur 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
8
1
9
4
0
0
0
0
Nurse
0
0
0
0
13
11
0
0
0
0
Medical Assistant
0
0
8
8
2
2
0
0
7
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
CHCP
30
30
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
AHI
0
0
0
0
7
6
0
0
0
0
HA
0
0
0
0
35
28
0
0
0
0
CSBA trained***
0
0
0
0
4
4
0
0
0
0
Niamatpur 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
1
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
1
1
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
4
3
1
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
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
Niamatpur 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
1
1
0
0
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
Niamatpur 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)
0
0
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)
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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Niamatpur 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
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
0
0
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
Niamatpur 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
3
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)
5
5
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
0
0
0
0
0
UPS
2
2
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
0
0
0
0
0
Multimedia
0
0
0
0
0
Niamatpur 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
36
35
1
0
0
Niamatpur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Niamatpur Upazila Health Complex |
It is our great pleasure to publish this health bulletin,being inspired by the dynamic initiative of MIS division of DGHS.We work a lot with many limitations but still our achievement is an examplary one among SAARC countries and we are near to achieve the MDG 4 &MDG 5 goal.But many people actually don’t know what we do here and what are our limitations..This bulletin will creat an opportunity to make them know our achievement,our limitations and challenges in the working field.On the other hand,our higher authority will be able to see at a glance where is the most vulnerable corner and it will help them to take quick necessary dicisions more correctly.This will help and potentiate our activities and we together will be able to run fast towards our goal.Finally,we would like to congratulate and thank the MIS division and initiator of the health bulletin software for such a time needed initiative and this will uplift our status in the race of building Digital Bangladesh. Dr.Md.Ishaque. UH&FPO Niamatpur Health Complex Naogaon.
For Better improvement of delivery of health Service .It is necessary for Posting of Specialist Doctors Urgently. We also need equipment for Proper Investigation . Thanks.
Dr.Md.Ishaque
UH&FPO
Niamatpur Upazila Health Complex