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Pirganj Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to pablish this health bulletin of pirganj upazila .This bulletin contains all the health releted information of 2013This bulletin is published to disseminate the information of pirganj upazila to other line department partners of health .I hope all the information of this bulletion will help for planing and bridging the gaps in helth services of this upazila .This h ealth bulletin will help us to find contrains and also to see the resuits and achievements of 2013.The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG tergets.This helth 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 2013.I like to take attention oft the higher authority to look into this issue finaly.I would like to congratulate the intiator of the health bulletin software for setting us one step ahead ahead tomard Digital Bangladesh. Dr,Md Mahbubar Rahman UH&FPOPirganj,Rangpur.
Dr.Md.Mahbubar Rahman
UH&FPO
Pirganj Upazila Health Complex

Pirganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaPirganj
Name of UHFPO Dr.Md.Mahbubar Rahman
Telephone No. 0522756012
FAX No. 0
Mobile No. 01712622732
Email pirganjr@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.4153 And Long: 89.3167
No. of Unions in the Upazila15
No. of Households in the Upazila 103,034
No. of Population in the Upazila 400,112
Area of Upazila in sq km 265.00

Pirganj 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 15 0
No. of Union Health and Family Welfare Centres 15 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 55 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 0
No. of NGO Clinics/Facilities 0 0

Pirganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,913


Total No. of children treated under IMCI Program 14,512
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 33.10 per 1,000 live births.

Pirganj 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: 6879
Total Number of Deliveries: 8241
No. of Maternal Death: 14
Valid TT Coverage: 38.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 157.07 per 100,000 live births.

Pirganj 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 7,844 2,696 5,148 2,128 7,733 3,512 4,221 2,217
Union Sub-Centres 61,734 27,223 34,511 12,224 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 9,355 3,627 5,728 2,132 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 274,729 127,517 147,212 61,175 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 353,662 161,063 192,599 77,659 7,733 3,512 4,221 2,217
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 6,425 2,913 3,512 3,547 23 11 12 5
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 6,425 2,913 3,512 3,547 23 11 12 5

Pirganj 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 9972
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2352 23.59
2 R100 Acute abdomen 828 8.30
3 J459 Asthma, unspecified 768 7.70
4 T600 Organophosphate and carbamate insecticides 722 7.24
5 J189 Pneumonia, unspecified 660 6.62
6 A010 Typhoid fever 444 4.45
7 Z372 Twins, both liveborn 216 2.17
8 V346 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus, passenger, traffic accident 204 2.05
9 A039 Shigellosis, unspecified 192 1.93
10 I461 Sudden cardiac death, so described 172 1.72

Pirganj 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 28
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J459 Asthma, unspecified 6 21.43
2 J449 Chronic obstructive pulmonary disease, unspecified 5 17.86
3 I461 Sudden cardiac death, so described 4 14.29
4 J180 Bronchopneumonia, unspecified 4 14.29
5 I639 Cerebral infarction, unspecified 3 10.71
6 R100 Acute abdomen 2 7.14
7 R509 Fever, unspecified 2 7.14
8 A009 Cholera, unspecified 1 3.57
9 A010 Typhoid fever 1 3.57
10 0 0.00

Pirganj 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 (%) 77.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 20,752
Bed Occupancy Rates (%) 113.70
Average Length of Hospital Stay (No. of days per patient) 1.97
Hospital Death Rate (%) 0.28


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 15
Minor Surgeries 245

 

Pirganj 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 22 12 3 7 31.82
Non Doctor 0 0 0 0 0.00
Class II 15 0 14 1 6.67
Class III 119 106 13 0 0.00
Class IV 22 13 3 6 27.27
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 16 1 1 14 87.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 24 21 2 1 4.17
Class IV 9 6 0 3 33.33
Rural Dispensaries
Class I Doctor 9 1 1 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 18 15 2 1 5.56
Class IV 9 6 0 3 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 55 26 29 0 0.00
Class IV 0 0 0 0 0.00

 

Pirganj 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 38 13 4 21 55.26
Non Doctor 0 0 0 0 0.00
Class II 15 0 14 1 6.67
Class III 143 117 15 11 7.69
Class IV 31 19 3 9 29.03
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

 

Pirganj 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 16 2 22 15 0 0 1 1
Nurse 0 0 0 0 14 14 0 0 9 11
Medical Assistant 0 0 16 16 2 2 0 0 2 0
Medical Technologist 0 0 9 8 2 2 0 0 0 0
CHCP 55 55 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 11 11 0 0 0 0
HA 0 0 0 0 55 45 0 0 0 0
CSBA trained*** 0 0 0 0 6 0 0 0 0 0

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


Pirganj 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Pirganj 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) 2 2 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) 2 2 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


Pirganj 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 2 1 1 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 4 2 2 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


Pirganj 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) 6 5 1 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 2 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) 4 3 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 3 1 0 0
Scanner 1 1 0 0 0
UPS 4 3 1 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 0 0 0 0 0


Pirganj 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 50 39 11 0 0

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

Important information and necessary issues for Pirganj Upazila Health Complex |
 Last year we could not give our maximum eforts improve the health status clue to many reasons.I like mention same important factors which factors which will help us to achieve good results in future.1.The vacant post should be filed immediately.2..Our doctor and nurse need more training on IMCI .3.Number of community clinicand the bed capacity of the health complex should be increased.4.All the repirable equipments should be repairedas soon as possible.5.we have 8 female HA who need CSBA training finally Iam very happy to write this health bulletin of 2013 because will help us to compare our progress to up coming years.this is very yesful document and will help the public to understant health services and to provide us the useful advice for improvementin future.