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Morrelganj Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad and feel proud to publish this health bulletin of Morrelganj upazila . This bulletin contains all the information related to health of 2013 . The purpose of publishing the bulletin is to disseminate the information of Morrelganj upazila to other department and development partners of health . Government health office has many data stored in the line . The health bulletin will help to find constrains and also to cheack the result and achievements of 2013 . The bulletin contains the status of MDG-4 and MDG-5 which will help to localize the taegets of MDG . This bulletin has also the information on safe drinking water and sanitation status of the upazila . All the sanctioned and vacant post are published in the bulletin of 2013 . Necessary action can be taken on all the information published in the bulletin . Finally I would like to congratulation the initiator of the health bulletin software for setting us one step ahead digital Bangladesh . Dr.Nur Uddin Mohammad Eusuf UH&FPO Morrelganj, Bagerhat .
Dr. NURUDDIN MUHAMMAD USUF
UH&FPO
Morrelganj Upazila Health Complex

Morrelganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaMorelganj
Name of UHFPO Dr. NURUDDIN MUHAMMAD USUF
Telephone No. 00
FAX No. 0
Mobile No. 01685827387
Email morelganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.4566 And Long: 89.8646
No. of Unions in the Upazila16
No. of Households in the Upazila 70,190
No. of Population in the Upazila 329,736
Area of Upazila in sq km 258.00

Morrelganj 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 31
No. of Union Sub-Centres 1 0
No. of Union Health and Family Welfare Centres 15 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 45 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 5 50
No. of NGO Clinics/Facilities 0 0

Morrelganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,912


Total No. of children treated under IMCI Program 17,742
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 4.23 per 1,000 live births.

Morrelganj 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: 2081
Total Number of Deliveries: 5928
No. of Maternal Death: 10
Valid TT Coverage: 62.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 169.15 per 100,000 live births.

Morrelganj 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 24,383 7,883 16,500 12,346 2,913 1,322 1,591 329
Union Sub-Centres 11,725 3,203 8,522 4,481 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 137,559 37,576 99,983 42,723 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 167,032 66,649 100,383 83,515 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 340,699 115,311 225,388 143,065 2,913 1,322 1,591 329
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 3,708 1,561 2,147 644 26 11 15 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 3,708 1,561 2,147 644 26 11 15 2

Morrelganj 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 3708
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X85 Assault by drugs, medicaments and biological substances 908 24.49
2 K35 Acute appendicitis 534 14.40
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin 331 8.93
4 A92 Other mosquito-borne viral fevers 171 4.61
5 J45 Asthma 128 3.45
6 T62 Toxic effect of other noxious substances eaten as food 113 3.05
7 J99 Respiratory disorders in diseases classified elsewhere 78 2.10
8 K27 Peptic ulcer, site unspecified 74 2.00
9 A86 Unspecified viral encephalitis 52 1.40
10 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 26 0.70

Morrelganj 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 26
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I219 Acute myocardial infarction, unspecified 7 26.92
2 J13 Pneumonia due to Streptococcus pneumoniae 5 19.23
3 J45 Asthma 5 19.23
4 D50 Iron deficiency anaemia 2 7.69
5 B86 Scabies 1 3.85
6 A01 Typhoid and paratyphoid fevers 1 3.85
7 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 1 3.85
8 T62 Toxic effect of other noxious substances eaten as food 2 7.69
9 I516 Cardiovascular disease, unspecified 2 7.69
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 60.00
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.) 16,575
Bed Occupancy Rates (%) 146.49
Average Length of Hospital Stay (No. of days per patient) 4.52
Hospital Death Rate (%) 0.70


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 782
Minor Surgeries 405

 

Morrelganj 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 25 2 0 23 92.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 168 77 58 33 19.64
Class IV 20 17 3 0 0.00
Union Health & Family Welfare Center (under DGHS)
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 15 5 10 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 1 1 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 48 22 25 1 2.08
Class IV 0 0 0 0 0.00

 

Morrelganj 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 25 2 0 23 92.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 168 77 58 33 19.64
Class IV 20 17 3 0 0.00
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

 

Morrelganj 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 10 2 0 0 2 2
Nurse 0 0 0 0 11 0 11 11 4 0
Medical Assistant 0 0 15 15 2 2 0 0 7 0
Medical Technologist 0 0 0 0 6 4 0 0 0 0
CHCP 48 47 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 13 12 0 0 0 0
HA 0 0 0 0 64 35 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 5 5 0

Morrelganj 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 1 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 1 1 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 1 0 1 0 0
Portable OT Light 3 0 2 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 4 2 2 0 0
Sucker machine (electric) 6 1 1 4 0
Ventilator 0 0 0 0 0


Morrelganj 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 4 2 0 2 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


Morrelganj 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 3 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) 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


Morrelganj 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 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 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


Morrelganj 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) 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) 9 8 1 0 0
Laptop 48 48 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 2 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 8 8 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 47 47 0 0 0
Multimedia 1 1 0 0 0


Morrelganj 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 0 0 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 154 136 9 9 0

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

Important information and necessary issues for Morrelganj Upazila Health Complex |
 Important information and necessary issues for Morrelganj Upazila Health complex, Bagerhat . Last Year we could not give our maximum effort to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve better result in future . (1) The vacant posts should be filled immediately (2) Our doctor,nurse and other stuff need more training on IMCI and other fields (3) No of CC and bed facility in UHC should be increased (4) All the repairable equipments should be repaired as soon as possible. Finally I am very happy to write the health bulletin of 2013 because this document will help us to compare our progress in upcoming years . This is very useful document and will healp the publish and other to understand health services and to provide us the useful advice for improvement in future .I beg pardon if there is any mistake despite hairiest effort . Dr.Nur Uddin Mohammad Eusuf UH&FPO Morrelganj, Bagerhat .