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Monirampur Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin Monirampur upazila.This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of this 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 offices have many data stored in the file.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 MDG4 and MDG5 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 vaccant posts are published in this bulletin.I like to draw attention of the higher authority to look into this issue.Finally I would like to congratulate the intiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh. Dr.Md.Abul Kalam azad. Upazila Health & Family Planning Officer, Monirampur,Jessore
Dr.Md.Abul Kalam Azad
UH&FPO
Monirampur Upazila Health Complex

Monirampur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaMonirampur
Name of UHFPO Dr.Md.Abul Kalam Azad
Telephone No. 0422778230
FAX No. 0
Mobile No. 01718071234
Email manirampur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0088 And Long: 89.2354
No. of Unions in the Upazila17
No. of Households in the Upazila 99,953
No. of Population in the Upazila 446,231
Area of Upazila in sq km 444.75

Monirampur 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 2 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 43 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

Monirampur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,539


Total No. of children treated under IMCI Program 20,786
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 28.14 per 1,000 live births.

Monirampur 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: 481
Total Number of Deliveries: 6550
No. of Maternal Death: 16
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 244.69 per 100,000 live births.

Monirampur 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 28,391 8,179 20,212 13,636 3,040 1,792 1,248 1,384
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 8,923 2,916 6,007 1,980 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 201,247 74,944 126,303 72,865 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 238,561 86,039 152,522 88,481 3,040 1,792 1,248 1,384
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 5,401 2,292 3,109 725 34 19 15 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 5,401 2,292 3,109 725 34 19 15 0

Monirampur 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 6126
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 852 13.91
2 Y04 Assault by bodily force 687 11.21
3 A01 Typhoid and paratyphoid fevers 375 6.12
4 T440 Anticholinesterase agents 286 4.67
5 J069 Acute upper respiratory infection, unspecified 245 4.00
6 K35 Acute appendicitis 268 4.37
7 K25 Gastric ulcer 228 3.72
8 J45 Asthma 188 3.07
9 V892 Person injured in unspecified motor-vehicle accident, traffic 167 2.73
10 G46 Vascular syndromes of brain in cerebrovascular diseases 153 2.50

Monirampur 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 34
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 G46 Vascular syndromes of brain in cerebrovascular diseases 10 29.41
2 S09 Other and unspecified injuries of head 4 11.76
3 I501 Left ventricular failure 2 5.88
4 J45 Asthma 2 5.88
5 T440 Anticholinesterase agents 2 5.88
6 K56 Paralytic ileus and intestinal obstruction without hernia 2 5.88
7 J42 Unspecified chronic bronchitis 2 5.88
8 K25 Gastric ulcer 2 5.88
9 J06 Acute upper respiratory infections of multiple and unspecified sites 1 2.94
10 K72 Hepatic failure, NEC 1 2.94

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 87.00
Coverage of households having access to sanitary latrines (%) 73.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 15,267
Bed Occupancy Rates (%) 83.73
Average Length of Hospital Stay (No. of days per patient) 2.50
Hospital Death Rate (%) 0.55


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 293
Minor Surgeries 145

 

Monirampur 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 2 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 104 61 19 24 23.08
Class IV 19 13 4 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 17 8 1 8 47.06
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 19 12 6 1 5.26
Class IV 2 2 0 0 0.00
Rural Dispensaries
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
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 43 27 14 2 4.65
Class IV 0 0 0 0 0.00

 

Monirampur 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 26 12 3 11 42.31
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 166 98 39 29 17.47
Class IV 21 15 3 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

 

Monirampur 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 17 8 9 6 0 0 1 1
Nurse 0 0 0 0 11 11 0 0 0 0
Medical Assistant 0 0 17 17 2 2 0 0 0 0
Medical Technologist 0 0 2 1 6 6 0 0 0 0
CHCP 43 41 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 10 0 0 0 0
HA 0 0 0 0 65 46 0 0 0 0
CSBA trained*** 0 0 0 0 0 9 0 0 0 0

Monirampur 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 0 1 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 2 1 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 5 2 1 0 2
Ventilator 0 0 0 0 0


Monirampur 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 2 2 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


Monirampur 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 1 0 1 0 0
Centrifuge machine (electric) 1 1 0 0 0
Colorimeter 2 1 0 1 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) 3 1 2 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


Monirampur 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 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


Monirampur 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) 1 1 0 0 0
Generator
Generator (diesel/petrol) 3 1 2 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) 8 7 0 1 0
Laptop 42 41 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 0 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 1 1 0 0 0


Monirampur 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 0 0 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 107 93 9 3 2

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

Important information and necessary issues for Monirampur Upazila Health Complex |
 Important Information and necessary issue for Upazila Health Complex,Monirampur,Jessore.Last year we tried to give our maximum efforts to improve the health status.Here i like to mention some important factors which will help us to achieve more good result in future.(1) The vaccant posts should be filled.(2) Our X-ray machine should be repaired immediately.(3) Non structured community clinics abd Sub-centers should be made structured soon.(4) There is no structures in union sub-centers.(5)All the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this health bulletin of 2013 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 usefull advices to improve in future. Dr.Md.Abul Kalam Azad, Upazila Health & Family Planning Officer, Monirampur,Jessore