Mirpur Upazila Health Complex | Health Bulletin 2014 |
Preface
It's is very great pleasure for us to publish this health bulletin of Mirpur Upazila. This bulletion contains all the health related information of 2013.This bulletin is published to disseminate the information of Mirpur upazila to other line department and development partners of health.we hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Govermment health office has many data stored in the file.this health bulletin will help us to find constrains and also to see the results and achievements 0f 2013. The bulletin contains the status of MDG 4 and MDG 5 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 vacant posts are published in this bulletin. we like to take the attention of the higher authority to look into this issue . Finally we like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
DR. MST.NURUN-NAHAR BEGUM
UH&FPO
,Mirpur Upazila Health Complex.
Mirpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Mirpur
Name of UHFPO DR.MST.NURUN NAHAR BEGUM
Telephone No. 0702656220
FAX No. 0
Mobile No. 01712529508
Email mirpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5500 And Long: 88.5900
No. of Unions in the Upazila 12
No. of Households in the Upazila 86,949
No. of Population in the Upazila 346,807
Area of Upazila in sq km 317.35
Mirpur 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
2
0
No. of Union Health and Family Welfare Centres
11
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
36
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
Mirpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,989
Total No. of children treated under IMCI Program 7,046
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 4.29 per 1,000 live births.
Mirpur 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: 280
Total Number of Deliveries: 6979
No. of Maternal Death: 0
Valid TT Coverage: 51.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Mirpur 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
17,263
7,595
9,668
9,967
4,763
3,520
1,243
1,636
Union Sub-Centres
14,563
4,854
9,709
3,009
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
174,714
50,058
124,656
43,678
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
660
82
578
78
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
206,540
62,507
144,033
56,654
5,423
3,602
1,821
2,214
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
4,270
1,675
2,595
944
8
6
2
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
4,270
1,675
2,595
944
8
6
2
0
Mirpur 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
2013
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A009 Cholera, unspecified
932
46.30
2
K259 Gastric ulcer, unspecified as acute or chronic, without haemorrhage or perforation
786
39.05
3
A880 Enteroviral exanthematous fever [Boston exanthem]
607
30.15
4
Y09 Assault by unspecified means
501
24.89
5
T600 Organophosphate and carbamate insecticides
178
8.84
6
I950 Idiopathic hypotension
155
7.70
7
V892 Person injured in unspecified motor-vehicle accident, traffic
153
7.60
8
J459 Asthma, unspecified
106
5.27
9
J180 Bronchopneumonia, unspecified
103
5.12
10
D649 Anaemia, unspecified
45
2.24
Mirpur 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
2013
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I950 Idiopathic hypotension
4
0.20
2
A880 Enteroviral exanthematous fever [Boston exanthem]
1
0.05
3
J459 Asthma, unspecified
1
0.05
4
V892 Person injured in unspecified motor-vehicle accident, traffic
1
0.05
5
I219 Acute myocardial infarction, unspecified
1
0.05
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Mirpur Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
78.00
Coverage of households having access to sanitary latrines (%)
74.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
27,230
Bed Occupancy Rates (%)
53.18
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
0.14
Mirpur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
1945
Mirpur 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
7
2
12
57.14
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
99
56
21
22
22.22
Class IV
22
12
5
5
22.73
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
10
3
5
2
20.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
6
4
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
2
2
-2
-100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
3
1
0
0.00
Class IV
2
1
0
1
50.00
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
40
12
24
4
10.00
Class IV
0
0
0
0
0.00
Mirpur 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
33
11
8
14
42.42
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
139
68
45
26
18.71
Class IV
24
13
5
6
25.00
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
Mirpur 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
2
2
21
9
10
8
4
0
Nurse
0
0
0
0
16
16
0
0
1
1
Medical Assistant
0
0
2
2
2
2
10
10
4
0
Medical Technologist
0
0
2
2
10
10
0
0
0
0
CHCP
40
36
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
0
9
9
0
0
0
HA
0
0
0
0
0
45
31
0
0
0
CSBA trained***
0
0
0
0
0
16
16
0
0
0
Mirpur 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
1
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
2
2
0
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
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
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
2
0
0
0
Sucker machine (electric)
3
1
0
2
0
Ventilator
0
0
0
0
0
Mirpur 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
3
1
2
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Mirpur 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
0
1
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)
3
2
1
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
Mirpur 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
Mirpur 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)
2
2
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)
9
9
0
0
0
Laptop
40
40
0
0
0
Printer (dot matrix)
1
0
0
1
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
3
0
0
0
Scanner
1
1
0
0
0
UPS
1
0
0
1
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
39
39
0
0
0
Multimedia
1
1
0
0
0
Mirpur 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)
1
0
1
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
128
118
6
4
0
Mirpur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Mirpur Upazila Health Complex |
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors Which will help us to achieve good results in future . 1. The vacant post should be filled immediately. 2. our doctor and nurse need more training on IMCI .3. All the repairable equipments should be repaired as soon as possible. Finally We are very happy to prepare 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 useful advice for improvement in future.