HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Mehendiganj Upazila Health Complex | Health Bulletin 2014 |
Preface
By the grace of almighty ALLAH ,I am very much glad to publish this bulletin for this upazila. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate all the health information of this upazila to other line department and development partners of health services. I hope all the information of this bulletin will help us for planning and bridging the gaps in health services of the upazila. This health bulletin will find out the failure and achievements of health services of this upazila in 2013.This bulletin’s information will help us to cover the MDG targets. Finally I would like to congratulate the initiator of the health bulletin for setting our step ahead toward digital Bangladesh. Dr. Jashim Uddin Howlader UH&FPO Mehendiganj,Barisal.
Dr. Jashim Uddin Hawlader
UH&FPO
Mehendiganj Upazila Health Complex

Mehendiganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaMehendiganj
Name of UHFPO Dr. Jashim Uddin Hawlader
Telephone No. 0432556014
FAX No. 0
Mobile No. 01719874171
Email mehendiganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.8264 And Long: 90.5279
No. of Unions in the Upazila13
No. of Households in the Upazila 65,231
No. of Population in the Upazila 321,347
Area of Upazila in sq km 418.96

Mehendiganj 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 4 0
No. of Union Health and Family Welfare Centres 5 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 0 0
No. of NGO Clinics/Facilities 0 0

Mehendiganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,063


Total No. of children treated under IMCI Program 19,152
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 3.75 per 1,000 live births.

Mehendiganj 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: 1711
Total Number of Deliveries: 9063
No. of Maternal Death: 16
Valid TT Coverage: 11.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 176.54 per 100,000 live births.

Mehendiganj 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 17,494 7,847 9,647 10,706 2,748 1,428 1,320 456
Union Sub-Centres 12,004 5,236 6,768 7,508 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 1,253 468 785 687 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 192,232 59,553 132,679 16,332 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 222,983 73,104 149,879 35,233 2,748 1,428 1,320 456
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 3,375 1,674 1,701 663 18 9 9 11
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 3,375 1,674 1,701 663 18 9 9 11

Mehendiganj 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 11292
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y09 Assault by unspecified means 1534 13.58
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 709 6.28
3 R509 Fever, unspecified 598 5.30
4 J189 Pneumonia, unspecified 453 4.01
5 J459 Asthma, unspecified 125 1.11
6 V031 Pedestrian injured in collision with car, pick-up truck or van, traffic accident 90 0.80
7 T28 Burn and corrosion of other internal organs 87 0.77
8 P394 Neonatal skin infection 74 0.66
9 R522 Other chronic pain 57 0.50
10 R520 Acute pain 34 0.30

Mehendiganj 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 29
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 9 31.03
2 I679 Cerebrovascular disease, unspecified 7 24.14
3 J961 Chronic respiratory failure 4 13.79
4 T600 Organophosphate and carbamate insecticides 2 6.90
5 R100 Acute abdomen 2 6.90
6 I219 Acute myocardial infarction, unspecified 1 3.45
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 8,752
Bed Occupancy Rates (%) 77.00
Average Length of Hospital Stay (No. of days per patient) 2.58
Hospital Death Rate (%) 0.85


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 487

 

Mehendiganj 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 3 1 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 122 59 28 35 28.69
Class IV 19 14 2 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 0 0 9 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 3 2 4 44.44
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 0 0 4 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 7 0 1 12.50
Class IV 4 2 0 2 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 38 15 16 7 18.42
Class IV 0 0 0 0 0.00

 

Mehendiganj 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 22 3 0 19 86.36
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 175 84 45 46 26.29
Class IV 23 17 2 4 17.39
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

 

Mehendiganj 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 13 0 9 4 0 0 1 0
Nurse 0 0 0 0 10 10 0 0 10 4
Medical Assistant 0 0 13 5 2 2 0 0 5 0
Medical Technologist 0 0 0 0 6 4 0 0 0 0
CHCP 38 31 0 0 0 0 0 0 31 0
HI 0 0 0 0 5 5 0 0 5 0
AHI 0 0 0 0 14 14 0 0 14 0
HA 0 0 0 0 70 53 0 0 53 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 13

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


Mehendiganj 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 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Mehendiganj 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) 2 1 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


Mehendiganj 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 4 0 2 2 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


Mehendiganj 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 0 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) 2 2 0 0 0
Laptop 35 35 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 6 5 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 37 37 0 0 0
Multimedia 1 1 0 0 0


Mehendiganj 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 103 93 5 5 0

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

Important information and necessary issues for Mehendiganj Upazila Health Complex |
 Important information and necessary issues for Mehendiganj Upazila Health Complex We try to our level best to improve the health status of this upazila instead of many struggles. If the following problems are solved then we can improve our health services to a standard level. 1. Immediate fill up of the vacant posts. 2. Proper training to all the health stuffs. 3. All repairable equipments should be repaired and to ensure the availability of the necessary equipments. 4. Number of community clinic and the bed capacity of the health complex should be increased. 5. Proper steps in proper time. 6. No supply of short dated and unintended medicine and equipments. Finally I am very much happy to write the health bulletin of 2013 because this document will help us to compare our progress in upcoming years… Dr. Jashim Uddin Howlader UHFPO mehendiganj, Barisal.