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

Nalchithi Upazila Health Complex | Health Bulletin 2014 |
Preface
I am highly glad to inform the whole data s of nalchiti upazilla through publishing the Health Bulletin sponsored by MIS of DGHS and Ministry of Health and Family welfare of Bangladesh . Though the Bulletin is publishing in the year 2014 , The contents and datas are of the year 2013 . Hopping that the overall activities of this upazilla will reflect through this Bulletin . Which will give a clearcut idea for the higher authorities it will show the constrains of the activities . Mainly due to shortage of manpower . The Health Bulletin contains the status of MDG 4 and MDG 5 . Which will help for fixation of annual target for achiving the goal . It will also give the information on the status of safe drinking water as well as on sanitation . So I seek the kind attention of the higher authority for solving the constraints of this institutions . Finally I would like to congratulate the honourable initiators of the Health Bulletin for enhencing our activities towords the Digital Bangladesh . DR . MD . FARUQUE ALAM , UH & FPO Nalchiti Upazilla Health Complex ,. DR . MD .FARUQUE ALAM Nalchiti Upazilla Health Complex Nalchiti , Jhalokati .
DR .MD FARUQUE ALAM
UH&FPO
Nalchithi Upazila Health Complex

Nalchithi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaNalchithi
Name of UHFPO DR .MD FARUQUE ALAM
Telephone No. 0495374161
FAX No. 0
Mobile No. 01712213033
Email nalchiti@UHFPO.DGHS.GOV.BD
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila10
No. of Households in the Upazila 32,350
No. of Population in the Upazila 192,022
Area of Upazila in sq km 214.24

Nalchithi 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 0 0
No. of Union Health and Family Welfare Centres 10 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 28 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 2 10
No. of NGO Clinics/Facilities 0 0

Nalchithi Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,996


Total No. of children treated under IMCI Program 1,467
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.25 per 1,000 live births.

Nalchithi 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: 3315
Total Number of Deliveries: 4000
No. of Maternal Death: 0
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Nalchithi 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 31,981 14,723 17,258 10,797 8,405 5,035 3,370 620
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 147,150 68,125 79,025 10,478 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 179,131 82,848 96,283 21,275 8,405 5,035 3,370 620
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 3,198 1,305 1,893 485 12 7 5 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 3,198 1,305 1,893 485 12 7 5 5

Nalchithi 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 3683
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 586 15.91
2 A01 Typhoid and paratyphoid fevers 535 14.53
3 Y04 Assault by bodily force 375 10.18
4 K291 Other acute gastritis 370 10.05
5 J459 Asthma, unspecified 265 7.20
6 J980 Diseases of bronchus, NEC 110 2.99
7 J189 Pneumonia, unspecified 82 2.23
8 J459 Asthma, unspecified 77 2.09
9 E46 Unspecified protein-energy malnutrition 74 2.01
10 I139 Hypertensive heart and renal disease, unspecified 50 1.36

Nalchithi 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 17
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I509 Heart failure, unspecified 6 35.29
2 J189 Pneumonia, unspecified 3 17.65
3 J459 Asthma, unspecified 3 17.65
4 A419 Septicaemia, unspecified 2 11.76
5 I139 Hypertensive heart and renal disease, unspecified 2 11.76
6 D640 Hereditary sideroblastic anaemia 1 5.88
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,082
Bed Occupancy Rates (%) 66.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.46


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1280

 

Nalchithi 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 6 1 15 68.18
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 90 47 32 11 12.22
Class IV 25 16 2 7 28.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 10 2 1 7 70.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 4 4 2 20.00
Class IV 0 0 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 28 13 13 2 7.14
Class IV 0 0 0 0 0.00

 

Nalchithi 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 32 8 2 22 68.75
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 128 64 49 15 11.72
Class IV 25 16 2 7 28.00
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

 

Nalchithi 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 10 3 22 7 0 0 1 0
Nurse 0 0 0 0 17 17 0 0 6 4
Medical Assistant 0 0 10 8 2 2 0 0 7 0
Medical Technologist 0 0 0 0 10 5 0 0 0 0
CHCP 28 26 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 3 0
AHI 0 0 0 0 10 10 0 0 10 0
HA 0 0 0 0 48 43 0 0 43 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Nalchithi 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) 0 0 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 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 0 0 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 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 3 0 0 0 3
Sucker machine (electric) 7 0 0 0 7
Ventilator 0 0 0 0 0


Nalchithi 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


Nalchithi 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) 1 0 0 0 1
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) 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


Nalchithi 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 2 0 0 0 2
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 1 1 0 0 0
Blood bank refrigerator 1 0 0 0 1
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 2 2 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


Nalchithi 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) 0 0 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) 7 5 2 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 1 0 1 0 0
Scanner 0 0 0 0 0
UPS 5 5 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


Nalchithi 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 1 1 0 0 0
Total 48 30 4 0 14

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

Important information and necessary issues for Nalchithi Upazila Health Complex |
 Conclusion-- I am highly glad to give the Thanks to our superior authority like Directorate of MIS DGHS as well as to the Ministry of Health & Family Welfare ( MOHFW) for taking such a decision for publishing the Health Bulletin of every upazila Health Sectors.We may have many constrains for acievement of our targets but for the betterment of our annual activities it will make a competition among us to perform every steps of individual job as it will be recorded in the Health Bulletin.The main lacking is the absent of pair dotors for Gynec EMOC service which is very much essential urgently as the previous activities was good in this station.The general peoples urge the EmOC service. The activities of TB control programme and normal laboratory is closed as the single MT( lab) has gone for higher study , so,No MT(Lab) is working here . So the kindness of our higher authority may permit us to get the pair doctors. I can assure that the targets of Health activities including MDG Goal will be achieved easily if this Health Bulletin publish continuously yearly which will encourage physical & mental strength of our staffs. Last of all, I am remaining grateful to the GOVT of Bangladesh for sanctioning the fund which may increase gradually for finalization of yearly Health Bulletin ...with Thanks Dr. Md FARUQUE ALAM UH & FPO, Nalchiti - Jhalokati.