Nazirpur Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Nazirpur Upazila. This bulletin contains all the data related information of 2013. This bulletin is published to disseminate the information of Nazirpur 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. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. Nazirpur Upazila has 50 beded Upazilla Health Complex. This hospital is also equipped EmOC services. We have 1 sub centre run by medical officer and 24 community clinic are functional. CHCP and Health Assistant are providing health services at the community clinic. We have 7 functional Union health and family welfare centre which is run by FWVs.The health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are contained in this bulletin of 2013. I like to take attention of the higher authority to look into issue. Eventually I would like to thanks especially for setting us one step ahead toward Digital Bangladesh.
Dr. Abdul Matin Sardar
UH&FPO
Upazilla Health Complex.
Nazirpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Nazirpur
Name of UHFPO Dr. Abdul Matin Sardar.
Telephone No. 0462674005
FAX No. 0
Mobile No. 01711905771
Email nazirpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 90.0000
No. of Unions in the Upazila 9
No. of Households in the Upazila 39,843
No. of Population in the Upazila 181,733
Area of Upazila in sq km 248.00
Nazirpur 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
1
0
No. of Union Health and Family Welfare Centres
7
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
24
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
Nazirpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,299
Total No. of children treated under IMCI Program 10,022
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 6.16 per 1,000 live births.
Nazirpur 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: 1600
Total Number of Deliveries: 1315
No. of Maternal Death: 0
Valid TT Coverage: 16.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Nazirpur 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
23,526
10,902
12,624
6,018
1,231
763
468
210
Union Sub-Centres
9,340
2,570
6,770
3,110
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
94,687
34,887
59,800
1,870
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
127,553
48,359
79,194
10,998
1,231
763
468
210
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
3,167
1,095
2,072
593
9
3
6
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
3,167
1,095
2,072
593
9
3
6
0
Nazirpur 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
1122
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
K529 Noninfective gastroenteritis and colitis, unspecified
200
17.83
2
K267 Duodenal ulcer, chronic without haemorrhage or perforation
193
17.20
3
J069 Acute upper respiratory infection, unspecified
173
15.42
4
S007 Multiple superficial injuries of head
178
15.86
5
J459 Asthma, unspecified
140
12.48
6
I10 Essential (primary) hypertension
79
7.04
7
I63 Cerebral infarction
58
5.17
8
D509 Iron deficiency anaemia, unspecified
42
3.74
9
N433 Hydrocele, unspecified
27
2.41
10
K400 Bilateral inguinal hernia, with obstruction, without gangrene
32
2.85
Nazirpur 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
9
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I694 Sequelae of stroke, not specified as haemorrhage or infarction
4
44.44
2
I469 Cardiac arrest, unspecified
2
22.22
3
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
3
33.33
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Nazirpur Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
85.00
Coverage of households having access to sanitary latrines (%)
80.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
24,007
Bed Occupancy Rates (%)
128.90
Average Length of Hospital Stay (No. of days per patient)
4.40
Hospital Death Rate (%)
0.80
Nazirpur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
550
Minor Surgeries
731
Nazirpur 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
17
4
0
13
76.47
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
22
15
7
0
0.00
Class IV
19
6
11
2
10.53
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
0
0
7
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
3
4
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
1
1
0
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
24
14
10
0
0.00
Class IV
0
0
0
0
0.00
Nazirpur 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
17
4
0
13
76.47
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
94
55
25
14
14.89
Class IV
20
7
11
2
10.00
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
Nazirpur 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
8
0
9
4
0
0
0
0
Nurse
0
0
0
0
11
11
0
0
0
3
Medical Assistant
0
0
8
8
2
2
0
0
0
0
Medical Technologist
0
0
1
1
7
6
0
0
0
0
CHCP
24
24
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
10
10
0
0
0
0
HA
0
0
0
0
50
40
0
0
0
0
CSBA trained***
0
0
0
0
0
1
0
0
0
0
Nazirpur 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
1
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
0
1
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Nazirpur 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
1
1
0
0
0
Pulse oximeter
1
1
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
Nazirpur 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)
4
1
3
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
Nazirpur 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
2
1
1
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
Nazirpur 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)
1
1
0
0
0
Air conditioner (window)
1
1
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)
8
8
0
0
0
Laptop
27
27
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Nazirpur 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
71
63
8
0
0
Nazirpur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Nazirpur Upazila Health Complex |
Health Bulletin focuses our activities and achievement throughout the previous Calendar year. It also shows the staff pattern ,vacant posts, shortage of equipments, vehicles etc. To achieve the target in favor of our National Goal, the following things should be done with great emphasis.
1. To need a high connectivity internet speed and should be upgraded as early as possible .
2. Improvement of the diagnostic facilities.
3. Qualitative improvement of the field staff through proper training in their
attitude & skillfulness.
4. Periodic supervision of the field staff by the higher authority.