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

Nabiganj Upazila Health Complex | Health Bulletin 2014 |
Preface
Health Bulletin is like a mirror of that reflects the health care delivery system at grass root level. It is an important yearly publication containing health releated information and activities. Nabiganj Upazila Health Complex is publishing regularly the Health Bulletin since 2011. It is a matter of great pleasure for us that this year we also publish the Health Bulletin 2013 like past. This Bulletin is published to disseminate the information of health releated activities of Nabiganj Upazila to other line department and development partners of Health. Everybody can know the health status of Nabiganj Upazila if he goes through this Bulletin. I hope all the information of this Bulletin will help for planning and bridging the gaps in health service of this upazila. The Govt. Health office has many data stored in the line. The Bulletin contains the status of MDG-4 and MDG-5 which will help us to achieve the MDG targets.It also contains the information and of safe drinking water and sanitation status of upazila. All the sactioned and vacant post are shown in the bulletin of 2013. Available logistics and equipments list are also included.I like to draw attention of the higher authority to look into this matters.By analising the data performance and achievement data of last three years published in Health Bulletin.Our achievement is satisfactory and we are reaching our goal.I hope we can keep it sustainable. Finaly I would like to congratulate the director of MIS,DGHS the initiator of the health Bulletin software for setting us to make digital Bangladesh.
Dr. Ardhendu Deb
UH&FPO
Nabiganj Upazila Health Complex

Nabiganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaNabiganj
Name of UHFPO Dr. Ardhendu Deb
Telephone No. 0832856043
FAX No. 0
Mobile No. 01714292008
Email nabiganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila13
No. of Households in the Upazila 57,280
No. of Population in the Upazila 339,061
Area of Upazila in sq km 440.10

Nabiganj 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 5 0
No. of Union Health and Family Welfare Centres 6 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 1 8
No. of NGO Clinics/Facilities 3 0

Nabiganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,529


Total No. of children treated under IMCI Program 54,008
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 24.66 per 1,000 live births.

Nabiganj 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: 3313
Total Number of Deliveries: 10475
No. of Maternal Death: 8
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 83.95 per 100,000 live births.

Nabiganj 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 64,683 25,868 38,815 35,886 11,851 6,530 5,321 3,799
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 33,135 15,609 17,526 19,835 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 267,500 86,320 181,180 60,331 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 365,318 127,797 237,521 116,052 11,851 6,530 5,321 3,799
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 3,418 817 2,601 1,275 5 3 2 4
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 3,418 817 2,601 1,275 5 3 2 4

Nabiganj 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 4693
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1443 30.75
2 Y09 Assault by unspecified means 606 12.91
3 K27 Peptic ulcer, site unspecified 346 7.37
4 J18 Pneumonia, organism unspecified 152 3.24
5 O669 Obstructed labour, unspecified 104 2.22
6 O03 Spontaneous abortion 83 1.77
7 J45 Asthma 69 1.47
8 V99 Unspecified transport accident 42 0.89
9 T60 Toxic effect of pesticides 22 0.47
10 A01 Typhoid and paratyphoid fevers 3 0.06

Nabiganj 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 J45 Asthma 1 11.11
2 I21 Acute myocardial infarction 1 11.11
3 J18 Pneumonia, organism unspecified 4 44.44
4 K659 Peritonitis, unspecified 2 22.22
5 I63 Cerebral infarction 1 11.11
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Nabiganj 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 (%) 82.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 6,159
Bed Occupancy Rates (%) 54.43
Average Length of Hospital Stay (No. of days per patient) 1.06
Hospital Death Rate (%) 0.09


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1010

 

Nabiganj 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 1 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 9 0 7 2 22.22
Class III 89 56 15 18 20.22
Class IV 16 6 7 3 18.75
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 13 3 1 9 69.23
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 18 6 1 11 61.11
Class IV 5 5 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 35 15 17 3 8.57
Class IV 0 0 0 0 0.00

 

Nabiganj 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 7 2 13 59.09
Non Doctor 0 0 0 0 0.00
Class II 9 0 7 2 22.22
Class III 144 77 33 34 23.61
Class IV 21 11 7 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

 

Nabiganj 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 4 9 5 0 0 2 0
Nurse 0 0 0 0 10 7 0 0 3 0
Medical Assistant 0 0 13 7 2 2 0 0 6 0
Medical Technologist 0 0 5 0 7 5 0 0 0 0
CHCP 35 32 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 3 0 0 0 0
AHI 0 0 0 0 11 10 0 0 0 0
HA 0 0 0 0 55 42 0 0 0 0
CSBA trained*** 0 0 0 0 0 6 0 0 0 0

Nabiganj 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 0 0 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 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 1 1 0 0 0
Sucker machine (electric) 2 1 0 0 1
Ventilator 0 0 0 0 0


Nabiganj 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 3 1 0 2 0
Pulse oximeter 1 0 0 0 1
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


Nabiganj 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 1 0 0 1
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 1 0 2 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nabiganj 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 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


Nabiganj 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 0 1 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 0 0 1 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) 5 2 0 0 3
Laptop 37 35 1 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 5 3 0 0 2
Scanner 1 1 0 0 0
UPS 1 1 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 36 35 0 0 1
Multimedia 1 1 0 0 0


Nabiganj 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 107 87 5 5 10

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

Important information and necessary issues for Nabiganj Upazila Health Complex |
 Last year we could n't 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 improve our service infuture. 1. Vaccant post should be filled immediately. 2. Bed capacity of health complex should be increase. 3. Well equiped operation theater should be provided. 4. Labour room should be enriched with adequate logistic e.g.- Delivery Table,Delivery Kits etc. 5. We are in need to ECG Machine,Sterilizer Machine(Autoclab),Ambulence,Wooden furniture(chair,table,almirah) 6. Condemn Generator for Emergency Electric supply should be replaced by new one.