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Lohagara Upazila Health Complex, Narail | Health Bulletin 2014 |
Preface
Local Health Bulletin is of great significance for the locality. Perfect health policy can be planned. I wish every success.
Dr. Md. Shahidul Islam
UH&FPO
Lohagara Upazila Health Complex, Narail

Lohagara Upazila Health Complex, Narail | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaLohagara
Name of UHFPO Dr. Md. Shahidul Islam
Telephone No. 0482356111
FAX No. 0
Mobile No. 01716143163
Email lohagaran@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 90.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 44,963
No. of Population in the Upazila 227,454
Area of Upazila in sq km 289.00

Lohagara Upazila Health Complex, Narail | 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 3 0
No. of Union Health and Family Welfare Centres 9 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 10 100
No. of NGO Clinics/Facilities 2 0

Lohagara Upazila Health Complex, Narail | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,592


Total No. of children treated under IMCI Program 21,317
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 9.15 per 1,000 live births.

Lohagara Upazila Health Complex, Narail | 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: 4668
Total Number of Deliveries: 4640
No. of Maternal Death: 5
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 108.89 per 100,000 live births.

Lohagara Upazila Health Complex, Narail | 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 68,000 21,700 46,300 9,003 7,207 3,042 4,165 560
Union Sub-Centres 26,374 9,033 17,341 9,663 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 28,758 10,008 18,750 7,010 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 229,342 70,416 158,926 23,712 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 352,474 111,157 241,317 49,388 7,207 3,042 4,165 560
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 5,019 1,956 3,063 172 10 5 5 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 148 58 90 5 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 5,167 2,014 3,153 177 10 5 5 0

Lohagara Upazila Health Complex, Narail | 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 5191
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 740 14.26
2 Y09 Assault by unspecified means 702 13.52
3 X64 Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances 267 5.14
4 J45 Asthma 233 4.49
5 J21 Acute bronchiolitis 94 1.81
6 I95 Hypotension 69 1.33
7 D50 Iron deficiency anaemia 56 1.08
8 R30 Pain associated with micturition 33 0.64
9 E10 Insulin-dependent diabetes mellitus 28 0.54
10 W92 Exposure to excessive heat of man-made origin 20 0.39

Lohagara Upazila Health Complex, Narail | 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 10
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 2 20.00
2 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system 1 10.00
3 J16 Pneumonia due to other infectious organisms, NEC 1 10.00
4 I64 Stroke, not specified as haemorrhage or infarction 1 10.00
5 J44 Other chronic obstructive pulmonary disease 1 10.00
6 K74 Fibrosis and cirrhosis of liver 1 10.00
7 I21 Acute myocardial infarction 1 10.00
8 Y32 Crashing of motor vehicle, undetermined intent 1 10.00
9 I08 Multiple valve diseases 1 10.00
10 0 0.00

Lohagara Upazila Health Complex, Narail | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 58.00
Coverage of households having access to sanitary latrines (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,364
Bed Occupancy Rates (%) 109.27
Average Length of Hospital Stay (No. of days per patient) 2.31
Hospital Death Rate (%) 0.19


Lohagara Upazila Health Complex, Narail | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 169
Minor Surgeries 89

 

Lohagara Upazila Health Complex, Narail | 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 3 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 78 33 24 21 26.92
Class IV 19 10 8 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 2 0 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 6 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 3 2 1 16.67
Class IV 3 3 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 31 16 15 0 0.00
Class IV 0 0 0 0 0.00

 

Lohagara Upazila Health Complex, Narail | 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 21 6 3 12 57.14
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 124 59 44 21 16.94
Class IV 22 13 8 1 4.55
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

 

Lohagara Upazila Health Complex, Narail | 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 12 2 9 7 0 0 4 1
Nurse 0 0 0 0 13 12 0 0 11 4
Medical Assistant 0 0 12 12 2 2 0 0 6 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0
CHCP 31 31 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 2 0 0 0 0
AHI 0 0 0 0 9 7 0 0 0 0
HA 0 0 0 0 45 31 0 0 0 0
CSBA trained*** 0 0 0 0 0 8 0 0 0 0

Lohagara Upazila Health Complex, Narail | 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 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 1 0 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 4 3 0 0 1
Ventilator 0 0 0 0 0


Lohagara Upazila Health Complex, Narail | 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 0 0 0 1
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 2 2 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


Lohagara Upazila Health Complex, Narail | 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 1 0 0 0
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 3 0 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


Lohagara Upazila Health Complex, Narail | 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 3 2 0 1 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


Lohagara Upazila Health Complex, Narail | 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) 1 1 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 3 0 0 3 0
ICT equipment
Computer (desktop) 9 8 1 0 0
Laptop 33 33 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 8 8 0 0 0
Scanner 2 2 0 0 0
UPS 9 4 0 1 4
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 0 0 0 0 0


Lohagara Upazila Health Complex, Narail | 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 91 76 3 6 6

Lohagara Upazila Health Complex, Narail | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Lohagara Upazila Health Complex, Narail |
We have to face a lot of problems. Significant deficit of basic health workers tends to reduce the sprit of health activities. We demand & wish solution by any means for the shake of the people.