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

Pirganj Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to know that Local Health Bulletin-2014 will be going to publish for the third time within last week of June/14 as like as 2013.This health bulletin contains all the health related informations of 2013.I hope all the informations of this bulletin which will help for future planning and bringing the gaps in health services of this Upazila .This Bulletin contains many data stored of this office file. This health bulletin will help us to find out the constrains and also to see the results and achievements of 2013.It contains the status of MDG4 and MDG5 which will help us to achieve the targets of MDG4 &MDG5 locally . This health bulletin has also the information on safe drinking water and sanitation status of the Upazila and all the sanction and vacant posts are mentioned in this bulletin.I like to attention of higher authority to look into this published bulletin.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Md. Abdul Majid UH&FPO Upazila Health Complex Pirganj,Thakurgaon.
Dr.Md Abdul Majid
UH&FPO
Pirganj Upazila Health Complex

Pirganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaPirganj
Name of UHFPO Dr.Md Abdul Majid
Telephone No. 0562456218
FAX No. 0
Mobile No. 01713782125
Email pirganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 88.0000
No. of Unions in the Upazila10
No. of Households in the Upazila 53,572
No. of Population in the Upazila 259,023
Area of Upazila in sq km 353.00

Pirganj 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 2 0
No. of Union Health and Family Welfare Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 22 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 0
No. of NGO Clinics/Facilities 0 0

Pirganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,215


Total No. of children treated under IMCI Program 16,218
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 27.06 per 1,000 live births.

Pirganj 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: 3259
Total Number of Deliveries: 3307
No. of Maternal Death: 13
Valid TT Coverage: 11.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 404.35 per 100,000 live births.

Pirganj 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 52,301 18,414 33,887 4,384 1,503 851 652 254
Union Sub-Centres 24,139 9,784 14,355 828 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 194,039 66,603 127,436 31,788 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 270,479 94,801 175,678 37,000 1,503 851 652 254
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 9,090 2,859 6,231 664 45 30 15 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 688 0 688 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 9,778 2,859 6,919 664 45 30 15 5

Pirganj 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 9754
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y08 Assault by other specified means 1417 14.53
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 795 8.15
3 V892 Person injured in unspecified motor-vehicle accident, traffic 303 3.11
4 I10 Essential (primary) hypertension 293 3.00
5 J168 Pneumonia due to other specified infectious organisms 163 1.67
6 T600 Organophosphate and carbamate insecticides 161 1.65
7 A010 Typhoid fever 134 1.37
8 J449 Chronic obstructive pulmonary disease, unspecified 123 1.26
9 F419 Anxiety disorder, unspecified 122 1.25
10 J45 Asthma 104 1.07

Pirganj 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 50
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 12 24.00
2 I21 Acute myocardial infarction 9 18.00
3 R101 Pain localized to upper abdomen 8 16.00
4 I516 Cardiovascular disease, unspecified 3 6.00
5 V892 Person injured in unspecified motor-vehicle accident, traffic 2 4.00
6 J18 Pneumonia, organism unspecified 1 2.00
7 N19 Unspecified renal failure 1 2.00
8 R50 Fever of unknown origin 1 2.00
9 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 2.00
10 T30 Burn and corrosion, body region unspecified 1 2.00

Pirganj 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 (%) 75.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 17,028
Bed Occupancy Rates (%) 93.30
Average Length of Hospital Stay (No. of days per patient) 1.74
Hospital Death Rate (%) 0.51


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 189
Minor Surgeries 146

 

Pirganj 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 10 0 10 0 0.00
Class III 69 38 22 9 13.04
Class IV 19 8 5 6 31.58
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 0 1 7 87.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 4 4 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 2 2 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

 

Pirganj 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 19 5 2 12 63.16
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 105 54 32 19 18.10
Class IV 21 10 5 6 28.57
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

 

Pirganj 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 2 9 4 0 0 1 2
Nurse 0 0 0 0 11 11 0 0 6 4
Medical Assistant 0 0 10 10 2 2 0 0 1 0
Medical Technologist 0 0 0 0 5 5 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 8 8 0 0 0 0
HA 0 0 0 0 37 33 0 0 0 0
CSBA trained*** 0 0 0 0 10 10 0 0 0 0

Pirganj 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 0 0 1 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 1 0 0 1 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 5 2 2 1 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 1 1 0 0 0
Portable OT Light 2 2 0 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 4 0 0 0
Ventilator 1 1 0 0 0


Pirganj 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 3 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Pirganj 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 1 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 0 3 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


Pirganj 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


Pirganj 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) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 2 1 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 5 3 2 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


Pirganj 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 61 48 6 7 0

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

Important information and necessary issues for Pirganj Upazila Health Complex |
 Last year, we could not give our maximum efforts to improve the health status due to many reasons.This Upazila Health Complex has declared 50 beded Hospital but yet the manpower of 50 beds are not approved. Here I want to mention some important factors for attention higher authority which will help us to achieve good results in future. This Upazila Health Complex took part in the celebration of all famous day which are related with health works with the collaboration of some NGO's and Upazila administration. From 11 March to 17 March of 2014, I visited the Primary Health Care & Management System of Srilanka with the help of WHO by the direction of Ministry of Health ,Bangladesh Govt. Pirganj Upazila Health Complex also achieved the best award for the best HSS performance among the all Upazila Health Complexes in Rangpur division by the Health Minister of Bangladesh Govt.Previously in this Upazila there were 22(Twenty two) CC and 24(Twenty Four) CHCP . So, 2(Two) CHCP were excess . Within June/2014 5(Five) new CCwill be completed .SO, 5-2=3 new CHCP should be appointed for Pirganj Upazila under Thakurgaon district.This Upazila Health Complex though running smoothly behind short of one Paediatric Consultant,one Surgery Consultant ,one Medicine Consultant and two Medical officers and one vital post of RMO.In 2013 and 2014 MNH though help us for the salary of some shortage staffs but they did not maintenance a fund for local purchasing of any essential drugs. Finally, I am very happy to write this bulletin in 2014 because this document will help us to compare our progress with 2013 and 2014.This is one of the most important document which will help to understand the population about our health services and provide us the useful advice for improvement in future day by day as the Prime Minister of Bangladesh declare the visions of 2021 to build up Bangladesh as a Digital Bangladesh in all sectors .