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

Nawabganj Upazila Health Complex | Health Bulletin 2014 |
Preface
Bangladesh is one of the most densely populated and disaster affected countries in the world. Nawabganj upazila is not an exception. It is situated in southest part of the Dinajpur district. It is placed in the west side of the upazila Pirganj of the Rangpur district.It was very challenging to provide health service among this population.Inspite of this challenging upazila has made improved progress in health and human development. In this upazila safe mother for excellent performance with maternal health. Despite progress in comprehensive essential obstructive case several many other health indications have need to be to provide health service to the population we are facing several contridiction - notable scarcity of man power. 80% of posts of Doctors are vaccant. To improved and sustained progress it is essential to filled up the vaccant post immediately. To improve child servival and maternal health consultant post of Gynae and obs and paediatrics can should be filled up.Medical equipment and logistic support should be continued in a timely fashion. Repearable instrument should be repeared immediatly. Doctors and Nurses need more training on IMCI, Communicable and non- Communicable diseases. Number of Nurses with experienced person is required for improving the health development of the local people. Otherwise the improvement of health service is not possible. Moreover the development of health service is not avaiable as manpower like ward boy and Sweeper post has to be filled up immediatly otherwise Emergency service can not provide properly. In this area is scattered and densely populated. The people of this upazila are not well educated. This upazila consists of 9 Unions, populations is 2,15,823. Though this upazila is scattered and not so good communications- there are several historic and amuging places in this upazila. Such as SAUPNAPURI, ASULIARBIL,SITARCOURT,SHALBON (National Garden).
DR. MD. REZAUL BARI
UH&FPO
Nawabganj Upazila Health Complex

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaNawabganj
Name of UHFPO DR. MD. REZAUL BARI
Telephone No. 0533356009
FAX No. 0
Mobile No. 01199400308
Email nawabganjd@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.2504 And Long: 89.0454
No. of Unions in the Upazila9
No. of Households in the Upazila 53,222
No. of Population in the Upazila 215,823
Area of Upazila in sq km 314.00

Nawabganj 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 3 0
No. of Union Health and Family Welfare Centres 5 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 2 0
No. of NGO Clinics/Facilities 0 0

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,374


Total No. of children treated under IMCI Program 5,038
Fully Vaccinated Children: 91.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 2.42 per 1,000 live births.

Nawabganj 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: 326
Total Number of Deliveries: 5472
No. of Maternal Death: 1
Valid TT Coverage: 4.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 18.61 per 100,000 live births.

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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 52,533 22,818 29,715 16,041 3,783 1,761 2,022 553
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 40,946 14,739 26,207 9,250 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 232,843 67,879 164,964 9,792 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 326,322 105,436 220,886 35,083 3,783 1,761 2,022 553
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 2,978 1,184 1,794 571 14 11 3 1
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 2,978 1,184 1,794 571 14 11 3 1

Nawabganj 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 3549
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 386 10.88
2 J45 Asthma 200 5.64
3 A01 Typhoid and paratyphoid fevers 150 4.23
4 I10 Essential (primary) hypertension 100 2.82
5 D50 Iron deficiency anaemia 100 2.82
6 F412 Mixed anxiety and depressive disorder 80 2.25
7 J18 Pneumonia, organism unspecified 72 2.03
8 K27 Peptic ulcer, site unspecified 70 1.97
9 T300 Burn of unspecified body region, unspecified degree 36 1.01
10 B550 Visceral leishmaniasis 10 0.28

Nawabganj 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 15
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 5 33.33
2 I50 Heart failure 3 20.00
3 J930 Spontaneous tension pneumothorax 1 6.67
4 I516 Cardiovascular disease, unspecified 1 6.67
5 I21 Acute myocardial infarction 1 6.67
6 J18 Pneumonia, organism unspecified 1 6.67
7 C53 Malignant neoplasm of cervix uteri 1 6.67
8 T629 Noxious substance eaten as food, unspecified 1 6.67
9 V892 Person injured in unspecified motor-vehicle accident, traffic 1 6.67
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
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.) 7,744
Bed Occupancy Rates (%) 68.44
Average Length of Hospital Stay (No. of days per patient) 2.23
Hospital Death Rate (%) 0.43


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

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

 

Nawabganj 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 2 2 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 11 1 7 3 27.27
Class III 65 35 20 10 15.38
Class IV 19 12 4 3 15.79
Union Health & Family Welfare Center (under DGHS)
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 5 1 0 0.00
Class IV 3 3 0 0 0.00
Rural Dispensaries
Class I Doctor 6 0 0 6 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 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 24 12 12 0 0.00
Class IV 0 0 0 0 0.00

 

Nawabganj 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 18 2 0 16 88.89
Non Doctor 0 0 0 0 0.00
Class II 11 1 7 3 27.27
Class III 102 53 33 16 15.69
Class IV 22 14 4 4 18.18
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

 

Nawabganj 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 3 0 9 2 6 0 0 0
Nurse 0 0 0 0 11 8 0 0 6 2
Medical Assistant 0 0 3 3 2 2 6 6 7 0
Medical Technologist 0 0 0 0 8 8 0 0 0 0
CHCP 24 24 0 0 0 0 0 0 24 0
HI 0 0 0 0 3 2 0 0 2 0
AHI 0 0 0 0 7 7 0 0 7 0
HA 0 0 0 0 33 25 0 0 25 0
CSBA trained*** 0 0 0 0 0 3 0 0 0 0

Nawabganj 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 1 1 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 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) 1 1 0 0 0
Ventilator 0 0 0 0 0


Nawabganj 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 2 1 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Nawabganj 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 1 0 0
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) 2 1 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


Nawabganj 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 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


Nawabganj 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) 2 2 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 7 0 0 0
Laptop 29 29 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 0 0 0 0 0
UPS 1 1 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 0 0 0 0 0


Nawabganj 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 62 57 3 2 0

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

Important information and necessary issues for Nawabganj Upazila Health Complex |
We have 31 beded hospital & 50 beded development work is under construction. The construction work started from 26.09.2010 and they completed 74% of work.Then the work permit of the contructor was cancelled on 02.12.2012.Now the construction work is totally stopped. We are able to overcome all obstacles and hesitation through our destination of peoples health service in NAWABGANJ health complex . Limited post of Doctors, Nurses and all other staffs in our hospital- we successfully done our dutys properly past year 2012 and this is running on . The people of surrounded area of this health complex - pleased to our duties which was delivered through out of the year 2012 . I am always concious to every staff service to the people of this upazila . National leaders, alieds, patients , journalists and all catagory of local persons are pleased to our services which delivered in 2012 . Our performance and progress are always beneficial to lower progressive people . Because of our profession is always sacrificed and devoted to the poor and ruined people and this is our present and future moto . So, in future it is my promise that I and with my staffs sacrificed our all efforts and dignity only for poor patients in this local area . This is only I always want help from my higher authorities to regulate and manage this health complex . I also want useful advice from my authorities to provide proper health services to the public in coming days . THANKS .