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Mukshedpur Upazila Health Complex | Health Bulletin 2015 |
Preface
Muksudpur Upazila, Gopalgonj, is a large upazila of 17 Unions. The area of the Upazila is about 309 sq.km. The Upazila health complex along with field level infrastructure is giving health service to about 2 lac and 97 thousands people by a dedicated group of health staff with the motto 'RENDERING OF SERVICE IS OUR MEDITATION', To prepare a local Health Bulletin is difficult. There may be some mistakes which I think everybody will forgive. This Bulletin shows all the data related to health service of the Muksudpur Upazila. I think this Bulletin will serve future guideline for the health service delivery of the Muksudpur Upazila,Gopalgonj. Dr. Mohammad Aminul Islam Mian UH&FPO Upazila Health Complex Muksudpur,Gopalgonj.
Dr. Mohammad Aminul Islam Mian
UH&FPO
Mukshedpur Upazila Health Complex

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Mukshedpur
Organization Code 10000181
Name of UHFPO Dr. Mohammad Aminul Islam Mian
Land Phone No. 1 06654-056204
Land Phone No. 2
FAX No.
Mobile No. 01730324485
Email maksudpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila17
No. of Households in the Upazila 61,194
Population in the Upazila 327,480
Area of Upazila in sq km 309.63

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 6 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 13 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 46 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 3 30
No. of NGO Clinics/Facilities 0 0

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,290


Under 5 Mortality Rate: 7.270 (Per 1,000 live births)
Infant Mortality Rate: 4.664 (Per 1,000 live births)
Neonatal Mortality Rate: 2.058 (Per 1,000 live births)
Still Birth Rate: 0.823 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 20,873
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;



No. of Maternal Deaths: 5
Total No. of Recipients Who Took at least one ANC: 7,347
Total Number of Deliveries: 7,296
Valid TT Coverage: 31.00 %
Maternal Mortality Ratio (MMR) is: 68.59 per 100,000 live births.

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 5

No. of OPD & Emergency visits at Upazila
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 26,520 36,972 63,492 15,732 12,217 27,949 91,441 3,434 4,273 7,707 824 735 1,559 9,266
Union Sub-Centres 32,548 28,564 61,112 14,214 15,550 29,764 90,876 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 109,756 128,752 238,508 83,314 68,674 151,988 390,496 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 6

No. of Admissions & Deaths at Upazila
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 2,541 3,487 6,028 621 859 1,480 7,508 18 13 31 8 6 14 45
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 7

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 7,508
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2800 37.29
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1994 26.56
3 Y00 Assault by blunt object XX: External causes of morbidity and mortality 789 10.51
4 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 679 9.04
5 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 512 6.82
6 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 265 3.53
7 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 189 2.52
8 J47 Bronchiectasis X: Diseases of the respiratory system 158 2.10
9 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 78 1.04
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 44 0.59

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period 45
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I63 Cerebral infarction IX: Diseases of the circulatory system 15 33.33
2 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 10 22.22
3 I50 Heart failure IX: Diseases of the circulatory system 8 17.78
4 J45 Asthma X: Diseases of the respiratory system 6 13.33
5 J17 Pneumonia in diseases classified elsewhere X: Diseases of the respiratory system 2 4.44
6 K299 Gastroduodenitis, unspecified XI: Diseases of the digestive system 1 2.22
7 K770 Liver disorders in infectious and parasitic diseases classified elsewhere XI: Diseases of the digestive system 1 2.22
8 T21 Burn and corrosion of trunk XIX: Injury, poisoning and certain other consequences of external causes 1 2.22
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 2.22
10 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 0 0.00

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91.00
Coverage of households having access to sanitary latrines (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 20,230
Bed Occupancy Rates (%) 178.79
Average Length of Hospital Stay (No. of days per patient) 2.69
Hospital Death Rate (%) 0.60


Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 3,132

 

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 10 6 1 3 30.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 164 88 46 30 18.29
Class IV 19 12 6 1 5.26
Union Health & Family Welfare Center (under DGHS)
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 12 8 3 1 8.33
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 6 3 1 2 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 4 2 6 50.00
Class IV 6 5 1 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 60 20 22 18 30.00
Class IV 0 0 0 0 0.00

 

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 28 13 4 11 39.29
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 194 106 51 37 19.07
Class IV 25 18 7 0 0.00
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

 

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained CSBA trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 18 10 10 7 0 0 2 0 0
Nurse 0 0 0 0 10 10 0 0 3 0 0
Medical Assistant 0 0 18 16 2 2 0 0 6 0 0
Medical Technologist 0 0 6 1 8 6 0 0 0 0 0
CHCP 60 42 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 5 5 0 0 0
AHI 0 0 0 0 0 0 14 14 0 0 14
HA 0 0 0 0 0 0 70 59 0 0 10

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment 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
Ultrasonogram machine 2 2 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 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 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 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
ECG machine 1 1 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment 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
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 1 0 1 0 0


Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment 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) 1 1 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) 3 3 0 0 0
Laptop 50 50 0 0 0
Printer (dot matrix) 2 1 1 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 2 1 1 0 0
UPS 2 2 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP 0 0 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 76 73 3 0 0

Mukshedpur Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Mukshedpur Upazila Health Complex
The construction for 50 bed hospital was completed on 17 June /2011 and handed over to the authority. But the logistic supply and budget allocation for 50 bed Hospital has not yet been established . The man power for 50 bed hospital not yet posted . So the hospital is running with logistic, budget and manpower of 31 bed hospital . The average bed occupancy rate of this hospital on 31 bed calculation for the year 2014 is 179%. So, this hospital needs immediate all arrangement for 50 bed.This is an urgent necessity for the locality.