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Iswarganj Upazila Health Complex | Health Bulletin 2015 |
Preface
It`s a great pleasure to have the opportunity to publish "Local Health Bulletin" 2015. With this publication it is easy to address local health problems and it plays an effective role in improving the the overall health situation in Iswarganj upazila,Mymensingh and to provide better health services. Lastly I especially thank Prof. Abul Kalam Azad A.D.G.(planing & development) DGHS & Director MIS. Dhaka for his kind Co-operation.
Dr.Nikhil Ranjan Baidya
UH&FPO
Iswarganj Upazila Health Complex

Iswarganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Iswarganj
Organization Code 10000383
Name of UHFPO Dr.Nikhil Ranjan Baidya
Land Phone No. 1 -0902756018
Land Phone No. 2
FAX No.
Mobile No. 01705254424
Email iswarganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.4123 And Long: 90.2340
No. of Unions in the Upazila11
No. of Households in the Upazila 81,042
Population in the Upazila 413,244
Area of Upazila in sq km 285.50

Iswarganj 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 50
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 6 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 42 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 1 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 0 0

Iswarganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,661


Under 5 Mortality Rate: 45.491 (Per 1,000 live births)
Infant Mortality Rate: 38.679 (Per 1,000 live births)
Neonatal Mortality Rate: 32.560 (Per 1,000 live births)
Still Birth Rate: 40.757 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,129
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 99%

Iswarganj 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: 15
Total No. of Recipients Who Took at least one ANC: 15,129
Total Number of Deliveries: 8,527
Valid TT Coverage: 27.00 %
Maternal Mortality Ratio (MMR) is: 173.19 per 100,000 live births.

Iswarganj 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 14,994 18,683 33,677 6,852 0 6,852 40,529 6,120 7,211 13,331 921 734 1,655 14,986
Union Sub-Centres 16,083 19,345 35,428 6,635 0 6,635 42,063 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 18,844 66,468 85,312 17,238 0 17,238 102,550 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 50,216 105,503 155,719 37,004 0 37,004 192,723 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) 244 130 374 3 0 3 377 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

Iswarganj 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 2,731 3,881 6,612 677 731 1,408 8,020 3 4 7 2 2 4 11
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

Iswarganj 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 8,813
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1679 19.05
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1300 14.75
3 K25 Gastric ulcer XI: Diseases of the digestive system 442 5.02
4 X850 Assault by drugs, medicaments and biological substances, home XX: External causes of morbidity and mortality 385 4.37
5 D539 Nutritional anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 281 3.19
6 J11 Influenza, virus not identified X: Diseases of the respiratory system 191 2.17
7 J45 Asthma X: Diseases of the respiratory system 179 2.03
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 98 1.11
9 X48 Accidental poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 88 1.00
10 O08 Complications following abortion and ectopic and molar pregnancy XV: Pregnancy, childbirth and the puerperium 75 0.85

Iswarganj 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 3 27.27
2 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 2 18.18
3 J45 Asthma X: Diseases of the respiratory system 2 18.18
4 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2 18.18
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 9.09
6 G039 Meningitis, unspecified VI: Diseases of the nervous system 1 9.09
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 1,758
Bed Occupancy Rates (%) 9.63
Average Length of Hospital Stay (No. of days per patient) 0.20
Hospital Death Rate (%) 0.12


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 477

 

Iswarganj 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 21 9 9 3 14.29
Non Doctor 0 0 0 0 0.00
Class II 16 0 14 2 12.50
Class III 145 117 34 -6 -4.14
Class IV 25 14 4 7 28.00
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 8 6 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 1 1 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 2 0 0.00
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 42 19 22 1 2.38
Class IV 0 0 0 0 0.00

 

Iswarganj 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 32 10 18 4 12.50
Non Doctor 0 0 0 0 0.00
Class II 16 0 14 2 12.50
Class III 182 117 34 31 17.03
Class IV 28 17 4 7 25.00
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

 

Iswarganj 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 11 10 21 18 0 0 3 0 0
Nurse 0 0 0 0 15 13 0 0 2 2 0
Medical Assistant 0 0 11 11 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 7 7 0 0 0 0 0
CHCP 44 41 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 6 6 0 0 0 0 0
AHI 0 0 0 0 19 18 0 0 0 0 0
HA 0 0 0 0 95 71 0 0 71 0 0

Iswarganj 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 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 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Iswarganj 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Iswarganj 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) 1 1 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Iswarganj 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 1 1 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Iswarganj 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) 2 2 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 1 0 1 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 4 2 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 5 0 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


Iswarganj 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 0 1 0 0
Mobile phone 1 1 0 0 0
Total 53 46 5 2 0

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

Important information and necessary issues for Iswarganj Upazila Health Complex
Iswarganj Upzila Is a south eastern Upzila of Mymensingh Disrtict. There are a 50 bed hospital in the Upazila. It has three union sub center under DGHS.There are 42 running Community clinic and 6 Community clinic are proposed in the Upazia .CHCPs,health assistants & FWAs are providing services at community clinics.I feel proud that my staffs are delivering good service to the poor villagers with so many limitations. I like to mention some important factors which will help us to improve our service in future. Theses are: 1. The vacant posts should be filled up immediately. 2. Our doctors and nurses need more training on IMCI. 3. Number of community clinics should be increased. 4. All the repairable equipment’s should be repaired as early as possible. Finally I am very happy to publish this health bulletin of 2015, because this document will help us to compare our progress in upcoming years.