Monohardi Upazila Health Complex | Health Bulletin 2015 |
Preface
It is my great pleasure to inform you that we published the health bulletin 2015 of Monohardi Upazila Containing health related data and information of 2014. I have to manage all Public health programs,especially the primary health care services in the Upazila and also look after the 50 bed Upazila hospital. The objective of Upazila health complex is to provide modern scientific health and family planning services to the rural people. There are different qualitative and quantitative changes have come to health care service. It is our duty to inform mass people to take this opportunity . Government has extended the primary health care services to rural people through community clinic. There are 38 community clinic in Monohardi Upazila, We are now giving people MNH,IMCI Nutrition corner,VIA & CBE,Basic EOC, ANC,PNC,ORTC & NCD corner service with all modern facilities. We have reduced infant mortality rate, maternal mortality rate. I think this bulletin reflects the current situation of health status of Monohardi Upazila. This bulletin will help in planning and bridging the gaps in health services in this Upazila. This bulletin reflects our commitment,efforts,dedication and quality based service towards the people of Monohardi Upazila. I express my gratitude to all those who are related to this health bulletin 2015. We hope by our collective services and with participation of local people,we will achieve our health target Inshallah.
Monohardi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Monohardi
Organization Code
10000443
Name of UHFPO Dr. Md. Safiqual Alam
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01719218322
Email monohardi@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
90.0000
No. of Unions in the Upazila 12
No. of Households in the Upazila 59,628
Population in the Upazila 299,536
Area of Upazila in sq km 194.00
Monohardi 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
5
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)
10
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
38
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
2
30
No. of NGO Clinics/Facilities
0
0
Monohardi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,887
Under 5 Mortality Rate: 25.612 (Per 1,000 live births)
Infant Mortality Rate: 19.272 (Per 1,000 live births)
Neonatal Mortality Rate: 12.806 (Per 1,000 live births)
Still Birth Rate: 6.847 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 25,016
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months):
Monohardi 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:
2
Total No. of Recipients Who Took at least one ANC:
5,892
Total Number of Deliveries:
7,691
Valid TT Coverage: 59.00 %
Maternal Mortality Ratio (MMR) is:
25.36 per 100,000 live births.
Monohardi 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
12,227
26,652
38,879
9,402
9,549
18,951
57,830
2,219
3,232
5,451
810
577
1,387
6,838
Union Sub-Centres
12,012
23,139
35,151
4,820
6,169
10,989
46,140
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)
14,742
50,324
65066
4,679
7,266
11,945
77,011
0
0
0
0
0
0
11,945
Community Clinics
78,937
253,054
331,991
16,980
18,254
35,234
367,225
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
1,006
2,750
3,756
422
440
862
4,618
32
39
71
10
8
18
89
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Monohardi 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
1,552
3,379
4,931
370
420
790
5,721
10
4
14
2
4
6
20
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
22
831
853
2
0
2
855
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Monohardi 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
5,721
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
1019
17.81
2
T149 Injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
903
15.78
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
164
2.87
4
J45 Asthma
X: Diseases of the respiratory system
122
2.13
5
T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
XIX: Injury, poisoning and certain other consequences of external causes
115
2.01
6
S009 Superficial injury of head, part unspecified
XIX: Injury, poisoning and certain other consequences of external causes
110
1.92
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
59
1.03
8
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
52
0.91
9
A010 Typhoid fever
I: Certain infectious and parasitic diseases
18
0.31
10
T290 Burns of multiple regions, unspecified degree
XIX: Injury, poisoning and certain other consequences of external causes
3
0.05
Monohardi 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
20
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
4
20.00
2
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
15.00
3
I64 Stroke, not specified as haemorrhage or infarction
X: Diseases of the respiratory system
2
10.00
4
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
2
10.00
5
E43 Unspecified severe protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
2
10.00
6
J45 Asthma
X: Diseases of the respiratory system
1
5.00
7
T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
XIX: Injury, poisoning and certain other consequences of external causes
1
5.00
8
N18 Chronic renal failure
XIV: Diseases of the genitourinary system
1
5.00
9
I959 Hypotension, unspecified
IX: Diseases of the circulatory system
1
5.00
10
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
5.00
Monohardi 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 (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
17,055
Bed Occupancy Rates (%)
93.45
Average Length of Hospital Stay (No. of days per patient)
3.00
Hospital Death Rate (%)
0.35
Monohardi Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
60
Minor Surgeries
2,312
Monohardi 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
11
6
4
19.05
Non Doctor
0
0
0
0
0.00
Class II
16
1
14
1
6.25
Class III
98
57
35
6
6.12
Class IV
24
9
8
7
29.17
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
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
10
4
5
1
10.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
15
12
2
1
6.67
Class IV
5
4
0
1
20.00
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
35
13
22
0
0.00
Class IV
0
0
0
0
0.00
Monohardi 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
31
15
11
5
16.13
Non Doctor
0
0
0
0
0.00
Class II
16
1
14
1
6.25
Class III
148
82
59
7
4.73
Class IV
29
13
8
8
27.59
Other Hospitals & Clinics
Class I
Doctor
2
2
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
Monohardi 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
10
9
21
17
0
0
6
4
0
Nurse
0
0
0
0
16
15
0
0
15
6
0
Medical Assistant
0
0
10
10
2
2
0
0
12
0
0
Medical Technologist
0
0
0
0
8
8
0
0
8
0
0
CHCP
35
35
0
0
0
0
0
0
35
0
7
HI
0
0
0
0
4
4
0
0
3
0
0
AHI
0
0
0
0
11
11
0
0
11
0
0
HA
0
0
0
0
55
53
0
0
45
0
0
Monohardi 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
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
3
2
0
0
1
Autoclave
4
4
0
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Monohardi 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
2
1
0
0
1
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Monohardi 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
1
0
0
0
1
Centrifuge machine (electric)
2
1
0
0
1
Colorimeter
2
0
2
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
2
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Monohardi 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
1
1
0
0
0
Blood bank refrigerator
1
1
0
0
0
Refrigerator
1
1
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Monohardi 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)
3
2
0
0
1
Generator
Generator (diesel/petrol)
2
0
2
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)
6
6
0
0
0
Laptop
43
43
0
0
0
Printer (dot matrix)
1
1
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
8
7
0
0
1
Scanner
1
1
0
0
0
UPS
6
6
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
Monohardi 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
1
1
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
105
93
6
0
6
Monohardi Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Monohardi Upazila Health Complex
I know, We could not satisfy all the patients.and we could not achieve our health terget upto the mark. I mention some important factors which will help us to achieve our health target. Reconstruction of old hospital building and Quarters, Supply of gas within hospital campus ,Supply of new Ambulance , Continuous supply of Medicine & MSR,Doctors,Nurse,Paramedic and other health related staffs should be trained up with modern and recent technology to ensure total quality of management, Vacant post,especially swiper,MLSS should be filled up with respective staff.
Thanks.
