Mohanganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Mohanganj upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Mohanganj upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh . DR MD ABDUR RAZZAK . UH&FPO . Mohanganj, Netrokona .
Mohanganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Mohanganj
Organization Code
10000489
Name of UHFPO DR MD ABDUR RAZZAK
Land Phone No. 1
-0952456032
Land Phone No. 2
FAX No.
Mobile No.
01730324546
Email mohanganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
91.0000
No. of Unions in the Upazila 7
No. of Households in the Upazila 35,115
Population in the Upazila 181,510
Area of Upazila in sq km 249.00
Mohanganj 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
0
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
2
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
5
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
12
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
1
0
Mohanganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,682
Under 5 Mortality Rate: 35.241 (Per 1,000 live births)
Infant Mortality Rate: 30.115 (Per 1,000 live births)
Neonatal Mortality Rate: 23.494 (Per 1,000 live births)
Still Birth Rate: 21.786 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 23,816
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 1%
Mohanganj 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:
12
Total No. of Recipients Who Took at least one ANC:
4,928
Total Number of Deliveries:
4,521
Valid TT Coverage: 57.00 %
Maternal Mortality Ratio (MMR) is:
256.30 per 100,000 live births.
Mohanganj 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
17,763
18,180
35,943
5,854
5,120
10,974
46,917
2,446
1,909
4,355
322
315
637
4,992
Union Sub-Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
625
1,297
1,922
298
294
592
2,514
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
3,626
23,318
26944
8,126
7,924
16,050
42,994
0
0
0
0
0
0
16,050
Community Clinics
52,717
85,161
137,878
7,050
7,742
14,792
152,670
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)
217
102
319
1
0
1
320
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
28,637
65,373
94,010
5,622
5,579
11,201
105,211
0
0
0
0
0
0
0
Mohanganj 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
2,103
3,696
5,799
389
364
753
6,552
20
16
36
6
6
12
48
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
Mohanganj 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
6,552
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
T002 Superficial injuries involving multiple regions of upper limb(s)
XIX: Injury, poisoning and certain other consequences of external causes
1758
26.83
2
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1517
23.15
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
823
12.56
4
S098 Other specified injuries of head
XIX: Injury, poisoning and certain other consequences of external causes
581
8.87
5
J459 Asthma, unspecified
X: Diseases of the respiratory system
380
5.80
6
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
345
5.27
7
J188 Other pneumonia, organism unspecified
X: Diseases of the respiratory system
330
5.04
8
J219 Acute bronchiolitis, unspecified
X: Diseases of the respiratory system
221
3.37
9
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
219
3.34
10
O081 Delayed or excessive haemorrhage following abortion and ectopic and molar pregnancy
XV: Pregnancy, childbirth and the puerperium
103
1.57
Mohanganj 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
48
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J188 Other pneumonia, organism unspecified
X: Diseases of the respiratory system
12
25.00
2
I519 Heart disease, unspecified
IX: Diseases of the circulatory system
8
16.67
3
I516 Cardiovascular disease, unspecified
X: Diseases of the respiratory system
5
10.42
4
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
4
8.33
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
3
6.25
6
A419 Septicaemia, unspecified
I: Certain infectious and parasitic diseases
3
6.25
7
K460 Unspecified abdominal hernia with obstruction, without gangrene
XI: Diseases of the digestive system
2
4.17
8
I409 Acute myocarditis, unspecified
IX: Diseases of the circulatory system
2
4.17
9
I289 Disease of pulmonary vessels, unspecified
IX: Diseases of the circulatory system
2
4.17
10
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
1
2.08
Mohanganj Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
61.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
14,971
Bed Occupancy Rates (%)
82.03
Average Length of Hospital Stay (No. of days per patient)
2.26
Hospital Death Rate (%)
0.73
Mohanganj Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
271
Mohanganj 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
22
9
5
8
36.36
Non Doctor
0
0
0
0
0.00
Class II
15
0
11
4
26.67
Class III
63
38
9
16
25.40
Class IV
24
12
5
7
29.17
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
2
1
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
0
3
75.00
Class IV
2
0
0
2
100.00
Rural Dispensaries
Class I
Doctor
5
1
4
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
4
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
14
11
2
1
7.14
Class IV
0
0
0
0
0.00
Mohanganj 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
29
18
11
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
15
0
11
4
26.67
Class III
86
54
12
20
23.26
Class IV
26
12
5
9
34.62
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
Mohanganj 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
7
7
22
14
0
8
3
3
0
Nurse
0
0
0
0
16
11
0
0
3
3
0
Medical Assistant
0
0
7
6
2
2
0
0
8
0
0
Medical Technologist
0
0
2
0
10
6
0
0
0
0
0
CHCP
14
13
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
0
HA
0
0
0
0
30
24
0
0
0
0
3
Mohanganj 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)
0
0
0
0
0
X-ray machine (300 mA)
1
0
1
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
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
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
6
2
1
0
3
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Mohanganj 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
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
6
2
2
1
1
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Mohanganj 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
0
0
1
0
Pediatric equipment
Baby incubator
2
1
0
0
1
Phototherapy unit
1
0
0
0
1
Mohanganj 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
0
0
0
1
Refrigerator
1
1
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Mohanganj 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)
8
1
2
0
5
Laptop
15
15
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
4
4
0
0
0
Scanner
2
2
0
0
0
UPS
6
1
0
0
5
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
14
14
0
0
0
Multimedia
1
1
0
0
0
Mohanganj 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
87
58
10
2
17
Mohanganj Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Mohanganj Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctor and nurse need more training on IMCI 3. Number of community clinic and the bed capacity of the health complex should be increased 4. All the repairable equipment’s should be repaired as soon as possible 5. All our female HA need CSBA training. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.