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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 .
DR MD ABDUR RAZZAK
UH&FPO
Mohanganj Upazila Health Complex

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 Upazila7
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.