Nakhla Upazila Health Complex | Health Bulletin 2015 |
Preface
Nakla upazilla is a relatively well communicable upazilla of Sherpur district.It is 19 km west from Sherpur.It has 09 unions with 47035 households.The area of upazilla is 147 sq km & the population is around 210788.Gonopaddi union is the most populated & large union of this upazilla.The upazilla health complex is located in the center of the upazilla.The socio-economic condition is very poor in this upazilla.Most of the people in this upazilla depended on agriculture.
Nakhla Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Nakhla
Organization Code
10000567
Name of UHFPO Dr.Md.Abdul Kader
Land Phone No. 1
-0932375015
Land Phone No. 2
FAX No.
Mobile No.
01712020905
Email nakla@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
N/A And
Long:
N/A
No. of Unions in the Upazila 9
No. of Households in the Upazila 47,906
Population in the Upazila 210,788
Area of Upazila in sq km 147.00
Nakhla 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
1
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
8
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
23
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
0
0
No. of NGO Clinics/Facilities
0
0
Nakhla Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,236
Under 5 Mortality Rate: 31.634 (Per 1,000 live births)
Infant Mortality Rate: 27.384 (Per 1,000 live births)
Neonatal Mortality Rate: 24.315 (Per 1,000 live births)
Still Birth Rate: 15.817 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 15,209
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):
Nakhla 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:
6
Total No. of Recipients Who Took at least one ANC:
2,670
Total Number of Deliveries:
4,236
Valid TT Coverage: 37.00 %
Maternal Mortality Ratio (MMR) is:
141.64 per 100,000 live births.
Nakhla 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
24,271
24,604
48,875
3,211
5,196
8,407
57,282
5,113
3,887
9,000
1,711
979
2,690
11,690
Union Sub-Centres
9,820
10,505
20,325
871
649
1,520
21,845
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
61,783
121,419
183,202
8,614
10,137
18,751
201,953
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
Nakhla 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
2,087
2,139
4,226
398
488
886
5,112
5
5
10
2
2
4
14
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
Nakhla 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
4,226
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y08 Assault by other specified means
XX: External causes of morbidity and mortality
703
16.64
2
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
452
10.70
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
448
10.60
4
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
286
6.77
5
A92 Other mosquito-borne viral fevers
I: Certain infectious and parasitic diseases
234
5.54
6
B89 Unspecified parasitic disease
I: Certain infectious and parasitic diseases
189
4.47
7
J45 Asthma
X: Diseases of the respiratory system
171
4.05
8
T62 Toxic effect of other noxious substances eaten as food
XIX: Injury, poisoning and certain other consequences of external causes
78
1.85
9
T622 Other ingested (parts of) plant(s)
XIX: Injury, poisoning and certain other consequences of external causes
45
1.06
10
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
34
0.80
Nakhla 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
14
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J96 Respiratory failure, NEC
X: Diseases of the respiratory system
3
21.43
2
J45 Asthma
X: Diseases of the respiratory system
2
14.29
3
I50 Heart failure
X: Diseases of the respiratory system
2
14.29
4
T30 Burn and corrosion, body region unspecified
XIX: Injury, poisoning and certain other consequences of external causes
2
14.29
5
T62 Toxic effect of other noxious substances eaten as food
XIX: Injury, poisoning and certain other consequences of external causes
1
7.14
6
T21 Burn and corrosion of trunk
XIX: Injury, poisoning and certain other consequences of external causes
1
7.14
7
A06 Amoebiasis
I: Certain infectious and parasitic diseases
1
7.14
8
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
1
7.14
9
N19 Unspecified renal failure
XIV: Diseases of the genitourinary system
1
7.14
10
0
0.00
Nakhla Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
Coverage of households having access to sanitary latrines (%)
80.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
12,543
Bed Occupancy Rates (%)
68.73
Average Length of Hospital Stay (No. of days per patient)
2.98
Hospital Death Rate (%)
0.33
Nakhla Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
927
Nakhla 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
15
4
5
6
40.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
79
43
24
12
15.19
Class IV
25
8
3
14
56.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
4
4
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
7
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
1
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
2
0
0
0.00
Class IV
1
1
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
27
16
11
0
0.00
Class IV
0
0
0
0
0.00
Nakhla 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
24
9
9
6
25.00
Non Doctor
0
0
0
0
0.00
Class II
15
0
10
5
33.33
Class III
116
68
36
12
10.34
Class IV
26
8
3
15
57.69
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
Nakhla 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
9
9
15
9
0
0
0
1
0
Nurse
0
0
0
0
15
10
0
0
3
0
0
Medical Assistant
0
0
9
9
2
2
0
0
11
0
0
Medical Technologist
0
0
0
0
11
9
0
0
0
0
0
CHCP
27
27
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
8
8
0
0
0
0
0
HA
0
0
0
0
40
38
0
0
0
0
0
Nakhla 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
0
1
0
0
X-ray machine (300 mA)
1
0
1
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
0
0
0
1
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
0
0
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
1
0
0
0
1
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
3
1
1
0
1
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Nakhla 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
5
4
1
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Nakhla 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)
2
2
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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Nakhla 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
1
1
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Nakhla 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)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
0
1
0
0
IPS
3
2
1
0
0
ICT equipment
Computer (desktop)
6
5
0
0
1
Laptop
26
25
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
2
2
0
1
Scanner
0
0
0
0
0
UPS
5
2
2
0
1
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
2
1
0
0
1
Nakhla 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
2
2
0
0
0
Mobile phone
1
1
0
0
0
Total
82
62
12
0
8
Nakhla Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Nakhla Upazila Health Complex
