Nalitabari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am highly glad to publish this health bulletin of Nalitabari Upazill,Sherpur.Nalitabari is located at
25.0833°N 90.1954°E . It has 59219 units of house hold and total area 329.59 km².Nalitabari has 12 Unions/Wards, 108 Mauzas/Mahallas, and 138 villages. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of the upazilla 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 upazilla. Government health office has many data stored in the line. 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 MDG4 and MDG5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazilla. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to take attention of the higher authority to look into this issue. Finally I would like to congratulate DGHS on the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.Md.Rafiqul Islam
UH & FPO,
Nalitabari, Sherpur.
Nalitabari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Nalitabari
Organization Code
10000568
Name of UHFPO Dr.Md. Rafiqul Islam
Land Phone No. 1
-0932473025
Land Phone No. 2
FAX No.
Mobile No.
01782938930
Email nalitabari@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 12
No. of Households in the Upazila 59,219
Population in the Upazila 270,137
Area of Upazila in sq km 329.59
Nalitabari 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
31
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
32
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
2
0
Nalitabari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,590
Under 5 Mortality Rate: 50.198 (Per 1,000 live births)
Infant Mortality Rate: 33.333 (Per 1,000 live births)
Neonatal Mortality Rate: 26.482 (Per 1,000 live births)
Still Birth Rate: 28.590 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 9,420
Fully Vaccinated Children (<= 12 months): 81.00 %
Fully Vaccinated Children (<= 23 months):
Nalitabari 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:
1
Total No. of Recipients Who Took at least one ANC:
6,878
Total Number of Deliveries:
7,771
Valid TT Coverage: 19.00 %
Maternal Mortality Ratio (MMR) is:
13.18 per 100,000 live births.
Nalitabari 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
31,775
49,795
81,570
3,407
3,613
7,020
88,590
3,063
2,870
5,933
339
320
659
6,592
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)
9,440
10,701
20,141
887
1,197
2,084
22,225
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
7,195
42,865
50060
6,598
6,100
12,698
62,758
0
0
0
0
0
0
12,698
Community Clinics
69,944
164,336
234,280
14,462
17,449
31,911
266,191
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
Nalitabari 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
1,618
1,421
3,039
439
403
842
3,881
9
4
13
3
2
5
18
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
Nalitabari 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
4,085
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
634
15.52
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
611
14.96
3
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
589
14.42
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
497
12.17
5
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
251
6.14
6
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
234
5.73
7
J45 Asthma
X: Diseases of the respiratory system
222
5.43
8
RTA Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
217
5.31
9
UTI Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
192
4.70
10
T62 Toxic effect of other noxious substances eaten as food
XIX: Injury, poisoning and certain other consequences of external causes
78
1.91
Nalitabari 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
18
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J45 Asthma
X: Diseases of the respiratory system
6
33.33
2
I51 Complications and ill-defined descriptions of heart disease
IX: Diseases of the circulatory system
3
16.67
3
T30 Burn and corrosion, body region unspecified
X: Diseases of the respiratory system
3
16.67
4
N19 Unspecified renal failure
XIV: Diseases of the genitourinary system
2
11.11
5
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
2
11.11
6
K72 Hepatic failure, NEC
XI: Diseases of the digestive system
2
11.11
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Nalitabari Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
78.00
Coverage of households having access to sanitary latrines (%)
72.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
13,666
Bed Occupancy Rates (%)
120.78
Average Length of Hospital Stay (No. of days per patient)
3.35
Hospital Death Rate (%)
0.44
Nalitabari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
701
Nalitabari 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
10
5
2
3
30.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
9
1
10.00
Class III
77
32
21
24
31.17
Class IV
20
11
3
6
30.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
2
0
1
1
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
4
0
0
0.00
Class IV
2
2
0
0
0.00
Rural Dispensaries
Class I
Doctor
10
5
2
3
30.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
8
2
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
36
12
18
6
16.67
Class IV
0
0
0
0
0.00
Nalitabari 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
22
10
5
7
31.82
Non Doctor
0
0
0
0
0.00
Class II
10
0
9
1
10.00
Class III
127
57
40
30
23.62
Class IV
22
14
5
3
13.64
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
Nalitabari 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
12
8
10
7
0
0
3
0
0
Nurse
0
0
0
0
10
9
0
0
4
0
0
Medical Assistant
0
0
12
12
2
2
0
0
9
0
0
Medical Technologist
0
0
2
2
5
4
0
0
0
0
0
CHCP
36
30
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
0
0
9
9
0
0
45
HA
0
0
0
0
0
0
45
27
0
0
1
Nalitabari 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
3
1
1
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
3
3
0
0
0
Portable OT Light
2
1
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Nalitabari 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
12
6
2
4
0
Pulse oximeter
4
2
2
0
0
Dental equipment
Dental unit
4
2
0
2
0
Nalitabari 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
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
1
0
1
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Nalitabari 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
0
0
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Nalitabari 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)
0
0
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)
10
8
1
0
1
Laptop
33
33
0
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
0
0
0
0
0
UPS
6
3
0
3
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
0
0
0
0
0
Nalitabari 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
0
0
0
0
0
Mobile phone
0
0
0
0
0
Total
103
82
8
11
2
Nalitabari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Nalitabari Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reason. 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 doctors and nurses need more training on IMCI,ANC,PNC and safe delivery 3) All the repairable equipments should be repaired as soon as possible.4) Local leaders and Public participation in Health System will help a lot for further progress.5) Dedication, service oriented faithful mind both from the service provider and receiver needed .6) Emphasis on Health education. 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 important in future.
Dr. Md.Rafiqul Islam, UH&FPO Nalitabari, Sherpur
