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Modhupur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Modhupur Upazila for the year 2014. This bulletin contains all the health related information of 2014. This bulletin is published to disseminated the information of Modhupur Upazila to other departments & development of partnership of health service. I hope all the infomation of this bulletin will help for planning &minimise the gaps in health services of this Upazila .There are so many data stored in this file.This health bulletin will help us to find out the obstracles & also see the result & achievements/ 2014.This bulletin contains the status of MDG-4 & MDG-5 which will help us to reach MDG targets. This health bulletin give information on safe drinking water & sanitation status of this Upazila. All the sectioned & vacant posts are published. I would like to take attention of the higher authority to look in this issue. I am grateful of all my colleagues to help me to publish this bulletin
Dr.Md.Belayet Hossain
UH&FPO
Modhupur Upazila Health Complex

Modhupur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Modhupur
Organization Code 10000629
Name of UHFPO Dr.Md.Belayet Hossain
Land Phone No. 1 09228-0922856004
Land Phone No. 2
FAX No.
Mobile No. 01715115383
Email modhupur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 71,652
Population in the Upazila 300,727
Area of Upazila in sq km 371.14

Modhupur 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 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 4 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 29 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 1 12
No. of Private Clinics/Facilities 3 48
No. of NGO Clinics/Facilities 2 92

Modhupur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,387


Under 5 Mortality Rate: 24.390 (Per 1,000 live births)
Infant Mortality Rate: 14.817 (Per 1,000 live births)
Neonatal Mortality Rate: 9.574 (Per 1,000 live births)
Still Birth Rate: 14.589 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 21,119
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Modhupur 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: 4
Total No. of Recipients Who Took at least one ANC: 9,762
Total Number of Deliveries: 2,569
Valid TT Coverage: 27.00 %
Maternal Mortality Ratio (MMR) is: 91.18 per 100,000 live births.

Modhupur 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 14,333 19,689 34,022 6,372 4,604 10,976 44,998 5,836 6,419 12,255 1,411 812 2,223 14,478
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) 17,223 23,464 40,687 3,266 3,673 6,939 47,626 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 17,567 16,136 33703 2,472 2,773 5,245 38,948 0 0 0 0 0 0 5,245
Community Clinics 74,263 171,802 246,065 12,928 14,042 26,970 273,035 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 10,268 9,392 19,660 623 528 1,151 20,811 8,530 10,645 19,175 2,187 1,922 4,109 23,284
NGO Clinics/Facilities 7,920 8,245 16,165 1,042 1,784 2,826 18,991 707 8,245 8,952 85 120 205 9,157

Modhupur 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 2,666 4,439 7,105 950 536 1,486 8,591 5 4 9 2 3 5 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 628 1,721 2,349 75 58 133 2,482 1 1 2 0 1 1 3
NGO Clinics/Facilities 107 36 143 14 10 24 167 2 1 3 0 0 0 3

Modhupur 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 8,591
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y00 Assault by blunt object XX: External causes of morbidity and mortality 1091 12.70
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 959 11.16
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 651 7.58
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 587 6.83
5 A059 Bacterial foodborne intoxication, unspecified I: Certain infectious and parasitic diseases 301 3.50
6 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 266 3.10
7 K35 Acute appendicitis XI: Diseases of the digestive system 120 1.40
8 I15 Secondary hypertension IX: Diseases of the circulatory system 118 1.37
9 J46 Status asthmaticus X: Diseases of the respiratory system 113 1.32
10 T44 Poisoning by drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 93 1.08

Modhupur 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 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 4 28.57
2 S097 Multiple injuries of head XIX: Injury, poisoning and certain other consequences of external causes 1 7.14
3 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 1 7.14
4 T44 Poisoning by drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 1 7.14
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 7.14
6 I13 Hypertensive heart and renal disease IX: Diseases of the circulatory system 2 14.29
7 I50 Heart failure IX: Diseases of the circulatory system 1 7.14
8 N18 Chronic renal failure XIV: Diseases of the genitourinary system 1 7.14
9 O72 Postpartum haemorrhage XV: Pregnancy, childbirth and the puerperium 1 7.14
10 J96 Respiratory failure, NEC X: Diseases of the respiratory system 1 7.14

Modhupur Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 82.00
Coverage of households having access to sanitary latrines (%) 78.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 20,203
Bed Occupancy Rates (%) 110.70
Average Length of Hospital Stay (No. of days per patient) 2.35
Hospital Death Rate (%) 0.16


Modhupur Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 619
Minor Surgeries 362

 

Modhupur 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 13 3 5 23.81
Non Doctor 0 0 0 0 0.00
Class II 17 0 17 0 0.00
Class III 85 43 36 6 7.06
Class IV 22 10 6 6 27.27
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 1 1 2 50.00
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 4 3 0 1 25.00
Rural Dispensaries
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 2 0 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 29 13 16 0 0.00
Class IV 0 0 0 0 0.00

 

Modhupur 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 27 15 5 7 25.93
Non Doctor 0 0 0 0 0.00
Class II 17 0 17 0 0.00
Class III 114 63 45 6 5.26
Class IV 26 13 6 7 26.92
Other Hospitals & Clinics
Class I Doctor 8 6 1 1 12.50
Non Doctor 2 1 1 0 0.00
Class II 0 0 0 0 0.00
Class III 45 20 22 3 6.67
Class IV 17 5 12 0 0.00

 

Modhupur 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 6 4 21 16 8 8 2 2 0
Nurse 0 0 0 0 17 17 10 9 3 5 0
Medical Assistant 0 0 6 6 2 2 5 5 3 0 0
Medical Technologist 0 0 0 0 13 13 8 6 0 0 0
CHCP 29 29 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0 0
HA 0 0 0 0 36 32 0 0 0 0 7

Modhupur 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) 3 1 1 1 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 2 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 3 2 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 1 2 1 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 3 2 1 0 0
Portable OT Light 2 1 0 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 2 1 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 5 4 1 0 0


Modhupur 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 1 1 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 3 2 0 1 0
Pulse oximeter 5 4 1 0 0
Dental equipment
Dental unit 1 1 0 0 0


Modhupur 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 1 1 0 0
Colorimeter 2 2 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 1 2 0 0
Pediatric equipment
Baby incubator 3 2 1 0 0
Phototherapy unit 0 0 0 0 0


Modhupur 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 1 1 0 0 0


Modhupur 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) 2 0 1 1 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 4 1 0 1
Laptop 34 30 4 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 6 2 4 0 0
Scanner 1 1 0 0 0
UPS 6 4 1 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Modhupur 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 0 1 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 109 77 25 5 2

Modhupur Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Modhupur Upazila Health Complex
As we have no previous experience regarding publishing this type Health Bulletin ,so I think if previously we were oriented about this health bulletin preparation and publish then it would be more helpful.