Nagarpur Upazila Health Complex | Health Bulletin 2015 |
Preface
THE PRIMARY HEALTH CARE SERVICES IN THIS AREA WAS STARTED AT1973 UNDER "THANA HEALTH CARE PROJECT". IN 1984 IT WAS NAMED UPAZILLA HEALTH COMPLEX. IT HAS 50 BED FOR ADMITED PATIENT AND ORT CORNER, IMCI CORNER, NEW BORN CARE UNIT. BASIC EOC ALSO FUNTIONAL
Nagarpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Nagarpur
Organization Code
10000634
Name of UHFPO DR. MINOTI RANI SAHA
Land Phone No. 1
-0923373009
Land Phone No. 2
FAX No.
Mobile No.
01741205640
Email nagarpur@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 62,971
Population in the Upazila 311,879
Area of Upazila in sq km 270.77
Nagarpur 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)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
35
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
7
0
No. of NGO Clinics/Facilities
1
0
Nagarpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,534
Under 5 Mortality Rate: 23.416 (Per 1,000 live births)
Infant Mortality Rate: 19.437 (Per 1,000 live births)
Neonatal Mortality Rate: 14.998 (Per 1,000 live births)
Still Birth Rate: 6.887 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 47,424
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%
Nagarpur 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:
0
Total No. of Recipients Who Took at least one ANC:
7,954
Total Number of Deliveries:
7,144
Valid TT Coverage: 17.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Nagarpur 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
21,700
21,100
42,800
5,100
7,600
12,700
55,500
510
750
1,260
102
201
303
1,563
Union Sub-Centres
2,400
3,300
5,700
724
1,278
2,002
7,702
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
20,550
26,705
47,255
4,432
6,210
10,642
57,897
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
44,110
65,905
110,015
12,405
16,555
28,960
138,975
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
Nagarpur 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
1,321
3,063
4,384
102
230
332
4,716
8
2
10
0
0
0
10
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
Nagarpur 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
4,384
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
T149 Injury, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
1620
36.95
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
521
11.88
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
324
7.39
4
T38 Poisoning by hormones and their synthetic substitutes and antagonists, NEC
XIX: Injury, poisoning and certain other consequences of external causes
208
4.74
5
I059 Mitral valve disease, unspecified
IX: Diseases of the circulatory system
198
4.52
6
J45 Asthma
X: Diseases of the respiratory system
418
9.53
7
V736 Bus occupant injured in collision with car, pick-up truck or van, passenger, traffic accident
XX: External causes of morbidity and mortality
189
4.31
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
232
5.29
9
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
190
4.33
10
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
65
1.48
Nagarpur 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
10
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
2
20.00
2
J459 Asthma, unspecified
X: Diseases of the respiratory system
3
30.00
3
I21 Acute myocardial infarction
XIX: Injury, poisoning and certain other consequences of external causes
3
30.00
4
K769 Liver disease, unspecified
XI: Diseases of the digestive system
1
10.00
5
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
10.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Nagarpur Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
91.00
Coverage of households having access to sanitary latrines (%)
88.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
12,743
Bed Occupancy Rates (%)
69.82
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
0.49
Nagarpur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
388
Nagarpur 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
9
3
3
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
11
1
10
0
0.00
Class III
96
38
30
28
29.17
Class IV
19
13
3
3
15.79
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
3
1
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
4
1
0
3
75.00
Rural Dispensaries
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
3
1
0
0.00
Class IV
2
2
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
35
16
18
1
2.86
Class IV
0
0
0
0
0.00
Nagarpur 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
20
9
7
4
20.00
Non Doctor
0
0
0
0
0.00
Class II
11
1
10
0
0.00
Class III
114
80
52
-18
-15.79
Class IV
26
17
3
6
23.08
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
Nagarpur 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
11
10
9
7
0
0
2
1
0
Nurse
0
0
0
0
11
11
0
0
8
3
0
Medical Assistant
0
0
11
11
2
2
0
0
7
0
0
Medical Technologist
0
0
6
0
7
7
0
0
0
0
0
CHCP
35
34
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
0
AHI
0
0
0
0
12
12
0
0
0
0
1
HA
0
0
0
0
60
46
0
0
0
0
8
Nagarpur 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
0
0
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
1
0
1
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
1
0
1
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Nagarpur 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
1
1
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Nagarpur 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
1
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Nagarpur 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
1
0
0
0
Refrigerator
1
1
0
0
0
Vehicles
Ambulance
2
1
0
0
1
Nagarpur 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)
1
0
1
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
1
0
0
0
1
ICT equipment
Computer (desktop)
9
8
1
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
3
3
0
0
0
Scanner
1
1
0
0
0
UPS
2
2
0
0
0
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
1
1
0
0
0
Nagarpur 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
0
1
0
PA system (Sound)
0
0
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
45
37
5
1
2
Nagarpur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Nagarpur Upazila Health Complex