Feedback
HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Nabinagar Upazila Health Complex | Health Bulletin 2015 |
Preface
This is a great opportunity for me to publish this health bulletin of this upazila for the fourth time. This bulletin contains all the health related information like health facilities, manpower, present health status of this upazila during last year-2014. All the health related programs like- EPI, IMCI, Deworming, Vitamin A supplementation, Non communicable diseases (NCDs), MCH services etc are implementing at grass root level in this upazila. We are also providing health services to the grass root level through community clinics. The achievement of these programs will be reflected through this health bulletin. The International classification of diseases (ICD-10) is applied in this bulletin for diagnosis and causes of deaths that simplifies statistical analysis. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets in this upazila. It contains also the information of safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2015. I would like to take attention of the higher authority to look into this issue. I have tried my level best to make this health bulletin authentic than last year. Finally I would like to extend my sincere appreciation to my higher authority for setting us another steps ahead towards Digital Bangladesh.
Dr.Md.Sadeque Miah
UH&FPO
Nabinagar Upazila Health Complex

Nabinagar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nabinagar
Organization Code 10000682
Name of UHFPO Dr.Md.Sadeque Miah
Land Phone No. 1 +880852-0575333
Land Phone No. 2
FAX No.
Mobile No. 01819675356
Email nabinagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5300 And Long: 90.5000
No. of Unions in the Upazila21
No. of Households in the Upazila 94,871
Population in the Upazila 493,518
Area of Upazila in sq km 354.00

Nabinagar 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 8 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 12 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 43 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 3 30
No. of NGO Clinics/Facilities 0 0

Nabinagar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 16,019


Under 5 Mortality Rate: 6.055 (Per 1,000 live births)
Infant Mortality Rate: 2.747 (Per 1,000 live births)
Neonatal Mortality Rate: 2.247 (Per 1,000 live births)
Still Birth Rate: 2.622 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 33,733
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 99.00%

Nabinagar 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: 21
Total No. of Recipients Who Took at least one ANC: 12,453
Total Number of Deliveries: 16,061
Valid TT Coverage: 92.00 %
Maternal Mortality Ratio (MMR) is: 131.09 per 100,000 live births.

Nabinagar 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 20,653 29,875 50,528 3,197 6,075 9,272 59,800 4,055 2,256 6,311 231 259 490 6,801
Union Sub-Centres 24,298 41,226 65,524 2,701 4,207 6,908 72,432 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) 26,451 14,501 40952 3,234 3,764 6,998 47,950 0 0 0 0 0 0 6,998
Community Clinics 103,762 189,032 292,794 3,885 6,670 10,555 303,349 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 28,210 15,120 43,330 756 1,540 2,296 45,626 745 847 1,592 124 210 334 1,926
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nabinagar 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 1,842 2,541 4,383 184 292 476 4,859 9 10 19 3 3 6 25
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 652 847 1,499 241 210 451 1,950 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nabinagar 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 4,859
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 1225 25.21
2 A099 Gastroenteritis and colitis of unspecified origin I: Certain infectious and parasitic diseases 1214 24.98
3 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 447 9.20
4 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 310 6.38
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 277 5.70
6 O809 Single spontaneous delivery, unspecified XV: Pregnancy, childbirth and the puerperium 229 4.71
7 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 209 4.30
8 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 205 4.22
9 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 179 3.68
10 J459 Asthma, unspecified X: Diseases of the respiratory system 164 3.38

Nabinagar 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 25
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 6 24.00
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 4 16.00
3 I64 Stroke, not specified as haemorrhage or infarction XIX: Injury, poisoning and certain other consequences of external causes 3 12.00
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2 8.00
5 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 2 8.00
6 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 2 8.00
7 G049 Encephalitis, myelitis and encephalomyelitis, unspecified VI: Diseases of the nervous system 2 8.00
8 E110 Non-insulin-dependent diabetes mellitus with coma IV: Endocrine, nutritional and metabolic diseases 2 8.00
9 I249 Acute ischaemic heart disease, unspecified IX: Diseases of the circulatory system 1 4.00
10 J459 Asthma, unspecified X: Diseases of the respiratory system 1 4.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 60.00
Coverage of households having access to sanitary latrines (%) 82.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,155
Bed Occupancy Rates (%) 72.07
Average Length of Hospital Stay (No. of days per patient) 1.68
Hospital Death Rate (%) 0.51


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 4,720

 

Nabinagar 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 14 5 -10 -111.11
Non Doctor 0 0 0 0 0.00
Class II 9 0 8 1 11.11
Class III 21 16 4 1 4.76
Class IV 16 12 4 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 13 8 5 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 13 0 0 13 100.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 8 5 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 16 10 0 6 37.50
Class IV 8 7 0 1 12.50
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 58 22 22 14 24.14
Class IV 0 0 0 0 0.00

 

Nabinagar 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 30 28 12 -10 -33.33
Non Doctor 0 0 0 0 0.00
Class II 9 0 8 1 11.11
Class III 235 101 72 62 26.38
Class IV 28 22 5 1 3.57
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

 

Nabinagar 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 21 21 9 19 0 0 7 0 0
Nurse 0 0 0 0 9 8 0 0 0 0 0
Medical Assistant 0 0 20 10 2 2 0 0 10 0 0
Medical Technologist 0 0 8 2 6 6 0 0 4 0 0
CHCP 58 44 0 0 0 0 0 0 44 0 5
HI 0 0 0 0 6 6 0 0 6 0 0
AHI 0 0 0 0 20 20 0 0 20 0 0
HA 0 0 0 0 101 95 0 0 69 0 6

Nabinagar 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) 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 0 0 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 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 1 0 1 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Nabinagar 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Nabinagar 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 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 0 2 3 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nabinagar 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 0 1 0


Nabinagar 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 3 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) 8 7 1 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 2 2 0 0
Scanner 1 1 0 0 0
UPS 6 6 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


Nabinagar 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 1 0 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 51 38 8 5 0

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

Important information and necessary issues for Nabinagar Upazila Health Complex
This important information of this upazila is up-gradation of the health complex from 31 to 50 bed completed and handed over in June, 2011. The manpower, budget and logistics are not fully supplied. Now 50 bed is functioning with existing manpower and budget. So we could not deliver better service like major surgical procedures, Caesarean section, specialist doctors' service in this health complex. The posts of doctors and consultants for 50 bed hospital are not sanctioned till now. The posts should be filled up immediately and 50 bed should be started with full manpower, budget and logistics. We have two ambulances, one is out of order and auctionable for last 12 years, another ambulance is functioning, but the ambulance driver is transferred and attached to another district. So we could not deliver ambulance service due to lack of driver. So we need a driver for ambulance service. We also need a new ambulance for better service. The X-ray machine is out of service for last 6 months. We can not do Radiological examinations in this hospital. So we need a new digital X-ray machine. I hope this bulletin will help us to solve these problems of this upazila for providing better service to the people.