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Nasirnagar Upazila Health Complex | Health Bulletin 2015 |
Preface
It is my great pleasure to publish this health bulletin of Upazila Health complex.Nasirnagar which contains all health related infomtions of 2014 and activities performed by doctors and health staffs.I hope that all the informations of this bulletin will help for future planning & bridging the gaps of health services of this upazila.This health bulletin will help us to see the results and achievements of various health activities of 2014. This bulletin contains the status of MDG4 and MDG5 Which will help us to fix up the MDG Target. This health bulletin contains the information of safe drinking water and sanitation status of this upazila. All the sanctioned and vaccaned posts are published in this bullitine of the year 2014. I like to take attention to the higher authority to extend their hands to solve these issues.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.Md.Ziaul Islam
UH&FPO
Nasirnagar Upazila Health Complex

Nasirnagar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nasirnagar
Organization Code 10000691
Name of UHFPO Dr.Md.Ziaul Islam
Land Phone No. 1 -0852656004
Land Phone No. 2
FAX No.
Mobile No. 01711948232
Email nasirnagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.1935 And Long: 91.1964
No. of Unions in the Upazila13
No. of Households in the Upazila 56,792
Population in the Upazila 317,462
Area of Upazila in sq km 311.25

Nasirnagar 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 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 3 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 1 10
No. of Community Clinics 20 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 1 20
No. of NGO Clinics/Facilities 1 0

Nasirnagar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 10,021


Under 5 Mortality Rate: 16.066 (Per 1,000 live births)
Infant Mortality Rate: 11.177 (Per 1,000 live births)
Neonatal Mortality Rate: 4.291 (Per 1,000 live births)
Still Birth Rate: 0.798 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 27,617
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months):

Nasirnagar 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: 5
Total No. of Recipients Who Took at least one ANC: 6,546
Total Number of Deliveries: 10,031
Valid TT Coverage: 88.00 %
Maternal Mortality Ratio (MMR) is: 49.90 per 100,000 live births.

Nasirnagar 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 22,630 33,146 55,776 4,003 4,283 8,286 64,062 3,202 3,305 6,507 1,110 1,302 2,412 8,919
Union Sub-Centres 13,922 19,781 33,703 6,560 5,332 11,892 45,595 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 6,430 7,629 14,059 4,019 2,565 6,584 20,643 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 49,393 108,394 157,787 15,066 16,999 32,065 189,852 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 2,700 3,065 5,765 3,900 3,865 7,765 13,530 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nasirnagar 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 1,721 1,350 3,071 1,440 1,275 2,715 5,786 11 9 20 6 0 6 26
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 112 190 302 98 140 238 540 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nasirnagar 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 5,786
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1895 32.75
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 500 8.64
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 426 7.36
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 300 5.18
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 134 2.32
6 J45 Asthma X: Diseases of the respiratory system 70 1.21
7 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 70 1.21
8 X69 Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances XX: External causes of morbidity and mortality 56 0.97
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 45 0.78
10 V99 Unspecified transport accident XX: External causes of morbidity and mortality 33 0.57

Nasirnagar 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 26
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 4 15.38
2 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 4 15.38
3 I679 Cerebrovascular disease, unspecified X: Diseases of the respiratory system 4 15.38
4 J459 Asthma, unspecified X: Diseases of the respiratory system 3 11.54
5 N18 Chronic renal failure XIV: Diseases of the genitourinary system 2 7.69
6 X69 Intentional self-poisoning by and exposure to other and unspecified chemicals and noxious substances XX: External causes of morbidity and mortality 1 3.85
7 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 1 3.85
8 Y00 Assault by blunt object XX: External causes of morbidity and mortality 1 3.85
9 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 3.85
10 A010 Typhoid fever I: Certain infectious and parasitic diseases 1 3.85

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 87.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 15,916
Bed Occupancy Rates (%) 87.21
Average Length of Hospital Stay (No. of days per patient) 2.75
Hospital Death Rate (%) 0.45


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 183

 

Nasirnagar 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 9 1 11 52.38
Non Doctor 0 0 0 0 0.00
Class II 15 1 7 7 46.67
Class III 97 66 19 12 12.37
Class IV 22 13 5 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 3 1 4 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 1 0 7 87.50
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 2 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 1 1 4 66.67
Class IV 3 3 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 25 12 13 0 0.00
Class IV 0 0 0 0 0.00

 

Nasirnagar 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 34 16 4 14 41.18
Non Doctor 0 0 0 0 0.00
Class II 19 1 7 11 57.89
Class III 150 81 32 37 24.67
Class IV 37 20 8 9 24.32
Other Hospitals & Clinics
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 4 0 0 4 100.00
Class III 6 0 0 6 100.00
Class IV 12 5 3 4 33.33

 

Nasirnagar 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 13 9 21 10 0 0 2 0 0
Nurse 0 0 4 0 15 8 0 0 0 0 0
Medical Assistant 0 0 11 3 2 2 0 0 1 0 0
Medical Technologist 0 0 1 0 8 3 0 0 0 0 0
CHCP 33 25 0 0 0 0 0 0 0 0 5
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 11 11 0 0 0 0 0
HA 0 0 0 0 55 48 0 0 0 0 8

Nasirnagar 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) 1 0 1 0 0
Ultrasonogram machine 1 1 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 0 0 0 0 0
Diathermy machine 1 1 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 2 2 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Nasirnagar 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 5 3 2 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Nasirnagar 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 1 1 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 1 0 0 0 1
Phototherapy unit 0 0 0 0 0


Nasirnagar 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 0 1 0 0
Vehicles
Ambulance 1 1 0 0 0


Nasirnagar 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) 1 1 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) 7 6 1 0 0
Laptop 26 26 0 0 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 0 0 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Nasirnagar 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 75 69 5 0 1

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

Important information and necessary issues for Nasirnagar Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons.Here I like to mention some important factors which will help us to achieve good results in future. 1) Gyne consultant post should be filled up for Emoc service need immediately.2) We have 08 SSN out of 15 & We have no medical technologist(Lab) out of three So, all vacant posts should filled up immediately. 3) We have a old model ambulance.Now we need a good & well equipped ambulance. 4) We have a 300mm X-ray machine.In the last year due to some mechanical defect X-ray service is stopped.The X-ray machine is immediately repairable & all the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming year. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.