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Muradnagar Upazila Health Complex | Health Bulletin 2015 |
Preface
সালাম নিন, বর্তমান সরকারের ডির্জিটাল বাংলাদেশ গঠনের মহতী প্রয়াস এবং স্বাস্থ্য অধিদপ্তরের মহাপরিচালক, অতিরিক্ত মহাপরিচালকদ্বয় সহ অন্যান্য কর্মকর্তাগনের সরকারেরর লক্ষ্য ব্যস্তবায়নের উদ্দেশ্যে স্বাস্থ্য বিষয়ক হেলথ্‌ বুলিটিং প্রকাশের উদ্যোগ গ্রহন করাতে আমি আপনাদেরকে জানাই আমার আন্তরিক শুভেচ্ছা ও অভিনন্দন। আর আমার উপজেলার এই বুলিটিং প্রকাশ করতে পেরে আমি নিজকে ধন্য মনে করছি। আমার প্রকাশিত হেলথ্‌ বুলিটিং-এ মুরাদনগর উপজেলার 2014 সনের স্বাস্থ্য বিষয়ক বিভিন্ন তথ্য-উপাত্ত সংযোজন করা হয়েছে। এই তথ্য-উপাত্ত বিশ্লেষণ করে বিভিন্ন সমস্যাবলী চিহ্নিত এবং সমাধান করে ভবিষ্যতে স্বাস্থ্য সেবার মান উন্নয়ন করা যাবে। মুরাদনগর উপজেলার হেলথ্‌ বুলিটিং-এ একনজরে উপজেলার স্বাস্থ্য বিষয়ক বিভিন্ন তথ্য উপস্থাপন করা হয়েছে।
Dr. Md. Abu Zaher
UH&FPO
Muradnagar Upazila Health Complex

Muradnagar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Muradnagar
Organization Code 10000903
Name of UHFPO Dr. Md. Abu Zaher
Land Phone No. 1 -0802656122
Land Phone No. 2
FAX No.
Mobile No. 01730244840
Email muradnagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 91.0000
No. of Unions in the Upazila22
No. of Households in the Upazila 104,670
Population in the Upazila 620,513
Area of Upazila in sq km 340.94

Muradnagar 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 7 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) 15 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 40 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 25 10
No. of NGO Clinics/Facilities 1 10

Muradnagar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 18,166


Under 5 Mortality Rate: 19.927 (Per 1,000 live births)
Infant Mortality Rate: 9.578 (Per 1,000 live births)
Neonatal Mortality Rate: 8.532 (Per 1,000 live births)
Still Birth Rate: 1.376 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 58,061
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 97%

Muradnagar 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: 19,133
Total Number of Deliveries: 18,261
Valid TT Coverage: 62.00 %
Maternal Mortality Ratio (MMR) is: 27.52 per 100,000 live births.

Muradnagar 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 14,328 29,002 43,330 5,227 6,090 11,317 54,647 4,043 3,984 8,027 1,247 1,289 2,536 10,563
Union Sub-Centres 13,691 25,656 39,347 4,928 5,403 10,331 49,678 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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 66,421 168,224 234,645 16,867 19,546 36,413 271,058 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 5,582 9,574 15,156 816 1,203 2,019 17,175 0 0 0 0 0 0 0
NGO Clinics/Facilities 415 542 957 319 452 771 1,728 0 0 0 0 0 0 0

Muradnagar 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 2,419 2,724 5,143 736 805 1,541 6,684 12 10 22 5 2 7 29
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 619 814 1,433 312 411 723 2,156 1 4 5 2 4 6 11
NGO Clinics/Facilities 0 201 201 112 125 237 438 0 0 0 0 0 0 0

Muradnagar 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 4,798
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T009 Multiple superficial injuries, unspecified XIX: Injury, poisoning and certain other consequences of external causes 992 20.68
2 A084 Viral intestinal infection, unspecified I: Certain infectious and parasitic diseases 923 19.24
3 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 703 14.65
4 K259 Gastric ulcer, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 446 9.30
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 348 7.25
6 J459 Asthma, unspecified X: Diseases of the respiratory system 324 6.75
7 J451 Nonallergic asthma X: Diseases of the respiratory system 301 6.27
8 I210 Acute transmural myocardial infarction of anterior wall IX: Diseases of the circulatory system 275 5.73
9 G821 Spastic paraplegia VI: Diseases of the nervous system 258 5.38
10 E104 Insulin-dependent diabetes mellitus with neurological complications IV: Endocrine, nutritional and metabolic diseases 219 4.56

Muradnagar 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 29
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 5 17.24
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 4 13.79
3 I110 Hypertensive heart disease with (congestive) heart failure X: Diseases of the respiratory system 3 10.34
4 K250 Gastric ulcer, acute with haemorrhage XI: Diseases of the digestive system 3 10.34
5 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 3 10.34
6 J459 Asthma, unspecified X: Diseases of the respiratory system 3 10.34
7 G831 Monoplegia of lower limb VI: Diseases of the nervous system 2 6.90
8 T009 Multiple superficial injuries, unspecified XIX: Injury, poisoning and certain other consequences of external causes 2 6.90
9 K250 Gastric ulcer, acute with haemorrhage XI: Diseases of the digestive system 2 6.90
10 S307 Multiple superficial injuries of abdomen, lower back and pelvis XIX: Injury, poisoning and certain other consequences of external causes 2 6.90

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 67.00
Coverage of households having access to sanitary latrines (%) 84.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 15,417
Bed Occupancy Rates (%) 84.48
Average Length of Hospital Stay (No. of days per patient) 2.30
Hospital Death Rate (%) 0.05


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 306

 

Muradnagar 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 5 3 14.29
Non Doctor 0 0 0 0 0.00
Class II 16 1 13 2 12.50
Class III 141 77 32 32 22.70
Class IV 22 17 3 2 9.09
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 15 8 7 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 15 5 4 6 40.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 7 3 3 1 14.29
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 6 2 6 42.86
Class IV 7 6 1 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 80 22 17 41 51.25
Class IV 0 0 0 0 0.00

 

Muradnagar 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 43 28 13 2 4.65
Non Doctor 0 0 0 0 0.00
Class II 16 1 13 2 12.50
Class III 171 87 38 46 26.90
Class IV 29 23 4 2 6.90
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

 

Muradnagar 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 22 21 21 15 0 0 0 0 0
Nurse 0 0 0 0 16 14 0 0 0 0 3
Medical Assistant 0 0 22 14 2 1 0 0 0 0 0
Medical Technologist 0 0 7 3 10 7 0 0 0 0 0
CHCP 80 39 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 6 6 0 0 0 0 10
AHI 0 0 0 0 18 15 0 0 0 0 0
HA 0 0 0 0 90 66 0 0 0 0 0

Muradnagar 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 0 1 0
X-ray machine (300 mA) 1 1 0 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 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 2 0 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) 2 2 0 0 0
Ventilator 0 0 0 0 0


Muradnagar 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 6 2 0 4 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Muradnagar 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) 4 2 0 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Muradnagar 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 3 1 1 1 0


Muradnagar 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 2 1 0 0
Generator
Generator (diesel/petrol) 2 0 0 2 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) 5 4 0 0 1
Laptop 2 1 0 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 4 0 0 4 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


Muradnagar 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 59 40 2 16 1

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

Important information and necessary issues for Muradnagar Upazila Health Complex
1.As I mentioned earlier this Health Complex was established in 1965 as 10 bedded Rural Health Center. Later on in 1975 upgraded to 31 bedded Health complex. Considering , increasing population and local health demand this health complex now should be upgraded to 50 bedded on 12.09.2006. 2.There are very shortage of rooms or spaces for separate IMCI corner, ORT corner, DOTS corner, Nutrition corner, NCD corner, and store, doctors rooms, doctor`s rest room, reception counter etc. More Health Complex & field staffs like S.S.N,Pharmacist,Physio Therapist,MT(Lab),HA,MLSS,OT BOY,Sweeper and are needed. 3. This health bulletin will be much helpful for local level planning and future improvement of health services of Muradnagar specially. Dr.Md. Abu Zaher, UH&FPO. UHC. Muradnagar. Comilla. Computer Compose – Md. Jahangir Alam, (MT EPI).