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Nachol Upazila Health Complex | Health Bulletin 2015 |
Preface
Dr.Md:Shafiqul Islam
UH&FPO
Nachol Upazila Health Complex

Nachol Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nachol
Organization Code 10001168
Name of UHFPO Dr.Md:Shafiqul Islam
Land Phone No. 1 -0782456015
Land Phone No. 2
FAX No.
Mobile No. 01712256350
Email nachole@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 88.0000
No. of Unions in the Upazila4
No. of Households in the Upazila 30,072
Population in the Upazila 165,114
Area of Upazila in sq km 284.00

Nachol 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 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) 3 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 15 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 2 0
No. of Private Clinics/Facilities 4 32
No. of NGO Clinics/Facilities 0 0

Nachol Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,200


Under 5 Mortality Rate: 3.125 (Per 1,000 live births)
Infant Mortality Rate: 0.313 (Per 1,000 live births)
Neonatal Mortality Rate: 0.313 (Per 1,000 live births)
Still Birth Rate: 2.500 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 2,500
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months):

Nachol 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: 3,516
Total Number of Deliveries: 882
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Nachol 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 20,626 24,926 45,552 3,020 2,040 5,060 50,612 1,882 2,316 4,198 200 265 465 4,663
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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 2,080 2,520 4600 200 300 500 5,100 0 0 0 0 0 0 500
Community Clinics 41,832 67,968 109,800 5,000 7,000 12,000 121,800 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) 73 39 112 50 0 50 162 0 0 0 0 0 0 0
Private Clinics/Facilities 700 1,100 1,800 323 470 793 2,593 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nachol 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 1,903 1,673 3,576 180 220 400 3,976 7 3 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 1,230 820 2,050 200 140 340 2,390 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nachol 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 4,580
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 1020 22.27
2 W51 Striking against or bumped into by another person XX: External causes of morbidity and mortality 802 17.51
3 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 690 15.07
4 V53 Occupant of pick-up truck or van injured in collision with car, pick-up truck or van XX: External causes of morbidity and mortality 295 6.44
5 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 290 6.33
6 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 280 6.11
7 D63 Anaemia in chronic diseases classified elsewhere III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 150 3.28
8 T47 Poisoning by agents primarily affecting the gastrointestinal system XIX: Injury, poisoning and certain other consequences of external causes 130 2.84
9 J45 Asthma X: Diseases of the respiratory system 105 2.29
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 90 1.97

Nachol 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 J45 Asthma X: Diseases of the respiratory system 4 40.00
2 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 20.00
3 J95 Postprocedural respiratory disorders, NEC X: Diseases of the respiratory system 2 20.00
4 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 2 20.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,833
Bed Occupancy Rates (%) 86.90
Average Length of Hospital Stay (No. of days per patient) 2.37
Hospital Death Rate (%) 0.24


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 620

 

Nachol 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 4 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 50 30 8 12 24.00
Class IV 19 12 5 2 10.53
Union Health & Family Welfare Center (under DGHS)
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
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 3 2 1 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 15 9 6 0 0.00
Class IV 0 0 0 0 0.00

 

Nachol 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 12 5 2 5 41.67
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 65 41 15 9 13.85
Class IV 19 12 5 2 10.53
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

 

Nachol 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 3 3 9 4 0 0 0 0 0
Nurse 0 0 0 0 9 9 0 0 0 2 0
Medical Assistant 0 0 3 3 2 2 0 0 3 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 15 15 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 4 4 0 0 0 0 0
HA 0 0 0 0 20 15 0 0 0 0 4

Nachol 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 1 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 3 3 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 3 2 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 8 4 2 2 0
Sucker machine (electric) 8 4 2 2 0
Ventilator 0 0 0 0 0


Nachol 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 24 12 6 2 4
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 2 1 0 1 0


Nachol 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 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 6 3 1 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nachol 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 1 1 0 0 0


Nachol 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) 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) 16 8 5 3 0
Laptop 4 2 1 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 7 6 1 0 0
Scanner 0 0 0 0 0
UPS 6 3 0 0 3
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


Nachol 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 0 0 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 104 63 20 14 7

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

Important information and necessary issues for Nachol Upazila Health Complex