Nachol Upazila Health Complex | Health Bulletin 2015 |
Preface
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 Upazila 4
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