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Nageswari Upazila Health Complex | Health Bulletin 2015 |
Preface
We feel proud in publishing the Health Bulletin-2015 under the guidance of MIS, DGHS. This bulletin reflects almost all the health related aspects of Nageswari Upazila.This bulletin also contains the status of MDG-4 and MDG-5, which will help to localize the MDG targets.I hope this bulletin will help in planning the health services in Bangladesh.This bulletin will also help us in finding the dark corners of our service delivery where we have to put on our light. Thanks to Civil Surgeon, Kurigram for his valuable suggestions, to my colleagues and specially to Statistician Md. Mazibar Rahman and CHCP Asaduzzaman Nur for their effortless contribution in the publication of this Health bulletin.Finally I would like to thank MIS, DGHS for this initiative of Health bulletin publication which will take us forward in building Digital Health service as well as Digital Bangladesh.
Dr. G R M Moksedur Rahman
UH&FPO
Nageswari Upazila Health Complex

Nageswari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nageswari
Organization Code 10001322
Name of UHFPO Dr. G R M Moksedur Rahman
Land Phone No. 1 -0582656207
Land Phone No. 2
FAX No.
Mobile No. 01712969259
Email nageswari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0486 And Long: 89.0387
No. of Unions in the Upazila15
No. of Households in the Upazila 76,814
Population in the Upazila 391,181
Area of Upazila in sq km 41,580.00

Nageswari 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 4 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) 7 0
No. of Rural/Urban/Thana Health Centers 1 0
No. of Community Clinics 47 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 2 0
No. of NGO Clinics/Facilities 0 0

Nageswari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 10,586


Under 5 Mortality Rate: 24.750 (Per 1,000 live births)
Infant Mortality Rate: 21.349 (Per 1,000 live births)
Neonatal Mortality Rate: 17.287 (Per 1,000 live births)
Still Birth Rate: 13.508 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,577
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 93%

Nageswari 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: 12
Total No. of Recipients Who Took at least one ANC: 8,551
Total Number of Deliveries: 10,729
Valid TT Coverage: 78.00 %
Maternal Mortality Ratio (MMR) is: 113.36 per 100,000 live births.

Nageswari 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 35,082 42,074 77,156 8,334 8,433 16,767 93,923 3,583 3,693 7,276 1,032 1,089 2,121 9,397
Union Sub-Centres 27,680 33,602 61,282 4,563 5,863 10,426 71,708 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) 12,991 54,609 67600 1,087 10,238 11,325 78,925 0 0 0 0 0 0 11,325
Community Clinics 155,484 236,661 392,145 29,603 32,952 62,555 454,700 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nageswari 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 1,562 1,992 3,554 510 560 1,070 4,624 5 4 9 0 0 0 9
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nageswari 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 3,554
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 1025 28.84
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 852 23.97
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 260 7.32
4 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 142 4.00
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 137 3.85
6 J46 Status asthmaticus X: Diseases of the respiratory system 129 3.63
7 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 99 2.79
8 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 96 2.70
9 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 58 1.63
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 46 1.29

Nageswari 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 9
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J46 Status asthmaticus X: Diseases of the respiratory system 2 22.22
2 O759 Complication of labour and delivery, unspecified XV: Pregnancy, childbirth and the puerperium 2 22.22
3 T20 Burn and corrosion of head and neck X: Diseases of the respiratory system 1 11.11
4 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 1 11.11
5 D64 Other anaemias III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 11.11
6 R56 Convulsions, NEC XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 11.11
7 C189 Colon, unspecified II: Neoplasms 1 11.11
8 0 0.00
9 0 0.00
10 0 0.00

Nageswari 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 (%) 82.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 14,128
Bed Occupancy Rates (%) 124.86
Average Length of Hospital Stay (No. of days per patient) 3.98
Hospital Death Rate (%) 0.25


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 46

 

Nageswari 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 5 1 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 11 1 8 2 18.18
Class III 97 68 18 11 11.34
Class IV 19 13 5 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 1 1 1 33.33
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
Rural Dispensaries
Class I Doctor 4 1 0 3 75.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 5 0 3 37.50
Class IV 4 3 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 47 23 24 0 0.00
Class IV 0 0 0 0 0.00

 

Nageswari 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 18 7 2 9 50.00
Non Doctor 0 0 0 0 0.00
Class II 15 1 10 4 26.67
Class III 161 99 43 19 11.80
Class IV 33 22 9 2 6.06
Other Hospitals & Clinics
Class I Doctor 2 0 0 2 100.00
Non Doctor 0 0 0 0 0.00
Class II 4 0 2 2 50.00
Class III 6 1 0 5 83.33
Class IV 10 8 2 0 0.00

 

Nageswari 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 7 3 9 6 2 0 1 0 0
Nurse 0 0 0 0 11 9 4 2 0 1 0
Medical Assistant 0 0 7 7 2 2 0 0 5 0 0
Medical Technologist 0 0 0 0 5 2 1 0 0 0 0
CHCP 47 47 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 1 0 0 0 0 10
AHI 0 0 0 0 12 12 0 0 0 0 0
HA 0 0 0 0 60 57 0 0 0 0 0

Nageswari 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 0 1 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 0 1 0 0
Autoclave 1 0 1 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 3 2 0 0 1
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 3 0 3 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Nageswari 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 5 0 0 0
Pulse oximeter 2 0 2 0 0
Dental equipment
Dental unit 0 0 0 0 0


Nageswari 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 0 1 0
Colorimeter 1 0 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 0 1 0 4
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nageswari 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 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Nageswari 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) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 7 6 0 1 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 7 6 0 1 0
Scanner 1 1 0 0 0
UPS 8 6 0 2 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


Nageswari 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 71 48 11 7 5

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

Important information and necessary issues for Nageswari Upazila Health Complex
Nageswari is a big Upazila consisting of 14 unions and 1 pourashava.The population of this Upazila is also high.One and only issue of this Upazila is shortage of manpower specially doctor.There are 18 sanctioned post of doctor ; only 9 are filled up, 9 posts remaining vacant.It's not only difficult for us to meet the demand of people but pushing us in a bad situation which will invite an unwanted incident.So the only issue and demand to be raised is to fill up the vacant posts of doctors immediately.