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Pirganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of pirganj upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of pirganj upazila to other line department partners of health. I hope all the information of this bulletin will help for planing and bridging the gaps in health services of this upazila. This health bulletin will help us to find contrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin 2014. I like to take attention of the higher authority to look into this issue finally. I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Afroza Begum UH&FPO Pirganj,Rangpur.
Dr. Afroza Begum
UH&FPO
Pirganj Upazila Health Complex

Pirganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Pirganj
Organization Code 10001603
Name of UHFPO Dr. Afroza Begum
Land Phone No. 1 -0522756012
Land Phone No. 2
FAX No.
Mobile No. 01767223313
Email pirganjr@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.4153 And Long: 89.3167
No. of Unions in the Upazila15
No. of Households in the Upazila 103,034
Population in the Upazila 400,112
Area of Upazila in sq km 264.25

Pirganj 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 15 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 15 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 55 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 0
No. of NGO Clinics/Facilities 0 0

Pirganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,611


Under 5 Mortality Rate: 40.762 (Per 1,000 live births)
Infant Mortality Rate: 37.626 (Per 1,000 live births)
Neonatal Mortality Rate: 32.749 (Per 1,000 live births)
Still Birth Rate: 24.271 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 66,127
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 97%

Pirganj 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: 15
Total No. of Recipients Who Took at least one ANC: 6,572
Total Number of Deliveries: 8,772
Valid TT Coverage: 46.00 %
Maternal Mortality Ratio (MMR) is: 174.20 per 100,000 live births.

Pirganj 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 21,219 28,371 49,590 5,231 6,776 12,007 61,597 9,568 8,000 17,568 592 422 1,014 18,582
Union Sub-Centres 76,621 98,117 174,738 6,722 8,227 14,949 189,687 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 93,671 128,216 221,887 25,533 26,211 51,744 273,631 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

Pirganj 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 3,848 6,031 9,879 323 547 870 10,749 10 15 25 0 2 2 27
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

Pirganj 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 9,879
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 2425 24.55
2 J459 Asthma, unspecified X: Diseases of the respiratory system 920 9.31
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 821 8.31
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 623 6.31
5 Y08 Assault by other specified means XX: External causes of morbidity and mortality 620 6.28
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 527 5.33
7 V860 Driver of all-terrain or other off-road motor vehicle injured in traffic accident XX: External causes of morbidity and mortality 417 4.22
8 Y124 Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], NEC, undetermined intent, street and highway XX: External causes of morbidity and mortality 212 2.15
9 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 211 2.14
10 O089 Complication following abortion and ectopic and molar pregnancy, unspecified XV: Pregnancy, childbirth and the puerperium 207 2.10

Pirganj 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 27
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J459 Asthma, unspecified X: Diseases of the respiratory system 8 29.63
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 6 22.22
3 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 5 18.52
4 O083 Shock following abortion and ectopic and molar pregnancy XV: Pregnancy, childbirth and the puerperium 2 7.41
5 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 1 3.70
6 N189 Chronic renal failure, unspecified XIV: Diseases of the genitourinary system 1 3.70
7 V860 Driver of all-terrain or other off-road motor vehicle injured in traffic accident XX: External causes of morbidity and mortality 1 3.70
8 T313 Burns involving 30-39% of body surface XIX: Injury, poisoning and certain other consequences of external causes 1 3.70
9 Y124 Poisoning by and exposure to narcotics and psychodysleptics [hallucinogens], NEC, undetermined intent, street and highway XX: External causes of morbidity and mortality 1 3.70
10 O089 Complication following abortion and ectopic and molar pregnancy, unspecified XV: Pregnancy, childbirth and the puerperium 1 3.70

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 18,932
Bed Occupancy Rates (%) 103.74
Average Length of Hospital Stay (No. of days per patient) 1.92
Hospital Death Rate (%) 0.27


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,227

 

Pirganj 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 22 14 3 5 22.73
Non Doctor 0 0 0 0 0.00
Class II 15 0 14 1 6.67
Class III 119 99 10 10 8.40
Class IV 22 18 3 1 4.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 16 10 6 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 24 21 1 2 8.33
Class IV 9 8 0 1 11.11
Rural Dispensaries
Class I Doctor 9 6 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 18 15 2 1 5.56
Class IV 9 8 0 1 11.11
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 55 26 29 0 0.00
Class IV 0 0 0 0 0.00

 

Pirganj 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 38 27 6 5 13.16
Non Doctor 0 0 0 0 0.00
Class II 15 0 14 1 6.67
Class III 143 121 11 11 7.69
Class IV 31 27 3 1 3.23
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

 

Pirganj 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 16 16 22 17 0 0 1 1 0
Nurse 0 0 0 0 14 14 0 0 9 11 3
Medical Assistant 0 0 16 16 2 2 0 0 14 0 0
Medical Technologist 0 0 9 7 8 6 0 0 0 0 0
CHCP 55 55 0 0 0 0 0 0 0 0 6
HI 0 0 0 0 4 4 0 0 0 0 6
AHI 0 0 0 0 11 11 0 0 0 0 0
HA 0 0 0 0 55 49 0 0 0 0 0

Pirganj 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 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 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 2 1 1 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Pirganj 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0


Pirganj 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 2 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Pirganj 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 2 1 1 0 0
Refrigerator 4 2 2 0 0
Vehicles
Ambulance 1 1 0 0 0


Pirganj 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) 2 2 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) 4 3 1 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 3 1 0 0
Scanner 1 1 0 0 0
UPS 4 3 1 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 0 0 0 0 0


Pirganj 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 46 36 10 0 0

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

Important information and necessary issues for Pirganj Upazila Health Complex
Last year we could not give our maximum efforts improve the health status clue to many reasons.I like mention same important factors which factors which will help us to achieve good results in future.1.The vacant post should be filed immediately.2..Our doctor and nurse need more training on IMCI .3.Number of community clinician the bed capacity of the health complex should be increased.4.All the repairable equipment should be repaired as soon as possible.5.we have 9 female HA who need CSBA training finally Ian very happy to write this health bulletin of 2014 because will help us to compare our progress to up coming years.this is very eyeful document and will help the public to understand health services and to provide us the useful advice for improvement in future.