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Mongla Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very happy to publish the important health Bulletin -2015 of Mongla Upazila Health Complex, Bagerhat.This Bulletin contains and express all the Health related data of the year 2014 of Mongla Upazila Health Complex. . It will help us to get the valuable opinion of others and also to see the achievements of the year 2014. It contains the status of MDG 4 & 5, the information of safe drinking water and sanitation status of this Upazila. All the sanctioned, filledup and vaccant posts have published in this Bulletin of this UHC. I am requesting to the higher authority to look into this issue. I hope the data of this bulletin will help for planning to provide better health services of this Upazila. Finally I would like to congratulate the step holder of this health bulletin softwere in the health sector in Digital Bangladesh.
Dr. Md. Abdul Naser
UH&FPO
Mongla Upazila Health Complex

Mongla Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Mongla
Organization Code 10001707
Name of UHFPO Dr. Md. Abdul Naser
Land Phone No. 1 04658-073393
Land Phone No. 2
FAX No.
Mobile No. 01715548388
Email mongla@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.4781 And Long: 89.6177
No. of Unions in the Upazila6
No. of Households in the Upazila 36,687
Population in the Upazila 155,341
Area of Upazila in sq km 1,461.00

Mongla 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 0 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) 6 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 9 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 10
No. of NGO Clinics/Facilities 2 10

Mongla Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,918


Under 5 Mortality Rate: 32.847 (Per 1,000 live births)
Infant Mortality Rate: 31.283 (Per 1,000 live births)
Neonatal Mortality Rate: 22.419 (Per 1,000 live births)
Still Birth Rate: 21.898 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 9,278
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Mongla 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: 8
Total No. of Recipients Who Took at least one ANC: 1,685
Total Number of Deliveries: 1,960
Valid TT Coverage: 40.00 %
Maternal Mortality Ratio (MMR) is: 417.10 per 100,000 live births.

Mongla 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 15,993 31,437 47,430 3,421 2,666 6,087 53,517 234 174 408 19 11 30 438
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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 19,467 44,727 64,194 2,216 2,364 4,580 68,774 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 931 1,136 2,067 122 211 333 2,400 110 121 231 11 8 19 250
NGO Clinics/Facilities 9,421 14,343 23,764 512 439 951 24,715 52 47 99 12 9 21 120

Mongla 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 1,928 2,649 4,577 201 235 436 5,013 22 16 38 1 2 3 41
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 243 365 608 25 67 92 700 3 2 5 2 0 2 7
NGO Clinics/Facilities 496 1,023 1,519 82 73 155 1,674 0 0 0 0 0 0 0

Mongla 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 5,013
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 690 13.76
2 A038 Other shigellosis I: Certain infectious and parasitic diseases 581 11.59
3 A94 Unspecified arthropod-borne viral fever I: Certain infectious and parasitic diseases 397 7.92
4 V803 Rider or occupant injured in collision with two- or three-wheeled motor vehicle XX: External causes of morbidity and mortality 263 5.25
5 J459 Asthma, unspecified X: Diseases of the respiratory system 190 3.79
6 T96 Sequelae of poisoning by drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 188 3.75
7 D801 Nonfamilial hypogammaglobulinaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 181 3.61
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 123 2.45
9 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 105 2.09
10 J13 Pneumonia due to Streptococcus pneumoniae X: Diseases of the respiratory system 94 1.88

Mongla 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 41
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 9 21.95
2 I21 Acute myocardial infarction IX: Diseases of the circulatory system 3 7.32
3 J459 Asthma, unspecified IX: Diseases of the circulatory system 3 7.32
4 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 3 7.32
5 I619 Intracerebral haemorrhage, unspecified IX: Diseases of the circulatory system 3 7.32
6 I500 Congestive heart failure IX: Diseases of the circulatory system 2 4.88
7 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 1 2.44
8 A879 Viral meningitis, unspecified I: Certain infectious and parasitic diseases 1 2.44
9 P361 Sepsis of newborn due to other and unspecified streptococci XVI: Certain conditions originating in the perinatal period 1 2.44
10 A014 Paratyphoid fever, unspecified I: Certain infectious and parasitic diseases 1 2.44

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 75.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,875
Bed Occupancy Rates (%) 92.47
Average Length of Hospital Stay (No. of days per patient) 3.30
Hospital Death Rate (%) 0.82


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 322

 

Mongla 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 7 1 14 63.64
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 58 39 2 17 29.31
Class IV 22 13 6 3 13.64
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 1 0 5 83.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 6 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 12 6 5 1 8.33
Class IV 0 0 0 0 0.00

 

Mongla 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 28 8 1 19 67.86
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 76 39 2 35 46.05
Class IV 22 13 6 3 13.64
Other Hospitals & Clinics
Class I Doctor 12 8 0 4 33.33
Non Doctor 0 0 0 0 0.00
Class II 8 0 6 2 25.00
Class III 5 3 2 0 0.00
Class IV 12 9 3 0 0.00

 

Mongla 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 6 1 22 8 0 0 3 0 0
Nurse 0 0 0 0 16 16 0 0 4 0 0
Medical Assistant 0 0 6 6 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 8 5 0 0 0 0 0
CHCP 12 11 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0 0
HA 0 0 0 0 23 18 0 0 0 0 0

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


Mongla 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 3 3 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Mongla 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) 1 1 0 0 0
Pediatric equipment
Baby incubator 1 0 0 1 0
Phototherapy unit 0 0 0 0 0


Mongla 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


Mongla 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) 1 1 0 0 0
Generator
Generator (diesel/petrol) 1 0 0 1 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 8 7 1 0 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


Mongla 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 48 42 3 3 0

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

Important information and necessary issues for Mongla Upazila Health Complex
Last year we could not show our maximum efforts to improve the health service providing status due to many reason. Here I want to say some important factors which will help us to achieve the good results. 1) The vaccant pots should be filled up immideately. 2) Our doctors & Nurses need more taining on EmOC and IMCI. 3) We are in need seriously at least an Anaesthetist, one Junior Consultant Surgery and one Junior Consultant Medicine to achieve the terget of MDG 4 & 5. 4) All the repairable equipment should be repaired soon and to ensure the supply at least a diathermy & a large electric Auto clave machine for this hospital. 5) Our X-ray servjce is not runing for the want of a Radiographer. All of our female health assistant and CHCP need CSBA training to increase the facility based normal deliveries. Finaly I am very happy to publish this health bulletin of 2015 which belongs the data of the year 2014 because this documents will helps us to compare our progress in up coming years . It also help the people to understand the health services and provide us useful advice for improvement in future. .