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Morrelganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad and feel proud to publish this health bulletin of Morrelganj upazila . This bulletin contains all the information related to health of 2014 . The purpose of publishing the bulletin is to disseminate the information of Morrelganj upazila to other department and development partners of health . Government health office has many data stored in the line . The health bulletin will help to find constrains and also to cheack the result and achievements of 2014 . The bulletin contains the status of MDG-4 and MDG-5 which will help to localize the targets of MDG . This bulletin has also the information on safe drinking water and sanitation status of the upazila . All the sanctioned and vacant post are published in the bulletin of 2014 . Necessary action can be taken on all the information published in the bulletin . Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead digital Bangladesh . Dr.Nur Uddin Mohammad Eusuf UH&FPO Morrelganj, Bagerhat .
Dr NURUDDIN MUHAMMAD EUSUF
UH&FPO
Morrelganj Upazila Health Complex

Morrelganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Morelganj
Organization Code 10001708
Name of UHFPO Dr NURUDDIN MUHAMMAD EUSUF
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01914859741
Email morelganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila16
No. of Households in the Upazila 70,190
Population in the Upazila 329,736
Area of Upazila in sq km 256.25

Morrelganj 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 1 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 51 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 5 50
No. of NGO Clinics/Facilities 0 0

Morrelganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,261


Under 5 Mortality Rate: 27.561 (Per 1,000 live births)
Infant Mortality Rate: 25.470 (Per 1,000 live births)
Neonatal Mortality Rate: 23.380 (Per 1,000 live births)
Still Birth Rate: 16.347 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 15,707
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Morrelganj 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: 19
Total No. of Recipients Who Took at least one ANC: 4,583
Total Number of Deliveries: 5,286
Valid TT Coverage: 63.00 %
Maternal Mortality Ratio (MMR) is: 361.15 per 100,000 live births.

Morrelganj 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 7,037 14,891 21,928 4,804 5,348 10,152 32,080 1,423 1,646 3,069 171 201 372 3,441
Union Sub-Centres 3,244 8,132 11,376 2,102 3,301 5,403 16,779 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 30,859 107,603 138,462 9,003 9,703 18,706 157,168 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 87,913 163,104 251,017 19,416 21,715 41,131 292,148 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

Morrelganj 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 1,338 1,853 3,191 374 504 878 4,069 6 4 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 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

Morrelganj 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 4,069
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 755 18.55
2 K35 Acute appendicitis XI: Diseases of the digestive system 530 13.03
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 519 12.75
4 J99 Respiratory disorders in diseases classified elsewhere X: Diseases of the respiratory system 220 5.41
5 B33 Other viral diseases, NEC I: Certain infectious and parasitic diseases 187 4.60
6 J45 Asthma X: Diseases of the respiratory system 138 3.39
7 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 69 1.70
8 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 46 1.13
9 N99 Postprocedural disorders of genitourinary system, NEC XIV: Diseases of the genitourinary system 37 0.91
10 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 12 0.29

Morrelganj 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 J459 Asthma, unspecified X: Diseases of the respiratory system 4 40.00
2 D464 Refractory anaemia, unspecified II: Neoplasms 2 20.00
3 V49 Car occupant injured in other and unspecified transport accidents X: Diseases of the respiratory system 2 20.00
4 X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances XX: External causes of morbidity and mortality 1 10.00
5 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1 10.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 62.00
Coverage of households having access to sanitary latrines (%) 81.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,036
Bed Occupancy Rates (%) 141.72
Average Length of Hospital Stay (No. of days per patient) 3.94
Hospital Death Rate (%) 0.25


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 632
Minor Surgeries 426

 

Morrelganj 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 25 2 2 21 84.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 168 72 56 40 23.81
Class IV 20 17 2 1 5.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 15 3 0 12 80.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 15 6 9 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
Class IV 1 1 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 48 22 25 1 2.08
Class IV 0 0 0 0 0.00

 

Morrelganj 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 25 2 2 21 84.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 168 72 56 40 23.81
Class IV 20 17 2 1 5.00
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

 

Morrelganj 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 4 9 4 0 0 2 2 0
Nurse 0 0 0 0 11 10 0 0 4 0 0
Medical Assistant 0 0 16 16 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 6 4 0 0 0 0 0
CHCP 48 47 0 0 0 0 0 0 0 0 5
HI 0 0 0 0 4 4 0 0 0 0 5
AHI 0 0 0 0 13 13 0 0 0 0 0
HA 0 0 0 0 64 30 0 0 0 0 0

Morrelganj 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 1 0 1 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 1 0 0
Portable OT Light 3 0 2 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 4 2 2 0 0
Sucker machine (electric) 6 1 1 4 0
Ventilator 0 0 0 0 0


Morrelganj 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 4 2 0 2 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Morrelganj 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) 3 3 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


Morrelganj 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


Morrelganj 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 0 1 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) 9 8 1 0 0
Laptop 49 48 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 2 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 8 8 0 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 47 47 0 0 0
Multimedia 1 1 0 0 0


Morrelganj 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 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 154 135 10 9 0

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

Important information and necessary issues for Morrelganj Upazila Health Complex
Important information and necessary issues for Morrelganj Upazila Health complex, Bagerhat . Last Year we could not give our maximum effort to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve better result in future . (1) The vacant posts should be filled immediately (2) Our doctor,nurse and other stuff need more training on IMCI and other fields (3) No of CC and bed facility in UHC should be increased (4) All the repairable equipments should be repaired as soon as possible. Finally I am very happy to write the health bulletin of 2014 because this document will help us to compare our progress in upcoming years . This is very useful document and will healp the publish and other to understand health services and to provide us the useful advice for improvement in future .I beg pardon if there is any mistake despite hairiest effort . Dr.Nur Uddin Mohammad Eusuf UH&FPO Morrelganj, Bagerhat .