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Moheshpur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am pleased to publish the Health Bulletin for the year 2015. The Bulletin contains some data and information of upazila and other field level health institutes. Some basic information like population ,household,geographical situation of upazila , sanitation and water supply status are shown in it.The health related information like indoor-outdoor and emergency patient report ,immunization of child , coverage of TT ,Emoc activities ,medical equipment , present condition of Ambulance and other vehicles,staffing position and along with some important information of this Institute are also shown in the Health Bulletin. The achievement of MDG-4 and MDG-5 are also shown so that we could able to take step to reach our goal . I congratulate to my officers and staff who have helped me in preparing the Bulletin. I am grateful to Prof.Dr. Md.Abul Kalam Azad ,ADG ,MIS,Mohakhali ,Dhaka and his other officers and staff and Civil Surgeon ,Jhenaidah for advice ,help and co-operation.. I hope this kind of Health Bulletin would help us to assess our year-long activities and to take step to deliver better health services in future . I also hope that this kind of bulletin will make a bridge with our other helping partners and agencies. Lastly I hope that our enthusiastic readers would consider our fault and limitation and encourage us to go ahead with a view to deliver an ideal and qualitative health services for the poor and deprived people. Thanking to All
Dr. Md.Tahazzel Hossain
UH&FPO
Moheshpur Upazila Health Complex

Moheshpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Moheshpur
Organization Code 10001785
Name of UHFPO Dr. Md.Tahazzel Hossain
Land Phone No. 1 -0452556299
Land Phone No. 2
FAX No.
Mobile No. 01712523153
Email moheshpur@ufhpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 89.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 77,974
Population in the Upazila 341,616
Area of Upazila in sq km 413.75

Moheshpur 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 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 12 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 33 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 15 0
No. of NGO Clinics/Facilities 0 0

Moheshpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,523


Under 5 Mortality Rate: 7.075 (Per 1,000 live births)
Infant Mortality Rate: 6.854 (Per 1,000 live births)
Neonatal Mortality Rate: 5.748 (Per 1,000 live births)
Still Birth Rate: 3.759 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,222
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%

Moheshpur 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: 7
Total No. of Recipients Who Took at least one ANC: 4,909
Total Number of Deliveries: 6,002
Valid TT Coverage: 99.00 %
Maternal Mortality Ratio (MMR) is: 154.76 per 100,000 live births.

Moheshpur 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 19,593 25,063 44,656 6,669 7,567 14,236 58,892 3,800 3,388 7,188 411 312 723 7,911
Union Sub-Centres 16,453 27,305 43,758 1,533 1,967 3,500 47,258 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 75,696 185,186 260,882 14,678 16,451 31,129 292,011 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

Moheshpur 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 2,234 2,689 4,923 357 284 641 5,564 17 10 27 3 0 3 30
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 160 1,042 1,202 0 0 0 1,202 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Moheshpur 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 6,148
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 998 16.23
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 881 14.33
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 789 12.83
4 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 351 5.71
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 348 5.66
6 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 295 4.80
7 J45 Asthma X: Diseases of the respiratory system 199 3.24
8 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 135 2.20
9 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 103 1.68
10 F062 Organic delusional [schizophrenia-like] disorder V: Mental and behavioural disorders 97 1.58

Moheshpur 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 35
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A070 Balantidiasis I: Certain infectious and parasitic diseases 6 17.14
2 J069 Acute upper respiratory infection, unspecified X: Diseases of the respiratory system 6 17.14
3 T629 Noxious substance eaten as food, unspecified I: Certain infectious and parasitic diseases 5 14.29
4 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 4 11.43
5 R074 Chest pain, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 3 8.57
6 V891 Person injured in unspecified nonmotor-vehicle accident, nontraffic XX: External causes of morbidity and mortality 3 8.57
7 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 2 5.71
8 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 2 5.71
9 J841 Other interstitial pulmonary diseases with fibrosis X: Diseases of the respiratory system 2 5.71
10 K703 Alcoholic cirrhosis of liver XI: Diseases of the digestive system 2 5.71

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,175
Bed Occupancy Rates (%) 33.84
Average Length of Hospital Stay (No. of days per patient) 1.00
Hospital Death Rate (%) 0.57


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,255

 

Moheshpur 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 35 6 1 28 80.00
Non Doctor 0 0 0 0 0.00
Class II 17 13 13 -9 -52.94
Class III 82 55 27 0 0.00
Class IV 23 19 4 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 5 2 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 8 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 2 1 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 0 0.00
Class IV 4 4 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 38 18 17 3 7.89
Class IV 0 0 0 0 0.00

 

Moheshpur 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 35 14 3 18 51.43
Non Doctor 0 0 0 0 0.00
Class II 17 0 13 4 23.53
Class III 137 81 56 0 0.00
Class IV 27 23 4 0 0.00
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

 

Moheshpur 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 13 9 22 7 0 0 2 0 0
Nurse 0 0 0 0 17 13 0 0 0 1 0
Medical Assistant 0 0 13 13 2 2 0 0 11 0 0
Medical Technologist 0 0 0 0 10 6 0 0 0 0 0
CHCP 38 35 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 3 2 0 3 0 0 0
AHI 0 0 0 0 9 9 0 9 0 0 0
HA 0 0 0 0 44 36 0 36 0 0 0

Moheshpur 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) 1 1 0 0 0
X-ray machine (300 mA) 0 0 0 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 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 3 3 0 0 0
Portable OT Light 4 2 2 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 9 8 0 1 0
Ventilator 0 0 0 0 0


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


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


Moheshpur 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


Moheshpur 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) 4 4 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) 8 6 0 0 2
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 16 8 5 0 3
Scanner 1 1 0 0 0
UPS 7 5 1 1 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


Moheshpur 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 76 60 8 3 5

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

Important information and necessary issues for Moheshpur Upazila Health Complex
1. The UHC was upgraded from 31 to 50 beds for about 5 years ago.The function of 50 beds have started in the year of 2013 but want of manpower and necessary equipment it is running poorly. There is no Junior Consultants in this UHC for years long 2. EmOC has not yet been started fully for want of manpower and available instrument . Routine EOC is running. Major operations have not been done as there is no Jr. Consultant and Anesthetist in this UHC.