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Manpura Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Monpura upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Monpura upazila to other line department and development partners of health. I hope all the information of this bulletin will help to plan and bridge the gaps in health services of this upazila.This health bulletin will help us to find out the result and achievments of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to locate the MDG target. This health bulletin has also published the informations on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to draw 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.Gaus Newaz
UH&FPO
Manpura Upazila Health Complex

Manpura Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Manpura
Organization Code 10002017
Name of UHFPO Dr.Gaus Newaz
Land Phone No. 1 -0492656015
Land Phone No. 2
FAX No.
Mobile No. 01730324421
Email manpura@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 91.0000
No. of Unions in the Upazila4
No. of Households in the Upazila 19,123
Population in the Upazila 96,612
Area of Upazila in sq km 373.00

Manpura 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) 0 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 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 0 0
No. of NGO Clinics/Facilities 0 0

Manpura Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,771


Under 5 Mortality Rate: 10.466 (Per 1,000 live births)
Infant Mortality Rate: 5.413 (Per 1,000 live births)
Neonatal Mortality Rate: 2.165 (Per 1,000 live births)
Still Birth Rate: 3.609 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 16,270
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 97.7%

Manpura 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: 2
Total No. of Recipients Who Took at least one ANC: 3,057
Total Number of Deliveries: 2,771
Valid TT Coverage: 55.00 %
Maternal Mortality Ratio (MMR) is: 72.18 per 100,000 live births.

Manpura 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 17,524 23,334 40,858 6,701 7,157 13,858 54,716 679 895 1,574 456 345 801 2,375
Union Sub-Centres 2,159 4,327 6,486 1,256 1,205 2,461 8,947 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 26,432 50,716 77,148 5,814 8,679 14,493 91,641 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

Manpura 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 363 521 884 285 255 540 1,424 3 1 4 5 4 9 13
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

Manpura 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 1,424
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 361 25.35
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 199 13.97
3 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 144 10.11
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 115 8.08
5 V99 Unspecified transport accident XX: External causes of morbidity and mortality 69 4.85
6 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 60 4.21
7 S00 Superficial injury of head XIX: Injury, poisoning and certain other consequences of external causes 57 4.00
8 A94 Unspecified arthropod-borne viral fever I: Certain infectious and parasitic diseases 51 3.58
9 K29 Gastritis and duodenitis XI: Diseases of the digestive system 49 3.44
10 M844 Pathological fracture, NEC XIII: Diseases of the musculoskeletal system and connective tissue 41 2.88

Manpura 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 13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J12 Viral pneumonia, NEC X: Diseases of the respiratory system 9 69.23
2 J969 Respiratory failure, unspecified X: Diseases of the respiratory system 3 23.08
3 X63 Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system X: Diseases of the respiratory system 1 7.69
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Manpura 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 (%) 69.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,449
Bed Occupancy Rates (%) 57.00
Average Length of Hospital Stay (No. of days per patient) 4.53
Hospital Death Rate (%) 0.91


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 202

 

Manpura 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 10 4 0 6 60.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 2 9 81.82
Class III 33 22 0 11 33.33
Class IV 19 13 2 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 0 0 2 100.00
Class IV 1 0 0 1 100.00
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 7 2 3 25.00
Class IV 0 0 0 0 0.00

 

Manpura 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 13 7 0 6 46.15
Non Doctor 0 0 0 0 0.00
Class II 11 0 2 9 81.82
Class III 49 30 2 17 34.69
Class IV 20 13 2 5 25.00
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

 

Manpura 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 3 3 10 4 0 0 0 0 0
Nurse 0 0 0 0 11 2 0 0 2 2 0
Medical Assistant 0 0 3 1 2 1 0 0 2 0 0
Medical Technologist 0 0 1 0 8 2 0 0 0 0 0
CHCP 12 9 0 0 0 0 0 0 0 0 1
HI 0 0 0 0 1 1 0 0 0 0 0
AHI 0 0 0 0 2 1 0 0 0 0 0
HA 0 0 0 0 10 9 0 0 0 0 0

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


Manpura 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Manpura 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) 0 0 0 0 0
Colorimeter 0 0 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


Manpura 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 0 1 0 0


Manpura 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) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 3 3 0 0 0
IPS 2 0 2 0 0
ICT equipment
Computer (desktop) 5 3 2 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 4 0 0 0
Scanner 1 1 0 0 0
UPS 3 0 3 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


Manpura 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 2 0 2 0 0
Mobile phone 1 1 0 0 0
Total 33 21 12 0 0

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

Important information and necessary issues for Manpura Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. The vacant posts should be filled up immediately. 2. Our doctors and nurses need more training. 3. Number of community clinic should be increased 4. All the Medical equipment’s should be supplied as soon as possible . Finally I am very happy to published this health bulletin of 2014 because this documents will help us to compare our progress in coming years.