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Nazirpur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Nazirpur Upazila. This bulletin contains all the data related information of 2014. This bulletin is published to disseminate the information of Nazirpur Upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Upazila. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. Nazirpur Upazila has 50 beded Upazila Health Complex. This hospital is also equipped EmOC services. We have one sub centre and 27 community clinic are functional. CHCP and Health Assistant are providing health services at the community clinic. We have 7 functional Union health and family welfare centre which is run by FWVs.The health bulletin has also the information on safe drinking water and sanitation status of the Upazila. All the sanctioned and vacant posts are contained in this bulletin of 2014. I like to take attention of the higher authority to look into issue. To sum up, I would like to thanks especially for setting us one step ahead toward Digital Bangladesh.
Dr. Tanbir Ahmed Sikder.
UH&FPO
Nazirpur Upazila Health Complex

Nazirpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nazirpur
Organization Code 10002061
Name of UHFPO Dr. Tanbir Ahmed Sikder.
Land Phone No. 1 -0462674005
Land Phone No. 2
FAX No.
Mobile No. 01716090746
Email nazirpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 90.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 39,843
Population in the Upazila 181,733
Area of Upazila in sq km 248.00

Nazirpur 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 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) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 27 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

Nazirpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,977


Under 5 Mortality Rate: 13.772 (Per 1,000 live births)
Infant Mortality Rate: 10.413 (Per 1,000 live births)
Neonatal Mortality Rate: 5.039 (Per 1,000 live births)
Still Birth Rate: 13.100 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,089
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Nazirpur 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: 6
Total No. of Recipients Who Took at least one ANC: 3,193
Total Number of Deliveries: 3,013
Valid TT Coverage: 17.00 %
Maternal Mortality Ratio (MMR) is: 201.55 per 100,000 live births.

Nazirpur 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 10,702 12,503 23,205 1,000 1,078 2,078 25,283 299 501 800 30 75 105 905
Union Sub-Centres 3,502 8,078 11,580 2,011 3,040 5,051 16,631 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) 9,224 17,304 26528 2,040 3,020 5,060 31,588 0 0 0 0 0 0 5,060
Community Clinics 38,327 65,955 104,282 2,999 6,599 9,598 113,880 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

Nazirpur 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 929 2,769 3,698 115 430 545 4,243 2 0 2 0 0 0 2
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

Nazirpur 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 1,302
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K529 Noninfective gastroenteritis and colitis, unspecified XI: Diseases of the digestive system 220 16.90
2 K267 Duodenal ulcer, chronic without haemorrhage or perforation XI: Diseases of the digestive system 200 15.36
3 J069 Acute upper respiratory infection, unspecified X: Diseases of the respiratory system 180 13.82
4 S007 Multiple superficial injuries of head XIX: Injury, poisoning and certain other consequences of external causes 173 13.29
5 J459 Asthma, unspecified X: Diseases of the respiratory system 178 13.67
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 140 10.75
7 I63 Cerebral infarction IX: Diseases of the circulatory system 79 6.07
8 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 58 4.45
9 N433 Hydrocele, unspecified XIV: Diseases of the genitourinary system 42 3.23
10 K400 Bilateral inguinal hernia, with obstruction, without gangrene XI: Diseases of the digestive system 32 2.46

Nazirpur 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 2
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I694 Sequelae of stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 1 50.00
2 I469 Cardiac arrest, unspecified IX: Diseases of the circulatory system 1 50.00
3 IX: Diseases of the circulatory system 0 0.00
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

Nazirpur 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 (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 25,283
Bed Occupancy Rates (%) 138.54
Average Length of Hospital Stay (No. of days per patient) 19.42
Hospital Death Rate (%) 0.15


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 542
Minor Surgeries 803

 

Nazirpur 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 9 4 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 11 11 0 0 0.00
Class III 85 54 24 7 8.24
Class IV 19 8 10 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 5 1 1 14.29
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 3 4 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 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 27 9 14 4 14.81
Class IV 0 0 0 0 0.00

 

Nazirpur 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 17 9 1 7 41.18
Non Doctor 0 0 0 0 0.00
Class II 11 11 0 0 0.00
Class III 94 59 28 7 7.45
Class IV 20 9 10 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

 

Nazirpur 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 8 6 9 4 0 0 4 2 0
Nurse 0 0 0 0 11 11 0 0 0 0 0
Medical Assistant 0 0 8 8 2 2 0 0 0 0 0
Medical Technologist 0 0 2 2 7 6 0 0 0 0 0
CHCP 27 23 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 10 10 0 0 0 0 0
HA 0 0 0 0 50 46 0 0 0 0 1

Nazirpur 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 1 0 1 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 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 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Nazirpur 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 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Nazirpur 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) 4 1 3 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nazirpur 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 2 1 1 0 0


Nazirpur 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 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) 6 6 0 0 0
Laptop 27 26 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 5 5 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 2 2 0 0 0
Multimedia 1 1 0 0 0


Nazirpur 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 65 59 6 0 0

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

Important information and necessary issues for Nazirpur Upazila Health Complex
Health Bulletin focuses our activities and achievement throughout the previous Calendar year. It also shows the staff pattern ,vacant posts, shortage of equipments, vehicles etc. To achieve the target in favor of our National Goal, the following things should be done with great emphasis. 1. To need a high connectivity internet speed and should be upgraded as early as possible . 2. Improvement of the diagnostic facilities. 3. Qualitative improvement of the field staff through proper training in their attitude & skillfulness. 4. Periodic supervision of the field staff by the higher authority.