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Nesarabad Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of Nesarabad UHC. This bulletin contains all the health related information of the year 2014. I hope all the information of this bulletin will help for planning and bridging the gaps in health service of this UHC. The bulletin will help us to find the problems and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. I like to pay attention of the higher authority on this bulletin. Finally I would like to congratulate the initiators of the health bulletin software for setting us one step ahead towards Digital Bangladesh.
Dr. Arun Chandra Mondal
UH&FPO
Nesarabad Upazila Health Complex

Nesarabad Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nesarabad
Organization Code 10002063
Name of UHFPO Dr. Arun Chandra Mondal
Land Phone No. 1 04627-056019
Land Phone No. 2
FAX No.
Mobile No. 01730324434
Email nesarabad@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: N/A
No. of Unions in the Upazila10
No. of Households in the Upazila 52,068
Population in the Upazila 231,656
Area of Upazila in sq km 190.50

Nesarabad 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 1 0
No. of Union Sub-Centres 2 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) 9 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 10 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 3 30
No. of NGO Clinics/Facilities 1 0

Nesarabad Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,420


Under 5 Mortality Rate: 5.882 (Per 1,000 live births)
Infant Mortality Rate: 3.846 (Per 1,000 live births)
Neonatal Mortality Rate: 1.810 (Per 1,000 live births)
Still Birth Rate: 7.466 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 9,694
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Nesarabad 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: 4
Total No. of Recipients Who Took at least one ANC: 3,712
Total Number of Deliveries: 4,612
Valid TT Coverage: 20.00 %
Maternal Mortality Ratio (MMR) is: 90.50 per 100,000 live births.

Nesarabad 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 13,392 20,088 33,480 5,002 3,348 8,350 41,830 3,302 4,033 7,335 1,099 734 1,833 9,168
Union Sub-Centres 32,216 6,277 38,493 1,594 684 2,278 40,771 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) 3,709 6,887 10596 1,542 1,114 2,656 13,252 0 0 0 0 0 0 2,656
Community Clinics 55,283 110,036 165,319 24,798 16,532 41,330 206,649 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

Nesarabad 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 2,141 3,225 5,366 760 557 1,317 6,683 21 14 35 2 4 6 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 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

Nesarabad 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 6,683
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1694 25.35
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 377 5.64
3 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 316 4.73
4 J45 Asthma X: Diseases of the respiratory system 187 2.80
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 166 2.48
6 T509 Other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 131 1.96
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 112 1.68
8 O03 Spontaneous abortion XV: Pregnancy, childbirth and the puerperium 92 1.38
9 D464 Refractory anaemia, unspecified II: Neoplasms 77 1.15
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 52 0.78

Nesarabad 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 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 9 21.95
2 J45 Asthma X: Diseases of the respiratory system 4 9.76
3 J15 Bacterial pneumonia, NEC IX: Diseases of the circulatory system 4 9.76
4 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 3 7.32
5 G45 Transient cerebral ischaemic attacks and related syndromes VI: Diseases of the nervous system 3 7.32
6 I254 Coronary artery aneurysm IX: Diseases of the circulatory system 2 4.88
7 E14 Unspecified diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 2 4.88
8 D464 Refractory anaemia, unspecified II: Neoplasms 2 4.88
9 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 2 4.88
10 T509 Other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 2 4.88

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,400
Bed Occupancy Rates (%) 73.42
Average Length of Hospital Stay (No. of days per patient) 2.01
Hospital Death Rate (%) 0.61


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 250
Minor Surgeries 974

 

Nesarabad 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 20 4 2 14 70.00
Non Doctor 0 0 0 0 0.00
Class II 14 1 13 0 0.00
Class III 102 52 41 9 8.82
Class IV 23 14 7 2 8.70
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 4 2 2 25.00
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
Rural Dispensaries
Class I Doctor 2 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 1 0 0.00
Class IV 2 2 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 31 12 15 4 12.90
Class IV 0 0 0 0 0.00

 

Nesarabad 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 30 9 4 17 56.67
Non Doctor 0 0 0 0 0.00
Class II 14 1 13 0 0.00
Class III 114 60 45 9 7.89
Class IV 25 16 7 2 8.00
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

 

Nesarabad 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 10 7 20 6 0 0 0 0 0
Nurse 0 0 0 0 14 14 0 0 0 0 0
Medical Assistant 0 0 10 10 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 8 7 0 0 0 0 0
CHCP 31 27 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 12 12 0 0 0 0 0
HA 0 0 0 0 59 53 0 0 0 0 1

Nesarabad 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 0 0 1 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 2 2 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 0 0 0 0 0
Portable OT Light 2 2 0 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) 2 2 0 0 0
Ventilator 0 0 0 0 0


Nesarabad 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 1 1 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Nesarabad 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) 4 2 0 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nesarabad 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 0 1 0


Nesarabad 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) 2 1 1 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) 9 7 2 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 8 6 2 0 0
Scanner 0 0 0 0 0
UPS 5 4 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 2 2 0 0 0
Multimedia 1 0 1 0 0


Nesarabad 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 56 44 8 4 0

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

Important information and necessary issues for Nesarabad Upazila Health Complex
It is a matter of great satisfaction that we are going to publish the upazila health bulletin for the forth time in the web. We have many wants and limitations. We hope the proper authority will take care of our gaps. We wish, the information about each of the health facilities will be the steep of achieve the goal of Digital Bangladesh.