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Madhabpur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Madhabpur upazilla . This bulletin contains all the health related information of 2015 . This bulletin is publish to disseminate the information of Madhabpur Upazilla 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 heath service of this upazilla . Government health office has many data stored in the fine . This health bulletin will help us to find constrains and also to see the result and achievements of 2014.The bulletin contains the status of MDG4 and MDG5 which will help to localize on safe drinking water and sanitation status of the upazila . All the sanctioned vacant post are published in this bulletin of 2014. I like to take 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. Sarwar Jahan UH&FPO , Madhabpur, Habiganj
Dr. Sarwar Jahan
UH&FPO
Madhabpur Upazila Health Complex

Madhabpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Madhabpur
Organization Code 10002088
Name of UHFPO Dr. Sarwar Jahan
Land Phone No. 1 08327-056033
Land Phone No. 2
FAX No.
Mobile No. 01711588299
Email madhabpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4560 And Long: 93.4560
No. of Unions in the Upazila11
No. of Households in the Upazila 55,253
Population in the Upazila 342,639
Area of Upazila in sq km 295.00

Madhabpur 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) 3 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 8 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 34 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 7 40
No. of NGO Clinics/Facilities 1 20

Madhabpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,649


Under 5 Mortality Rate: 11.446 (Per 1,000 live births)
Infant Mortality Rate: 9.712 (Per 1,000 live births)
Neonatal Mortality Rate: 6.590 (Per 1,000 live births)
Still Birth Rate: 7.862 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 45,802
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Madhabpur 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: 8
Total No. of Recipients Who Took at least one ANC: 4,597
Total Number of Deliveries: 8,717
Valid TT Coverage: 66.00 %
Maternal Mortality Ratio (MMR) is: 92.50 per 100,000 live births.

Madhabpur 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 11,727 18,105 29,832 6,126 5,886 12,012 41,844 1,708 1,545 3,253 455 436 891 4,144
Union Sub-Centres 3,998 4,230 8,228 1,344 1,401 2,745 10,973 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 26,083 29,859 55,942 3,899 3,746 7,645 63,587 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 80,594 183,087 263,681 20,389 21,220 41,609 305,290 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

Madhabpur 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 2,955 3,211 6,166 260 249 509 6,675 7 4 11 0 1 1 12
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

Madhabpur 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 6,675
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 1812 27.15
2 Y090 Assault by unspecified means, home XX: External causes of morbidity and mortality 1667 24.97
3 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 592 8.87
4 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 741 11.10
5 T375 Antiviral drugs XIX: Injury, poisoning and certain other consequences of external causes 219 3.28
6 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 225 3.37
7 A010 Typhoid fever I: Certain infectious and parasitic diseases 216 3.24
8 O640 Obstructed labour due to incomplete rotation of fetal head XV: Pregnancy, childbirth and the puerperium 132 1.98
9 I509 Heart failure, unspecified IX: Diseases of the circulatory system 33 0.49
10 J450 Predominantly allergic asthma X: Diseases of the respiratory system 54 0.81

Madhabpur 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 12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I509 Heart failure, unspecified IX: Diseases of the circulatory system 7 58.33
2 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 2 16.67
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin IX: Diseases of the circulatory system 1 8.33
4 T375 Antiviral drugs XIX: Injury, poisoning and certain other consequences of external causes 1 8.33
5 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1 8.33
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Madhabpur 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 (%) 92.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,721
Bed Occupancy Rates (%) 58.75
Average Length of Hospital Stay (No. of days per patient) 1.61
Hospital Death Rate (%) 0.18


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 344

 

Madhabpur 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 21 7 7 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 14 0 7 7 50.00
Class III 122 71 35 16 13.11
Class IV 23 11 7 5 21.74
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 2 0 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 0 2 33.33
Class IV 3 2 1 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 34 19 14 1 2.94
Class IV 0 0 0 0 0.00

 

Madhabpur 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 32 14 8 10 31.25
Non Doctor 0 0 0 0 0.00
Class II 14 0 7 7 50.00
Class III 137 80 36 21 15.33
Class IV 27 14 8 5 18.52
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

 

Madhabpur 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 11 8 21 14 0 0 2 1 4
Nurse 0 0 0 0 14 7 0 0 2 2 3
Medical Assistant 0 0 11 8 2 2 0 0 10 0 0
Medical Technologist 0 0 4 2 11 4 0 0 0 0 0
CHCP 34 33 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 43 0 0 0 0 7

Madhabpur 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) 2 1 1 0 0
Ultrasonogram machine 1 1 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 2 1 1 0 0
Portable OT Light 4 2 2 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 12 4 4 4 0
Sucker machine (electric) 8 5 3 0 0
Ventilator 0 0 0 0 0


Madhabpur 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 12 6 3 1 2
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Madhabpur 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) 4 2 1 0 1
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 6 3 2 1 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 2 1 0 1 0


Madhabpur 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 2 1 1 0 0
Refrigerator 2 1 1 0 0
Vehicles
Ambulance 3 1 1 0 1


Madhabpur 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 2 2 0 0
Generator
Generator (diesel/petrol) 4 2 1 0 1
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 41 40 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 6 2 4 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


Madhabpur 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 1 0 1 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 138 95 31 7 5

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

Important information and necessary issues for Madhabpur Upazila Health Complex