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Nangolkot Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Nangolkot upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Nangolkot 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. The bulleting contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin is also contains the totalls illustration of the Health facilities in the Upazilla. . All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards digital Bangladesh.
Dr. Md. Shams Uddin
UH&FPO
Nangolkot Upazila Health Complex

Nangolkot Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Nangolkot
Organization Code 10002223
Name of UHFPO Dr. Md. Shams Uddin
Land Phone No. 1 -0803366104
Land Phone No. 2
FAX No.
Mobile No.
Email nangolkot@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila13
No. of Households in the Upazila 79,540
Population in the Upazila 433,986
Area of Upazila in sq km 247.00

Nangolkot 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) 7 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 42 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 8 0
No. of NGO Clinics/Facilities 1 0

Nangolkot Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 11,394


Under 5 Mortality Rate: 2.019 (Per 1,000 live births)
Infant Mortality Rate: 0.702 (Per 1,000 live births)
Neonatal Mortality Rate: 0.351 (Per 1,000 live births)
Still Birth Rate: 1.053 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 7,242
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Nangolkot 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: 1
Total No. of Recipients Who Took at least one ANC: 6,108
Total Number of Deliveries: 11,430
Valid TT Coverage: 16.00 %
Maternal Mortality Ratio (MMR) is: 8.78 per 100,000 live births.

Nangolkot 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 11,939 24,444 36,383 10,088 11,689 21,777 58,160 677 425 1,102 110 150 260 1,362
Union Sub-Centres 4,521 8,351 12,872 1,592 1,355 2,947 15,819 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 5,201 19,067 24,268 614 608 1,222 25,490 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 2,584 9,635 12219 300 226 526 12,745 0 0 0 0 0 0 526
Community Clinics 66,694 136,868 203,562 13,665 16,264 29,929 233,491 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) 205 2,019 2,224 198 197 395 2,619 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

Nangolkot 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 1,830 2,554 4,384 630 903 1,533 5,917 6 2 8 2 2 4 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

Nangolkot 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 5,890
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 1378 23.40
2 Y022 Assault by pushing or placing victim before moving object, school, other institution and public administrative area XX: External causes of morbidity and mortality 1192 20.24
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 586 9.95
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 511 8.68
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 410 6.96
6 O630 Prolonged first stage (of labour) XV: Pregnancy, childbirth and the puerperium 262 4.45
7 J45 Asthma X: Diseases of the respiratory system 205 3.48
8 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 156 2.65
9 V863 Unspecified occupant of all-terrain or other off-road motor vehicle injured in traffic accident XX: External causes of morbidity and mortality 97 1.65
10 F411 Generalized anxiety disorder V: Mental and behavioural disorders 83 1.41

Nangolkot 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 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 4 33.33
2 I501 Left ventricular failure IX: Diseases of the circulatory system 2 16.67
3 A419 Septicaemia, unspecified X: Diseases of the respiratory system 2 16.67
4 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 2 16.67
5 J459 Asthma, unspecified X: Diseases of the respiratory system 2 16.67
6
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00
7
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00
8
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00
9
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00
10
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
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.) 14,184
Bed Occupancy Rates (%) 77.72
Average Length of Hospital Stay (No. of days per patient) 2.41
Hospital Death Rate (%) 0.20


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 690

 

Nangolkot 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 10 6 5 23.81
Non Doctor 0 0 0 0 0.00
Class II 16 0 13 3 18.75
Class III 29 13 0 16 55.17
Class IV 17 14 3 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 0 5 2 28.57
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 6 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 1 2 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 4 0 4 50.00
Class IV 4 3 0 1 25.00
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 42 23 18 1 2.38
Class IV 0 0 0 0 0.00

 

Nangolkot 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 38 12 13 13 34.21
Non Doctor 0 0 0 0 0.00
Class II 21 1 13 7 33.33
Class III 142 80 25 37 26.06
Class IV 35 16 4 15 42.86
Other Hospitals & Clinics
Class I Doctor 6 0 1 5 83.33
Non Doctor 0 0 0 0 0.00
Class II 5 1 1 3 60.00
Class III 4 1 0 3 75.00
Class IV 3 1 1 1 33.33

 

Nangolkot 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 16 6 2 0 0 0
Nurse 0 0 0 0 16 13 5 1 3 0 0
Medical Assistant 0 0 11 11 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 7 5 1 0 0 0 0
CHCP 42 41 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 1 0 0 0 0 2
AHI 0 0 0 0 8 8 0 0 0 0 0
HA 0 0 0 0 40 25 0 0 0 0 0

Nangolkot 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 0 2 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 1 0 1 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 0 0 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) 2 1 1 0 0
Ventilator 0 0 0 0 0


Nangolkot 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 1 0 1 0 0


Nangolkot 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) 6 2 4 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Nangolkot 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


Nangolkot 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 0 1 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 8 0 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) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Nangolkot 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 43 31 11 1 0

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

Important information and necessary issues for Nangolkot Upazila Health Complex
a few shortage of Doctor and other Health service providers. We Have tried our best to ful-fill the demand of the people. Finaly, We are very greatful to all concern who has provided us support to ensure the health services to the people.