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.
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 Upazila 13
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.