Pirganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to know that Local Health Bulletin-2015 will be going to publish for the fourth time within April/15 as like as 2014.This health bulletin contains all the health related informations of 2014.I hope all the informations of this bulletin which will help for future planning and bringing the gaps in health services of this Upazila .This Bulletin contains many data stored of this office file. This health bulletin will help us to find out the constrains and also to see the results and achievements of 2014.It contains the status of MDG4 and MDG5 which will help us to achieve the targets of MDG4 &MDG5 locally . This health bulletin has also the information on safe drinking water and sanitation status of the Upazila and all the sanction and vacant posts are mentioned in this bulletin.I like to attention of higher authority to look into this published bulletin.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr. Md. Abdul Majid
UH&FPO
Upazila Health Complex
Pirganj,Thakurgaon.
Pirganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Pirganj
Organization Code
10002231
Name of UHFPO Dr.Md Abdul Majid
Land Phone No. 1
-0562456218
Land Phone No. 2
FAX No.
Mobile No.
01713782125
Email pirganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
88.0000
No. of Unions in the Upazila 10
No. of Households in the Upazila 53,572
Population in the Upazila 259,023
Area of Upazila in sq km 353.00
Pirganj 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
2
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
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
1
0
No. of NGO Clinics/Facilities
0
0
Pirganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,642
Under 5 Mortality Rate: 23.219 (Per 1,000 live births)
Infant Mortality Rate: 21.624 (Per 1,000 live births)
Neonatal Mortality Rate: 18.965 (Per 1,000 live births)
Still Birth Rate: 17.015 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,469
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 99.83%
Pirganj 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:
10
Total No. of Recipients Who Took at least one ANC:
4,408
Total Number of Deliveries:
3,094
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR) is:
177.24 per 100,000 live births.
Pirganj 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
19,140
35,068
54,208
1,910
2,792
4,702
58,910
763
591
1,354
124
130
254
1,608
Union Sub-Centres
9,259
14,025
23,284
562
803
1,365
24,649
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)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Community Clinics
64,630
125,201
189,831
8,404
9,390
17,794
207,625
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
Pirganj 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
3,401
5,674
9,075
432
272
704
9,779
30
12
42
0
0
0
42
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
688
688
0
0
0
688
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pirganj 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
9,779
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y08 Assault by other specified means
XX: External causes of morbidity and mortality
1512
15.46
2
A06 Amoebiasis
I: Certain infectious and parasitic diseases
802
8.20
3
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
415
4.24
4
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
284
2.90
5
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
221
2.26
6
J168 Pneumonia due to other specified infectious organisms
X: Diseases of the respiratory system
209
2.14
7
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
193
1.97
8
A010 Typhoid fever
I: Certain infectious and parasitic diseases
140
1.43
9
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
79
0.81
10
W860 Exposure to other specified electric current, home
XX: External causes of morbidity and mortality
34
0.35
Pirganj 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
42
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
12
28.57
2
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
4
9.52
3
I21 Acute myocardial infarction
X: Diseases of the respiratory system
4
9.52
4
J45 Asthma
X: Diseases of the respiratory system
3
7.14
5
R104 Other and unspecified abdominal pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
7.14
6
J46 Status asthmaticus
X: Diseases of the respiratory system
2
4.76
7
C020 Dorsal surface of tongue
II: Neoplasms
1
2.38
8
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
2.38
9
C349 Bronchus or lung, unspecified
II: Neoplasms
1
2.38
10
N009 Acute nephritic syndrome, unspecified
XIV: Diseases of the genitourinary system
1
2.38
Pirganj Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
97.00
Coverage of households having access to sanitary latrines (%)
75.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
17,514
Bed Occupancy Rates (%)
95.97
Average Length of Hospital Stay (No. of days per patient)
1.79
Hospital Death Rate (%)
0.43
Pirganj Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
188
Minor Surgeries
117
Pirganj 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
10
4
1
5
50.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
69
45
21
3
4.35
Class IV
19
10
4
5
26.32
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
4
1
3
37.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
4
3
1
12.50
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
1
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
2
1
1
25.00
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
27
14
10
3
11.11
Class IV
0
0
0
0
0.00
Pirganj 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
20
9
2
9
45.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
107
65
37
5
4.67
Class IV
21
12
4
5
23.81
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
Pirganj 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
10
4
0
0
0
0
0
Nurse
0
0
0
0
11
10
0
0
0
0
0
Medical Assistant
0
0
10
9
2
2
0
0
0
0
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
0
CHCP
27
24
0
0
0
0
0
0
0
0
13
HI
0
0
0
0
3
3
0
0
0
0
13
AHI
0
0
0
0
8
7
0
0
0
0
0
HA
0
0
0
0
37
37
0
0
0
0
0
Pirganj 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)
2
1
0
1
0
X-ray machine (300 mA)
0
0
0
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
2
2
0
0
0
Autoclave
5
2
2
1
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
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
2
2
0
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
1
1
0
0
0
Pirganj 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
5
3
0
2
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
0
0
1
0
Pirganj 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
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
1
0
3
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Pirganj 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
1
1
0
0
0
Pirganj 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)
1
1
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
3
2
1
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
3
2
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
Pirganj 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
1
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
66
52
6
8
0
Pirganj Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Pirganj Upazila Health Complex
Last year, we could not give our maximum efforts to improve the health status due to many reasons.This Upazila Health Complex has declared 50 beded Hospital but yet the manpower of 50 beds are not approved. Here I want to mention some important factors for attention higher authority which will help us to achieve good results in future. This Upazila Health Complex took part in the celebration of all famous day which are related with health works with the collaboration of some NGO's and Upazila administration. From 11 March to 17 March of 2014, I visited the Primary Health Care & Management System of Srilanka with the help of WHO by the direction of Ministry of Health ,Bangladesh Govt. Pirganj Upazila Health Complex also achieved the best award for the best HSS performance among the all Upazila Health Complexes in Rangpur division by the Health Minister of Bangladesh Govt.Previously in this Upazila there were 22(Twenty two) CC and 24(Twenty Four) CHCP . So, 2(Two) CHCP were excess . 5(Five) new CCs have been completed .SO, 5-2=3 new CHCP should be appointed for Pirganj Upazila under Thakurgaon district.This Upazila Health Complex though running smoothly behind short of one Paediatric Consultant,one Surgery Consultant ,one Medicine Consultant and one Medical officer and one vital post of RMO.In 2013 and 2014 MNH though help us for the salary of some shortage staffs but they did not maintenance a fund for local purchasing of any essential drugs.
Finally, I am very happy to write this bulletin in 2015 because this document will help us to compare our progress with 2013 and 2014.This is one of the most important document which will help to understand the population about our health services and provide us the useful advice for improvement in future day by day as the Prime Minister of Bangladesh declare the visions of 2021 to build up Bangladesh as a Digital Bangladesh in all sectors .
