Nawabganj Upazila Health Complex | Health Bulletin 2015 |
Preface
Bangladesh is one of the most densely populated and disaster affected countries in the world. Nawabganj upazila is not an exception. It is situated in southest part of the Dinajpur district. It is placed in the west side of the upazila Pirganj of the Rangpur district.It was very challenging to provide health service among this population.Inspite of this challenging upazila has made improved progress in health and human development. In this upazila safe mother for excellent performance with maternal health.
Despite progress in comprehensive essential obstructive case several many other health indications have need to be to provide health service to the population we are facing several contridiction - notable scarcity of man power. 80% of posts of Doctors are vaccant. To improved and sustained progress it is essential to filled up the vaccant post immediately. To improve child servival and maternal health consultant post of Gynae and obs and paediatrics can should be filled up.Medical equipment and logistic support should be continued in a timely fashion. Repearable instrument should be repeared immediatly. Doctors and Nurses need more training on IMCI, Communicable and non- Communicable diseases. Number of Nurses with experienced person is required for improving the health development of the local people. Otherwise the improvement of health service is not possible. Moreover the development of health service is not avaiable as manpower like ward boy and Sweeper post has to be filled up immediatly otherwise Emergency service can not provide properly. In this area is scattered and densely populated. The people of this upazila are not well educated. This upazila consists of 9 Unions, populations is 2,15,823. Though this upazila is scattered and not so good communications- there are several historic and amuging places in this upazila. Such as SAUPNAPURI, ASULIARBIL,SITARCOURT,SHALBON (National Garden).
Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Nawabganj
Organization Code
10002232
Name of UHFPO DR. MD. REZAUL BARI
Land Phone No. 1
-0533356009
Land Phone No. 2
FAX No.
Mobile No.
01199400308
Email nawabganjd@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.2504 And
Long:
89.0454
No. of Unions in the Upazila 9
No. of Households in the Upazila 53,222
Population in the Upazila 215,823
Area of Upazila in sq km 314.00
Nawabganj 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
31
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
6
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)
5
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
24
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
Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,140
Under 5 Mortality Rate: 19.066 (Per 1,000 live births)
Infant Mortality Rate: 14.202 (Per 1,000 live births)
Neonatal Mortality Rate: 7.198 (Per 1,000 live births)
Still Birth Rate: 10.506 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,382
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%
Nawabganj 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:
2
Total No. of Recipients Who Took at least one ANC:
5,103
Total Number of Deliveries:
5,205
Valid TT Coverage: 37.00 %
Maternal Mortality Ratio (MMR) is:
38.91 per 100,000 live births.
Nawabganj 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
23,216
31,573
54,789
7,892
9,112
17,004
71,793
1,620
1,952
3,572
398
249
647
4,219
Union Sub-Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
15,803
26,183
41,986
3,519
5,448
8,967
50,953
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
63,864
135,965
199,829
10,030
10,962
20,992
220,821
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
Nawabganj 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
1,034
1,602
2,636
435
277
712
3,348
5
5
10
2
0
2
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
Nawabganj 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
3,348
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
626
18.70
2
O80 Single spontaneous delivery
XV: Pregnancy, childbirth and the puerperium
445
13.29
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
421
12.57
4
J10 Influenza due to identified influenza virus
X: Diseases of the respiratory system
276
8.24
5
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
133
3.97
6
J45 Asthma
X: Diseases of the respiratory system
108
3.23
7
J13 Pneumonia due to Streptococcus pneumoniae
X: Diseases of the respiratory system
101
3.02
8
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
93
2.78
9
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
57
1.70
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
55
1.64
Nawabganj 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
J45 Asthma
X: Diseases of the respiratory system
2
16.67
2
J21 Acute bronchiolitis
X: Diseases of the respiratory system
2
16.67
3
J180 Bronchopneumonia, unspecified
X: Diseases of the respiratory system
1
8.33
4
O151 Eclampsia in labour
XV: Pregnancy, childbirth and the puerperium
1
8.33
5
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
1
8.33
6
G04 Encephalitis, myelitis and encephalomyelitis
VI: Diseases of the nervous system
1
8.33
7
I50 Heart failure
IX: Diseases of the circulatory system
1
8.33
8
C34 Malignant neoplasm of bronchus and lung
II: Neoplasms
1
8.33
9
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
1
8.33
10
Z017 Laboratory examination
XXI: External causes of morbidity and mortality
1
8.33
Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
7,674
Bed Occupancy Rates (%)
67.82
Average Length of Hospital Stay (No. of days per patient)
2.29
Hospital Death Rate (%)
0.36
Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
0
Nawabganj 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
9
4
1
4
44.44
Non Doctor
0
0
0
0
0.00
Class II
11
1
7
3
27.27
Class III
65
38
20
7
10.77
Class IV
19
13
3
3
15.79
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
3
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
5
1
0
0.00
Class IV
3
3
0
0
0.00
Rural Dispensaries
Class I
Doctor
6
3
0
3
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
4
1
1
16.67
Class IV
0
0
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
24
12
12
0
0.00
Class IV
0
0
0
0
0.00
Nawabganj 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
18
10
1
7
38.89
Non Doctor
0
0
0
0
0.00
Class II
11
1
7
3
27.27
Class III
101
59
32
10
9.90
Class IV
22
16
3
3
13.64
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
Nawabganj 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
9
6
9
5
0
0
0
0
0
Nurse
0
0
0
0
11
8
0
0
5
2
0
Medical Assistant
0
0
9
8
2
2
0
0
9
0
0
Medical Technologist
0
0
0
0
8
8
0
0
0
0
0
CHCP
24
24
0
0
0
0
0
0
24
0
2
HI
0
0
0
0
3
2
0
0
2
0
0
AHI
0
0
0
0
7
7
0
0
7
0
0
HA
0
0
0
0
33
31
0
0
25
0
4
Nawabganj 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
1
0
0
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
0
0
0
0
0
Anesthesia machine without ventilator
1
1
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
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
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Nawabganj 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
4
4
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
1
0
1
0
Nawabganj 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)
2
1
1
0
0
Colorimeter
1
0
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
1
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Nawabganj 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
6
6
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Nawabganj 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)
2
2
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)
7
7
0
0
0
Laptop
29
29
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
0
0
0
0
0
UPS
6
6
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Nawabganj 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
78
73
3
2
0
Nawabganj Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Nawabganj Upazila Health Complex
We have 31 beded hospital & 50 beded development work is under construction. The construction work started from 26.09.2010 and they completed 74% of work.Then the work permit of the contructor was cancelled on 02.12.2012.Now the construction work is totally stopped.
We are able to overcome all obstacles and hesitation through our destination of peoples health service in NAWABGANJ health complex . Limited post of Doctors, Nurses and all other staffs in our hospital- we successfully done our dutys properly past year 2012 and this is running on . The people of surrounded area of this health complex - pleased to our duties which was delivered through out of the year 2012 . I am always concious to every staff service to the people of this upazila . National leaders, alieds, patients , journalists and all catagory of local persons are pleased to our services which delivered in 2012 . Our performance and progress are always beneficial to lower progressive people . Because of our profession is always sacrificed and devoted to the poor and ruined people and this is our present and future moto . So, in future it is my promise that I and with my staffs sacrificed our all efforts and dignity only for poor patients in this local area . This is only I always want help from my higher authorities to regulate and manage this health complex . I also want useful advice from my authorities to provide proper health services to the public in coming days . THANKS .
