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HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Preface

Nandail is one of the twelve upazillas of Mymensingh district and relatively larger one. Near about 437303 people reside here. It is situated about 48 kilometers away from district Head quarter and surrounded by Hossainpur and Tarail Upazilla of kishoreganj and Gafargaon and Ishwarganj upazilla of Mymensingh. So, It is an important place both geographically and in respect to population pattern. Not only the residents of this upazilla, rather patients from surrounding areas also rush here for treatment and admission. Besides, unlike many other places, this region is relatively poor and literacy rate is so low (about 45%). Thats why, providing quality health service here is a big challenge for the Government Health care workers. Despite all these, proper initiatives have been taken to reach and attain Sustainable Development Goals (SDG) related to health in due time and ensure a satisfactory level health care.

Dr Md Tazul islam Khan
UHFPO
Nandail Upazila Health Complex

2

EDITORIAL BOARD

Special Acknowledgement


1. Dr. Mohammad Nuruzzaman, RMO (incharge)

2. Rina Rani Chowdhury, SSN (In charge)

3. Abdur Rashid Bhuyan, MT(EPI)

Contributors


1. Salma Akter, Statistican (Incharge)


Certificate of Authentication

We, the above members of the Editorial Board, hereby certify that we collectively examined the content and data used in this LHB 2016 and to the best of our knowledge they represent the true picture of the local situation.

3

Basic Information
Name of the Upazila Nandail
Organization Code 10000404
Name of UHFPO Dr Md Tazul islam Khan
Land Phone No. 1 +880902964016
Land Phone No. 2 01730324528
FAX No. N/A
Mobile No. 01712738647
Email nandail@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.5464 And Long: 90.6963
No. of Unions in the Upazila12
No. of Households in the Upazila 88705
Population in the Upazila 437303
Area of Upazila in sq km 326.00

4

Existing Health Facilities in the Upazila
Facility Type Total No.of Faciliti(es) No. of Beds
Upazila Health Complex 1 50
OPD at Sadar Upazila Health facility 0 0
Union Sub Centers 5 0
Union Health & Family Welfare Centers (belong to DGHS) 0 0
Union Health & Family Welfare Centers (belong to DGFP) 7 0
Rural/Urban/Thana Health Centers 0 0
Community Clinics 38 0
Trauma Centers 0 0
MCWCs (belong to DGFP) 0 0
Chest Disease (TB) Clinics/Hospitals 0 0
Private Clinics/Facilities 0 0
NGO Clinics/Facilities 0 0

5

No. of Live Births & Child Deaths in the Upazila (Jan-Dec, 2015)
Total No. of live births: 8,548



Under 5 Mortality Rate: 43.9 (Per 1,000 live births)
Infant Mortality Rate: 39.0 (Per 1,000 live births)
Neonatal Mortality Rate: 30.4 (Per 1,000 live births)
Still Birth Rate: 18.4 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program : 26,837
Fully Vaccinated Children (<= 12 months): 95 %

6

No. of Maternal Health Services Provided in the Upazila (Jan-Dec, 2015)
R.P.W. (No.) : Reg. Pregnent Women; 1st ANC (No.) : At least 1 ANC; 4th ANC (No.) : ANCs (4+); N.deli : Normal Delivery; C.deli : Cesarean Section; O.deli : Other Assisted Delivery; pnc : PNC Within 2 days;

7

No. of Maternal Health Services Provided in the Upazila (Jan-Dec, 2015)

Indicator UHC Total Govt. Facilities NGO Facilities Private Facilities Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Reg. Pregnent Women 1166 3034 1237 0 6321 11758
At least 1 ANC 1166 3034 1237 0 6321 11758
ANCs (4+) 1166 266 1073 0 2698 5203
Normal Delivery 678 234 1999 0 5637 8548
Cesarean Section 2 375 0 0 0 377
Other Assisted Delivery 0 0 0 0 0 0
PNC Within 2 days 728 219 1999 0 5637 8583

8

No. of Maternal Health Services Provided in the Upazila (Jan-Dec, 2015)

Indicator UHC Total Govt. Facilities NGO Facilities Private Facilities Not in Facilities (Home, Camps, etc. by govt. & other providers) Total
Maternal Death 0 1 0 0 13 14
Total Deliveries 680 609 1999 0 5637 8925
Valid TT5 Coverage (%) 40

9

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Upazila Health Complex 6062 4754 10,816 1790 23066 24,856 7852 27820 35672
Union Sub-Centers 2531 2946 5,477 23728 32087 55,815 26259 35033 61292
Union Health & Family Welfare Centers (belong to DGHS) 0 0 0 0 0 0 0 0 0
Union Health & Family Welfare Centers (belong to DGFP) 5062 5893 10,955 11862 32087 43,949 16924 37980 54904
Community Clinics 7870 8819 16,689 52596 105995 158,591 60466 114814 175280
Trauma Centers 0 0 0 0 0 0 0 0 0
MCWCs (belong to DGFP) 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 1 1 2 268 162 430 269 163 432

10

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility OPD visits (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0
10-bed hospital 0 0 0 0 0 0 0 0 0
20-bed hospital 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

11

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility Emergency visits (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Upazila Health Complex 1098 936 2,034 4532 4610 9,142 5630 5546 11176
10-bed hospital 0 0 0 0 0 0 0 0 0
20-bed hospital 0 0 0 0 0 0 0 0 0
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

12

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility Admissions (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Upazila Health Complex 1120 637 1,757 1833 2901 4,734 2953 3538 6491
10-bed hospital 0 0 0 0 0 0 0 0 0
20-bed hospital 0 0 0 0 0 0 0 0 0
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

13

No. of OPD & Emergency visits, Admissions & Deaths in the Upazila
Health Facility In Patient deaths (Year 2023)
Male
(Age
<= 5)
Female
(Age
<= 5)
Total Male
(Age
> 5)
Female
(Age
> 5)
Total Grand-Total
Male Female Both
Upazila Health Complex 5 4 9 5 4 9 10 8 18
10-bed hospital 0 0 0 0 0 0 0 0 0
20-bed hospital 0 0 0 0 0 0 0 0 0
Trauma Centers 0 0 0 0 0 0 0 0 0
Chest Disease (TB) Clinics/Hospitals 0 0 0 0 0 0 0 0 0
Any other health facility 0 0 0 0 0 0 0 0 0

14

Morbidity Profile

Top (5) causes of child morbidity (age <= 5 years)

Total No. of admitted patients reviewed for under five morbidity profile 1757
No. ICD-10 Code Disease name No. of Cases %
1 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 827 47.1
2 J18 J18 Pneumonia, organism unspecified 367 20.9
3 J219 J219 Acute bronchiolitis, unspecified 188 10.7
4 A01 A01 Typhoid and paratyphoid fevers 96 5.5
5 P36 P36 Bacterial sepsis of newborn 69 3.9

Top (5) 30+ population disease profile

Total No. of cases reviewed for 30+ population disease profile 4734
No. ICD-10 Code Disease name No. of Cases %
1 K29 K29 Gastritis and duodenitis 608 12.8
2 A09 A09 Diarrhoea and gastroenteritis of presumed infectious origin 560 11.8
3 Y09 Y09 Assault by unspecified means 454 9.6
4 J45 J45 Asthma 101 2.1
5 A01 A01 Typhoid and paratyphoid fevers 67 1.4

15

Mortality Profile

Top (5) causes of death for age <= 5 years

Total No. of cases reviewed for age <= 5 years 9
No. ICD-10 Code Disease name No. of Cases %
1 J18 J18 Pneumonia, organism unspecified 4 44.4
2 J21 J21 Acute bronchiolitis 3 33.3
3 P219 P219 Birth asphyxia, unspecified 2 22.2
4 0.0
5 0.0

Top (5) Maternal causes of death

Total No. of cases reviewed for maternal deaths
No. ICD-10 Code Disease name No. of Cases %
1
2
3
4
5

16

Mortality Profile

Top (5) causes of death between ages 30 & 70 years

Total No. of cases reviewed for causes of death (30 to 70 years) 9
No. ICD-10 Code Disease name No. of Cases %
1 I509 I509 Heart failure, unspecified 3 33.3
2 J45 J45 Asthma 3 33.3
3 Y009 Y009 Assault by blunt object, unspecified place 2 22.2
4 G41 G41 Status epilepticus 1 11.1
5 0.0
Water & sanitation in the Upazila
Indicators Upazila %
Coverage of households having access to safe drinking water (%) 98.0
Coverage of households having access to sanitary latrines (%) 73.0

17

Utilization of services at Upazila Health Complex
Indicators Upazila
Total Patient days in 365 days (No.) 17561
Bed Occupancy Rates (%) 96.2
Average Length of Hospital Stay (No. of days per patient) 2.7
Hospital Death Rate (%) 0.3
Surgeries done in the Upazila
Type No.
Major Surgeries 2
Minor Surgeries 3264

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Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
UHC
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 11 9 1 10 1 9.1
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 10 4 4 8 2 20.0
Grade 10 15 1 8 9 6 40.0

19

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
UHC
Grade 11 12 7 2 9 3 25.0
Grade 12 0 0 0 0 0 0.0
Grade 13 6 5 0 5 1 16.7
Grade 14 56 31 23 54 2 3.6
Grade 15 0 0 0 0 0 0.0
Grade 16 84 36 20 56 28 33.3
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 2 1 0 1 1 50.0
Grade 20 22 8 3 11 11 50.0

20

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Health & Family Welfare Center (belong to DGHS)
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 7 3 3 6 1 14.3
Grade 10 0 0 0 0 0 0.0

21

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Health & Family Welfare Center (belong to DGHS)
Grade 11 7 5 2 7 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

22

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 5 3 2 5 0 0.0
Grade 10 0 0 0 0 0 0.0

23

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 11 10 4 2 6 4 40.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 5 0 0 0 5 100.0

24

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Community Clinics
Grade 11 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 37 15 21 36 1 2.7
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

25

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 1 0 0 0 0 0 0.0
Grade 2 0 0 0 0 0 0.0
Grade 3 0 0 0 0 0 0.0
Grade 4 0 0 0 0 0 0.0
Grade 5 0 0 0 0 0 0.0
Grade 6 0 0 0 0 0 0.0
Grade 7 0 0 0 0 0 0.0
Grade 8 0 0 0 0 0 0.0
Grade 9 0 0 0 0 0 0.0
Grade 10 0 0 0 0 0 0.0

26

Status of Human Resources (Pay scale - designation grade wise)
Grade Sanctioned Filled-up Vacant Vacancy %
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 11 0 0 0 0 0 0.0
Grade 12 0 0 0 0 0 0.0
Grade 13 0 0 0 0 0 0.0
Grade 14 0 0 0 0 0 0.0
Grade 15 0 0 0 0 0 0.0
Grade 16 0 0 0 0 0 0.0
Grade 17 0 0 0 0 0 0.0
Grade 18 0 0 0 0 0 0.0
Grade 19 0 0 0 0 0 0.0
Grade 20 0 0 0 0 0 0.0

27

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
UHC
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 9 1 10
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 4 4 8
Grade 10 1 8 9

28

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
UHC
Grade 11 7 2 9
Grade 12 0 0 0
Grade 13 5 0 5
Grade 14 31 23 54
Grade 15 0 0 0
Grade 16 36 20 56
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 1 0 1
Grade 20 8 3 11

29

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Health & Family Welfare Center (belongs to DGHS)
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 3 3 6
Grade 10 0 0 0

30

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Health & Family Welfare Center (belongs to DGHS)
Grade 11 5 2 7
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

31

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 3 2 5
Grade 10 0 0 0

32

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Union Sub Centers (USC)
Grade 11 4 2 6
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

33

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Community Clinics
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 15 21 36
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

34

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
Grade 7 0 0 0
Grade 8 0 0 0
Grade 9 0 0 0
Grade 10 0 0 0

35

Status of Human Resources (Pay scale - personal grade wise)
Grade Filled-up
Male Female Total (M+F)
Other Hospitals/Facilities
Grade 11 0 0 0
Grade 12 0 0 0
Grade 13 0 0 0
Grade 14 0 0 0
Grade 15 0 0 0
Grade 16 0 0 0
Grade 17 0 0 0
Grade 18 0 0 0
Grade 19 0 0 0
Grade 20 0 0 0

36

Status of Human Resources under DGHS updated during this report preparation
Man
power
Commu-
nity
Clinic
USC/
UHFWC/
RD
UHC Others IM-
CI
Trai-
ned
Basic
EOC
Trai-
ned
CS-
BA
Tr-
-ai-
ned
San-
cti-
on-
ed
Fill-
ed-
up
San-
cti-
on-
ed
Fill-
ed-
up
San-
cti-
on-
ed
Fill-
ed-
up
San-
cti-
on-
ed
Fill-
ed-
up
Physician 0 0 12 12 21 18 0 4 2 1 0
Nurse 0 0 0 0 15 11 0 0 11 0 0
Medical Assistant 0 0 12 11 2 2 0 0 1 0 0
Medical Technologist 0 0 0 0 8 5 0 0 0 0 0
CHCP 37 36 0 0 0 0 0 0 0 0
HI 0 0 0 0 5 3 0 0 3 0 0
AHI 0 0 0 0 15 15 0 0 15 0 0
HA 0 0 0 0 75 53 0 0 53 0 6
Other 0 0 10 2 43 22 0 0 0 0 0
Total 37 36 34 25 184 129 0 4 85 1 6

37

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Radiology equipment
X-ray machine (100 mA) 1 1 0 0 2
X-ray machine (300 mA) 1 1 0 0 2
Ultrasonogram machine 0 0 0 0 0

38

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 3 3 0 0 6
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 0 0 2
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 2
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 3 3 0 0 6
Portable OT Light 2 2 0 0 4
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 4

39

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Anesthesiology/surgical equipment
Sterilizer 3 3 0 0 6
Sucker machine (electric) 3 3 0 0 6
Ventilator 0 0 0 0 0

40

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Cardiology equipment
ECG machine 2 2 0 0 4
Echocardiogram machine 0 0 0 0 0
Nebulizer machine 3 2 1 0 6
Pulse oximeter 2 2 0 0 4

41

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Dental equipment
Dental unit 2 1 1 0 4

42

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 1 1 0 0 2
Colorimeter 1 1 0 0 2
Electrolyte analyzer 1 1 0 0 2
Microscope (binocular) 3 3 0 0 6

43

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Pediatric equipment
Baby incubator 1 1 0 0 2
Phototherapy unit 1 1 0 0 2

44

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Blood bank equipment
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 1 1 0 0 2
Refrigerator 4 4 0 0 8

45

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Vehicles
Ambulance 3 1 2 0 6

46

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Air conditioner
Air conditioner (window) 3 3 0 0 6

47

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
Generator
Generator (diesel/petrol) 2 2 0 0 4
Generator (Gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 5 5 0 0 10

48

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Computer (desktop) 8 3 5 0 16
Laptop 43 36 7 0 86
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 2 4 0 12
Scanner 0 0 0 0 0
UPS 6 6 0 0 12
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0

49

Equipment report is up-to-date
Equipment   Not installed (No.) Total (No.)
Functional (No.) Non-functional
Repairable (No.) Non-Repairable (No.)
ICT equipment
Internet wireless line (Modem) 41 41 0 0 82
Multimedia 1 1 0 0 2
OHP 1 1 0 0 2
PA system 0 0 0 0 0
Land phone 1 1 0 0 2
Mobile phone 1 1 0 0 2

50

Important information and necessary issues you want to raise
Year 2015 was relatively a good year for Nandail Upazila Health Complex in respect of health service provided to the patients and general population. Though there were a number of limitations which made this task a tough one. The number of medical officers and consultants were adequate and all of them tried their best to serve as best as possible. But providing health facilities is a holistic approach and doctors are mere a small part of it. So increasing the number of doctors will never be sufficient to succeed in this regard. There are a number of limitations in Nandail which need early intervention. Firstly though it is a 50 bed hospital only 9 nurses are posted here and among them 4 are on deputation.It is an unimaginable task to manage a 50 bed hospital with only 5 nurses. Also, though Nandail is a regarded as an EOC centre, no Anaesthetist is posted here. So it is of utmost necessary task to fill up that post so Nandail Health complex can resume providing emergency obstetrical care to pregnant mothers. There is no permanent sweeper, so cleanliness becomes an issue sometimes. There is also shortage of MLSS. Though the number of doctors are adequate, the condition of their living quarters are very poor and are in need of urgent re-modification. Providing uninterrupted Power supply is another issue to check for. Among the 37 community clinics, 33 are in need of quick repair. Some Rural dispensaries are in terrible shape and needs rapid intervention. Number of human resources in the RDs are also very short which needs to be taken care of in order to ensure the effectiveness of the holistic Health care delivery system of Nandail. Beyond all these limitations, all the personnel of Nandail Health Complex is working heart and soul to ensure better health and a better life for its inhabitants.

51