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

Nawabganj Upazila Health Complex | Health Bulletin 2014 |
Preface
It's a great pleasure to me that the health bulletin of Nawabganj Upazila containing all the health related informations and data for the year 2013 is going to be published. I hope that information here with this bulletin will help for planning and bridging the gaps in health services of this Upazila. Govt. of Bangladesh is much more committed to ensure better health for all. For this MOHFW introduced a developmental program under the heading HPNSDP 2011-2016 and under which 32 operational plan are existing. One of which is health information system and e-health. This bulletin is a part of this plan. This bulletin will help us to find constrains and also to see the results and achievements of 2012. The bulletin containing the data will help to localize the MDG targets. I would like to congratulate all the concern people to publish this health bulletin and hope this bulletin will help us to take one step ahead towards digital Bangladesh. Thanking all. Dr.Gangagobinda Paul UH&FPO Nawabganj Upazila Health Complex
Dr. Gangagobinda Paul
UH&FPO
Nawabganj Upazila Health Complex

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaNawabganj
Name of UHFPO Dr. Gangagobinda Paul
Telephone No. 027765009
FAX No. 0
Mobile No. 01730324403
Email nawabganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.7208 And Long: 90.2565
No. of Unions in the Upazila14
No. of Households in the Upazila 64,399
No. of Population in the Upazila 374,930
Area of Upazila in sq km 247.64

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres 11 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 32 0
No of Trauma Centres 0 0
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 17 80
No. of NGO Clinics/Facilities 3 0

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,327


Total No. of children treated under IMCI Program 22,345
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 15.42 per 1,000 live births.

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 4

Legends

  • R.P.W-
  • Registered Pregnanat Woman
  • 1st ANC-
  • No. of 1st ANC recipients
  • R.P.W-
  • No. of 4th ANC recipients
  • C. Preg-
  • No. of complicated pregnancies
  • N. deli-
  • No. of normal deliveries
  • V. deli-
  • No. of vaginal deliveries
  • C. deli-
  • No. of cesarean deliveries
  • PNC-
  • No. of PNC services provided to mother in the Upazila

Maternal health and MDG-5 (No.) (January-December, 2013)


All ANC Receiptients: 1020
Total Number of Deliveries: 531
No. of Maternal Death: 8
Valid TT Coverage: 67.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 109.19 per 100,000 live births.

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 5

No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 88,723 41,203 47,520 34,872 2,611 1,742 869 2,789
Union Sub-Centres 21,490 9,702 11,788 8,277 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 256,755 102,187 154,568 45,657 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 366,968 153,092 213,876 88,806 2,611 1,742 869 2,789
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 5,423 2,421 3,002 2,010 31 20 11 4
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 5,423 2,421 3,002 2,010 31 20 11 4

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 6

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 7433
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 881 11.85
2 X999 Assault by sharp object, unspecified place 667 8.97
3 J82 Pulmonary eosinophilia, NEC 631 8.49
4 O669 Obstructed labour, unspecified 570 7.67
5 A009 Cholera, unspecified 427 5.74
6 J459 Asthma, unspecified 234 3.15
7 L98 Other disorders of skin and subcutaneous tissue, NEC 221 2.97
8 T629 Noxious substance eaten as food, unspecified 211 2.84
9 I95 Hypotension 170 2.29
10 J189 Pneumonia, unspecified 87 1.17

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 7

Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period 35
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J459 Asthma, unspecified 14 40.00
2 P29 Cardiovascular disorders originating in the perinatal period 8 22.86
3 J18 Pneumonia, organism unspecified 3 8.57
4 I98 Other disorders of circulatory system in diseases classified elsewhere 1 2.86
5 A40 Streptococcal septicaemia 1 2.86
6 J459 Asthma, unspecified 1 2.86
7 J82 Pulmonary eosinophilia, NEC 1 2.86
8 0 0.00
9 0 0.00
10 0 0.00

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 18,152
Bed Occupancy Rates (%) 102.34
Average Length of Hospital Stay (No. of days per patient) 2.44
Hospital Death Rate (%) 0.47


Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 412
Minor Surgeries 3124

 

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 22 17 5 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 15 14 1 0 0.00
Class III 130 56 37 37 28.46
Class IV 26 9 6 11 42.31
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 6 5 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 1 10 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 1 1 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 40 21 18 1 2.50
Class IV 0 0 0 0 0.00

 

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
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
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 2014 | Page# 12

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 13 13 22 18 0 0 0 0
Nurse 0 0 0 0 15 15 0 0 5 0
Medical Assistant 0 0 13 13 3 3 0 0 3 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0
CHCP 39 38 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 12 11 0 0 0 0
HA 0 0 0 0 60 45 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 13

Existing equipments 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
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 0 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 3 0 1 0 2
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 2 2 0 0 0
Portable OT Light 3 0 0 0 3
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 2 0 0 0 2
Ventilator 0 0 0 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 14

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 3 1 0 0 2
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 15

Existing equipments 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 0 2 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 2 1 1 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 2 1 1 0 0
Phototherapy unit 0 0 0 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 16

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 1 1 0 0 0
Blood bank refrigerator 2 2 0 0 0
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 2 2 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 2 2 0 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 17

Existing equipments 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) 5 3 0 0 2
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 35 35 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 2 2 0 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 35 35 0 0 0
Multimedia 1 1 0 0 0


Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 18

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 2 2 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 131 113 7 0 11

Nawabganj Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Nawabganj Upazila Health Complex |
 Important information and necessary issues for Nawabganj Upazila Health Complex: Despite of our cordial efforts we could not achieve satisfactory success in few subjects due to shortage of manpower. As for example we could not perform General Surgery due to lacking of General Surgeon. EYE and ENT consultants could not do their specific duties due to lacking of instruments. More sweepers are required for keeping the hospital more neat and clean. Vacant posts of third and fourth class employees should be filled up urgently. A 200ma digital X-ray machine and ultrasonography machine can meet the demand of patients which can improve the standard of service. Still then, all the existing manpower work here as a team to deliver the maximum and satisfactory service to the patients. Hence we are approaching towards the achievement of MDG. Piped water supply safe, Security guard should be posted, HED should more carefully to maintains Infrastructure.Individual dept like Eye, ENT, Sergery, Dental would be well equiped and would be under strong responsible regarding thieir tasks. Dr.Gangagobinda Paul UH&FPO Nawabganj Upazila Health Complex