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Alfadanga Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of alfadanga upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of alfadanga 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. Government health office has many data stored in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Amrita Lal Biswas UH&FPO Alfadanga Upazila Health Complex
Dr. Amrita Lal Biswas
UH&FPO
Alfadanga Upazila Health Complex

Alfadanga Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Alfadanga
Organization Code 10000085
Name of UHFPO Dr. Amrita Lal Biswas
Land Phone No. 1 -0632256008
Land Phone No. 2
FAX No.
Mobile No. 01712162741
Email alfadanga@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: N/A
No. of Unions in the Upazila6
No. of Households in the Upazila 20,816
Population in the Upazila 114,568
Area of Upazila in sq km 135.00

Alfadanga 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 6 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 4 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 13 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 3 30
No. of NGO Clinics/Facilities 0 0

Alfadanga Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,604


Under 5 Mortality Rate: 36.866 (Per 1,000 live births)
Infant Mortality Rate: 33.026 (Per 1,000 live births)
Neonatal Mortality Rate: 26.498 (Per 1,000 live births)
Still Birth Rate: 23.425 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 21,208
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):

Alfadanga 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: 1,260
Total Number of Deliveries: 235
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is: 38.40 per 100,000 live births.

Alfadanga 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 10,233 18,728 28,961 3,000 3,544 6,544 35,505 507 274 781 190 150 340 1,121
Union Sub-Centres 1,974 4,312 6,286 431 416 847 7,133 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 29,564 60,901 90,465 6,054 7,405 13,459 103,924 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) 31 16 47 2 1 3 50 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

Alfadanga 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 1,805 2,349 4,154 180 300 480 4,634 12 9 21 2 0 2 23
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

Alfadanga 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 65
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 740 1,138.46
2 Y048 Assault by bodily force, other specified places XX: External causes of morbidity and mortality 219 336.92
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 230 353.85
4 P070 Extremely low birth weight XVI: Certain conditions originating in the perinatal period 441 678.46
5 J450 Predominantly allergic asthma X: Diseases of the respiratory system 66 101.54
6 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 70 107.69
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 230 353.85
8 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 89 136.92
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 130 200.00
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 52 80.00

Alfadanga 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 21
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I23 Certain current complications following acute myocardial infarction IX: Diseases of the circulatory system 1 4.76
2 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 1 4.76
3 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection IX: Diseases of the circulatory system 7 33.33
4 I60 Subarachnoid haemorrhage IX: Diseases of the circulatory system 5 23.81
5 P070 Extremely low birth weight XVI: Certain conditions originating in the perinatal period 1 4.76
6 J150 Pneumonia due to Klebsiella pneumoniae X: Diseases of the respiratory system 1 4.76
7 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1 4.76
8 E162 Hypoglycaemia, unspecified IV: Endocrine, nutritional and metabolic diseases 1 4.76
9 J45 Asthma X: Diseases of the respiratory system 2 9.52
10 I11 Hypertensive heart disease IX: Diseases of the circulatory system 1 4.76

Alfadanga Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 93.00
Coverage of households having access to sanitary latrines (%) 99.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,902
Bed Occupancy Rates (%) 76.18
Average Length of Hospital Stay (No. of days per patient) 213.88
Hospital Death Rate (%) 32.31


Alfadanga Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 290

 

Alfadanga 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 3 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 12 1 10 1 8.33
Class III 43 20 6 17 39.53
Class IV 19 9 2 8 42.11
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 2 2 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 5 0 2 28.57
Class IV 1 0 0 1 100.00
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 1 0 1 50.00
Class IV 1 0 0 1 100.00
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 13 5 6 2 15.38
Class IV 0 0 0 0 0.00

 

Alfadanga 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 15 6 2 7 46.67
Non Doctor 0 0 0 0 0.00
Class II 12 1 10 1 8.33
Class III 65 31 12 22 33.85
Class IV 21 9 2 10 47.62
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

 

Alfadanga 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 6 1 10 3 0 0 0 0 0
Nurse 0 0 0 0 12 11 0 0 6 5 0
Medical Assistant 0 0 6 5 2 2 0 0 3 0 0
Medical Technologist 0 0 1 0 8 4 0 0 0 0 0
CHCP 13 11 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 1 0 0 0 0 0 4
AHI 0 0 0 0 4 4 0 0 0 0 0
HA 0 0 0 0 17 11 0 0 0 0 0

Alfadanga 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 2 2 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 6 4 2 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 3 2 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 3 2 1 0 0
Portable OT Light 4 4 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 9 5 4 0 0
Sucker machine (electric) 6 4 2 0 0
Ventilator 0 0 0 0 0


Alfadanga 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 8 5 3 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 2 1 1 0 0


Alfadanga 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 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 2 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Alfadanga 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 4 2 0 2 0


Alfadanga 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) 3 2 0 0 1
Generator
Generator (diesel/petrol) 0 0 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) 8 7 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 6 1 0 0
Scanner 0 0 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 1 1 0 0 0
Multimedia 2 1 1 0 0


Alfadanga 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 89 67 19 2 1

Alfadanga Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Alfadanga Upazila Health Complex
Important information and necessary issues for Alfadanga Upazila health Complex Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled up immediately. 2. All the repairable equipment`s should be repaired as soon as possible. Finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.