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Sreepur Upazila Health Complex | Health Bulletin 2015 |
Preface
It is really a great pleasure for me to be involved in publishing HEALTH BULLETIN 2015 of this upazila.This bulletin comprises health related information of last year of this upazila.Such as existing health facilities,status of MDG 4 and MDG 5 which will help to localize the MDG target.It also contains total visit of OPD patient,total emergency visit,no of total admission cases,morbidity and mortality profile,disease profile,no. and causes of death,water and sanitation status of this upazila and also the status of human resources,equipments and other special services that are provided from this UHC.This bulletin is published to dessiminated these information to other departments and development partners of health sector.I hope all these contains of this bulletin will help us for planning and bridging the gaps in health services of this upazila.This bulletin will also help us to find constrains and also to see the result and achievement of health sector of this upazila for the year 2014.It is really appreciating that all officer and staff of this UHC has extended their required support towards the development process of this bulletin.So I would like to thanks to all of my collegues,specially Mr Md.Aman Ullah(Statistician) for his great job publishing this bulletin.Finally,I must thanks to MIS, DGHS,for supporting us to publishing this Health Bulletin.
Dr.Sheikh Md. Hasan Imam
UH&FPO
Sreepur Upazila Health Complex

Sreepur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Sreepur
Organization Code 10000151
Name of UHFPO Dr.Sheikh Md. Hasan Imam
Land Phone No. 1 -0682551029
Land Phone No. 2
FAX No.
Mobile No. 01718172397
Email sreepur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 90.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 118,549
Population in the Upazila 547,795
Area of Upazila in sq km 462.00

Sreepur 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 5 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 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 48 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 23 240
No. of NGO Clinics/Facilities 6 0

Sreepur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 14,752


Under 5 Mortality Rate: 34.029 (Per 1,000 live births)
Infant Mortality Rate: 19.930 (Per 1,000 live births)
Neonatal Mortality Rate: 15.523 (Per 1,000 live births)
Still Birth Rate: 0.813 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 28,719
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Sreepur 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: 17
Total No. of Recipients Who Took at least one ANC: 13,943
Total Number of Deliveries: 14,776
Valid TT Coverage: 41.00 %
Maternal Mortality Ratio (MMR) is: 115.24 per 100,000 live births.

Sreepur 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 21,010 37,764 58,774 9,450 8,205 17,655 76,429 4,297 3,441 7,738 416 358 774 8,512
Union Sub-Centres 23,526 35,610 59,136 4,904 5,413 10,317 69,453 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) 4,932 16,001 20933 2,398 2,718 5,116 26,049 0 0 0 0 0 0 5,116
Community Clinics 106,095 267,982 374,077 20,162 22,692 42,854 416,931 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 2,235 5,526 7,761 225 276 501 8,262 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sreepur 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 1,935 2,430 4,365 195 91 286 4,651 5 9 14 0 0 0 14
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 1,082 2,727 3,809 102 103 205 4,014 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sreepur 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 4,651
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 1267 27.24
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 584 12.56
3 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 378 8.13
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 364 7.83
5 X63 Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system XX: External causes of morbidity and mortality 315 6.77
6 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 246 5.29
7 J459 Asthma, unspecified X: Diseases of the respiratory system 142 3.05
8 D80 Immunodeficiency with predominantly antibody defects III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 132 2.84
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 92 1.98
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 65 1.40

Sreepur 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 14
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J459 Asthma, unspecified X: Diseases of the respiratory system 2 14.29
2 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 14.29
3 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 2 14.29
4 I21 Acute myocardial infarction IX: Diseases of the circulatory system 2 14.29
5 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 7.14
6 Z00 General examination and investigation of persons without complaint and reported diagnosis XXI: External causes of morbidity and mortality 1 7.14
7 R074 Chest pain, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 7.14
8 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 7.14
9 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 1 7.14
10 U049 Severe acute respiratory syndrome [SARS], unspecified XXII: External causes of morbidity and mortality 1 7.14

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,738
Bed Occupancy Rates (%) 58.84
Average Length of Hospital Stay (No. of days per patient) 2.31
Hospital Death Rate (%) 0.30


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 859

 

Sreepur 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 6 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 103 62 40 1 0.97
Class IV 19 10 8 1 5.26
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 5 4 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 8 2 0 0.00
Class IV 5 5 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 48 17 31 0 0.00
Class IV 0 0 0 0 0.00

 

Sreepur 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 19 11 8 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 165 89 75 1 0.61
Class IV 24 15 8 1 4.17
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

 

Sreepur 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 9 10 10 0 0 2 1 0
Nurse 0 0 0 0 10 9 0 0 3 1 0
Medical Assistant 0 0 9 9 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 52 48 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 4 0 0
AHI 0 0 0 0 13 13 0 0 13 0 5
HA 0 0 0 0 64 63 0 0 35 0 6

Sreepur 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) 0 0 0 0 0
X-ray machine (300 mA) 1 0 1 0 0
Ultrasonogram machine 1 1 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 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 0 0 1
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 0 0 0 2
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 0 0 1
Sterilizer 2 2 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Sreepur 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 4 2 1 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Sreepur 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 1 1 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) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Sreepur 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 2 2 0 0 0
Vehicles
Ambulance 2 2 0 0 0


Sreepur 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) 8 6 2 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 4 4 0 0 0
ICT equipment
Computer (desktop) 9 8 0 1 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 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


Sreepur 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 78 66 5 3 4

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

Important information and necessary issues for Sreepur Upazila Health Complex
We have got a new Digital Xray(500MA)matchine which has installed already and fanctioning properly.