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Hossainpur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Health Bulletin of Hossainpur Upazila. This bulletin contains all the health related information of 2014 of Hossainpur Upazila, which will help us to planning & monitoring and evaluation and implementation of Health program of our Government. This bulletin also contains status of MDG-4 & MDG-5 which will help to localize the MDG targets. This Health Bulletin has also the information about safe drinking water & sanitation of Hossainpur Upazila. All the sanctioned & vacant post are published. I like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of Health Bulletin software to setting up one step toward Digital Bangladesh. Dr. Md. Ramjan Mahmud Upazila Health & Family Planning Officer Hossainpur, Kishoreganj.
Dr. Md. Ramjan Mahmud
UH&FPO
Hossainpur Upazila Health Complex

Hossainpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Hossainpur
Organization Code 10000232
Name of UHFPO Dr. Md. Ramjan Mahmud
Land Phone No. 1 -0942556011
Land Phone No. 2
FAX No.
Mobile No. 01715054215
Email hosainpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.4170 And Long: 94.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 43,148
Population in the Upazila 199,328
Area of Upazila in sq km 115.68

Hossainpur 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 0 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 20 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 0 0
No. of NGO Clinics/Facilities 1 0

Hossainpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,164


Under 5 Mortality Rate: 33.501 (Per 1,000 live births)
Infant Mortality Rate: 28.466 (Per 1,000 live births)
Neonatal Mortality Rate: 19.558 (Per 1,000 live births)
Still Birth Rate: 4.260 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 43,347
Fully Vaccinated Children (<= 12 months): 92.00 %
Fully Vaccinated Children (<= 23 months):

Hossainpur 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: 8
Total No. of Recipients Who Took at least one ANC: 4,088
Total Number of Deliveries: 5,151
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR) is: 154.92 per 100,000 live births.

Hossainpur 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 18,270 28,817 47,087 8,929 9,470 18,399 65,486 6,325 5,646 11,971 2,533 2,593 5,126 17,097
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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 13,303 58,929 72232 4,979 5,822 10,801 83,033 0 0 0 0 0 0 10,801
Community Clinics 44,749 90,044 134,793 7,416 9,642 17,058 151,851 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 7,174 13,859 21,033 8,643 9,431 18,074 39,107 0 0 0 0 0 0 0

Hossainpur 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 3,810 3,849 7,659 875 994 1,869 9,528 2 4 6 0 0 0 6
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

Hossainpur 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 9,406
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 1385 14.72
2 J11 Influenza, virus not identified X: Diseases of the respiratory system 575 6.11
3 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 473 5.03
4 J46 Status asthmaticus X: Diseases of the respiratory system 465 4.94
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 383 4.07
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 236 2.51
7 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 127 1.35
8 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 115 1.22
9 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 100 1.06
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 44 0.47

Hossainpur 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 6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R042 Haemoptysis XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 16.67
2 J46 Status asthmaticus X: Diseases of the respiratory system 1 16.67
3 K27 Peptic ulcer, site unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 16.67
4 E11 Non-insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 1 16.67
5 R11 Nausea and vomiting XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 16.67
6 A480 Gas gangrene I: Certain infectious and parasitic diseases 1 16.67
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 81.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,866
Bed Occupancy Rates (%) 92.42
Average Length of Hospital Stay (No. of days per patient) 1.79
Hospital Death Rate (%) 0.06


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 6,478

 

Hossainpur 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 4 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 12 1 9 2 16.67
Class III 77 47 22 8 10.39
Class IV 20 14 5 1 5.00
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 6 3 3 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
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 22 6 12 4 18.18
Class IV 0 0 0 0 0.00

 

Hossainpur 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 7 7 1 6.67
Non Doctor 0 0 0 0 0.00
Class II 12 1 9 2 16.67
Class III 99 53 34 12 12.12
Class IV 20 14 5 1 5.00
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

 

Hossainpur 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 6 9 8 0 0 1 1 0
Nurse 0 0 0 0 12 10 0 0 8 1 0
Medical Assistant 0 0 6 6 2 2 0 0 5 0 0
Medical Technologist 0 0 0 0 8 7 0 0 0 0 0
CHCP 22 18 0 0 0 0 0 0 0 0 1
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0 0
HA 0 0 0 0 40 34 0 0 0 0 7

Hossainpur 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 1 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 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 0 0 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Hossainpur 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Hossainpur 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) 0 0 0 0 0
Colorimeter 0 0 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


Hossainpur 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 2 1 1 0 0


Hossainpur 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 3 0 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 0 0 0 0 0
ICT equipment
Computer (desktop) 6 6 0 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) 4 4 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Hossainpur 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 0 1 0 0
Mobile phone 1 1 0 0 0
Total 39 37 2 0 0

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

Important information and necessary issues for Hossainpur Upazila Health Complex
Last year we could not give our maximum efforts to 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) Infrastructure of this hospital should be modernized. 2) Number of CC should be increased. 3) All the repairable instrument and furniture should be repaired as soon as possible. 4) The vacant post should be filled immediately. 5) Our doctors, SACMO, field staff and CHCP need more training on IMCI, Nutrition, Sanitation, Safe motherhood, Adolescent and reproductive health, Arsenic, ARI, EPI, AIDS and STD, Diarrheal diseases etc. 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 the health services and provide us the useful advice for improvement in future. Dr. Md. Ramjan Mahmud Upazila Health & Family Planning Officer Hossainpur, Kishoreganj.