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.
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 Upazila 6
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.