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Itna Upazila Health Complex | Health Bulletin 2015 |
Preface
I am happy to publish the 4th edition of local health bulletin of itna Upazila Health complex. We have tried to modify it avoiding the mistakes in previous editions in the light of experience. It will show the health situation of Itna Upazila including success of service delivery and realitive of ``Haor'' area. If the informations and indicators enclosed here contribute a little to research, policy making and motivation of common pepole the effort could be said successful. I am grateful to every one related to the publication of the bulletin. My respect and gratitude to Director MIS of DGHS. Thanks to software experts of DGHS and officer and Statistician of Itna Upazila Health complex. May Allah help us.
Dr. Md. Israel Hussain
UH&FPO
Itna Upazila Health Complex

Itna Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Itna
Organization Code 10000234
Name of UHFPO Dr. Md. Israel Hussain
Land Phone No. 1 +880 94-0942656010
Land Phone No. 2
FAX No.
Mobile No. 01711660048
Email itna@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.3200 And Long: 91.0500
No. of Unions in the Upazila9
No. of Households in the Upazila 43,551
Population in the Upazila 217,753
Area of Upazila in sq km 457.10

Itna 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 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 1 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 21 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 0 0

Itna Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,811


Under 5 Mortality Rate: 20.134 (Per 1,000 live births)
Infant Mortality Rate: 15.144 (Per 1,000 live births)
Neonatal Mortality Rate: 6.539 (Per 1,000 live births)
Still Birth Rate: 2.237 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,169
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Itna 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: 7
Total No. of Recipients Who Took at least one ANC: 3,415
Total Number of Deliveries: 5,886
Valid TT Coverage: 43.00 %
Maternal Mortality Ratio (MMR) is: 120.46 per 100,000 live births.

Itna 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 21,327 40,457 61,784 6,027 6,229 12,256 74,040 506 372 878 85 94 179 1,057
Union Sub-Centres 2,252 3,308 5,560 687 744 1,431 6,991 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 51,359 97,707 149,066 11,285 12,472 23,757 172,823 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Itna 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 1,231 1,037 2,268 223 219 442 2,710 5 2 7 3 4 7 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 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

Itna 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 2,710
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 689 25.42
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 488 18.01
3 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 382 14.10
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 305 11.25
5 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 267 9.85
6 L08 Other local infections of skin and subcutaneous tissue XII: Diseases of the skin and subcutaneous tissue 87 3.21
7 J45 Asthma X: Diseases of the respiratory system 63 2.32
8 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 44 1.62
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 33 1.22
10 V92 Water-transport-related drowning and submersion without accident to watercraft XX: External causes of morbidity and mortality 33 1.22

Itna 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 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 5 35.71
2 I51 Complications and ill-defined descriptions of heart disease IX: Diseases of the circulatory system 3 21.43
3 J969 Respiratory failure, unspecified X: Diseases of the respiratory system 1 7.14
4 I50 Heart failure IX: Diseases of the circulatory system 3 21.43
5 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 2 14.29
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91.00
Coverage of households having access to sanitary latrines (%) 89.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,994
Bed Occupancy Rates (%) 61.81
Average Length of Hospital Stay (No. of days per patient) 2.58
Hospital Death Rate (%) 0.52


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 205

 

Itna 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 1 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 1 3 6 60.00
Class III 82 46 16 20 24.39
Class IV 20 12 5 3 15.00
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 1 0 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 1 0 0 1 100.00
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 26 9 12 5 19.23
Class IV 0 0 0 0 0.00

 

Itna 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 18 7 4 7 38.89
Non Doctor 0 0 0 0 0.00
Class II 10 1 3 6 60.00
Class III 80 46 16 18 22.50
Class IV 20 12 5 3 15.00
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

 

Itna 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 1 1 9 4 0 0 0 0 0
Nurse 0 0 0 0 12 4 0 0 1 0 0
Medical Assistant 0 0 9 0 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 5 3 0 0 0 0 0
CHCP 26 21 0 0 0 0 0 0 0 0 1
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 8 6 0 0 0 0 0
HA 0 0 0 0 40 36 0 0 0 0 6

Itna 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 0 0 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 0 1 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 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 2 1 0 0
Sucker machine (electric) 2 1 0 1 0
Ventilator 0 0 0 0 0


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


Itna 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 0 0 1 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Itna 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 0 0 0 0 0


Itna 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 0 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 7 3 0 2 2
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 2 0 0 1
Scanner 2 1 1 0 0
UPS 5 2 0 1 2
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


Itna 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 41 22 6 7 6

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

Important information and necessary issues for Itna Upazila Health Complex
If we think about the health service of itna upazila two important issues come forward, Which obstacle the proper service delivery & development, these are lack of communication & lack of manpower. Itna is a remote haor upazila. Most of the lands remain submerged under water in rainy season and in dry season the lands are cultivated.The villages has no road communication with upazila head Quater. In rainy season boat communication is easy but time consuming & risky. Lack of manpower is another issuse. Greater number of posts remain Vacant years after years. Due to lack of manpower it is hard to develop efficient teamwork. Due to lack of communication it is hard to supervise the haelth service activities. Any deficiency in comprehensive service hampers the confidence of the people and make them disintersted to attend the hospital. Lack of communication & lack of residence facility makes the employees disintersted to works in haor area which are the main causes of manpower deficiency. Inspite of those maximum utilization of existing fascilities makes us confidant to run the service & make the srevice acceptable to all. Dr. Md. Israel Hussain UH&FPO Itna Upazila Health Complex