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Palash Upazila Health Complex | Health Bulletin 2015 |
Preface
This is my great pleasure to publish this "HEALTH BULLETIN" of Palash Upazilla. It has 04 unions and 01 Pawrushova. Sitallakkha river runs west sight in this upazila. There are 03 railway station, 04 College, 24 high school, 63 Gov Primary school, 25 madrasha & 16 big industry in this upazila. This bulletin contains all the health related information of 2014. This bulletin is published for dissemination the information of Palash Upazilla 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 Upazilla. This health bulletin will help us to find constrains and also to see the result and achievements of 2014. This health bulletin has also the information on safe drinking water and sanitation status of the upazilla. All the sanctioned and vacant post are published in this bulletin. I like to draw attention of the higher authourity about this. Finally i would like to congratulate the initiator of the health bulletin software for setting one step ahead towards digital Bangladesh. We are proud to publish local health bulletin 2015.
Dr.Khondker Sajjad Hossain
UH&FPO
Palash Upazila Health Complex

Palash Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Palash
Organization Code 10000456
Name of UHFPO Dr.Khondker Sajjad Hossain
Land Phone No. 1 0-029466326
Land Phone No. 2
FAX No.
Mobile No. 01712083656
Email palash@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5820 And Long: 90.3930
No. of Unions in the Upazila5
No. of Households in the Upazila 45,096
Population in the Upazila 234,672
Area of Upazila in sq km 94.43

Palash 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 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 3 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 3 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

Palash Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,331


Under 5 Mortality Rate: 11.818 (Per 1,000 live births)
Infant Mortality Rate: 6.753 (Per 1,000 live births)
Neonatal Mortality Rate: 3.752 (Per 1,000 live births)
Still Birth Rate: 3.189 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 20,778
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 97%

Palash 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: 5,331
Total Number of Deliveries: 3,543
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR) is: 18.76 per 100,000 live births.

Palash 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 17,189 30,285 47,474 4,485 5,095 9,580 57,054 1,411 1,782 3,193 472 492 964 4,157
Union Sub-Centres 11,356 13,958 25,314 3,184 3,170 6,354 31,668 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) 12,345 10,997 23342 3,582 3,916 7,498 30,840 0 0 0 0 0 0 7,498
Community Clinics 42,375 62,978 105,353 4,771 4,647 9,418 114,771 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 7,200 12,400 19,600 3,031 4,017 7,048 26,648 878 598 1,476 375 390 765 2,241
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Palash 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 660 1,482 2,142 206 270 476 2,618 6 2 8 0 0 0 8
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 814 1,132 1,946 308 316 624 2,570 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Palash 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 2,618
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 439 16.77
2 J459 Asthma, unspecified X: Diseases of the respiratory system 381 14.55
3 A928 Other specified mosquito-borne viral fevers I: Certain infectious and parasitic diseases 373 14.25
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 321 12.26
5 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 289 11.04
6 E10 Insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 223 8.52
7 J09 Influenza due to identified avian influenza virus X: Diseases of the respiratory system 211 8.06
8 A010 Typhoid fever I: Certain infectious and parasitic diseases 189 7.22
9 T36 Poisoning by systemic antibiotics XIX: Injury, poisoning and certain other consequences of external causes 103 3.93
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 89 3.40

Palash 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 8
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J459 Asthma, unspecified X: Diseases of the respiratory system 2 25.00
2 T36 Poisoning by systemic antibiotics XIX: Injury, poisoning and certain other consequences of external causes 2 25.00
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 12.50
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 1 12.50
5 T36 Poisoning by systemic antibiotics XIX: Injury, poisoning and certain other consequences of external causes 1 12.50
6 E10 Insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 1 12.50
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Palash 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 (%) 99.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 7,480
Bed Occupancy Rates (%) 66.11
Average Length of Hospital Stay (No. of days per patient) 2.86
Hospital Death Rate (%) 0.31


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 5
Minor Surgeries 1,740

 

Palash 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 3 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 57 36 21 0 0.00
Class IV 19 8 3 8 42.11
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 2 5 2 22.22
Class IV 6 1 2 3 50.00
Rural Dispensaries
Class I Doctor 2 0 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 4 0 0 0.00
Class IV 2 1 0 1 50.00
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 8 0 0.00
Class IV 0 0 0 0 0.00

 

Palash 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 14 5 4 5 35.71
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 64 43 21 0 0.00
Class IV 21 9 3 9 42.86
Other Hospitals & Clinics
Class I Doctor 3 1 0 2 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 3 0 0 0.00
Class IV 0 0 0 0 0.00

 

Palash 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 2 2 9 7 3 3 1 1 0
Nurse 0 0 0 0 11 11 0 0 4 3 0
Medical Assistant 0 0 2 2 2 2 3 3 3 0 0
Medical Technologist 0 0 0 0 2 2 0 0 0 0 0
CHCP 13 13 0 0 0 0 0 0 0 0 6
HI 0 0 0 0 2 2 0 0 0 0 6
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 29 28 0 0 0 0 0

Palash 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 0 1 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 1 1 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 5 3 2 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 2 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 3 3 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 13 7 0 6 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Palash 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 9 6 0 3 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 2 1 0 1 0


Palash 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) 6 3 0 3 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Palash 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 1 1 0 0 0


Palash 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) 4 4 0 0 0
Generator
Generator (diesel/petrol) 4 2 0 0 2
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 14 7 6 0 1
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 12 6 4 0 2
Scanner 1 1 0 0 0
UPS 5 4 0 0 1
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 0 1 0


Palash 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 1 0 1 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 104 67 17 14 6

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

Important information and necessary issues for Palash Upazila Health Complex
Palash Upazila health complex is a 31 bedded hospital. It is on the way to upgraded 50 bedded hospital, building has already been handed over but yet not functionally active because of lack manpower and other facilities.Some patient coming to this hospitals are diverted to district hospital to available specialist service which is nearer to our health complex. If speacilist doctors are posted here than we can provide them with residence. We are proud to publish local health bulletin which help us to know about our health status, health facilities and health service to our country.We understand the health bulletin circle to keep up with the latest health information and contains the status of MDG 4 and MDG 5 which help to localize the MDG target.I hope that people will be interested to get their service from this institution and the number of patients will increase significantly. We are lacking of Ultrasonogram, Surgical Management, Paediatrician, Ent Speacilist, Orthopedic surgeon facility which we should get as early as possible for better service. To achieve the target of MDG, the 50 bedded hospital should run as early as possible by filling the all requirments by the government thus people will get better service from this hospital. We wish the new year 2015 finds us in good health and better service to the people of Palash upazila. Best regards, Dr.Khondker Sajjad Hossain UH&FPO Upazila Health Complex, Palash, Narsingdi