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Atpara Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Atpara upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Atpara upazila 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 upazila. government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I would like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr.Md Abdur Rahman Mia UH&FPO, Atpara Upazila Health Complex
Dr.Md Abdur Rahman Mia
UH&FPO
Atpara Upazila Health Complex

Atpara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Atpara
Organization Code 10000466
Name of UHFPO Dr.Md Abdur Rahman Mia
Land Phone No. 1 -095174005
Land Phone No. 2
FAX No.
Mobile No. 01744239318
Email atpara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 30,226
Population in the Upazila 153,675
Area of Upazila in sq km 194.88

Atpara 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) 2 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 16 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 2 0

Atpara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,955


Under 5 Mortality Rate: 36.157 (Per 1,000 live births)
Infant Mortality Rate: 32.870 (Per 1,000 live births)
Neonatal Mortality Rate: 29.077 (Per 1,000 live births)
Still Birth Rate: 18.458 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 6,982
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Atpara 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: 9
Total No. of Recipients Who Took at least one ANC: 4,407
Total Number of Deliveries: 3,955
Valid TT Coverage: 67.00 %
Maternal Mortality Ratio (MMR) is: 227.56 per 100,000 live births.

Atpara 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 32,514 37,968 70,482 7,450 5,248 12,698 83,180 6,990 5,092 12,082 1,020 1,027 2,047 14,129
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) 4,478 6,529 11,007 449 302 751 11,758 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 2,995 13,998 16993 390 551 941 17,934 0 0 0 0 0 0 941
Community Clinics 29,430 60,583 90,013 6,849 7,484 14,333 104,346 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) 113 53 166 1 4 5 171 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

Atpara 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 1,005 1,158 2,163 20 17 37 2,200 3 2 5 0 0 0 5
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

Atpara 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 2,200
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X86 Assault by corrosive substance XX: External causes of morbidity and mortality 495 22.50
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 373 16.95
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 307 13.95
4 A048 Other specified bacterial intestinal infections I: Certain infectious and parasitic diseases 270 12.27
5 B769 Hookworm disease, unspecified I: Certain infectious and parasitic diseases 224 10.18
6 A083 Other viral enteritis I: Certain infectious and parasitic diseases 100 4.55
7 A403 Septicaemia due to Streptococcus pneumoniae I: Certain infectious and parasitic diseases 80 3.64
8 J458 Mixed asthma X: Diseases of the respiratory system 77 3.50
9 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 47 2.14
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 29 1.32

Atpara 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 5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J46 Status asthmaticus X: Diseases of the respiratory system 2 40.00
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1 20.00
3 R100 Acute abdomen X: Diseases of the respiratory system 1 20.00
4 C519 Vulva, unspecified II: Neoplasms 1 20.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 60.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 7,580
Bed Occupancy Rates (%) 41.53
Average Length of Hospital Stay (No. of days per patient) 4.00
Hospital Death Rate (%) 0.24


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 403

 

Atpara 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 3 3 4 40.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 58 23 23 12 20.69
Class IV 21 11 4 6 28.57
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 2 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 1 0 3 75.00
Class IV 2 1 0 1 50.00
Rural Dispensaries
Class I Doctor 5 2 1 2 40.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 2 0 3 60.00
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 16 5 11 0 0.00
Class IV 0 0 0 0 0.00

 

Atpara 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 17 6 4 7 41.18
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 83 31 34 18 21.69
Class IV 23 12 4 7 30.43
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

 

Atpara 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 7 4 10 6 0 0 0 0 0
Nurse 0 0 0 0 11 6 0 0 1 0 0
Medical Assistant 0 0 7 3 2 1 0 0 2 0 0
Medical Technologist 0 0 2 1 8 6 0 0 0 0 0
CHCP 16 16 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 25 0 0 0 0 8

Atpara 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 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 0 0 0 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 2 0 2 0 0
Ventilator 0 0 0 0 0


Atpara 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Atpara 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 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


Atpara 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 5 2 1 2 0
Vehicles
Ambulance 1 0 1 0 0


Atpara 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 0 1 0 2
Generator
Generator (diesel/petrol) 1 0 1 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) 7 2 1 0 4
Laptop 21 13 8 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 6 2 3 0 1
Scanner 1 1 0 0 0
UPS 6 1 0 5 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


Atpara 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 0 1 0 0
Total 63 26 22 8 7

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

Important information and necessary issues for Atpara Upazila Health Complex
Important information and necessary issues of Atpara Upazila Health Complex:- Last year we could not give our maximum efforts which might improve the health status of the Health Complex. Here I would like to mention some important factors which will help us to achieve good results in future. 1. The vacant posts should be filled immediately. 2. Our doctors and nurses need more training on IMCI 3. Number of community clinics and the bed capacity of the health complex should be increased 4. All the repairable equipments should be repaired as soon as possible 5. We have 17female HAs.Among them 8 received CSBA Training.More Female HAs Need CSBA training to improve quality. .Finally I am very glad to make this health bulletin of 2014 and this document will help us to compare our progress in upcoming years. This is a very useful document and it will help the public to understand health services and to provide us with the useful advice for improving our Services in future. ]