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Pangsha Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Pangsha upazila health complex. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Pangsha upazila health complex to other 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. 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 draw 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. A.F.M Shafiuddin
UH&FPO
Pangsha Upazila Health Complex

Pangsha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Pangsha
Organization Code 10000518
Name of UHFPO Dr. A.F.M Shafiuddin
Land Phone No. 1 6424-075034
Land Phone No. 2
FAX No.
Mobile No.
Email pangsha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.7901 And Long: 89.4254
No. of Unions in the Upazila10
No. of Households in the Upazila 58,336
Population in the Upazila 266,771
Area of Upazila in sq km 250.71

Pangsha 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 6 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 4 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 41 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 7 70
No. of NGO Clinics/Facilities 0 0

Pangsha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,599


Under 5 Mortality Rate: 23.040 (Per 1,000 live births)
Infant Mortality Rate: 20.182 (Per 1,000 live births)
Neonatal Mortality Rate: 18.218 (Per 1,000 live births)
Still Birth Rate: 23.397 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 25,242
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Pangsha 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: 4,975
Total Number of Deliveries: 5,677
Valid TT Coverage: 44.00 %
Maternal Mortality Ratio (MMR) is: 160.74 per 100,000 live births.

Pangsha 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 15,234 18,453 33,687 5,669 5,351 11,020 44,707 3,810 3,836 7,646 1,081 742 1,823 9,469
Union Sub-Centres 24,626 30,945 55,571 5,667 5,749 11,416 66,987 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 81,403 174,031 255,434 15,704 26,032 41,736 297,170 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

Pangsha 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 2,600 2,869 5,469 836 557 1,393 6,862 19 14 33 2 3 5 38
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

Pangsha 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 6,862
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 1054 15.36
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 976 14.22
3 Y00 Assault by blunt object XX: External causes of morbidity and mortality 954 13.90
4 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 263 3.83
5 V092 Pedestrian injured in traffic accident involving other and unspecified motor vehicles XX: External causes of morbidity and mortality 172 2.51
6 J46 Status asthmaticus X: Diseases of the respiratory system 139 2.03
7 F409 Phobic anxiety disorder, unspecified V: Mental and behavioural disorders 127 1.85
8 O066 Unspecified abortion, complete or unspecified, complicated by delayed or excessive haemorrhage XV: Pregnancy, childbirth and the puerperium 102 1.49
9 I694 Sequelae of stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 53 0.77
10 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 47 0.68

Pangsha 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 38
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 8 21.05
2 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 6 15.79
3 I694 Sequelae of stroke, not specified as haemorrhage or infarction XVI: Certain conditions originating in the perinatal period 4 10.53
4 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 4 10.53
5 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 4 10.53
6 J46 Status asthmaticus X: Diseases of the respiratory system 3 7.89
7 I500 Congestive heart failure IX: Diseases of the circulatory system 2 5.26
8 I442 Atrioventricular block, complete IX: Diseases of the circulatory system 2 5.26
9 I259 Chronic ischaemic heart disease, unspecified IX: Diseases of the circulatory system 2 5.26
10 K729 Hepatic failure, unspecified XI: Diseases of the digestive system 1 2.63

Pangsha 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 (%) 92.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 18,651
Bed Occupancy Rates (%) 102.20
Average Length of Hospital Stay (No. of days per patient) 2.72
Hospital Death Rate (%) 0.55


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 86
Minor Surgeries 815

 

Pangsha 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 21 9 2 10 47.62
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 73 42 23 8 10.96
Class IV 22 11 9 2 9.09
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 2 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 6 2 2 2 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 8 2 2 16.67
Class IV 6 5 1 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 41 19 17 5 12.20
Class IV 0 0 0 0 0.00

 

Pangsha 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 31 13 6 12 38.71
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 130 70 45 15 11.54
Class IV 28 16 10 2 7.14
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

 

Pangsha 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 10 8 21 11 0 0 2 2 0
Nurse 0 0 0 0 16 16 0 0 0 1 0
Medical Assistant 0 0 10 10 2 2 0 0 8 0 0
Medical Technologist 0 0 0 0 9 8 0 0 0 0 0
CHCP 41 36 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 2 0 0 0 0 0
AHI 0 0 0 0 10 9 0 0 0 0 0
HA 0 0 0 0 32 31 0 0 0 0 0

Pangsha 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 1 0 0 0
X-ray machine (300 mA) 0 0 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 2 1 1 0 0
Autoclave 3 2 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 1 1 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 4 2 2 0 0
Sterilizer 3 1 2 0 0
Sucker machine (electric) 7 2 1 4 0
Ventilator 0 0 0 0 0


Pangsha 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 3 3 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 9 2 2 5 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Pangsha 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) 2 1 1 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 8 1 2 5 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Pangsha 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 1 1 0 0 0
Refrigerator 2 2 0 0 0
Vehicles
Ambulance 2 0 1 1 0


Pangsha 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) 8 8 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 6 1 1 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 2 0
Printer (laser) 7 5 2 0 0
Scanner 1 1 0 0 0
UPS 7 5 2 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 2 2 0 0 0


Pangsha 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 2 2 0 0 0
Mobile phone 1 1 0 0 0
Total 102 61 23 18 0

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

Important information and necessary issues for Pangsha 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. The vacant post should be filled immediately. 2. Our doctor and nurse need more training on IMCI & EOC. 3.Modern and standard equipment should be supplied. Finally I am very happy to write this health bulletin of 2014 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 health services and to provide us the useful advice for improvement in future.