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.
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 Upazila 10
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.