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Sakhipur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Shakhipur Upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Shakhipur 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 file. This health bulletin will help us to find constrains and also to see the result and achievements of 2014 The bulleting contains the status of MDG4 and MDG5 which will help to localize the MDG targets. The health bulletin has also the information on safe drinking water and sanitation status of the Upazila. All the sanctioned and vacant post are published in this bulletin of 2014. I like to take attention of the higher authority to look at 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.D.I.REZAUL KARIM
UH&FPO
Sakhipur Upazila Health Complex

Sakhipur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Sakhipur
Organization Code 10000640
Name of UHFPO DR.D.I.REZAUL KARIM
Land Phone No. 1 -0923256013
Land Phone No. 2
FAX No.
Mobile No. 01718172244
Email shakhipur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila8
No. of Households in the Upazila 66,461
Population in the Upazila 281,802
Area of Upazila in sq km 460.50

Sakhipur 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 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 1 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 37 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 1 6

Sakhipur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,982


Under 5 Mortality Rate: 9.310 (Per 1,000 live births)
Infant Mortality Rate: 7.591 (Per 1,000 live births)
Neonatal Mortality Rate: 5.872 (Per 1,000 live births)
Still Birth Rate: 7.018 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 46,529
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 0%

Sakhipur 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: 5,095
Total Number of Deliveries: 6,927
Valid TT Coverage: 7.00 %
Maternal Mortality Ratio (MMR) is: 100.26 per 100,000 live births.

Sakhipur 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 15,350 26,677 42,027 5,502 5,105 10,607 52,634 2,897 5,476 8,373 965 745 1,710 10,083
Union Sub-Centres 8,134 16,766 24,900 6,246 6,622 12,868 37,768 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 2,977 6,922 9,899 484 532 1,016 10,915 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 65,908 149,396 215,304 11,088 11,222 22,310 237,614 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

Sakhipur 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 2,519 5,072 7,591 942 708 1,650 9,241 10 3 13 3 3 6 19
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

Sakhipur 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 9,241
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1398 15.13
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 825 8.93
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 719 7.78
4 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 566 6.12
5 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 281 3.04
6 J459 Asthma, unspecified X: Diseases of the respiratory system 147 1.59
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 143 1.55
8 P159 Birth injury, unspecified XVI: Certain conditions originating in the perinatal period 82 0.89
9 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 62 0.67
10 D501 Sideropenic dysphagia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 31 0.34

Sakhipur 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 19
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J459 Asthma, unspecified X: Diseases of the respiratory system 3 15.79
2 P369 Bacterial sepsis of newborn, unspecified XVI: Certain conditions originating in the perinatal period 2 10.53
3 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 1 5.26
4 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 1 5.26
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 5.26
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 5.26
7 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 5.26
8 K35 Acute appendicitis XI: Diseases of the digestive system 1 5.26
9 E162 Hypoglycaemia, unspecified IV: Endocrine, nutritional and metabolic diseases 1 5.26
10 D501 Sideropenic dysphagia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 5.26

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 88.00
Coverage of households having access to sanitary latrines (%) 81.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 17,481
Bed Occupancy Rates (%) 95.79
Average Length of Hospital Stay (No. of days per patient) 1.78
Hospital Death Rate (%) 0.39


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 510
Minor Surgeries 1,467

 

Sakhipur 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 12 4 5 23.81
Non Doctor 0 0 0 0 0.00
Class II 19 1 18 0 0.00
Class III 25 20 1 4 16.00
Class IV 23 17 4 2 8.70
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 1 1 0 0 0.00
Rural Dispensaries
Class I Doctor 5 3 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 6 2 0 0.00
Class IV 3 2 0 1 33.33
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 37 18 19 0 0.00
Class IV 0 0 0 0 0.00

 

Sakhipur 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 27 17 5 5 18.52
Non Doctor 0 0 0 0 0.00
Class II 19 1 18 0 0.00
Class III 110 58 40 12 10.91
Class IV 27 21 4 2 7.41
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

 

Sakhipur 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 6 6 21 16 0 0 2 3 0
Nurse 0 0 0 0 20 20 0 0 6 4 0
Medical Assistant 0 0 6 6 2 2 0 0 7 0 0
Medical Technologist 0 0 4 4 12 11 0 0 0 0 0
CHCP 37 37 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 4 4 4 0 0
AHI 0 0 0 0 0 0 12 12 7 0 0
HA 0 0 0 0 0 0 58 51 49 0 16

Sakhipur 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 1 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 3 1 0 2 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 4 0 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 5 1 4 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 3 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 6 6 0 0 0
Ventilator 0 0 0 0 0


Sakhipur 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 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 3 3 0 0 0
Pulse oximeter 3 3 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Sakhipur 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) 3 2 1 0 0
Colorimeter 2 2 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 2 1 0 0
Pediatric equipment
Baby incubator 2 2 0 0 0
Phototherapy unit 1 1 0 0 0


Sakhipur 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 2 2 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Sakhipur 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 1 3 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 0 1 0 0
ICT equipment
Computer (desktop) 9 7 0 2 0
Laptop 2 1 0 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 5 0 2 0
Scanner 1 1 0 0 0
UPS 5 3 0 2 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 0 0 0 0 0


Sakhipur 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 88 67 10 10 1

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

Important information and necessary issues for Sakhipur Upazila Health Complex
Last year we could not achieve our all targets due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctors and nurses need more training on EmOC& IMCI. 3. We have 31 female HA and 19 CHCPamong them 16HA andCHCP are trained CSBA and other female HA amdCHCP need CSBA training. 4. As our health complex is 50 beded post of 4th class employs should increase. DSF&TMNCP (Tangail maternal, Neonatal & child Health programme ) is well functioning in our health complex.