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Alikadam Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Alikadam Upazila . This bulletin contains all the health related information of 2015. This bulletin is published to disseminate the information of Alikadam 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 has also the information of safe drinking water and sanitation status of the Upazila.I like to take attention of the higher authority to take into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Alikadam Upazila is a remote Upazila of Bandarban district. It is 111 km South from Bandarban. It has 2 unions with 691 villages with 8197 households. The population is around 46,798. Alikadam union is the larger. The Upazila Health Complex is located in the populated area. The socio-economic condition is very poor. This Upazila is endemic for Malaria. Most of the houses is made of Bamboo. Matamuhari is the main river passes through The Upazila. Most of the People Of The Upazila depend on agriculture, Tobacco Cultivation, Bamboo and Wood Business, Then Are Many Hard to Reach Areas in both the union like- Kurukpata, Poamuhari, Bulaipara In Alikadam Union & Mangu In Choikhong Union.
Dr. Mukhlesur Rahman
UH&FPO
Alikadam Upazila Health Complex

Alikadam Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Alikadam
Organization Code 10000652
Name of UHFPO Dr. Mukhlesur Rahman
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01712584476
Email Alikadam@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 92.0000
No. of Unions in the Upazila2
No. of Households in the Upazila 8,197
Population in the Upazila 46,798
Area of Upazila in sq km 885.78

Alikadam 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 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 1 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 5 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 0 0

Alikadam Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,343


Under 5 Mortality Rate: 43.187 (Per 1,000 live births)
Infant Mortality Rate: 32.762 (Per 1,000 live births)
Neonatal Mortality Rate: 24.572 (Per 1,000 live births)
Still Birth Rate: 30.529 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,105
Fully Vaccinated Children (<= 12 months): 85.00 %
Fully Vaccinated Children (<= 23 months):

Alikadam 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: 1,116
Total Number of Deliveries: 1,344
Valid TT Coverage: 37.00 %
Maternal Mortality Ratio (MMR) is: 74.46 per 100,000 live births.

Alikadam 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 13,178 17,651 30,829 2,500 3,880 6,380 37,209 1,307 1,875 3,182 950 1,009 1,959 5,141
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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 2,853 8,461 11314 982 1,284 2,266 13,580 0 0 0 0 0 0 2,266
Community Clinics 8,154 18,392 26,546 3,362 3,828 7,190 33,736 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

Alikadam 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 1,374 1,490 2,864 300 250 550 3,414 3 4 7 2 1 3 10
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

Alikadam 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 3,414
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 427 12.51
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 382 11.19
3 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 373 10.93
4 B50 Plasmodium falciparum malaria I: Certain infectious and parasitic diseases 297 8.70
5 J45 Asthma X: Diseases of the respiratory system 359 10.52
6 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 308 9.02
7 O80 Single spontaneous delivery XV: Pregnancy, childbirth and the puerperium 123 3.60
8 A010 Typhoid fever I: Certain infectious and parasitic diseases 243 7.12
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 187 5.48
10 B88 Other infestations I: Certain infectious and parasitic diseases 713 20.88

Alikadam 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 14
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 B50 Plasmodium falciparum malaria I: Certain infectious and parasitic diseases 3 21.43
2 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 3 21.43
3 J449 Chronic obstructive pulmonary disease, unspecified I: Certain infectious and parasitic diseases 1 7.14
4 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 2 14.29
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2 14.29
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 1 7.14
7 K746 Other and unspecified cirrhosis of liver XI: Diseases of the digestive system 2 14.29
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 39.00
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.) 53
Bed Occupancy Rates (%) 0.47
Average Length of Hospital Stay (No. of days per patient) 0.02
Hospital Death Rate (%) 0.41


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 135

 

Alikadam 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 3 1 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 9 0 8 1 11.11
Class III 46 33 13 0 0.00
Class IV 20 13 7 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 8 3 3 2 25.00
Class IV 0 0 0 0 0.00

 

Alikadam 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 11 5 1 5 45.45
Non Doctor 0 0 0 0 0.00
Class II 9 0 8 1 11.11
Class III 56 37 17 2 3.57
Class IV 20 13 7 0 0.00
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

 

Alikadam 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 11 4 0 0 1 0 0
Nurse 0 0 0 0 9 8 0 0 0 0 0
Medical Assistant 0 0 2 2 2 2 0 0 2 0 0
Medical Technologist 0 0 0 0 7 7 0 0 0 0 0
CHCP 6 6 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0 0
AHI 0 0 0 0 3 3 0 0 0 0 0
HA 0 0 0 0 15 15 0 0 0 0 0

Alikadam 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 0 0 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 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Alikadam 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 0 0 0 1
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 0 0 0 0 0


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


Alikadam 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 0 1 0 0


Alikadam 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 5 5 0 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 1 0 2
Scanner 1 1 0 0 0
UPS 5 3 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Alikadam 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 0 0 0 0 0
Mobile phone 1 0 0 1 0
Total 30 18 8 1 3

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

Important information and necessary issues for Alikadam Upazila Health Complex
Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled up immediately. 2. Our doctors and nurses need more training on IMCI 3. Number of community clinic 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 Three female HA who need CSBA training. 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 a very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.