Lama Upazila Health Complex | Health Bulletin 2015 |
Preface
Lama Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Lama
Organization Code
10000656
Name of UHFPO Dr . Md Syed Ahammed
Land Phone No. 1
-03616223
Land Phone No. 2
FAX No.
Mobile No.
01711199322
Email Lama@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
88.0000
No. of Unions in the Upazila 7
No. of Households in the Upazila 19,284
Population in the Upazila 110,000
Area of Upazila in sq km 675.50
Lama 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
2
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
9
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
26
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
8
0
Lama Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,631
Under 5 Mortality Rate: 22.045 (Per 1,000 live births)
Infant Mortality Rate: 19.004 (Per 1,000 live births)
Neonatal Mortality Rate: 15.583 (Per 1,000 live births)
Still Birth Rate: 23.945 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,277
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%
Lama 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:
3,825
Total Number of Deliveries:
2,631
Valid TT Coverage: 15.00 %
Maternal Mortality Ratio (MMR) is:
38.01 per 100,000 live births.
Lama 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
10,229
22,538
32,767
8,355
9,629
17,984
50,751
2,343
2,405
4,748
495
555
1,050
5,798
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)
7,251
26,953
34204
5,450
7,420
12,870
47,074
0
0
0
0
0
0
12,870
Community Clinics
22,147
40,874
63,021
4,435
5,111
9,546
72,567
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
5,238
10,222
15,460
2,051
3,117
5,168
20,628
0
0
0
0
0
0
0
Lama 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
2,043
2,105
4,148
580
570
1,150
5,298
11
10
21
5
3
8
29
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
Lama 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
5,198
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J128 Other viral pneumonia
X: Diseases of the respiratory system
811
15.60
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
588
11.31
3
Y02 Assault by pushing or placing victim before moving object
XX: External causes of morbidity and mortality
582
11.20
4
R45 Symptoms and signs involving emotional state
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
444
8.54
5
A08 Viral and other specified intestinal infections
I: Certain infectious and parasitic diseases
343
6.60
6
O60 Preterm delivery
XV: Pregnancy, childbirth and the puerperium
223
4.29
7
A-01.37 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
219
4.21
8
V455 Car occupant injured in collision with railway train or railway vehicle, driver, traffic accident
XX: External causes of morbidity and mortality
166
3.19
9
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
111
2.14
10
J45 Asthma
X: Diseases of the respiratory system
94
1.81
Lama 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
29
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
6
20.69
2
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
6
20.69
3
T375 Antiviral drugs
X: Diseases of the respiratory system
6
20.69
4
V069 Pedestrian injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident
XX: External causes of morbidity and mortality
2
6.90
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
2
6.90
6
R84 Abnormal findings in specimens from respiratory organs and thorax
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
2
6.90
7
J45 Asthma
X: Diseases of the respiratory system
1
3.45
8
R45 Symptoms and signs involving emotional state
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
3.45
9
D759 Disease of blood and blood-forming organs, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1
3.45
10
R84 Abnormal findings in specimens from respiratory organs and thorax
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
3.45
Lama Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
49.00
Coverage of households having access to sanitary latrines (%)
42.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
17,233
Bed Occupancy Rates (%)
152.30
Average Length of Hospital Stay (No. of days per patient)
3.32
Hospital Death Rate (%)
0.56
Lama Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,615
Lama 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
10
0
9
1
10.00
Class III
79
50
27
2
2.53
Class IV
21
15
6
0
0.00
Union Health & Family Welfare Center (under DGHS)
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
18
5
9
4
22.22
Class IV
18
6
6
6
33.33
Rural Dispensaries
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
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
26
10
9
7
26.92
Class IV
0
0
0
0
0.00
Lama 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
10
0
9
1
10.00
Class III
79
51
28
0
0.00
Class IV
21
15
6
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
Lama 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
9
4
0
0
2
0
0
Nurse
0
0
0
0
11
10
0
0
4
2
0
Medical Assistant
0
0
2
2
2
2
0
0
3
0
0
Medical Technologist
0
0
0
0
8
8
0
0
0
0
0
CHCP
26
20
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
9
9
0
0
0
0
0
HA
0
0
0
0
45
45
0
0
0
0
0
Lama 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)
2
0
0
2
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
2
0
0
0
Autoclave
2
2
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
1
1
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
10
10
0
0
0
Ventilator
2
2
0
0
0
Lama 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
1
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
7
7
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Lama 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
2
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
1
1
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Lama 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
1
1
0
0
0
Vehicles
Ambulance
2
0
2
0
0
Lama 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
3
0
0
0
Generator
Generator (diesel/petrol)
2
0
2
0
0
Generator (gas)
0
0
0
0
0
Solar panel
2
2
0
0
0
IPS
2
0
2
0
0
ICT equipment
Computer (desktop)
7
6
1
0
0
Laptop
24
22
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
6
6
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
14
14
0
0
0
Multimedia
1
1
0
0
0
Lama 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
0
1
0
0
Mobile phone
1
0
1
0
0
Total
110
97
11
2
0
Lama Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Lama Upazila Health Complex