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Lama Upazila Health Complex | Health Bulletin 2015 |
Preface
Dr . Md Syed Ahammed
UH&FPO
Lama Upazila Health Complex

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 Upazila7
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