Sarail Upazila Health Complex | Health Bulletin 2015 |
Preface
We are very much happy to inform that we have published a health bulletin 4th time which contains all the health related data and information of Sarail upazilla. Although we have some limitation such as lack of manpower,shortage of modern equipment . We are trying to maintain a good health service for the peoples. T he government is committed to extent the health service at the grass root level through the better functioning of community clinic to achieve the immunization goal through the ward. level immunization centre. We are also committed to extend our hand to establish a good health service to make a healthy Bangladesh in near future. So this 3rd edition of the health bulletin will be very much helpful to us in future to take decision and data analysis in various purposes.
Sarail Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Sarail
Organization Code
10000694
Name of UHFPO Dr Hasina Akhter Begum
Land Phone No. 1
0185-0852756002
Land Phone No. 2 0185-0852756002
FAX No.
Mobile No.
01711347413
Email sarail@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0714 And
Long:
91.1182
No. of Unions in the Upazila 9
No. of Households in the Upazila 47,053
Population in the Upazila 316,379
Area of Upazila in sq km 195.00
Sarail 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
4
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
21
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
12
0
No. of NGO Clinics/Facilities
3
0
Sarail Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 11,074
Under 5 Mortality Rate: 7.134 (Per 1,000 live births)
Infant Mortality Rate: 3.973 (Per 1,000 live births)
Neonatal Mortality Rate: 2.438 (Per 1,000 live births)
Still Birth Rate: 1.264 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,883
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 0%
Sarail 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:
2
Total No. of Recipients Who Took at least one ANC:
11,813
Total Number of Deliveries:
11,087
Valid TT Coverage: 95.00 %
Maternal Mortality Ratio (MMR) is:
18.06 per 100,000 live births.
Sarail 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
15,226
20,543
35,769
8,515
9,205
17,720
53,489
4,654
5,306
9,960
2,878
0
2,878
12,838
Union Sub-Centres
16,999
29,200
46,199
5,420
5,806
11,226
57,425
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
2,830
3,470
6,300
1,030
1,120
2,150
8,450
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
3,240
3,781
7021
1,243
1,764
3,007
10,028
0
0
0
0
0
0
3,007
Community Clinics
72,191
119,357
191,548
9,640
13,591
23,231
214,779
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
1,260
1,640
2,900
310
456
766
3,666
0
0
0
0
0
0
0
NGO Clinics/Facilities
659
860
1,519
423
621
1,044
2,563
0
0
0
0
0
0
0
Sarail 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
4,120
5,298
9,418
1,460
1,905
3,365
12,783
3
1
4
0
0
0
4
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
Sarail 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
5,696
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
1762
30.93
2
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
806
14.15
3
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
455
7.99
4
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
168
2.95
5
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
261
4.58
6
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
149
2.62
7
J45 Asthma
X: Diseases of the respiratory system
99
1.74
8
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
100
1.76
9
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
70
1.23
10
T65 Toxic effect of other and unspecified substances
XIX: Injury, poisoning and certain other consequences of external causes
21
0.37
Sarail 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
5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J45 Asthma
X: Diseases of the respiratory system
2
40.00
2
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
2
40.00
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
1
20.00
4
J99 Respiratory disorders in diseases classified elsewhere
X: Diseases of the respiratory system
0
0.00
5
T21 Burn and corrosion of trunk
XIX: Injury, poisoning and certain other consequences of external causes
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Sarail Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
10,856
Bed Occupancy Rates (%)
59.48
Average Length of Hospital Stay (No. of days per patient)
1.91
Hospital Death Rate (%)
0.09
Sarail Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
17
Minor Surgeries
214
Sarail 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
11
5
5
23.81
Non Doctor
0
0
0
0
0.00
Class II
15
0
6
9
60.00
Class III
112
73
37
2
1.79
Class IV
24
19
5
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
1
3
0
0.00
Non Doctor
4
1
0
3
75.00
Class II
0
0
0
0
0.00
Class III
4
1
0
3
75.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
2
0
2
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
0
3
37.50
Class IV
4
4
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
21
9
12
0
0.00
Class IV
0
0
0
0
0.00
Sarail 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
30
18
5
7
23.33
Non Doctor
0
0
0
0
0.00
Class II
15
0
6
9
60.00
Class III
145
93
37
15
10.34
Class IV
28
23
5
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
Sarail 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
8
2
20
17
0
0
1
2
0
Nurse
0
0
0
0
14
6
0
0
0
0
0
Medical Assistant
0
0
8
4
2
2
0
0
7
0
0
Medical Technologist
0
0
0
0
7
7
0
0
0
0
0
CHCP
36
21
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
6
AHI
0
0
0
0
11
11
0
0
0
0
0
HA
0
0
0
0
54
52
0
0
0
0
0
Sarail 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)
2
1
1
0
0
X-ray machine (300 mA)
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
2
2
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
6
3
0
3
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
4
2
2
0
0
Portable OT Light
10
5
5
0
0
Fracture table
2
1
1
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
1
0
1
0
Sucker machine (electric)
4
2
2
0
0
Ventilator
0
0
0
0
0
Sarail 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
10
5
4
1
0
Pulse oximeter
2
1
0
1
0
Dental equipment
Dental unit
2
1
1
0
0
Sarail 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)
4
2
2
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
5
3
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Sarail 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
4
2
2
0
0
Refrigerator
12
6
6
0
0
Vehicles
Ambulance
2
1
0
1
0
Sarail 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
4
3
0
1
Generator
Generator (diesel/petrol)
4
2
2
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
4
2
2
0
0
Laptop
4
2
2
0
0
Printer (dot matrix)
4
2
2
0
0
Printer (inkjet)
2
1
0
1
0
Printer (laser)
0
0
0
0
0
Scanner
2
1
1
0
0
UPS
4
2
0
2
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
2
1
1
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Sarail 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
2
1
1
0
0
Total
114
58
45
10
1
Sarail Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Sarail Upazila Health Complex
For smoth running of the upazilla heath complex shortage of manpower is a bar. To overcome this problem, vacant post of all category manpower should placed urgently .
Maximum staff quarters of the upazilla heath complex are damage and not useable.Urgent repair and maintaince of this quarters should be done immediatly.
There is no functional Ambulance in Sarail upazilla heath complex
Need at least 3 Emergency Medical officers to face the emmergency service
Medicine allotment for the upazilla heath complex should be increased.
