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Matlab(Daxin) Upazila Health Complex | Health Bulletin 2015 |
Preface
Matlab (Daxin) Upazilla health complex, one of the oldest one of Bangladesh is entrusted to provide primary health care support for 2,44,789 people, with one 50 bed Upazilla health complex, seven H&FWC and sixteen Community clinics. Health seeking behavior and expectation of people is rising. We cannot but keep pace with this expectation. We are devoted to provide quality services under DGHS and MOHFW of Govt of Bangladesh. Achievement of MDG-4 recognition of our government inspired us to provide more devotion towards achieving our other MDG targets. Community clinics are digitalised and people are getting benefits. The MMR 165.44, IMR 18.199, fully vaccinated Children is 90%. Heath Bulletin 2015 is a great opportunity for us to sketch our work statistics with vital information. The quality of health bulletin is improving every year by effective and innovative use of information technologies under the guidance of MIS, DGHS. We hope that MIS will contimee their efforts to improve the heath bulletin. May Allah help us to continue our efforts to improve our health standard.
Dr. A.K.M Mahabubur Rahaman
UH&FPO
Matlab(Daxin) Upazila Health Complex

Matlab(Daxin) Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Matlab(Daxin)
Organization Code 10000721
Name of UHFPO Dr. A.K.M Mahabubur Rahaman
Land Phone No. 1 08426-056039
Land Phone No. 2
FAX No.
Mobile No. 01711190263
Email matlabsouth@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.3478 And Long: 90.7550
No. of Unions in the Upazila8
No. of Households in the Upazila 46,192
Population in the Upazila 244,789
Area of Upazila in sq km 131.69

Matlab(Daxin) 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 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) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 16 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 5 50
No. of NGO Clinics/Facilities 1 152

Matlab(Daxin) Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,440


Under 5 Mortality Rate: 22.243 (Per 1,000 live births)
Infant Mortality Rate: 18.199 (Per 1,000 live births)
Neonatal Mortality Rate: 8.272 (Per 1,000 live births)
Still Birth Rate: 13.787 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 52,962
Fully Vaccinated Children (<= 12 months): 90.00 %
Fully Vaccinated Children (<= 23 months): 90%

Matlab(Daxin) 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: 9
Total No. of Recipients Who Took at least one ANC: 4,971
Total Number of Deliveries: 5,515
Valid TT Coverage: 97.00 %
Maternal Mortality Ratio (MMR) is: 165.44 per 100,000 live births.

Matlab(Daxin) 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 9,071 18,017 27,088 8,748 6,239 14,987 42,075 1,118 1,108 2,226 126 175 301 2,527
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) 4,641 43,720 48361 12,480 15,476 27,956 76,317 0 0 0 0 0 0 27,956
Community Clinics 55,026 93,256 148,282 11,223 10,618 21,841 170,123 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 1,660 1,915 3,575 84 60 144 3,719 141 65 206 18 16 34 240
NGO Clinics/Facilities 94 15,578 15,672 6,530 6,935 13,465 29,137 0 0 0 0 0 0 0

Matlab(Daxin) 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 2,340 2,643 4,983 1,078 1,052 2,130 7,113 6 4 10 1 0 1 11
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 127 1,827 1,954 18 20 38 1,992 0 0 0 5 3 8 8
NGO Clinics/Facilities 4,207 8,755 12,962 11,223 13,200 24,423 37,385 2 1 3 0 13 13 16

Matlab(Daxin) 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 7,135
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1280 17.94
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 982 13.76
3 Y00 Assault by blunt object XX: External causes of morbidity and mortality 845 11.84
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 580 8.13
5 J45 Asthma X: Diseases of the respiratory system 224 3.14
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 126 1.77
7 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 94 1.32
8 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 87 1.22
9 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 89 1.25
10 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 75 1.05

Matlab(Daxin) 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 2 18.18
2 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 1 9.09
3 J45 Asthma IX: Diseases of the circulatory system 1 9.09
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 9.09
5 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 1 9.09
6 D613 Idiopathic aplastic anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 9.09
7 I612 Intracerebral haemorrhage in hemisphere, unspecified IX: Diseases of the circulatory system 1 9.09
8 C349 Bronchus or lung, unspecified II: Neoplasms 1 9.09
9 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 9.09
10 A409 Streptococcal septicaemia, unspecified I: Certain infectious and parasitic diseases 1 9.09

Matlab(Daxin) Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 14,848
Bed Occupancy Rates (%) 81.36
Average Length of Hospital Stay (No. of days per patient) 2.08
Hospital Death Rate (%) 0.15


Matlab(Daxin) Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,140

 

Matlab(Daxin) 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 6 4 19.05
Non Doctor 0 0 0 0 0.00
Class II 18 1 15 2 11.11
Class III 99 40 21 38 38.38
Class IV 22 14 4 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 3 4 1 12.50
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
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 16 6 8 2 12.50
Class IV 0 0 0 0 0.00

 

Matlab(Daxin) 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 29 14 10 5 17.24
Non Doctor 0 0 0 0 0.00
Class II 18 1 15 2 11.11
Class III 115 46 29 40 34.78
Class IV 22 14 4 4 18.18
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

 

Matlab(Daxin) 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 7 21 17 0 0 2 1 0
Nurse 0 0 0 0 18 16 0 0 4 4 0
Medical Assistant 0 0 8 4 2 2 0 0 2 0 0
Medical Technologist 0 0 0 0 10 8 0 0 0 0 0
CHCP 16 14 0 0 0 0 0 0 0 0 5
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 0 0 10 10 0 0 0
HA 0 0 0 0 0 0 50 31 0 0 4

Matlab(Daxin) 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) 1 0 1 0 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 4 2 1 0 1
Autoclave 2 1 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 1 1 0 0
Portable OT Light 6 3 3 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 7 3 0 0 4
Ventilator 0 0 0 0 0


Matlab(Daxin) 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 5 4 0 1 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Matlab(Daxin) 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 4 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 1 4 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 1 0 0 0 1


Matlab(Daxin) 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 4 2 1 0 1
Vehicles
Ambulance 1 0 0 1 0


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


Matlab(Daxin) 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 80 49 12 2 17

Matlab(Daxin) Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Matlab(Daxin) Upazila Health Complex
population growth and introduction of new project increases workload on health workers,lack of manpower and difficult door to door physical communication hurdle smooth running of program's. 19 post of health assistants are vacant, and 8 are SIT training.Fulfillment of these post is essential to cope with the present workload and to achieve the goal. Load shedding of power supply is a curse here in Matlab (south) .Creation of power working atmosphere through social and political support is mandatory to get better result.