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Matlab(Uttar) Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very to publish this Health bulletin of Matlab north Upazila.This bulletine contains all the health related informaton of 2014.This bulletin is publish to disseminate the information of Matlab north Upazila to other line department and development partners of health.I hope all the inforamton of this bulletin will help for planning and bridging the gaps in health service of thisUpazila.ThisHealth bulletin will help us to find constrains and also to see the results and achivevements of 2014.The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets.This health Bulletin has also the information on safe drinking water and sanitation status of the Upazila.all the sanctioned and vacant posts are published in this bulletin of 2014.I like to take attention of the higher authority to look 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.
Dr.Md. Abu Eusuf Kazi
UH&FPO
Matlab(Uttar) Upazila Health Complex

Matlab(Uttar) Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Matlab(Uttar)
Organization Code 10000725
Name of UHFPO Dr.Md. Abu Eusuf Kazi
Land Phone No. 1 -0842851020
Land Phone No. 2
FAX No.
Mobile No. 01819273402
Email matlabnorth@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 92.0000
No. of Unions in the Upazila15
No. of Households in the Upazila 62,620
Population in the Upazila 388,694
Area of Upazila in sq km 282.00

Matlab(Uttar) 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 6 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 14 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 33 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

Matlab(Uttar) Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,385


Under 5 Mortality Rate: 15.166 (Per 1,000 live births)
Infant Mortality Rate: 7.718 (Per 1,000 live births)
Neonatal Mortality Rate: 6.093 (Per 1,000 live births)
Still Birth Rate: 2.031 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 6,251
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 0%

Matlab(Uttar) 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: 4
Total No. of Recipients Who Took at least one ANC: 7,685
Total Number of Deliveries: 7,327
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR) is: 54.16 per 100,000 live births.

Matlab(Uttar) 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 11,524 15,625 27,149 5,428 4,326 9,754 36,903 845 532 1,377 205 123 328 1,705
Union Sub-Centres 12,828 15,436 28,264 2,825 2,934 5,759 34,023 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 6,835 8,728 15,563 1,536 1,834 3,370 18,933 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 7,455 8,832 16287 2,543 1,845 4,388 20,675 0 0 0 0 0 0 4,388
Community Clinics 48,655 53,343 101,998 8,432 6,423 14,855 116,853 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 3,532 5,365 8,897 1,643 1,456 3,099 11,996 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Matlab(Uttar) 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 2,936 3,794 6,730 546 506 1,052 7,782 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

Matlab(Uttar) 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 7,782
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 845 10.86
2 D539 Nutritional anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 846 10.87
3 J45 Asthma X: Diseases of the respiratory system 875 11.24
4 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 835 10.73
5 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 838 10.77
6 I11 Hypertensive heart disease IX: Diseases of the circulatory system 728 9.35
7 J189 Pneumonia, unspecified X: Diseases of the respiratory system 674 8.66
8 N39 Other disorders of urinary system XIV: Diseases of the genitourinary system 643 8.26
9 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 856 11.00
10 A010 Typhoid fever I: Certain infectious and parasitic diseases 642 8.25

Matlab(Uttar) 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 0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 0 0.00
2 0 0.00
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 94.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 7,782
Bed Occupancy Rates (%) 68.78
Average Length of Hospital Stay (No. of days per patient) 1.00
Hospital Death Rate (%) 0.00


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 8
Minor Surgeries 64

 

Matlab(Uttar) 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 10 7 2 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 9 0 7 2 22.22
Class III 106 43 25 38 35.85
Class IV 16 7 5 4 25.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 2 3 3 37.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 1 5 2 25.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 6 4 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 6 0 0 0.00
Class IV 6 6 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 44 15 16 13 29.55
Class IV 0 0 0 0 0.00

 

Matlab(Uttar) 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 24 13 7 4 16.67
Non Doctor 0 0 0 0 0.00
Class II 9 0 6 3 33.33
Class III 112 49 26 37 33.04
Class IV 22 11 4 7 31.82
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(Uttar) 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 14 11 10 8 0 0 2 4 0
Nurse 0 0 0 0 9 7 0 0 3 0 0
Medical Assistant 0 0 14 5 1 1 0 0 4 0 0
Medical Technologist 0 0 0 0 4 2 0 0 0 0 0
CHCP 44 32 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 5 5 0 0 0 0 0
AHI 0 0 0 0 15 15 0 0 0 0 0
HA 0 0 0 0 75 58 0 0 0 0 10

Matlab(Uttar) 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 1 0 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 1 1 0 0 0
Autoclave 1 1 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 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Matlab(Uttar) 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 1 0 0 1
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Matlab(Uttar) 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 2 1 1 0 0


Matlab(Uttar) 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) 4 4 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 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) 10 6 0 0 4
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 2 0 0 2
Scanner 1 1 0 0 0
UPS 0 0 0 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 0 0 0 0 0


Matlab(Uttar) 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 1 0 0 0
Total 43 34 2 0 7

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

Important information and necessary issues for Matlab(Uttar) Upazila Health Complex
Last year could not give our maximum efforts improve the health status due to many reasons.Here I like mention some important factors which will help us to achieve good results in future.a) The Vacant post should be filled immediately.b)our doctor and nurse need more training on IMCI.c)Number of community clinic and the bad capacity of the health complex should be increased.d)All the repairable equipment's should be repaired as soon as possible.e)We have most female HA and CHCP 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 very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.