Feedback
HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Anwara Upazila Health Complex | Health Bulletin 2015 |
Preface
It gives me much pleasure to publish this Health Bulletin of Anowara upazila. This Bulletin contains all the health related information of the year 2014.It serves to disseminate the information of Anowara upazila among the other departments and development partners of health. The health bulletin will help us to find the constrains and also to see the achievements of 2014, thus bridging the gaps in health services of this upazila. Subjects and information like safe drinking water and sanitation status of the upazila is also narrated here. All the sanctioned and vacant posts are published in this Bulletin,2015. In short, the Bulletin contains the status of MDG-4 and MDG-5 which will helps to focus MDG targets. Finally, I would like to thank this initiative of Health bulletin and technical supports along with this set up which will enable us to look forward for digital Bangladesh. Dr.Bidhu Bhushan Bowmik UH&FPO Anwara Upazila Health Complex.Chittagong.
Dr.Bidhu Bhushan Bhowmik
UH&FPO
Anwara Upazila Health Complex

Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Anwara
Organization Code 10000729
Name of UHFPO Dr.Bidhu Bhushan Bhowmik
Land Phone No. 1 -0302956023
Land Phone No. 2
FAX No.
Mobile No. 01717804269
Email anwara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.2240 And Long: 91.8891
No. of Unions in the Upazila11
No. of Households in the Upazila 52,600
Population in the Upazila 310,458
Area of Upazila in sq km 164.13

Anwara 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 2 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) 9 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 27 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 1 0

Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,268


Under 5 Mortality Rate: 3.027 (Per 1,000 live births)
Infant Mortality Rate: 1.789 (Per 1,000 live births)
Neonatal Mortality Rate: 0.550 (Per 1,000 live births)
Still Birth Rate: 2.339 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 59,753
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 99%

Anwara 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: 0
Total No. of Recipients Who Took at least one ANC: 8,795
Total Number of Deliveries: 8,682
Valid TT Coverage: 28.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Anwara 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 16,106 14,459 30,565 15,884 18,214 34,098 64,663 10,390 8,622 19,012 2,643 2,024 4,667 23,679
Union Sub-Centres 7,204 9,248 16,452 698 725 1,423 17,875 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) 12,656 34,213 46869 4,003 4,535 8,538 55,407 0 0 0 0 0 0 8,538
Community Clinics 54,421 122,757 177,178 16,326 18,386 34,712 211,890 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

Anwara 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 2,607 4,023 6,630 2,576 1,554 4,130 10,760 10 1 11 0 0 0 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 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

Anwara 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 10,760
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 4988 46.36
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1578 14.67
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1254 11.65
4 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 335 3.11
5 Y04 Assault by bodily force XX: External causes of morbidity and mortality 134 1.25
6 B15 Acute hepatitis A I: Certain infectious and parasitic diseases 119 1.11
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 67 0.62
8 J459 Asthma, unspecified X: Diseases of the respiratory system 62 0.58
9 A010 Typhoid fever I: Certain infectious and parasitic diseases 61 0.57
10 T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 12 0.11

Anwara 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 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 5 45.45
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 1 9.09
3 I612 Intracerebral haemorrhage in hemisphere, unspecified X: Diseases of the respiratory system 1 9.09
4 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1 9.09
5 E43 Unspecified severe protein-energy malnutrition IV: Endocrine, nutritional and metabolic diseases 1 9.09
6 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 1 9.09
7 N18 Chronic renal failure XIV: Diseases of the genitourinary system 1 9.09
8 0 0.00
9 0 0.00
10 0 0.00

Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 89.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 19,103
Bed Occupancy Rates (%) 104.67
Average Length of Hospital Stay (No. of days per patient) 1.78
Hospital Death Rate (%) 0.10


Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,297

 

Anwara 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 12 9 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 17 1 8 8 47.06
Class III 84 48 16 20 23.81
Class IV 23 16 6 1 4.35
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 5 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 2 2 5 55.56
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 1 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 2 2 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 33 10 18 5 15.15
Class IV 0 0 0 0 0.00

 

Anwara 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 32 19 13 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 17 1 8 8 47.06
Class III 130 62 38 30 23.08
Class IV 25 18 6 1 4.00
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

 

Anwara 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 11 11 21 21 0 0 1 2 0
Nurse 0 0 0 0 17 9 0 0 4 1 0
Medical Assistant 0 0 11 6 2 2 0 0 8 0 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0 0
CHCP 33 28 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 31 0 0 0 0 0

Anwara 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 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 0 0 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 2 2 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 4 4 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) 2 2 0 0 0
Ventilator 0 0 0 0 0


Anwara 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 4 3 1 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Anwara 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) 3 2 1 0 0
Colorimeter 4 2 2 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 2 1 1 0 0
Phototherapy unit 0 0 0 0 0


Anwara 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 0 0 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Anwara 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 3 1 2 0 0
ICT equipment
Computer (desktop) 9 7 2 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 0 0 0 0 0
Fax 0 0 0 0 0
Intercom 1 1 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Anwara 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 64 52 12 0 0

Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Anwara Upazila Health Complex
It is a matter of great that we are going to publish the local health Bulletin 2015 in the web .We are opening the window of information and charter in the citizen about each of the health facilities geographical, demography, disaster and climatic condition, socioeconomic status, population and family welfare and above all the basic community health care. This Health Bulletin clear that a total health care delivery system of the Govt. and NGO sectors and all other related developments. We sincerely & greatly hope and give our effort to put forward step by step and achieve the goal of vision 2021 of Digital Bangladesh. Dr.Bidhu Bhushan Bhowmik UH&FPO Anwara Upazila Health Complex.Chittagong.