Fatikchari Upazila Health Complex | Health Bulletin 2015 |
Preface
Fatickchari is the largest Upazila of Bangladesh . Total area of this upazila is 657 sq. km. There are a Municipality & 18 union council in this Upazila. The total population of this Upazila About 5,01,140. But for this large population there are a few facility for health care. There are one 31 beded hospital , one 20 beded hospital, ten union sub centre, ten health & family welfare centre and 51 community clinics in this upazila. The EOC programme are functioning in the 31 beded hospital since 2004. This 31 beded hospital is also a women friendly hospital. More patients are admited from its bed capacity. Most of the time there is 150% Bed ocopency in this hospital. If this hospital upgrade up to 50 bed people of this upazila will get more health care facilities.
Fatikchari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Fatikchari
Organization Code
10000781
Name of UHFPO Dr. MD MOHIUDDIN
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01730324447
Email fatikchari@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
94.0000
No. of Unions in the Upazila 18
No. of Households in the Upazila 94,007
Population in the Upazila 501,140
Area of Upazila in sq km 687.50
Fatikchari 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
1
20
No. of Union Sub-Centres
10
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)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
51
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
9
75
No. of NGO Clinics/Facilities
0
0
Fatikchari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 10,528
Under 5 Mortality Rate: 16.147 (Per 1,000 live births)
Infant Mortality Rate: 6.269 (Per 1,000 live births)
Neonatal Mortality Rate: 4.179 (Per 1,000 live births)
Still Birth Rate: 13.488 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 58,795
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):
Fatikchari 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:
5
Total No. of Recipients Who Took at least one ANC:
14,094
Total Number of Deliveries:
15,327
Valid TT Coverage: 59.00 %
Maternal Mortality Ratio (MMR) is:
47.49 per 100,000 live births.
Fatikchari 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
21,574
27,872
49,446
4,474
5,393
9,867
59,313
4,240
3,860
8,100
3,220
3,521
6,741
14,841
Union Sub-Centres
0
0
0
0
5,870
5,870
5,870
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
5,140
9,225
14,365
4,560
5,870
10,430
24,795
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
2,524
7,213
9737
3,233
4,573
7,806
17,543
0
0
0
0
0
0
7,806
Community Clinics
150,756
162,542
313,298
65,523
68,758
134,281
447,579
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
Fatikchari 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
1,108
5,345
6,453
3,254
4,212
7,466
13,919
1
1
2
1
2
3
5
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
Fatikchari 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
9,600
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
2174
22.65
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
836
8.71
3
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
674
7.02
4
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
552
5.75
5
Z51 Other medical care
XXI: External causes of morbidity and mortality
301
3.14
6
K26 Duodenal ulcer
XI: Diseases of the digestive system
45
0.47
7
K29 Gastritis and duodenitis
XI: Diseases of the digestive system
42
0.44
8
J11 Influenza, virus not identified
X: Diseases of the respiratory system
22
0.23
9
G50 Disorders of trigeminal nerve
VI: Diseases of the nervous system
13
0.14
10
O36 Maternal care for other known or suspected fetal problems
XV: Pregnancy, childbirth and the puerperium
11
0.11
Fatikchari 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
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
2
40.00
2
J17 Pneumonia in diseases classified elsewhere
X: Diseases of the respiratory system
1
20.00
3
I46 Cardiac arrest
I: Certain infectious and parasitic diseases
2
40.00
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
Fatikchari 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 (%)
91.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
365
Bed Occupancy Rates (%)
3.23
Average Length of Hospital Stay (No. of days per patient)
0.04
Hospital Death Rate (%)
0.05
Fatikchari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
112
Minor Surgeries
952
Fatikchari 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
7
0
2
22.22
Non Doctor
0
0
0
0
0.00
Class II
17
0
11
6
35.29
Class III
127
48
79
0
0.00
Class IV
31
26
5
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
10
8
0
2
20.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
20
9
1
10
50.00
Class IV
10
10
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
9
0
-9
0.00
Class IV
10
10
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
51
23
27
1
1.96
Class IV
0
0
0
0
0.00
Fatikchari 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
35
28
4
3
8.57
Non Doctor
0
0
0
0
0.00
Class II
17
0
11
6
35.29
Class III
178
84
79
15
8.43
Class IV
31
26
5
0
0.00
Other Hospitals & Clinics
Class I
Doctor
6
4
1
1
16.67
Non Doctor
0
0
0
0
0.00
Class II
5
0
3
2
40.00
Class III
2
1
0
1
50.00
Class IV
9
2
0
7
77.78
Fatikchari 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
20
17
9
7
5
4
0
0
0
Nurse
0
0
0
0
12
10
5
2
11
4
0
Medical Assistant
0
0
20
14
2
2
1
0
14
0
0
Medical Technologist
0
0
0
0
5
4
1
0
0
0
0
CHCP
51
50
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
5
5
0
0
0
0
0
AHI
0
0
0
0
16
15
0
0
0
0
0
HA
0
0
0
0
79
62
0
0
0
0
0
Fatikchari 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
0
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
1
1
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
0
1
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Fatikchari 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
2
2
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Fatikchari 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
1
1
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
Fatikchari 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
1
1
0
0
0
Fatikchari 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
2
2
0
0
Generator
Generator (diesel/petrol)
3
0
2
1
0
Generator (gas)
0
0
0
0
0
Solar panel
1
0
0
0
1
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
6
0
1
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
5
3
2
0
0
Scanner
1
1
0
0
0
UPS
7
7
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Fatikchari 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
1
1
0
0
0
Total
53
40
9
3
1
Fatikchari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Fatikchari Upazila Health Complex
Urgent implementaion of 50 bed hospital in fatickchari health complex wihch was approved in ECNEC meeting last year (2011) , urgent renovation of old 31 bedhospital building , urgent renovation of officers querter & staff querter . urgent renovation of only over head tank with was made for 50 year back. Urgent repair of sewerage system.Urgent replacement of electric wearing of hospital & street lighs post. urgent setting of control penal of electric wearing.