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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.
Dr. MD MOHIUDDIN
UH&FPO
Fatikchari Upazila Health Complex

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 Upazila18
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.