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Lohagara Upazila Health Complex, Chittagong | Health Bulletin 2015 |
Preface
It is a great pleasure for me to publish this health bulletin, containing all the health related information of this upazila of the year 2014.This bulletin depicts our success and failure in the year 2014. It also contains data regarding MDG 4, MDG 5, status of safe drinking water and sanitation, data regarding manpower specially number of vacant posts. I believe this bulletin will help us as well as our higher authorities in planning for further improvement of healthcare in this upazila. Finally my heartiest gratitude to the MIS team of DGHS for developing such a nice program which will lead us towars a prosperous digital Bangldesh.
Dr. Mohammad Hanif
UH&FPO
Lohagara Upazila Health Complex, Chittagong

Lohagara Upazila Health Complex, Chittagong | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Lohagara
Organization Code 10000792
Name of UHFPO Dr. Mohammad Hanif
Land Phone No. 1 -0303456130
Land Phone No. 2
FAX No.
Mobile No. 01817311591
Email lohagara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 51,162
Population in the Upazila 320,253
Area of Upazila in sq km 258.19

Lohagara Upazila Health Complex, Chittagong | 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 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 5 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 29 0
No of Trauma Centres 1 20
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 7 40
No. of NGO Clinics/Facilities 1 7

Lohagara Upazila Health Complex, Chittagong | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,287


Under 5 Mortality Rate: 20.310 (Per 1,000 live births)
Infant Mortality Rate: 7.822 (Per 1,000 live births)
Neonatal Mortality Rate: 10.704 (Per 1,000 live births)
Still Birth Rate: 2.470 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 36,543
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 85%%

Lohagara Upazila Health Complex, Chittagong | 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: 11
Total No. of Recipients Who Took at least one ANC: 4,885
Total Number of Deliveries: 7,617
Valid TT Coverage: 80.00 %
Maternal Mortality Ratio (MMR) is: 150.95 per 100,000 live births.

Lohagara Upazila Health Complex, Chittagong | 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 10,684 16,412 27,096 16,351 0 16,351 43,447 11,143 823 11,966 530 0 530 12,496
Union Sub-Centres 15,972 27,492 43,464 7,979 0 7,979 51,443 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 5,672 20,304 25,976 4,321 0 4,321 30,297 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 43,267 33,421 76,688 34,213 0 34,213 110,901 0 0 0 0 0 0 0
Trauma Centres 134 201 335 189 0 189 524 67 85 152 41 0 41 193
MCWCs (belongs to DGFP) 16,274 24,131 40,405 12,342 0 12,342 52,747 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 13,422 53,432 66,854 13,244 0 13,244 80,098 1,041 1,324 2,365 968 0 968 3,333
NGO Clinics/Facilities 12,378 52,786 65,164 20,954 0 20,954 86,118 0 0 0 0 0 0 0

Lohagara Upazila Health Complex, Chittagong | 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 1,423 2,421 3,844 1,421 1,232 2,653 6,497 12 6 18 17 4 21 39
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 3,421 4,732 8,153 2,987 0 2,987 11,140 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Lohagara Upazila Health Complex, Chittagong | 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 10,532
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 3323 31.55
2 J188 Other pneumonia, organism unspecified X: Diseases of the respiratory system 1234 11.72
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 897 8.52
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 453 4.30
5 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 243 2.31
6 J210 Acute bronchiolitis due to respiratory syncytial virus X: Diseases of the respiratory system 187 1.78
7 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 134 1.27
8 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 65 0.62
9 A499 Bacterial infection, unspecified I: Certain infectious and parasitic diseases 45 0.43
10 B500 Plasmodium falciparum malaria with cerebral complications I: Certain infectious and parasitic diseases 21 0.20

Lohagara Upazila Health Complex, Chittagong | 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 18
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 5 27.78
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 3 16.67
3 K27 Peptic ulcer, site unspecified X: Diseases of the respiratory system 3 16.67
4 B50 Plasmodium falciparum malaria I: Certain infectious and parasitic diseases 1 5.56
5 J459 Asthma, unspecified X: Diseases of the respiratory system 1 5.56
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2 11.11
7 P36 Bacterial sepsis of newborn XVI: Certain conditions originating in the perinatal period 1 5.56
8 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 2 11.11
9 0 0.00
10 0 0.00

Lohagara Upazila Health Complex, Chittagong | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
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.) 21,447
Bed Occupancy Rates (%) 117.52
Average Length of Hospital Stay (No. of days per patient) 2.04
Hospital Death Rate (%) 0.17


Lohagara Upazila Health Complex, Chittagong | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 156

 

Lohagara Upazila Health Complex, Chittagong | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 21 18 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 17 1 9 7 41.18
Class III 91 36 20 35 38.46
Class IV 23 16 8 -1 -4.35
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 3 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 1 4 0 0.00
Class IV 5 4 1 0 0.00
Rural Dispensaries
Class I Doctor 4 2 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 5 3 0 0.00
Class IV 4 4 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 31 10 19 2 6.45
Class IV 0 0 0 0 0.00

 

Lohagara Upazila Health Complex, Chittagong | 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 30 18 4 8 26.67
Non Doctor 0 0 0 0 0.00
Class II 17 1 11 5 29.41
Class III 127 49 50 28 22.05
Class IV 26 17 8 1 3.85
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

 

Lohagara Upazila Health Complex, Chittagong | 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 4 4 21 19 0 0 12 0 0
Nurse 0 0 0 0 17 9 0 0 0 0 0
Medical Assistant 0 0 0 0 9 6 0 0 0 0 0
Medical Technologist 0 0 0 0 3 1 0 0 0 0 0
CHCP 0 0 0 0 31 28 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 40 36 0 0 0 0 0

Lohagara Upazila Health Complex, Chittagong | 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) 2 2 0 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 2 2 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 4 0 0 0
Electric cautery machine 6 3 2 1 0
Diathermy machine 0 0 0 0 0
Operating microscope 6 3 1 2 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 6 3 2 1 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Lohagara Upazila Health Complex, Chittagong | 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Lohagara Upazila Health Complex, Chittagong | 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 0 1 2 0
Colorimeter 2 0 2 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


Lohagara Upazila Health Complex, Chittagong | 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 4 0 4 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 3 2 0 1 0
Vehicles
Ambulance 2 1 0 1 0


Lohagara Upazila Health Complex, Chittagong | 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) 5 5 0 0 0
Generator
Generator (diesel/petrol) 0 0 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) 7 7 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 3 2 0 1 0
UPS 5 5 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 2 2 0 0 0
Multimedia 1 1 0 0 0


Lohagara Upazila Health Complex, Chittagong | 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 78 57 12 9 0

Lohagara Upazila Health Complex, Chittagong | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Lohagara Upazila Health Complex, Chittagong
In the last year, despite our maximum efforts we could not provide all the necessary health care to the people of this Upazilla due to many constrains. We believe we can overcome all the troubles with the direction and supervision of our higher authorities and provide optimum health care to the distressed community in upcoming year. Hear I could like to mention that construction of the twenty bedded Trauma Center, which is the only trauma center in the Chittagong- Cox'sBazar highway, is completed. Urgent appointment of sufficient manpower is required to provide comprehensive care to the increasing number of trauma victims of the area. Finally, I am very happy to write this Health Bulletin of the year 2014. It will definitely help us to compare our progresses in the upcoming year. This document will also help the general people as well as our development partners to understand the exiting health situation and provide us valuable advice for further improvement in the future.