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Mirarsarai Upazila Health Complex | Health Bulletin 2015 |
Preface
Welcome to Health Bulletin of Mirsarai, Chittagong. Mirsarai is situated in the Northest part of Chittagong district. It is separated from the District Feni, by river Feni. This place of natural beauty has hills on the east and sea on the west. It is crossed by Dhaka- Chittagong highway and railway. With limited resources health officials and workers are delivering service to large population of the Upazilla. This bulletin sheds light on different public health aspects of the Upazilla.
Dr. A S M Tabarok Ullah Chowdhury
UH&FPO
Mirarsarai Upazila Health Complex

Mirarsarai Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Mirarsarai
Organization Code 10000794
Name of UHFPO Dr. A S M Tabarok Ullah Chowdhury
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01711812190
Email mirsarai@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.5304 And Long: 91.3102
No. of Unions in the Upazila16
No. of Households in the Upazila 89,710
Population in the Upazila 490,878
Area of Upazila in sq km 482.88

Mirarsarai 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 7 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 8 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 1 0
No. of Community Clinics 39 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 9 15
No. of NGO Clinics/Facilities 2 10

Mirarsarai Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 10,807


Under 5 Mortality Rate: 10.179 (Per 1,000 live births)
Infant Mortality Rate: 4.164 (Per 1,000 live births)
Neonatal Mortality Rate: 2.313 (Per 1,000 live births)
Still Birth Rate: 0.740 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 28,466
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 98%

Mirarsarai 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: 2,270
Total Number of Deliveries: 3,248
Valid TT Coverage: 75.00 %
Maternal Mortality Ratio (MMR) is: 37.01 per 100,000 live births.

Mirarsarai 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 18,600 25,500 44,100 9,209 12,320 21,529 65,629 1,875 754 2,629 543 341 884 3,513
Union Sub-Centres 997 12,340 13,337 12,450 22,400 34,850 48,187 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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 26,390 17,320 43,710 23,489 16,300 39,789 83,499 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 1,020 980 2,000 670 453 1,123 3,123 0 0 0 0 0 0 0
NGO Clinics/Facilities 72 95 167 100 120 220 387 0 0 0 0 0 0 0

Mirarsarai 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 1,720 1,045 2,765 960 456 1,416 4,181 5 12 17 38 40 78 95
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 722 329 1,051 201 125 326 1,377 1 2 3 1 2 3 6
NGO Clinics/Facilities 14 45 59 90 54 144 203 0 0 0 0 0 0 0

Mirarsarai 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 7,018
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 1841 26.23
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 596 8.49
3 T44 Poisoning by drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 205 2.92
4 J45 Asthma X: Diseases of the respiratory system 407 5.80
5 F41 Other anxiety disorders V: Mental and behavioural disorders 131 1.87
6 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 396 5.64
7 T07 Unspecified multiple injuries XIX: Injury, poisoning and certain other consequences of external causes 364 5.19
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 79 1.13
9 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 138 1.97
10 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 277 3.95

Mirarsarai 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 34
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 6 17.65
2 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 4 11.76
3 I501 Left ventricular failure X: Diseases of the respiratory system 3 8.82
4 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 2 5.88
5 J46 Status asthmaticus X: Diseases of the respiratory system 2 5.88
6 K92 Other diseases of digestive system XI: Diseases of the digestive system 2 5.88
7 K85 Acute pancreatitis XI: Diseases of the digestive system 1 2.94
8 B509 Plasmodium falciparum malaria, unspecified I: Certain infectious and parasitic diseases 1 2.94
9 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 2 5.88
10 D69 Purpura and other haemorrhagic conditions III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 2.94

Mirarsarai 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 (%) 92.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,350
Bed Occupancy Rates (%) 67.67
Average Length of Hospital Stay (No. of days per patient) 1.76
Hospital Death Rate (%) 0.48


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 187

 

Mirarsarai 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 14 7 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 17 1 6 10 58.82
Class III 141 98 40 3 2.13
Class IV 32 22 6 4 12.50
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 7 3 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 5 2 0 0.00
Class IV 7 7 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 50 17 18 15 30.00
Class IV 0 0 0 0 0.00

 

Mirarsarai 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 36 24 12 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 17 1 6 10 58.82
Class III 191 89 62 40 20.94
Class IV 32 25 7 0 0.00
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

 

Mirarsarai 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 0 0 21 20 0 0 0 0 0
Nurse 0 0 0 0 17 7 0 0 0 0 0
Medical Assistant 0 0 0 0 17 16 0 0 0 0 0
Medical Technologist 0 0 0 0 4 4 0 0 0 0 0
CHCP 0 0 0 0 50 35 0 0 0 0 0
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 78 54 0 0 5 0 8

Mirarsarai 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) 4 1 1 2 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 3 3 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 2 2 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 3 0 0 3 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 3 1 0 2 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 3 2 1 0 0


Mirarsarai 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 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 1 3 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0


Mirarsarai 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) 4 4 0 0 0
Pediatric equipment
Baby incubator 1 0 1 0 0
Phototherapy unit 3 3 0 0 0


Mirarsarai 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 1 1 0 0 0
Blood bank refrigerator 2 2 0 0 0
Refrigerator 5 4 1 0 0
Vehicles
Ambulance 3 0 1 2 0


Mirarsarai 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) 3 2 1 0 0
Generator
Generator (diesel/petrol) 3 1 2 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 0 1 0 0
IPS 3 1 2 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 5 3 2 0 0
Printer (laser) 1 1 0 0 0
Scanner 1 0 1 0 0
UPS 7 6 1 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 2 1 1 0 0


Mirarsarai 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) 1 1 0 0 0
Land phone 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 94 63 22 9 0

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

Important information and necessary issues for Mirarsarai Upazila Health Complex
Though we are determined to serve the people of Mirsarai, there are several problems which needs to improve the delivery of service. Most important ones are mentioned below: 1. we need proper water and sanitation facilities here.Due to lack of deep tube well to collect ground water,stuffs are currently using pond water for their domestic purpose.This is hazardous and unhealthy 2.we need better electricity service.As load shedding causes disruption in delivery of service to the patient.Thus,we need abetter electricity connection with limited load shedding.This will ensure that operation theatre and nebulizer machine and suction machines can be used when necessary 3. X-ray machine is not working at the moment. we need this to be repaired urgently.