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Patiya Upazila Health Complex | Health Bulletin 2015 |
Preface
Patiya is one of the largest Upazila in Bangladesh. Total area of this upazila is 372 sq. km. There are a Municipality & 22 Union councils in this Upazila. The total population of this Upazila of about 5,50000. There are a one 50 beded hospital, seven union sub-centers, sixteen Health & family welfare centers and 52 community clinics in this Upazila. The Basic EmOC program are functioning in the 50 beded hospital. This 50 beded hospital is also a women friendly hospital. Average Bed occupancy rate in this hospital 109% . There is central Water supply System. In absence of electricity, Generator is well functioning. There are UH&FPO, Six Consultant, 26 MOs Working in this Hospital. In absence of Anesthetist comprehensive EmOC Service is hampered. Due to absence of MT-Radiographer & Some accessories X-Ray Service is not available. Four Consultants, Two MT-Lab., one Pharmacist, RMO, three Medical Officers, Four HA, TLCA Post is Vacant, three medical officers are unauthorized for long time. Ambulance in this is 12 Years old new Ambulance is needed.
Dr. Shishir Kumar Roy
UH&FPO
Patiya Upazila Health Complex

Patiya Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Patiya
Organization Code 10000802
Name of UHFPO Dr. Shishir Kumar Roy
Land Phone No. 1 -0303556410
Land Phone No. 2
FAX No.
Mobile No. 01711724037
Email patiya@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.2996 And Long: 91.9707
No. of Unions in the Upazila22
No. of Households in the Upazila 84,921
Population in the Upazila 550,000
Area of Upazila in sq km 372.00

Patiya 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) 16 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 52 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 10
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 1 10

Patiya Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 12,493


Under 5 Mortality Rate: 7.684 (Per 1,000 live births)
Infant Mortality Rate: 4.082 (Per 1,000 live births)
Neonatal Mortality Rate: 1.921 (Per 1,000 live births)
Still Birth Rate: 5.203 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 32,465
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months): 90%

Patiya 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: 13,022
Total Number of Deliveries: 12,723
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR) is: 40.02 per 100,000 live births.

Patiya 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 15,682 15,543 31,225 4,368 5,221 9,589 40,814 13,116 10,102 23,218 2,456 2,881 5,337 28,555
Union Sub-Centres 22,686 36,839 59,525 5,973 8,066 14,039 73,564 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) 22,358 35,236 57594 10,825 13,101 23,926 81,520 0 0 0 0 0 0 23,926
Community Clinics 97,816 224,582 322,398 18,570 19,856 38,426 360,824 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) 520 4,590 5,110 765 873 1,638 6,748 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 3,245 6,789 10,034 6,547 7,895 14,442 24,476 0 0 0 0 0 0 0

Patiya 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 1,006 5,385 6,391 1,135 2,345 3,480 9,871 7 7 14 3 2 5 19
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 512 512 0 0 0 512 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

Patiya 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 10,321
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 2985 28.92
2 O80 Single spontaneous delivery XV: Pregnancy, childbirth and the puerperium 1189 11.52
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1109 10.75
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 567 5.49
5 J459 Asthma, unspecified X: Diseases of the respiratory system 296 2.87
6 B820 Intestinal helminthiasis, unspecified I: Certain infectious and parasitic diseases 234 2.27
7 Y00 Assault by blunt object XX: External causes of morbidity and mortality 145 1.40
8 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 135 1.31
9 O610 Failed medical induction of labour XV: Pregnancy, childbirth and the puerperium 134 1.30
10 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 93 0.90

Patiya 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 19
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 5 26.32
2 J459 Asthma, unspecified X: Diseases of the respiratory system 3 15.79
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin X: Diseases of the respiratory system 3 15.79
4 B500 Plasmodium falciparum malaria with cerebral complications I: Certain infectious and parasitic diseases 2 10.53
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 5.26
6 R104 Other and unspecified abdominal pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.26
7 I501 Left ventricular failure IX: Diseases of the circulatory system 1 5.26
8 G934 Encephalopathy, unspecified VI: Diseases of the nervous system 1 5.26
9 A41 Other septicaemia I: Certain infectious and parasitic diseases 1 5.26
10 J182 Hypostatic pneumonia, unspecified X: Diseases of the respiratory system 1 5.26

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 94.00
Coverage of households having access to sanitary latrines (%) 66.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 19,905
Bed Occupancy Rates (%) 109.07
Average Length of Hospital Stay (No. of days per patient) 1.94
Hospital Death Rate (%) 0.20


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 72
Minor Surgeries 3,587

 

Patiya 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 11 4 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 108 55 41 12 11.11
Class IV 23 15 8 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 16 4 10 2 12.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 16 1 3 12 75.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 7 4 2 1 14.29
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 8 0 6 42.86
Class IV 7 6 1 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 66 15 32 19 28.79
Class IV 0 0 0 0 0.00

 

Patiya 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 44 19 17 8 18.18
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 205 77 70 58 28.29
Class IV 30 21 9 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

 

Patiya 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 23 20 21 15 0 0 2 1 0
Nurse 0 0 0 0 16 16 0 0 5 6 0
Medical Assistant 0 0 23 10 2 2 0 0 12 0 0
Medical Technologist 0 0 7 0 11 8 0 0 0 0 0
CHCP 66 47 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 13 13 0 0 0 0 0
HA 0 0 0 0 65 62 0 0 0 0 0

Patiya 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) 1 1 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 2 2 0 0 0
Autoclave 3 3 0 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 2 2 0 0 0
Portable OT Light 3 2 1 0 0
Fracture table 2 2 0 0 0
Hydrolic OT Table 3 3 0 0 0
Sterilizer 5 5 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Patiya 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 3 3 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 17 7 2 8 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Patiya 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 4 4 0 0 0
Blood bank refrigerator 1 0 0 0 1
Refrigerator 2 1 1 0 0
Vehicles
Ambulance 1 1 0 0 0


Patiya 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) 8 6 2 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 1 0 1 0
ICT equipment
Computer (desktop) 9 9 0 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 1 0 0 1 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 8 7 1 0 0
Fax 0 0 0 0 0
Intercom 1 0 1 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 2 2 0 0 0
Multimedia 1 1 0 0 0


Patiya 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 2 1 1 0 0
Mobile phone 1 1 0 0 0
Total 112 90 10 11 1

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

Important information and necessary issues for Patiya Upazila Health Complex
In this moment to improve health service in Patiya Upazila the urgent need is to fill-up the vacant post of Anesthetist & others mentioned post in preface. New Ambulance is needed. If everybody become honest, sincere & patriot in our own profession it is possible to make a healthy nation very soon. আমরা প্রত্যেকে যদি মনে রাখি :- ‘‘জীবে প্রেম করে যেই জন, সেই জন সেবিছে ঈশ্বর’’ এবং Service to mankind, service to god. This should be our slogan to achieve the MDG.