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Chandina Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very pleased to publish this health bulletin of chandina upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of chandina upazilla to other the department partners of health. I hope all the information of this bulletin will help for planing and bridging the gaps in health services of this upazilla. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2014.Finally i would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr.Meher Parveen UH&FPO Upazila Health Complex Chandina,Comilla.
Dr. Meher Parveen
UH&FPO
Chandina Upazila Health Complex

Chandina Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Chandina
Organization Code 10000857
Name of UHFPO Dr. Meher Parveen
Land Phone No. 1 -0802256116
Land Phone No. 2
FAX No.
Mobile No. 01737096040
Email chandina@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4892 And Long: 91.9950
No. of Unions in the Upazila13
No. of Households in the Upazila 71,232
Population in the Upazila 415,885
Area of Upazila in sq km 202.25

Chandina 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 0 0
No. of Union Sub-Centres 2 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) 9 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 27 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 4 10
No. of NGO Clinics/Facilities 1 0

Chandina Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 12,575


Under 5 Mortality Rate: 16.938 (Per 1,000 live births)
Infant Mortality Rate: 5.010 (Per 1,000 live births)
Neonatal Mortality Rate: 1.113 (Per 1,000 live births)
Still Birth Rate: 4.135 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 31,335
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Chandina 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: 0
Total No. of Recipients Who Took at least one ANC: 10,747
Total Number of Deliveries: 12,704
Valid TT Coverage: 18.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Chandina 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 10,321 17,691 28,012 6,003 4,481 10,484 38,496 5,406 5,116 10,522 1,304 891 2,195 12,717
Union Sub-Centres 2,027 5,257 7,284 1,021 1,304 2,325 9,609 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 10,169 11,165 21,334 33,806 102,847 136,653 157,987 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 4,312 6,326 10,638 861 1,085 1,946 12,584 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Chandina 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 2,675 3,893 6,568 1,211 714 1,925 8,493 19 11 30 0 1 1 31
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

Chandina 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 8,493
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 1689 19.89
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1679 19.77
3 K29 Gastritis and duodenitis XI: Diseases of the digestive system 959 11.29
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 771 9.08
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 647 7.62
6 D500 Iron deficiency anaemia secondary to blood loss (chronic) III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 446 5.25
7 O809 Single spontaneous delivery, unspecified XV: Pregnancy, childbirth and the puerperium 425 5.00
8 Z45 Adjustment and management of implanted device XXI: External causes of morbidity and mortality 373 4.39
9 I249 Acute ischaemic heart disease, unspecified IX: Diseases of the circulatory system 297 3.50
10 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 294 3.46

Chandina 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 31
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 4 12.90
2 I249 Acute ischaemic heart disease, unspecified IX: Diseases of the circulatory system 4 12.90
3 I679 Cerebrovascular disease, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 3 9.68
4 J448 Other specified chronic obstructive pulmonary disease X: Diseases of the respiratory system 3 9.68
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 2 6.45
6 I02 Rheumatic chorea IX: Diseases of the circulatory system 2 6.45
7 A010 Typhoid fever I: Certain infectious and parasitic diseases 1 3.23
8 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 1 3.23
9 F44 Dissociative [conversion] disorders V: Mental and behavioural disorders 1 3.23
10 I23 Certain current complications following acute myocardial infarction IX: Diseases of the circulatory system 1 3.23

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
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.) 13,842
Bed Occupancy Rates (%) 122.33
Average Length of Hospital Stay (No. of days per patient) 1.62
Hospital Death Rate (%) 0.22


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 432

 

Chandina 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 4 4 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 13 0 12 1 7.69
Class III 81 46 14 21 25.93
Class IV 19 14 3 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 6 2 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 6 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 1 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 2 2 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 37 14 19 4 10.81
Class IV 0 0 0 0 0.00

 

Chandina 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 27 16 8 3 11.11
Non Doctor 0 0 0 0 0.00
Class II 18 0 14 4 22.22
Class III 97 55 14 28 28.87
Class IV 24 19 3 2 8.33
Other Hospitals & Clinics
Class I Doctor 6 3 1 2 33.33
Non Doctor 0 0 0 0 0.00
Class II 5 0 1 4 80.00
Class III 4 1 0 3 75.00
Class IV 3 3 0 0 0.00

 

Chandina 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 11 10 9 8 6 5 3 0 0
Nurse 0 0 0 0 13 13 5 2 0 0 0
Medical Assistant 0 0 11 11 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 6 5 1 0 0 0 0
CHCP 37 33 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0 0
HA 0 0 0 0 45 26 0 0 0 0 0

Chandina 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) 2 1 1 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 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 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 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 2 0 2 0 0
Ventilator 0 0 0 0 0


Chandina 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Chandina 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 1 0 1 0 0
Centrifuge machine (electric) 3 0 3 0 0
Colorimeter 2 0 1 1 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 6 2 4 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Chandina 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 2 1 1 0 0


Chandina 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 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 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Chandina 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 2 0 0 0
Mobile phone 1 1 0 0 0
Total 53 37 15 1 0

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

Important information and necessary issues for Chandina Upazila Health Complex
Chandina upazila health complex is situated by the Dhaka-Chittagong highway. It has been running well with its 31 beds.Because of its geographical situation and adjacent to the Dhaka-Chittagong highway the health complex has been playing an important role in the field of health service. People from neighboring Debidwar, Burichang, Daudkandi and Barura upazila are taking health service from this health complex. Finally I am very glad to write this health bulletin of 2014. This document will help us to compare our progress in upcoming year. This is very useful document and will help the public to understand health services and to provide us the useful advice to improve in future.