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Laksham Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Laksam upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Laksam upazila to other line department and debelopment partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. 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. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr. Md.Mujibur Rahman
UH&FPO
Laksham Upazila Health Complex

Laksham Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Laksham
Organization Code 10000892
Name of UHFPO Dr. Md.Mujibur Rahman
Land Phone No. 1 -0803251444
Land Phone No. 2
FAX No.
Mobile No. 01727239255
Email laksam@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.2339 And Long: 91.1174
No. of Unions in the Upazila7
No. of Households in the Upazila 40,375
Population in the Upazila 348,789
Area of Upazila in sq km 153.06

Laksham 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 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 2 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 16 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 23 170
No. of NGO Clinics/Facilities 2 0

Laksham Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,708


Under 5 Mortality Rate: 44.759 (Per 1,000 live births)
Infant Mortality Rate: 29.190 (Per 1,000 live births)
Neonatal Mortality Rate: 12.455 (Per 1,000 live births)
Still Birth Rate: 12.065 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 17,825
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 99%

Laksham 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: 10
Total No. of Recipients Who Took at least one ANC: 7,821
Total Number of Deliveries: 7,801
Valid TT Coverage: 67.00 %
Maternal Mortality Ratio (MMR) is: 129.74 per 100,000 live births.

Laksham 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 6,389 9,212 15,601 1,915 1,712 3,627 19,228 1,707 1,108 2,815 45 59 104 2,919
Union Sub-Centres 2,155 2,946 5,101 1,575 1,666 3,241 8,342 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 5,068 13,751 18,819 3,579 3,675 7,254 26,073 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 7,995 15,875 23870 4,332 4,721 9,053 32,923 0 0 0 0 0 0 9,053
Community Clinics 18,361 51,240 69,601 5,424 6,710 12,134 81,735 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 15,161 42,425 57,586 6,473 7,115 13,588 71,174 1,785 1,811 3,596 295 325 620 4,216
NGO Clinics/Facilities 1,055 2,245 3,300 915 992 1,907 5,207 0 0 0 0 0 0 0

Laksham 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 2,435 3,397 5,832 293 189 482 6,314 5 4 9 3 3 6 15
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 9,567 10,715 20,282 4,594 5,394 9,988 30,270 17 14 31 19 13 32 63
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Laksham 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 6,314
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T00 Superficial injuries involving multiple body regions XIX: Injury, poisoning and certain other consequences of external causes 1276 20.21
2 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 1290 20.43
3 O66 Other obstructed labour XV: Pregnancy, childbirth and the puerperium 691 10.94
4 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 379 6.00
5 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 287 4.55
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 172 2.72
7 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 171 2.71
8 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 169 2.68
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 87 1.38
10 V29 Motorcycle rider injured in other and unspecified transport accidents XX: External causes of morbidity and mortality 86 1.36

Laksham 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 14
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J459 Asthma, unspecified X: Diseases of the respiratory system 5 35.71
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2 14.29
3 I21 Acute myocardial infarction X: Diseases of the respiratory system 2 14.29
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 7.14
5 J13 Pneumonia due to Streptococcus pneumoniae X: Diseases of the respiratory system 1 7.14
6 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 1 7.14
7 R17 Unspecified jaundice XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 7.14
8 B189 Chronic viral hepatitis, unspecified I: Certain infectious and parasitic diseases 1 7.14
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 65.00
Coverage of households having access to sanitary latrines (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,083
Bed Occupancy Rates (%) 66.21
Average Length of Hospital Stay (No. of days per patient) 1.91
Hospital Death Rate (%) 0.22


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 317

 

Laksham 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 15 3 3 14.29
Non Doctor 0 0 0 0 0.00
Class II 16 1 13 2 12.50
Class III 64 33 9 22 34.38
Class IV 22 9 3 10 45.45
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 3 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 0 0 1 100.00
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 25 7 8 10 40.00
Class IV 0 0 0 0 0.00

 

Laksham 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 26 19 4 3 11.54
Non Doctor 0 0 0 0 0.00
Class II 16 1 13 2 12.50
Class III 95 43 19 33 34.74
Class IV 23 9 3 11 47.83
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

 

Laksham 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 5 5 21 18 0 0 3 2 0
Nurse 0 0 0 0 17 16 0 0 4 3 0
Medical Assistant 0 0 5 5 2 2 0 0 7 0 0
Medical Technologist 0 0 1 0 10 7 0 0 0 0 0
CHCP 25 15 0 0 0 0 0 0 15 0 3
HI 0 0 0 0 2 0 0 0 0 0 0
AHI 0 0 0 0 6 4 0 0 0 0 0
HA 0 0 0 0 28 20 0 0 0 0 5

Laksham 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 0 0 1 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 2 2 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 0 0 0 0 0
Portable OT Light 5 5 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 3 2 0 1 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 7 4 3 0 0


Laksham 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 6 2 0 4 0
Pulse oximeter 4 3 0 1 0
Dental equipment
Dental unit 2 1 0 1 0


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


Laksham 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 1 1 0 0 0
Refrigerator 2 1 1 0 0
Vehicles
Ambulance 2 1 0 1 0


Laksham 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) 5 4 0 0 1
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 7 5 1 1 0
Laptop 21 18 3 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 1 1 0 0 0
UPS 6 6 0 0 0
Fax 0 0 0 0 0
Intercom 5 0 0 5 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Laksham 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 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 107 76 10 18 3

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

Important information and necessary issues for Laksham Upazila Health Complex
.As I mentioned earlier this Health Complex was established in 1965 as 10 bedded Rural Health Centre. Later on in 1975 upgraded to 31 bedded Health complex. Considering , increasing population and local health demand this health complex now should be upgraded to 50 bedded on 26.02.2008. 2.There are very shortage of rooms or spaces for separate IMCI corner, ORT corner, DOTS corner, Nutrition corner, NCD corner, Dental unit and store, doctors rooms, doctor`s rest room, reception counter etc. More Health Complex & field staffs like S.S.N,Pharmacist,Cardiographar, Compunder,Physio Therapist,MT(Lab),HA,MLSS,Wardboy,OT BOY.LAB Attedndent, Emagency Attendent,Sweeper and are needed. 3. Laksam union health sub centre established on 1839 AD. Now it is functioning regularly. But its infrastructure is tin shaded. So it needed a Modern building structure immediately. Other two HEALTH & FAMILY WELFARE CENTRE in Laksam east &Mudaforgonj union constructed by Netherland Govt.But till now this two centres are not absorbed in Revenue. 4. This health bulletin will be much helpful for local level planning and future improvement of health services of Laksam specially.