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Titas Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very happy to publish this health bulletin of Titas upazila health department. This bulletin contains all the informations of 2013, related to health. This bulletin is being published to disseminate the informations regarding health, to other line departments and development partners of health. I hope all the informations in this bulletin will help for planning and implementation of the lackings in health service of this upazilla. Government health office has many data stored in the file.This health bulletin will help us to find the constrains and also to see the results and achievements of the year 2013.The bulletin contains the status of MDG- 4 and MDG-5 which will help us to localize the MDG targets.This health bulletin has also the other health related informations including the sanitation and safe drinking water supply status in this upazilla.The informations regarding delivering health services from the community clinics operating in this upzilla, is also come into view in this bulletin.All the sanctioned and vacant posts in 2013, in this upazilla are also published in this bulletin.I like to draw attention of the higher authority regarding this issue.Finally i like to thank all the concerned in publishing this bulletin and hoping that this publication will play a great role in improving the health status of this Upazilla in the coming days.
Dr. Md. Mafiz Uddin Ahmed
UH&FPO
Titas Upazila Health Complex

Titas Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Titas
Organization Code 10000914
Name of UHFPO Dr. Md. Mafiz Uddin Ahmed
Land Phone No. 1 -0803652099
Land Phone No. 2
FAX No.
Mobile No. 01711120504
Email titas@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5958 And Long: 90.7963
No. of Unions in the Upazila9
No. of Households in the Upazila 33,745
Population in the Upazila 201,766
Area of Upazila in sq km 107.19

Titas 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 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 6 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 19 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 4 40
No. of NGO Clinics/Facilities 0 0

Titas Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,684


Under 5 Mortality Rate: 8.143 (Per 1,000 live births)
Infant Mortality Rate: 4.343 (Per 1,000 live births)
Neonatal Mortality Rate: 2.443 (Per 1,000 live births)
Still Birth Rate: 1.357 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 20,325
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 98%

Titas 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: 1
Total No. of Recipients Who Took at least one ANC: 2,894
Total Number of Deliveries: 4,257
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR) is: 27.14 per 100,000 live births.

Titas 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 17,363 22,394 39,757 3,520 2,763 6,283 46,040 1,526 2,841 4,367 1,975 1,204 3,179 7,546
Union Sub-Centres 7,546 9,841 17,387 2,365 1,985 4,350 21,737 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 3,124 3,451 6,575 1,541 824 2,365 8,940 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 2,140 2,546 4686 1,201 658 1,859 6,545 0 0 0 0 0 0 1,859
Community Clinics 47,388 52,142 99,530 20,921 21,843 42,764 142,294 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 5,124 6,201 11,325 2,124 1,654 3,778 15,103 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Titas 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 1,245 1,123 2,368 725 0 725 3,093 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 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

Titas 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 3,093
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 487 15.75
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 310 10.02
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 243 7.86
4 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 199 6.43
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 176 5.69
6 B33 Other viral diseases, NEC I: Certain infectious and parasitic diseases 152 4.91
7 V03 Pedestrian injured in collision with car, pick-up truck or van XX: External causes of morbidity and mortality 121 3.91
8 R39 Other symptoms and signs involving the urinary system XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 96 3.10
9 K35 Acute appendicitis XI: Diseases of the digestive system 69 2.23
10 T29 Burns and corrosions of multiple body regions XIX: Injury, poisoning and certain other consequences of external causes 41 1.33

Titas 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 5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 N17 Acute renal failure XIV: Diseases of the genitourinary system 2 40.00
2 J45 Asthma X: Diseases of the respiratory system 1 20.00
3 S009 Superficial injury of head, part unspecified XIV: Diseases of the genitourinary system 2 40.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,187
Bed Occupancy Rates (%) 72.36
Average Length of Hospital Stay (No. of days per patient) 2.65
Hospital Death Rate (%) 0.16


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 712
Minor Surgeries 975

 

Titas 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 10 4 3 3 30.00
Non Doctor 0 0 0 0 0.00
Class II 9 1 2 6 66.67
Class III 53 28 13 12 22.64
Class IV 16 7 2 7 43.75
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 3 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 3 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 0 1 16.67
Class IV 3 3 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 23 10 9 4 17.39
Class IV 0 0 0 0 0.00

 

Titas 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 19 13 4 2 10.53
Non Doctor 0 0 0 0 0.00
Class II 9 1 2 6 66.67
Class III 79 47 23 9 11.39
Class IV 18 12 2 4 22.22
Other Hospitals & Clinics
Class I Doctor 4 2 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 4 1 3 0 0.00
Class III 9 3 4 2 22.22
Class IV 9 2 4 3 33.33

 

Titas 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 9 8 10 7 0 0 0 0 0
Nurse 0 0 0 0 9 3 0 0 0 0 0
Medical Assistant 0 0 9 9 1 1 0 0 0 0 0
Medical Technologist 0 0 0 0 4 3 0 0 0 0 0
CHCP 23 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 0 0 0 0 0 0
AHI 0 0 0 0 7 6 0 0 0 0 0
HA 0 0 0 0 32 23 0 0 0 0 0

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


Titas 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Titas 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 1 1 0 0 0


Titas 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) 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) 6 4 1 1 0
Laptop 2 1 0 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 1 1 0
Scanner 1 0 1 0 0
UPS 3 2 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Titas 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 39 22 14 3 0

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

Important information and necessary issues for Titas Upazila Health Complex
Last year we tried our best to improve the health status of this upazila with our limited man power and resourcs. But there were some limitations. Here I like to mention some important factors removing which, will help us to improve the health status of this upazila: 1) The vecant posts of Doctors, Nurse & other staffs should be filled up immediately. 2) Doctors, Nurses & other related staffs should be trained on IMCI & other sectors. 3) Number of community clinics should be increased & supply of madicins should be increased. 4) All the repairable equipments should be repaired/ replaced as soon as possible. 5) All the female health staffs should be trained on midwifery. 6) Madicine & other health related comodities supply in the health complex should be in creased. Finally I am very happy to publish this health bulletin 2015 of Titas upazila because this document will help us to intensify our efforts in progressing health status of this upazila in the up coming years. In my opinion this is a very useful document and wil help the public to understand health service and to provide us the useful advice for improvement in future.