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Moheshkhali Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Moheshkhali Upazila. This bulletin contains all the health related information of 2015. This bulletin is published to disseminate the information of Moheshkhali Upazila to other line department& Development partners of health. I hope all the Information of this bulletin will help for planning & bridging the gaps in health services of this Upazila.Government health office has many data stored in the file. This health bulletin will help us to find constrains & also to see the results & achievements of 2014. The bulletin contains the status of MDG4 & MDG5 which will help to localize the MDG targets.this health bulletin has also the information on safe drinking water & sanitation status of the upazila.All the sanctioned & vacant posts are published in this bulletin of 2014.I like to take attention of the higher authority to look into to this issue.finally. I would like to congratulate the initiator of the health bulletin Software for setting us one step ahead toward Digital Bangladesh. Dr. Suchunta Choudhury UH&FPO Moheshkhali Upazila Health Complex
Dr. Suchinta Choudhury
UH&FPO
Moheshkhali Upazila Health Complex

Moheshkhali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Moheshkhali
Organization Code 10000926
Name of UHFPO Dr. Suchinta Choudhury
Land Phone No. 1 03424-0342474261
Land Phone No. 2
FAX No.
Mobile No. 01711327833
Email moheshkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: N/A
No. of Unions in the Upazila9
No. of Households in the Upazila 52,128
Population in the Upazila 338,755
Area of Upazila in sq km 388.50

Moheshkhali 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 6 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) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 0 0

Moheshkhali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,834


Under 5 Mortality Rate: 43.217 (Per 1,000 live births)
Infant Mortality Rate: 28.473 (Per 1,000 live births)
Neonatal Mortality Rate: 19.219 (Per 1,000 live births)
Still Birth Rate: 22.981 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 18,920
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 98%

Moheshkhali 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: 18
Total No. of Recipients Who Took at least one ANC: 9,224
Total Number of Deliveries: 10,038
Valid TT Coverage: 83.00 %
Maternal Mortality Ratio (MMR) is: 183.04 per 100,000 live births.

Moheshkhali 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 20,204 24,128 44,332 6,802 7,975 14,777 59,109 1,207 1,070 2,277 376 424 800 3,077
Union Sub-Centres 3,402 7,794 11,196 1,602 2,130 3,732 14,928 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) 12,708 16,883 29591 4,703 5,160 9,863 39,454 0 0 0 0 0 0 9,863
Community Clinics 55,402 86,130 141,532 21,705 22,138 43,843 185,375 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) 12,708 16,883 29,591 4,703 5,160 9,863 39,454 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

Moheshkhali 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 9,010 9,245 18,255 4,506 5,323 9,829 28,084 7 7 14 7 4 11 25
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

Moheshkhali 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 20,699
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 3746 18.10
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2252 10.88
3 J45 Asthma X: Diseases of the respiratory system 878 4.24
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 624 3.01
5 A92 Other mosquito-borne viral fevers I: Certain infectious and parasitic diseases 609 2.94
6 Y04 Assault by bodily force XX: External causes of morbidity and mortality 505 2.44
7 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 396 1.91
8 N39 Other disorders of urinary system XIV: Diseases of the genitourinary system 150 0.72
9 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 141 0.68
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 104 0.50

Moheshkhali 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 25
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 5 20.00
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 4 16.00
3 A01 Typhoid and paratyphoid fevers X: Diseases of the respiratory system 3 12.00
4 J45 Asthma X: Diseases of the respiratory system 3 12.00
5 O72 Postpartum haemorrhage XV: Pregnancy, childbirth and the puerperium 3 12.00
6 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 2 8.00
7 K29 Gastritis and duodenitis XI: Diseases of the digestive system 2 8.00
8 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 1 4.00
9 K52 Other noninfective gastroenteritis and colitis XI: Diseases of the digestive system 1 4.00
10 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 4.00

Moheshkhali 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 (%) 70.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 19,902
Bed Occupancy Rates (%) 109.05
Average Length of Hospital Stay (No. of days per patient) 0.96
Hospital Death Rate (%) 0.12


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 480

 

Moheshkhali 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 10 1 10 47.62
Non Doctor 0 0 0 0 0.00
Class II 14 1 2 11 78.57
Class III 134 78 15 41 30.60
Class IV 23 6 4 13 56.52
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 5 1 1 14.29
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 1 1 0 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 29 10 17 2 6.90
Class IV 0 0 0 0 0.00

 

Moheshkhali 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 29 16 2 11 37.93
Non Doctor 0 0 0 0 0.00
Class II 14 1 2 11 78.57
Class III 134 78 32 24 17.91
Class IV 23 6 4 13 56.52
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

 

Moheshkhali 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 8 7 21 11 0 0 3 0 0
Nurse 0 0 0 0 14 3 0 0 1 1 0
Medical Assistant 0 0 8 2 2 2 0 0 2 0 0
Medical Technologist 0 0 0 0 11 2 0 0 0 0 0
CHCP 29 27 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 3 1 0 0 0
AHI 0 0 0 0 0 0 11 11 0 0 0
HA 0 0 0 0 0 0 55 35 0 0 15

Moheshkhali 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) 0 0 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 0 0 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 0 0 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 0 0 1
Sterilizer 0 0 0 0 0
Sucker machine (electric) 4 1 0 1 2
Ventilator 0 0 0 0 0


Moheshkhali 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 8 5 1 0 2
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Moheshkhali 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 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 2 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Moheshkhali 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 0 0 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Moheshkhali 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 3 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 4 4 0 0 0
ICT equipment
Computer (desktop) 0 0 0 0 0
Laptop 3 3 0 0 0
Printer (dot matrix) 2 2 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 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


Moheshkhali 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 51 41 4 1 5

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

Important information and necessary issues for Moheshkhali Upazila Health Complex
Last year we could not give maximum efforts to improve the health status for many reasons here. I like to mention some important factor which with help us to achieve good result in future. 1) The vacant post should be filled immediately. 2) Our doctor & Nurse need more training on IMCI. 3) No. of Community Clinic should be increase 4) All repairable equipment should be repair as soon as possible. Finally i am very happy to write this Health Bulletin of 2015. Because this document will help us to compare our progress in up coming years. This is very useful document & will help the public to under stand Health services & to provide us the useful advice for improvement in future.