Feedback
HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Fulgazi Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Fulgazi Upazila. This bulletin contains all the health related information of 2014. It is published to disseminate the information of Fulgazi upazila to other line department and development partners of health. It has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant post are published in this bulletin . It will help us to find constraints and to see the results and achievements of 2014 . I hope all the information of this bulletin will help us for planning and bridging the gaps in health service of this upazila.
Dr Md Nasir Uddin
UH&FPO
Fulgazi Upazila Health Complex

Fulgazi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Fulgazi
Organization Code 10000960
Name of UHFPO Dr Md Nasir Uddin
Land Phone No. 1 -0332677089
Land Phone No. 2
FAX No.
Mobile No. 01720232033
Email fulgazi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.1056 And Long: 91.4322
No. of Unions in the Upazila6
No. of Households in the Upazila 21,485
Population in the Upazila 139,880
Area of Upazila in sq km 101.25

Fulgazi 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) 4 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 13 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

Fulgazi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,403


Under 5 Mortality Rate: 31.443 (Per 1,000 live births)
Infant Mortality Rate: 17.044 (Per 1,000 live births)
Neonatal Mortality Rate: 8.816 (Per 1,000 live births)
Still Birth Rate: 0.588 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 1,920
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months):

Fulgazi 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: 1,430
Total Number of Deliveries: 3,403
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Fulgazi 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 18,914 27,320 46,234 4,124 6,186 10,310 56,544 1,820 2,133 3,953 280 330 610 4,563
Union Sub-Centres 8,172 12,313 20,485 816 1,224 2,040 22,525 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 22,976 39,626 62,602 12,972 19,456 32,428 95,030 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 32,340 45,852 78,192 5,429 8,143 13,572 91,764 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

Fulgazi 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 1,080 2,863 3,943 227 0 227 4,170 6 2 8 0 0 0 8
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

Fulgazi 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 4,988
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 1409 28.25
2 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 892 17.88
3 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 605 12.13
4 J14 Pneumonia due to Haemophilus influenzae X: Diseases of the respiratory system 581 11.65
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 320 6.42
6 J21 Acute bronchiolitis X: Diseases of the respiratory system 307 6.15
7 I270 Primary pulmonary hypertension IX: Diseases of the circulatory system 305 6.11
8 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 204 4.09
9 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 232 4.65
10 J45 Asthma X: Diseases of the respiratory system 196 3.93

Fulgazi 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 6
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 4 66.67
2 N17 Acute renal failure XIV: Diseases of the genitourinary system 2 33.33
3 X: Diseases of the respiratory system 0 0.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 89.00
Coverage of households having access to sanitary latrines (%) 82.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,314
Bed Occupancy Rates (%) 82.32
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 0.15


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 207

 

Fulgazi 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 2 5 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 5 0 4 1 20.00
Class III 11 8 0 3 27.27
Class IV 16 7 4 5 31.25
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 1 1 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 1 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 0 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 1 4 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 16 5 9 2 12.50
Class IV 0 0 0 0 0.00

 

Fulgazi 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 15 4 9 2 13.33
Non Doctor 0 0 0 0 0.00
Class II 5 0 4 1 20.00
Class III 47 27 8 12 25.53
Class IV 18 7 4 7 38.89
Other Hospitals & Clinics
Class I Doctor 0 3 1 -4 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

 

Fulgazi 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 6 5 9 7 0 0 0 0 0
Nurse 0 0 0 0 5 4 0 0 0 0 0
Medical Assistant 0 0 6 6 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 4 3 0 0 0 0 0
CHCP 16 14 0 0 0 0 0 0 0 0 1
HI 0 0 0 0 1 1 0 0 0 0 1
AHI 0 0 0 0 4 4 0 0 0 0 0
HA 0 0 0 0 20 9 0 0 0 0 0

Fulgazi 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) 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 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 0 0 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 2 2 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Fulgazi 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 4 4 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Fulgazi 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 2 2 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Fulgazi 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 0 0 0 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 6 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 5 5 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 1 1 0 0 0
Scanner 0 0 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


Fulgazi 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 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 43 41 1 1 0

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

Important information and necessary issues for Fulgazi Upazila Health Complex
Here i like mention some important factors which will help us to achieve good result in future . The vacant post should be filled immediately. Our doctors and nurses need more training on IMCI & Nutrition . Number of community clinic and bed capacity of the health complex should be increased. I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming year. This is very useful document and will help the population to understand health services and to provide us useful services for improvement in future. I wish all the success and prosperity of health services of fulgazi upazilla in this informative and digitalized era.