Parsuram Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Local Health bulletin 2015of Parshuram Upazila. This health bulletin contains all the health related informations of 2014. The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets.Finally I would like to congratulate the initiator of the health bulletin software for setting us one and step ahead toward digital Bangladesh.
Parsuram Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Parsuram
Organization Code
10000961
Name of UHFPO Dr. Md. Nurul Alam.
Land Phone No. 1
03324-056018
Land Phone No. 2 03324-56083
FAX No.
Mobile No.
01711346116
Email parshuram@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0000 And
Long:
91.0000
No. of Unions in the Upazila 4
No. of Households in the Upazila 19,918
Population in the Upazila 112,717
Area of Upazila in sq km 95.75
Parsuram 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)
1
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
2
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
12
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
2
0
Parsuram Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,692
Under 5 Mortality Rate: 49.034 (Per 1,000 live births)
Infant Mortality Rate: 32.318 (Per 1,000 live births)
Neonatal Mortality Rate: 15.602 (Per 1,000 live births)
Still Birth Rate: 8.544 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 19,049
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%
Parsuram 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:
4
Total No. of Recipients Who Took at least one ANC:
2,646
Total Number of Deliveries:
2,706
Valid TT Coverage: 19.00 %
Maternal Mortality Ratio (MMR) is:
148.59 per 100,000 live births.
Parsuram 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
15,974
22,378
38,352
7,837
7,746
15,583
53,935
770
221
991
50
26
76
1,067
Union Sub-Centres
1,237
1,279
2,516
59
54
113
2,629
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
2,174
2,121
4,295
297
365
662
4,957
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
29,957
48,593
78,550
3,788
4,490
8,278
86,828
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
Parsuram 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
1,246
3,815
5,061
259
787
1,046
6,107
7
10
17
1
1
2
19
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
Parsuram 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
6,107
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A085 Other specified intestinal infections
I: Certain infectious and parasitic diseases
848
13.89
2
O663 Obstructed labour due to other abnormalities of fetus
XV: Pregnancy, childbirth and the puerperium
698
11.43
3
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
398
6.52
4
Y099 Assault by unspecified means, unspecified place
XX: External causes of morbidity and mortality
345
5.65
5
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
239
3.91
6
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
64
1.05
7
V105 Pedal cyclist injured in collision with pedestrian or animal, passenger, traffic accident
XX: External causes of morbidity and mortality
48
0.79
8
J459 Asthma, unspecified
X: Diseases of the respiratory system
29
0.47
9
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
26
0.43
10
B99 Other and unspecified infectious diseases
I: Certain infectious and parasitic diseases
25
0.41
Parsuram 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
19
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
2
10.53
2
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
2
10.53
3
I219 Acute myocardial infarction, unspecified
X: Diseases of the respiratory system
1
5.26
4
R579 Shock, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
5.26
5
R101 Pain localized to upper abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
5.26
6
J180 Bronchopneumonia, unspecified
X: Diseases of the respiratory system
1
5.26
7
C910 Acute lymphoblastic leukaemia
II: Neoplasms
1
5.26
8
D509 Iron deficiency anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1
5.26
9
J178 Pneumonia in other diseases classified elsewhere
X: Diseases of the respiratory system
1
5.26
10
T212 Burn of second degree of trunk
XIX: Injury, poisoning and certain other consequences of external causes
1
5.26
Parsuram Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
89.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
15,256
Bed Occupancy Rates (%)
83.59
Average Length of Hospital Stay (No. of days per patient)
2.48
Hospital Death Rate (%)
3.11
Parsuram Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
8
Minor Surgeries
11
Parsuram 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
8
4
9
42.86
Non Doctor
0
0
0
0
0.00
Class II
17
0
8
9
52.94
Class III
46
29
1
16
34.78
Class IV
21
9
3
9
42.86
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
4
2
0
2
50.00
Class IV
1
0
0
1
100.00
Rural Dispensaries
Class I
Doctor
1
0
0
1
100.00
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
1
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
12
7
5
0
0.00
Class IV
0
0
0
0
0.00
Parsuram 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
25
9
5
11
44.00
Non Doctor
0
0
0
0
0.00
Class II
17
0
8
9
52.94
Class III
64
39
6
19
29.69
Class IV
23
10
3
10
43.48
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
Parsuram 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
4
2
21
12
0
0
1
0
0
Nurse
0
0
0
0
17
8
0
0
0
2
0
Medical Assistant
0
0
4
3
2
2
0
0
3
0
0
Medical Technologist
0
0
2
0
10
5
0
0
0
0
0
CHCP
12
12
0
0
0
0
0
0
0
0
8
HI
0
0
0
0
1
1
0
0
0
0
8
AHI
0
0
0
0
3
3
0
0
0
0
0
HA
0
0
0
0
14
11
0
0
0
0
0
Parsuram 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
0
1
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
3
3
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
1
0
1
0
0
Portable OT Light
3
1
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
6
2
1
3
0
Sucker machine (electric)
11
9
2
0
0
Ventilator
2
0
2
0
0
Parsuram 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
2
1
0
0
1
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
14
12
2
0
0
Pulse oximeter
3
1
0
2
0
Dental equipment
Dental unit
1
0
1
0
0
Parsuram 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
2
0
0
0
Colorimeter
4
3
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
2
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Parsuram 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
2
2
0
0
0
Blood bank refrigerator
2
2
0
0
0
Refrigerator
3
2
1
0
0
Vehicles
Ambulance
2
1
0
1
0
Parsuram 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
1
2
0
0
Generator
Generator (diesel/petrol)
2
0
1
1
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
6
1
0
0
Laptop
16
16
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
1
1
0
2
Scanner
0
0
0
0
0
UPS
8
6
0
2
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
Parsuram 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
1
1
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
117
86
19
9
3
Parsuram Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Parsuram Upazila Health Complex
Last year (2014),for the major time of the year, we were in shortage of doctor.In August ,2014 some newly appointed doctors of 33rd BCS batch joined . As a result ,lack of physician has been removed mostly. On the other hand, due to shortage of sweeper , it is very difficult to keep the cleanliness of the hospital. Here it is remarkable that only one post of sweeper is filled up out of 5 sanctioned post . These posts (5) were sanctioned against 31 bed . No post of sweeper has been created newly after the improvement of the number of bed from 31 to 50 . We hope that the proper higher authority will kindly provide requisite number of sweepers this year. As ours is an EmOC hospital, the vacant posts of Jr. Consultant (anesthesia ), MO /Anesthetist and EmOC trained MO should be filled up on urgent /emergency basis . For this EmOC hospital we need an ultrasonography (USG) machine for pregnant mothers. Beside this we need a photocopy machine for paper work. We hope that the higher authority will be kind enough to take initiative in this regard. At present we have only one functioning ambulance. So we need minimum one more ambulance.
