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Mohakhali, Dhaka-1212

Senbag Upazila Health Complex | Health Bulletin 2015 |
Preface
senbag upazila Health complex is a 50 bedded hospital . which is situated inthe centre of senbag of noakhali . It is 4 K.m away from Feni noakhali High way which takes 10 minutes to reach by motor vehicle . It was established in 1982 as 31 bedded hospital and converted to 50 bedded in 08/02/04 .The land area of this hospital is 6.15 aqres .It is the hospital to provide primary health care service to 280610 people of senbag upazilla .The two storied building of this hospital includes emergency department indoor dept, out door dept, administrative block X-ray Room, pathology lab, E.p.I SectionIMCI corner etc. It has got an OT complex which can be an equipped one if feu other machinaries (OT Light , OT TAble) are provided family welfare dept. Is also providing there services from the hospital .The mini OT is being used by them two perform permanent contraceptive procedures .Emergency Dept. is open round the block where emergency medicare services are given by a team headed by a medical officer . X-ray &ECG facilities are abailable here and base line investigations like cine ESR, RBS, CVC. S.bilirubin, widal, HBSAG,urine . are being performed in the pathological lab .One can enjoy the service by paing miniual charge fixed by govt .In the out patient dept. around 150 -200 patient visiet daily during office hour .Most of the durgs for primary care are available . In patient dpt. 48 non paing bed`s for patient and 3 paiyng cabine are available . Safe delivery service Recently IMCI corner is establised to provide IMICI(INtegrated management of childhood illness ) In EPI section cold chain system is being maintained for presering vaccines from here ,vaccines are being supplied to 216 outreach center`s . Afixed site is also run by in the health complex. This centers , children &mother`s are given vaccines against 10 vaccine preventable disease (polio,T.B, Dpiptheria, whooping cough, Teatanus,Measles,Hepatitis-B, & inpluenza B . Rubella, pnumonia With the complex,
DR. MD. ABU TAHER
UH&FPO
Senbag Upazila Health Complex

Senbag Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Senbag
Organization Code 10001056
Name of UHFPO DR. MD. ABU TAHER
Land Phone No. 1 -0322556011
Land Phone No. 2
FAX No.
Mobile No. 01711780915
Email senbag@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 88.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 48,064
Population in the Upazila 297,937
Area of Upazila in sq km 258.00

Senbag 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 2 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 2 0
No. of Community Clinics 28 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 7 10
No. of NGO Clinics/Facilities 0 0

Senbag Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,122


Under 5 Mortality Rate: 1.601 (Per 1,000 live births)
Infant Mortality Rate: 0.616 (Per 1,000 live births)
Neonatal Mortality Rate: 0.739 (Per 1,000 live births)
Still Birth Rate: 0.246 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 18,520
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 98%

Senbag 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: 2
Total No. of Recipients Who Took at least one ANC: 6,566
Total Number of Deliveries: 10,579
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR) is: 24.62 per 100,000 live births.

Senbag 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 10,595 14,148 24,743 6,520 5,132 11,652 36,395 1,520 1,060 2,580 550 400 950 3,530
Union Sub-Centres 8,608 7,353 15,961 2,020 1,585 3,605 19,566 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) 7,419 28,164 35583 8,930 5,309 14,239 49,822 0 0 0 0 0 0 14,239
Community Clinics 80,220 65,250 145,470 17,714 10,000 27,714 173,184 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) 280 1,387 1,667 1,820 744 2,564 4,231 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 890 2,050 2,940 2,050 1,692 3,742 6,682 290 870 1,160 200 120 320 1,480
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Senbag 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 1,220 1,530 2,750 1,330 852 2,182 4,932 3 2 5 7 6 13 18
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 8,220 7,950 16,170 6,665 3,220 9,885 26,055 0 2 2 0 0 0 2
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Senbag 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 4,932
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1220 24.74
2 Y04 Assault by bodily force XX: External causes of morbidity and mortality 890 18.05
3 E90 Nutritional and metabolic disorders in diseases classified elsewhere IV: Endocrine, nutritional and metabolic diseases 750 15.21
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 620 12.57
5 V87 Traffic accident of specified type but victim's mode of transport unknown XX: External causes of morbidity and mortality 250 5.07
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 150 3.04
7 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 120 2.43
8 I11 Hypertensive heart disease IX: Diseases of the circulatory system 95 1.93
9 J45 Asthma X: Diseases of the respiratory system 85 1.72
10 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 70 1.42

Senbag 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 7
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P23 Congenital pneumonia XVI: Certain conditions originating in the perinatal period 4 57.14
2 I50 Heart failure IX: Diseases of the circulatory system 2 28.57
3 J960 Acute respiratory failure XVI: Certain conditions originating in the perinatal period 1 14.29
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,870
Bed Occupancy Rates (%) 54.08
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 0.14


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 470

 

Senbag 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 12 2 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 15 0 7 8 53.33
Class III 86 54 13 19 22.09
Class IV 21 7 3 11 52.38
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 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 2 0 0 0.00
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 2 2 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 29 18 9 2 6.90
Class IV 0 0 0 0 0.00

 

Senbag 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 30 18 6 6 20.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 7 8 53.33
Class III 124 80 22 22 17.74
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

 

Senbag 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 21 16 0 0 2 0 0
Nurse 0 0 0 0 15 7 0 0 0 3 0
Medical Assistant 0 0 9 9 2 2 0 0 11 0 0
Medical Technologist 0 0 0 0 7 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 3 0 0 0
AHI 0 0 0 0 0 0 9 8 0 0 0
HA 0 0 0 0 0 0 45 42 0 0 10

Senbag 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 1 1 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 1 1 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Senbag 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Senbag 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 1 1 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


Senbag 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 0 0 1 0


Senbag 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) 1 1 0 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) 9 7 0 2 0
Laptop 5 3 0 2 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 9 7 0 2 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 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Senbag 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 49 40 2 7 0

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

Important information and necessary issues for Senbag Upazila Health Complex