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Adamdighi Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of upazila. HPNSDP 2011-2016 of Ministry of Health & Family welfare has taken initiative to publish data base bulletin of each institution of health sector. This is the 4th initiative. First health bulletin was published in 2012. In this bulletin, all the data are based on different reports of this Health Complex. It will help to disseminate health related activities of this UHC among the local people. This health bulletin will help us to find constrains also to see the results and achievements of 2014. This bulletin contains the status of MDG 4 and MDG 5 which will help us to localize MDG target. This bulletin has also the information on safe drinking water and sanitation status of this upazila. All the sanctioned and vacant posts are published in this bulletin. I like to take attention to higher authority to look into this issue. Finally I like thank all the concern persons who help me to publish this bulletin.
Dr. Manzur Ahmed
UH&FPO
Adamdighi Upazila Health Complex

Adamdighi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Adamdighi
Organization Code 10001095
Name of UHFPO Dr. Manzur Ahmed
Land Phone No. 1 0741-069226
Land Phone No. 2
FAX No.
Mobile No. 01718506669
Email adamdighi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.8224 And Long: 89.0442
No. of Unions in the Upazila7
No. of Households in the Upazila 47,267
Population in the Upazila 208,680
Area of Upazila in sq km 169.00

Adamdighi 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 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 5 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 1 0
No. of Community Clinics 22 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 5 50
No. of NGO Clinics/Facilities 0 0

Adamdighi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,369


Under 5 Mortality Rate: 23.152 (Per 1,000 live births)
Infant Mortality Rate: 20.184 (Per 1,000 live births)
Neonatal Mortality Rate: 16.622 (Per 1,000 live births)
Still Birth Rate: 2.078 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 9,883
Fully Vaccinated Children (<= 12 months): 88.00 %
Fully Vaccinated Children (<= 23 months): 82%

Adamdighi 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: 7
Total No. of Recipients Who Took at least one ANC: 1,669
Total Number of Deliveries: 3,376
Valid TT Coverage: 36.00 %
Maternal Mortality Ratio (MMR) is: 207.78 per 100,000 live births.

Adamdighi 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 23,079 36,771 59,850 4,730 5,400 10,130 69,980 3,809 3,480 7,289 713 443 1,156 8,445
Union Sub-Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 27,717 44,122 71,839 980 1,369 2,349 74,188 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 65,609 145,710 211,319 12,524 14,764 27,288 238,607 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

Adamdighi 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 1,606 2,199 3,805 347 224 571 4,376 11 4 15 0 0 0 15
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

Adamdighi 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 4,376
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 1185 27.08
2 Y099 Assault by unspecified means, unspecified place XX: External causes of morbidity and mortality 579 13.23
3 J11 Influenza, virus not identified X: Diseases of the respiratory system 203 4.64
4 X689 Intentional self-poisoning by and exposure to pesticides, unspecified place XX: External causes of morbidity and mortality 125 2.86
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 106 2.42
6 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 83 1.90
7 J459 Asthma, unspecified X: Diseases of the respiratory system 79 1.81
8 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 18 0.41
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 0.05
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 2 0.05

Adamdighi 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 15
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J459 Asthma, unspecified X: Diseases of the respiratory system 4 26.67
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 4 26.67
3 I509 Heart failure, unspecified X: Diseases of the respiratory system 2 13.33
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 2 13.33
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 6.67
6 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1 6.67
7 Z513 Blood transfusion without reported diagnosis XXI: External causes of morbidity and mortality 1 6.67
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85.00
Coverage of households having access to sanitary latrines (%) 72.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,206
Bed Occupancy Rates (%) 55.92
Average Length of Hospital Stay (No. of days per patient) 2.33
Hospital Death Rate (%) 0.34


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 255

 

Adamdighi 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 11 4 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 16 0 11 5 31.25
Class III 28 25 0 3 10.71
Class IV 22 9 1 12 54.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 2 2 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 9 1 0 0.00
Class IV 5 0 0 5 100.00
Rural Dispensaries
Class I Doctor 2 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
Class IV 0 0 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 22 13 9 0 0.00
Class IV 0 0 0 0 0.00

 

Adamdighi 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 34 15 6 13 38.24
Non Doctor 0 0 0 0 0.00
Class II 21 0 12 9 42.86
Class III 109 75 22 12 11.01
Class IV 30 11 2 17 56.67
Other Hospitals & Clinics
Class I Doctor 6 1 0 5 83.33
Non Doctor 0 0 0 0 0.00
Class II 5 0 1 4 80.00
Class III 4 2 0 2 50.00
Class IV 3 2 1 0 0.00

 

Adamdighi 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 7 5 21 15 0 0 0 0 0
Nurse 0 0 0 0 15 10 0 0 2 0 0
Medical Assistant 0 0 7 7 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 8 8 0 0 0 0 0
CHCP 22 22 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 2 0 0 0
AHI 0 0 0 0 0 0 7 7 0 0 0
HA 0 0 0 0 0 0 34 27 0 0 0

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


Adamdighi 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 0 0 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Adamdighi 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) 2 2 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Adamdighi 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


Adamdighi 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) 1 1 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) 7 7 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 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


Adamdighi 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 43 41 2 0 0

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

Important information and necessary issues for Adamdighi Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future :- 1) Out of of 34 sanctioned posts of doctors, 13 are vacant. We are facing many difficulties due to shortage of doctors, particularly most of the posts oc consultant are vacant.. 2) Out of 5 posts of sweepers, 4 are vacant for many years. Due to the acute shortage of sweepers we are facing many difficulties to keep cleanliness of the hospital and its premises. 3) Out of 2 posts of Cook/mosalchee all are vacant. 4) Out of 2 posts of night-guard both are vacant. All the vacant post is to be full-filed immediately. Our doctors and other concern staffs needs more training. Our Ambulance and electric generators are very old, new supply are urgently needed. I am very happy to publish the health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help public to understand health service and to provide us the useful advice for improvement in future.