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Fulbari Upazila Health Complex | Health Bulletin 2015 |
Preface
It is my great pleasure to publish this health bulletin of Fulbari Upazila Health Complex, Dinajpur. This bulletin contains almost all the health related information and data of 2014. This bulletin is published to share the information and health statistics of Fulbari Upazila to other department and development partners of health and the health researchers.I hope all the information and data published in this bulletin will help the policy makers as well as the top level managers of health sector in preparation of action plan, thereby bridging the gaps in the health services of this upazila.The authority has many datas stored in their files but this health bulletin will help us to find the constrains and to see the achievement and failures of 2014. This bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets. We also provided the information about safe drinking water and sanitation status of this upazila through this bulletin. All the sanctioned and vacant posts are published in this bulletin. I like to draw the attention of the higher authority concerned and request them to go through the problem and take necessary action earliest possible to solve it. Otherwise it will be very difficult to run this hospital and to meet up the MDG goals. I like to thank my colleagues and staffs who have helped me a lot in publishing this health bulletin. This bulletin has been published under an experimental project. Due to lack of our statistical knowledge and skill this health bulletin may show incorrect information and data. Please consider such limitation while interpreting the information and data. Finally I like to congratulate the initiator of this health bulletin software for setting us one step ahead towards digital Bangladesh, the dream of Honorable Prime Minister of Bangladesh, Her Excellency Sheikh Hasina.
Dr. Md. Fazlur Rahman
UH&FPO
Fulbari Upazila Health Complex

Fulbari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Fulbari
Organization Code 10001220
Name of UHFPO Dr. Md. Fazlur Rahman
Land Phone No. 1 -0532756333
Land Phone No. 2
FAX No.
Mobile No. 01712226233
Email phulbari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.3007 And Long: 88.5654
No. of Unions in the Upazila7
No. of Households in the Upazila 40,809
Population in the Upazila 172,425
Area of Upazila in sq km 224.39

Fulbari 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 2 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 25 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 1 10
No. of NGO Clinics/Facilities 0 0

Fulbari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,182


Under 5 Mortality Rate: 23.373 (Per 1,000 live births)
Infant Mortality Rate: 19.707 (Per 1,000 live births)
Neonatal Mortality Rate: 13.749 (Per 1,000 live births)
Still Birth Rate: 3.666 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,119
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 91%

Fulbari 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: 6
Total No. of Recipients Who Took at least one ANC: 1,616
Total Number of Deliveries: 2,190
Valid TT Coverage: 76.00 %
Maternal Mortality Ratio (MMR) is: 274.98 per 100,000 live births.

Fulbari 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 35,254 40,084 75,338 3,235 3,450 6,685 82,023 3,750 4,218 7,968 635 419 1,054 9,022
Union Sub-Centres 16,496 16,623 33,119 430 386 816 33,935 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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 73,329 135,400 208,729 9,756 11,615 21,371 230,100 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 2,385 3,683 6,068 114 159 273 6,341 364 766 1,130 45 93 138 1,268
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Fulbari 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 2,475 3,521 5,996 563 362 925 6,921 10 7 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 182 1,020 1,202 14 35 49 1,251 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Fulbari 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 6,921
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 1690 24.42
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 615 8.89
3 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 574 8.29
4 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 194 2.80
5 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 179 2.59
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 173 2.50
7 O060 Unspecified abortion, incomplete, complicated by genital tract and pelvic infection XV: Pregnancy, childbirth and the puerperium 120 1.73
8 J189 Pneumonia, unspecified X: Diseases of the respiratory system 120 1.73
9 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 112 1.62
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 88 1.27

Fulbari 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 J189 Pneumonia, unspecified X: Diseases of the respiratory system 3 15.79
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 2 10.53
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin X: Diseases of the respiratory system 1 5.26
4 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1 5.26
5 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 1 5.26
6 T240 Burn of unspecified degree of hip and lower limb, except ankle and foot XIX: Injury, poisoning and certain other consequences of external causes 1 5.26
7 D539 Nutritional anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 5.26
8 C23 Malignant neoplasm of gallbladder II: Neoplasms 1 5.26
9 E44 Protein-energy malnutrition of moderate and mild degree IV: Endocrine, nutritional and metabolic diseases 1 5.26
10 S069 Intracranial injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1 5.26

Fulbari 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 (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,482
Bed Occupancy Rates (%) 101.48
Average Length of Hospital Stay (No. of days per patient) 1.66
Hospital Death Rate (%) 0.27


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 112

 

Fulbari 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 10 2 1 7 70.00
Non Doctor 0 0 0 0 0.00
Class II 14 1 12 1 7.14
Class III 54 30 13 11 20.37
Class IV 19 12 6 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 2 1 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 0 1 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 1 0 0.00
Class IV 2 1 0 1 50.00
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 25 10 13 2 8.00
Class IV 0 0 0 0 0.00

 

Fulbari 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 16 4 3 9 56.25
Non Doctor 0 0 0 0 0.00
Class II 14 1 12 1 7.14
Class III 87 46 29 12 13.79
Class IV 21 12 6 3 14.29
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

 

Fulbari 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 4 10 3 0 0 0 0 0
Nurse 0 0 0 0 14 13 0 0 7 3 0
Medical Assistant 0 0 6 6 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 25 23 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0 0
HA 0 0 0 0 25 18 0 0 0 0 2

Fulbari 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) 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 1 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 0 1 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 1 1 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 2 1 1 0 0
Sucker machine (electric) 8 4 4 0 0
Ventilator 0 0 0 0 0


Fulbari 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 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 2 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 0 1 0


Fulbari 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) 4 2 1 1 0
Colorimeter 4 2 1 1 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 8 4 2 1 1
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Fulbari 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 10 5 5 0 0
Vehicles
Ambulance 2 1 1 0 0


Fulbari 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) 2 1 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) 18 9 9 0 0
Laptop 54 27 27 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 12 6 3 3 0
Printer (laser) 16 8 5 3 0
Scanner 2 1 1 0 0
UPS 6 3 3 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 6 3 3 0 0
Multimedia 2 1 1 0 0


Fulbari 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 2 1 1 0 0
Mobile phone 2 1 1 0 0
Total 176 89 75 11 1

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

Important information and necessary issues for Fulbari Upazila Health Complex