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Hakimpur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Hakimpur Upazila. We have tried to provide all the health related information of 2014. Bulletin is published to disseminate the information of Hakimpur Upazila to other live department and development partners of health. I hope all the information of the bulletin will help for planning and bridging the gaps in health services of this upazila. Bulletin will help us to find constrains and also to see the results and achievements of 2014. This bulletin contain the status of MDG-4 and MDG-5 which will help to fulfill the MDG targets. This health bulletin will also help us to know the information about safe drinking water and sanitation status of this upazila. All the sanctioned and vacant posts are published in this Bulletin'15. I like to take attention of the higher authority to look into the issues. Finally I would like to congratulate the initiator of the health bulletin software which made us one step ahead towards building digital Bangladesh.
DR. MD. SOLAIMAN ALI
UH&FPO
Hakimpur Upazila Health Complex

Hakimpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Hakimpur
Organization Code 10001226
Name of UHFPO DR. MD. SOLAIMAN ALI
Land Phone No. 1 -0532975010
Land Phone No. 2
FAX No.
Mobile No. 01718617089
Email hakimpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.1709 And Long: 89.0045
No. of Unions in the Upazila4
No. of Households in the Upazila 18,652
Population in the Upazila 85,138
Area of Upazila in sq km 99.42

Hakimpur 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 0 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) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 7 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 3 0

Hakimpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,967


Under 5 Mortality Rate: 44.230 (Per 1,000 live births)
Infant Mortality Rate: 39.654 (Per 1,000 live births)
Neonatal Mortality Rate: 32.028 (Per 1,000 live births)
Still Birth Rate: 19.319 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,501
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 00%

Hakimpur 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: 3
Total No. of Recipients Who Took at least one ANC: 1,406
Total Number of Deliveries: 2,005
Valid TT Coverage: 32.00 %
Maternal Mortality Ratio (MMR) is: 152.52 per 100,000 live births.

Hakimpur 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 28,520 32,316 60,836 5,241 3,452 8,693 69,529 2,583 2,153 4,736 410 620 1,030 5,766
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) 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 0 0 0 0 0 0 0 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

Hakimpur 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 1,652 2,642 4,294 265 185 450 4,744 8 2 10 2 1 3 13
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

Hakimpur 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 3,260
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 421 12.91
2 Y00 Assault by blunt object XX: External causes of morbidity and mortality 302 9.26
3 A010 Typhoid fever I: Certain infectious and parasitic diseases 298 9.14
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 256 7.85
5 J45 Asthma X: Diseases of the respiratory system 156 4.79
6 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 98 3.01
7 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 55 1.69
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 52 1.60
9 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 18 0.55
10 I619 Intracerebral haemorrhage, unspecified IX: Diseases of the circulatory system 10 0.31

Hakimpur 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 13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 4 30.77
2 J980 Diseases of bronchus, NEC X: Diseases of the respiratory system 3 23.08
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2 15.38
4 Q23 Congenital malformations of aortic and mitral valves XVII: Congenital malformations, deformations and chromosomal abnormalities 2 15.38
5 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 1 7.69
6 I619 Intracerebral haemorrhage, unspecified IX: Diseases of the circulatory system 1 7.69
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,926
Bed Occupancy Rates (%) 61.21
Average Length of Hospital Stay (No. of days per patient) 2.12
Hospital Death Rate (%) 0.40


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

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

 

Hakimpur 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 13 8 1 4 30.77
Non Doctor 0 0 0 0 0.00
Class II 12 0 9 3 25.00
Class III 46 28 11 7 15.22
Class IV 19 13 2 4 21.05
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
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
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 7 4 2 1 14.29
Class IV 0 0 0 0 0.00

 

Hakimpur 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 13 8 1 4 30.77
Non Doctor 0 0 0 0 0.00
Class II 12 0 9 3 25.00
Class III 46 28 11 7 15.22
Class IV 19 13 2 4 21.05
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

 

Hakimpur 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 0 0 13 9 0 0 2 0 0
Nurse 0 0 0 0 10 9 0 0 7 0 0
Medical Assistant 0 0 0 0 6 6 0 0 2 0 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0 0
CHCP 7 6 0 0 0 0 0 0 0 0 1
HI 0 0 0 0 1 1 0 0 0 0 0
AHI 0 0 0 0 4 3 0 0 0 0 0
HA 0 0 0 0 17 17 0 0 0 0 5

Hakimpur 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 1 0 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 0 0 0 0 0
Autoclave 3 2 1 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 0 0 1 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 2 0 2 0 0
Ventilator 0 0 0 0 0


Hakimpur 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 2 1 0 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Hakimpur 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 1 1 0 0 0
Centrifuge machine (electric) 1 1 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Hakimpur 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


Hakimpur 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 0 0 0 3
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) 11 6 0 0 5
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 5 1 0 2
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 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 0 0 0 0 0


Hakimpur 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 51 35 4 2 10

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

Important information and necessary issues for Hakimpur Upazila Health Complex
Though the health service is improving day by day but we are facing few problems to give the maximum result . Followings are the main issues that need immediate attention: 1) All the vacant post need to fill as early as possible. 2) We need more trained Doctor and Nurse specially in IMCI. 3) No of Community clinic needs to be increased with appropriate trained Stuff. 4) Repairable instruments need immediate repair. 5) A new ambulance required as soon as posible. Afterall, with all these sorts of problems, I m very glad to review this Health Bulletin 2015as it will help to assess our activity on the upcoming years with the best outcomes.