Parbatipur Upazila Health Complex | Health Bulletin 2015 |
Preface
We are very glad to publish a Health Bulletin of Parbatipur Upazila for the 4th time. It contains all the health related informations of 2014. Most of the information is collected from the report of our health department and some are from family planning department and health related NGOs of this upazila. It is published to disseminate the information of health service of this upazila to other line departments and development partners of health. The publication of this bulletin will make us transparent to others. Our performances, achievements, failures, shortfalls, deficiencies and realities of the health situation of this upazila will be understood. The service providers and service recipients will come closer. Field of co-operation and active participation will be extended. Suggestions and directives from others for the improvement of our activities will be cordially expected which will enrich our activities. Overall the image of our health department will be improved. This health bulletin will help us to find available facilities and probable barriers for planning and bridging the gaps in health services of this upazila. This bulletin contains the data related to MDG4 and MDG5 which will help to localize the MDG targets. It has the information on safe drinking water and sanitation status of the upazila. It also contains the number of patient treated, top ten diseases causing hospital admission and top ten diseases causing death in the hospital. All the sanctioned and vacant posts are published in this bulletin. Hereby we draw the attention to the higher authority to look into this issue. I thank family planning department and health related NGOs and all of my colleagues and staffs, especially statistician, for their contribution in preparing this Bulletin. Finally I would like to congratulate MIS department of DGHS, the initiator of the health bulletin software, setting us one step ahead toward Digital Bangladesh.
Parbatipur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Parbatipur
Organization Code
10001238
Name of UHFPO Dr. Md. Atiar Rahman
Land Phone No. 1
05334-0533474333
Land Phone No. 2
FAX No.
Mobile No.
01818443696
Email parbatipur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
89.0000
No. of Unions in the Upazila 10
No. of Households in the Upazila 85,892
Population in the Upazila 369,677
Area of Upazila in sq km 317.35
Parbatipur 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
8
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)
6
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
40
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
119
Parbatipur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,806
Under 5 Mortality Rate: 37.614 (Per 1,000 live births)
Infant Mortality Rate: 28.357 (Per 1,000 live births)
Neonatal Mortality Rate: 16.897 (Per 1,000 live births)
Still Birth Rate: 5.436 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 61,123
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months): 96%
Parbatipur 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:
9
Total No. of Recipients Who Took at least one ANC:
6,444
Total Number of Deliveries:
6,811
Valid TT Coverage: 49.00 %
Maternal Mortality Ratio (MMR) is:
132.24 per 100,000 live births.
Parbatipur 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
14,580
15,378
29,958
4,515
4,498
9,013
38,971
3,205
3,396
6,601
621
604
1,225
7,826
Union Sub-Centres
66,201
99,060
165,261
18,778
17,990
36,768
202,029
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
2,920
19,480
22,400
4,606
4,302
8,908
31,308
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
4,382
29,021
33403
6,999
6,703
13,702
47,105
0
0
0
0
0
0
13,702
Community Clinics
116,471
253,228
369,699
18,778
17,990
36,768
406,467
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
22,885
27,150
50,035
3,496
3,299
6,795
56,830
2,455
1,931
4,386
493
466
959
5,345
Parbatipur 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
2,192
2,806
4,998
382
378
760
5,758
4
2
6
0
0
0
6
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
3,233
7,833
11,066
1,723
1,627
3,350
14,416
157
137
294
88
84
172
466
Parbatipur 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
5,758
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A099 Gastroenteritis and colitis of unspecified origin
I: Certain infectious and parasitic diseases
1284
22.30
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
727
12.63
3
K277 Peptic ulcer, site unspecified, chronic without haemorrhage or perforation
XI: Diseases of the digestive system
351
6.10
4
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
315
5.47
5
D539 Nutritional anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
201
3.49
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
121
2.10
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
110
1.91
8
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
93
1.62
9
X68 Intentional self-poisoning by and exposure to pesticides
XX: External causes of morbidity and mortality
83
1.44
10
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
74
1.29
Parbatipur 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
6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
3
50.00
2
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
2
33.33
3
W70 Drowning and submersion following fall into natural water
IX: Diseases of the circulatory system
1
16.67
4
D63 Anaemia in chronic diseases classified elsewhere
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
0
0.00
5
G03 Meningitis due to other and unspecified causes
VI: Diseases of the nervous system
0
0.00
6
R69 Unknown and unspecified causes of morbidity
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Parbatipur 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 (%)
86.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
16,615
Bed Occupancy Rates (%)
91.04
Average Length of Hospital Stay (No. of days per patient)
2.89
Hospital Death Rate (%)
0.10
Parbatipur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
721
Parbatipur 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
7
5
9
42.86
Non Doctor
0
0
0
0
0.00
Class II
17
0
17
0
0.00
Class III
31
19
3
9
29.03
Class IV
22
13
3
6
27.27
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
5
1
2
2
40.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
8
1
4
3
37.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
16
11
3
2
12.50
Class IV
8
7
0
1
12.50
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
40
14
25
1
2.50
Class IV
0
0
0
0
0.00
Parbatipur 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
10
11
13
38.24
Non Doctor
0
0
0
0
0.00
Class II
17
0
17
0
0.00
Class III
159
90
49
20
12.58
Class IV
30
20
3
7
23.33
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
Parbatipur 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
13
9
21
12
0
0
2
0
0
Nurse
0
0
0
0
17
17
0
0
4
4
0
Medical Assistant
0
0
13
11
2
2
0
0
11
0
0
Medical Technologist
0
0
0
0
8
6
1
1
0
0
0
CHCP
40
39
0
0
0
0
0
0
0
0
4
HI
0
0
0
0
0
0
4
2
0
0
0
AHI
0
0
0
0
0
0
11
11
0
0
0
HA
0
0
0
0
0
0
55
49
0
0
8
Parbatipur 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)
0
0
0
0
0
X-ray machine (300 mA)
1
0
1
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
2
2
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
1
1
0
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
7
3
3
1
0
Sucker machine (electric)
5
3
2
0
0
Ventilator
0
0
0
0
0
Parbatipur 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
5
2
2
1
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
0
1
0
Parbatipur 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)
3
3
0
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
1
1
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Parbatipur 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
1
1
0
0
0
Blood bank refrigerator
1
1
0
0
0
Refrigerator
1
1
0
0
0
Vehicles
Ambulance
1
0
1
0
0
Parbatipur 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)
1
0
0
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)
9
8
0
1
0
Laptop
50
50
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
7
3
1
1
2
Scanner
1
1
0
0
0
UPS
7
6
0
1
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
50
50
0
0
0
Multimedia
1
1
0
0
0
Parbatipur 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)
1
1
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
172
149
13
8
2
Parbatipur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Parbatipur Upazila Health Complex
In conclusion ,our interpretation is that, last year we could not deliver optimum health service to the people of the upazila due to many reasons, most of which are reflected in this Health Bulletin. But we tried our level best with existing facilities to deliver quality health service to the people. I like to mention some important issues which will help us to achieve good results in future.** All the vacant posts should be filled up immediately.** This UHC should be taken under EmOC or DSF project and necessary number of Doctors and Nurses should be given basic EmOC training ** Rest of the Doctors, SACMOs and Nurses who didn`t get basic IMCI training should be trained up very soon. **All the female HAs should be trained as CSBA ** Basic and Refresher Training on different subjects should be arranged time to time for all level Health Care Providers.**A new ambulance is to be supplied very soon for this UHC.** Supply of all needed Equipments is to be ensured and repairable Equipments specially X-ray machine should be repaired as soon as possible. Finally we are happy to publish this Health Bulletin of 2013 because this Document will enable us to compare our progress in upcoming years.
