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Palashbari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin'2015 0f Palashbari Upazila.This bulletin contains all health related information & datas of 2014. I hope all information of this bulletin will help for planning & bridge the gaps in date services of this Upazila. This bulletin contains the status of MDG-4 & MDG-5 which help to localize the MDG-4 & MDG-5 in last 4 years.Revitalization of Community Clinics is a unique program in South east Asia through which people of root level getting primary health care. I would like to thank the initiators of the health bulletin soft ware for setting us one step ahead towards digital Bangladesh and also I Like to thanks all the Staffs (Statistician, HI, AHI, MT(EPI), Head assit, Cashier, CHCP, HA and ``above all '' - all the doctors) of this Health Complex who help me to Published this health buletin. Dr.Sultan Ahmed UH&FPO Palashbari,Gaibandha.
Dr.Sultan Ahmed
UH&FPO
Palashbari Upazila Health Complex

Palashbari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Palashbari
Organization Code 10001272
Name of UHFPO Dr.Sultan Ahmed
Land Phone No. 1 -0542456013
Land Phone No. 2
FAX No.
Mobile No. 0171370874
Email palashbari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 65,446
Population in the Upazila 281,152
Area of Upazila in sq km 190.67

Palashbari 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 9 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) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 32 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 0 0

Palashbari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,885


Under 5 Mortality Rate: 46.673 (Per 1,000 live births)
Infant Mortality Rate: 39.509 (Per 1,000 live births)
Neonatal Mortality Rate: 31.116 (Per 1,000 live births)
Still Birth Rate: 32.344 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 3,982
Fully Vaccinated Children (<= 12 months): 93.00 %
Fully Vaccinated Children (<= 23 months): 0%

Palashbari 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: 12
Total No. of Recipients Who Took at least one ANC: 7,150
Total Number of Deliveries: 6,309
Valid TT Coverage: 58.00 %
Maternal Mortality Ratio (MMR) is: 245.65 per 100,000 live births.

Palashbari 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 28,292 41,031 69,323 1,539 1,338 2,877 72,200 2,764 3,060 5,824 404 365 769 6,593
Union Sub-Centres 20,961 30,133 51,094 5,300 4,240 9,540 60,634 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) 11,304 55,057 66361 5,357 7,514 12,871 79,232 0 0 0 0 0 0 12,871
Community Clinics 130,615 260,203 390,818 24,657 20,657 45,314 436,132 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

Palashbari 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 2,113 2,477 4,590 261 204 465 5,055 17 5 22 1 0 1 23
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

Palashbari 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 5,055
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 864 17.09
2 X990 Assault by sharp object, home XX: External causes of morbidity and mortality 639 12.64
3 V870 Person injured in collision between car and two- or three-wheeled motor vehicle (traffic) XX: External causes of morbidity and mortality 298 5.90
4 J450 Predominantly allergic asthma X: Diseases of the respiratory system 190 3.76
5 A060 Acute amoebic dysentery I: Certain infectious and parasitic diseases 180 3.56
6 T980 Sequelae of effects of foreign body entering through natural orifice XIX: Injury, poisoning and certain other consequences of external causes 165 3.26
7 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 150 2.97
8 J100 Influenza with pneumonia, influenza virus identified X: Diseases of the respiratory system 143 2.83
9 K260 Duodenal ulcer, acute with haemorrhage XI: Diseases of the digestive system 138 2.73
10 D550 Anaemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 100 1.98

Palashbari 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 24
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 6 25.00
2 J450 Predominantly allergic asthma X: Diseases of the respiratory system 5 20.83
3 V290 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident IX: Diseases of the circulatory system 3 12.50
4 T980 Sequelae of effects of foreign body entering through natural orifice XIX: Injury, poisoning and certain other consequences of external causes 2 8.33
5 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 2 8.33
6 P120 Cephalhaematoma due to birth injury XVI: Certain conditions originating in the perinatal period 2 8.33
7 N170 Acute renal failure with tubular necrosis XIV: Diseases of the genitourinary system 1 4.17
8 D370 Lip, oral cavity and pharynx II: Neoplasms 1 4.17
9 J100 Influenza with pneumonia, influenza virus identified X: Diseases of the respiratory system 1 4.17
10 J960 Acute respiratory failure X: Diseases of the respiratory system 1 4.17

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
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.) 11,928
Bed Occupancy Rates (%) 105.42
Average Length of Hospital Stay (No. of days per patient) 2.36
Hospital Death Rate (%) 0.47


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 5
Minor Surgeries 95

 

Palashbari 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 9 5 2 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 72 47 16 9 12.50
Class IV 19 11 4 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 1 1 2 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 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 5 2 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 7 1 2 20.00
Class IV 5 2 2 1 20.00
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 32 20 12 0 0.00
Class IV 0 0 0 0 0.00

 

Palashbari 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 18 8 6 4 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 118 77 30 11 9.32
Class IV 24 14 5 5 20.83
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

 

Palashbari 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 7 9 7 0 0 0 0 0
Nurse 0 0 0 0 10 10 0 0 0 0 0
Medical Assistant 0 0 9 8 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0 0
CHCP 32 32 0 0 0 0 0 0 0 0 9
HI 0 0 0 0 3 3 0 0 0 0 9
AHI 0 0 0 0 8 7 0 0 0 0 0
HA 0 0 0 0 40 34 0 0 0 0 0

Palashbari 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) 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 2 1 1 0 0
Autoclave 4 1 3 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 1 2 1 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 4 1 2 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 8 3 3 2 0
Sucker machine (electric) 6 2 2 2 0
Ventilator 0 0 0 0 0


Palashbari 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 2 1 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Palashbari 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 2 2 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 6 2 2 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Palashbari 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


Palashbari 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 3 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 6 6 0 0 0
Laptop 3 2 0 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Palashbari 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 72 41 20 10 1

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

Important information and necessary issues for Palashbari Upazila Health Complex
Important information and necessary issues for Palashbari Upazila Health complexas follows:- This Upazila Health complex has been upgraded as 50 beded hospital.Infracture ofthe hospital has been completed but its approval & sanctioned yet not got and necessary manpower yet not provided . X-ray machine, dental chair (for dental unit), OT light is ukrgently needed. The ambulance is older so one ambulance is needed for proper service of the Upazilla. This health Complex has no Store ( general) & the drainage system is totaly damaged and so this should be constrated urgently. Finally I am happy to write this Health bulletin of 2015.This is very useful documents to understand health service and provide the useful advice to important in future. Dr. Sultan Ahmed. UH&FPO Palashbari,Gaibandha.