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Shaghatta Upazila Health Complex | Health Bulletin 2015 |
Preface
This is 3nd health Bulletin of shaghatta UHC. I am very glad to publish this health Bulletin. (Dr. Md. Abdur Rashid Mridha.) UH&FPO saghata, Gaibandha. prepared by. Md. Sadrul Islam Statistician. UHC.Saghata,Gaibandha.
Dr.Md. Abdur Rashid Mridha
UH&FPO
Shaghatta Upazila Health Complex

Shaghatta Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Shaghatta
Organization Code 10001280
Name of UHFPO Dr.Md. Abdur Rashid Mridha
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01712708142
Email shaghatta@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: N/A
No. of Unions in the Upazila10
No. of Households in the Upazila 68,914
Population in the Upazila 294,065
Area of Upazila in sq km 500.00

Shaghatta 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 10 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) 6 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 37 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 0
No. of NGO Clinics/Facilities 0 0

Shaghatta Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,849


Under 5 Mortality Rate: 73.517 (Per 1,000 live births)
Infant Mortality Rate: 10.087 (Per 1,000 live births)
Neonatal Mortality Rate: 25.303 (Per 1,000 live births)
Still Birth Rate: 32.313 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 13,255
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%

Shaghatta 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: 6,634
Total Number of Deliveries: 6,185
Valid TT Coverage: 11.00 %
Maternal Mortality Ratio (MMR) is: 153.87 per 100,000 live births.

Shaghatta 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 29,537 34,419 63,956 8,063 9,027 17,090 81,046 1,929 2,207 4,136 213 332 545 4,681
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 113,506 246,530 360,036 16,140 25,713 41,853 401,889 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

Shaghatta 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 905 1,943 2,848 177 254 431 3,279 6 2 8 0 3 3 11
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

Shaghatta 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 3,279
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y00 Assault by blunt object XX: External causes of morbidity and mortality 836 25.50
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 694 21.16
3 J16 Pneumonia due to other infectious organisms, NEC X: Diseases of the respiratory system 283 8.63
4 K36 Other appendicitis XI: Diseases of the digestive system 195 5.95
5 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 132 4.03
6 D55 Anaemia due to enzyme disorders III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 131 4.00
7 J45 Asthma X: Diseases of the respiratory system 157 4.79
8 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 164 5.00
9 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 81 2.47
10 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 72 2.20

Shaghatta 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J96 Respiratory failure, NEC X: Diseases of the respiratory system 1 9.09
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1 9.09
3 J45 Asthma X: Diseases of the respiratory system 3 27.27
4 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 9.09
5 N18 Chronic renal failure XIV: Diseases of the genitourinary system 1 9.09
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 9.09
7 I50 Heart failure IX: Diseases of the circulatory system 2 18.18
8 P12 Birth injury to scalp XVI: Certain conditions originating in the perinatal period 1 9.09
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 83.00
Coverage of households having access to sanitary latrines (%) 73.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,113
Bed Occupancy Rates (%) 54.03
Average Length of Hospital Stay (No. of days per patient) 1.86
Hospital Death Rate (%) 0.34


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 52

 

Shaghatta 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 3 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 1 4 5 50.00
Class III 77 38 26 13 16.88
Class IV 20 14 4 2 10.00
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 10 5 3 2 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 7 2 1 10.00
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 38 15 23 0 0.00
Class IV 0 0 0 0 0.00

 

Shaghatta 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 19 8 3 8 42.11
Non Doctor 0 0 0 0 0.00
Class II 10 1 4 5 50.00
Class III 115 61 51 3 2.61
Class IV 20 14 4 2 10.00
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

 

Shaghatta 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 10 8 9 3 0 0 0 0 0
Nurse 0 0 0 0 11 5 0 0 2 0 0
Medical Assistant 0 0 10 9 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0 0
CHCP 38 38 0 0 0 0 0 0 0 0 12
HI 0 0 0 0 3 3 0 0 0 0 12
AHI 0 0 0 0 9 9 0 0 0 0 0
HA 0 0 0 0 45 40 0 0 0 0 0

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


Shaghatta 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


Shaghatta 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) 1 1 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 1 1 1 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Shaghatta 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 1 1 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Shaghatta 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) 5 4 1 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 6 2 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 3 0 0
Scanner 1 1 0 0 0
UPS 6 0 0 6 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


Shaghatta 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 1 1 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 52 33 12 7 0

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

Important information and necessary issues for Shaghatta Upazila Health Complex
To develop our service to the people of Saghata we need to approve our 50 bed facility including man power (doctor, nurse and others health staff). As it is remote area and the communication with the district health service is tough so we should give the people the emergency service like ECG facility available 24 hours service. To day the USG facility is unavoidable in the modern world of health service especially for the people. We need the USG facility. To delivery the service to the people we need a radiologist and for EOC we need Gynecologist and anesthetist. Waste disposal is another problem. Standard waste management plant like “thermal treatment” plant like “electric incinerator” will be the best option for the people and atmosphere . The people of Saghata is very poor that is why we should supply them each of the medicine that they need from the Govt. of Bangladesh as they need, not like the routine medicine is given in the other part of Bangladesh.there is no health sub center in the upazila so we request to the authority for sanctioning the sub center felicity as there is posting medical assistant against all the felicity .