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Chilmari Upazila Health Complex | Health Bulletin 2015 |
Preface
Welcome to ' Local Health Bulletin 2015 ' of Chilmari Upazila.Ltis a great pleasure that.' Local Health Bulletin 2014' of Chilmari Upazila is Publishing. The Bulletin is the report of health related performance and their analysis during the year of 2014 in Chilmari Upazila. Which would enable comparison of data with other countries. However, the data presented here were not collected in a research setting , but were extracted from the facility registers and records filled in by health related staff.We reported selected process indicators as relevant to our context. If we learn from the lessons, we would simply be benefited towards our goal. Chilmari is one of the Upazila of Kurigram district in Rangpur division in Bangladesh. All area of the Upazila are roughly afected by the river erosion.The people in here are very much deprived,from health service and living below the poverty line.Literacy rate is very low and people are not conscious about health service Finally. I thank the MIS-Health,DGHS for their valuable efforts. I would like to thank everyone who worked hard directly and behind the screen for publishing this bulletin successfully. Special thanks to Md.Ershadul Hoque, statistician. Dr. Abul Kalam Azad UH&FPO Chilmari Upazila Health Complex.
Dr Md. Abul Kalam Azad
UH&FPO
Chilmari Upazila Health Complex

Chilmari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Chilmari
Organization Code 10001313
Name of UHFPO Dr Md. Abul Kalam Azad
Land Phone No. 1 -02147483647
Land Phone No. 2
FAX No.
Mobile No. 01712533022
Email www.chilmary@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 36,735
Population in the Upazila 130,714
Area of Upazila in sq km 218.00

Chilmari 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 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 3 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 19 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

Chilmari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,957


Under 5 Mortality Rate: 49.878 (Per 1,000 live births)
Infant Mortality Rate: 27.167 (Per 1,000 live births)
Neonatal Mortality Rate: 23.286 (Per 1,000 live births)
Still Birth Rate: 9.056 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,849
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Chilmari 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: 7
Total No. of Recipients Who Took at least one ANC: 3,958
Total Number of Deliveries: 3,567
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR) is: 100.62 per 100,000 live births.

Chilmari 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 29,733 11,323 41,056 7,698 3,560 11,258 52,314 3,180 1,560 4,740 1,689 1,030 2,719 7,459
Union Sub-Centres 1,630 220 1,850 192 103 295 2,145 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 62,963 14,560 77,523 41,395 9,032 50,427 127,950 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

Chilmari 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 2,956 1,421 4,377 1,675 1,230 2,905 7,282 8 4 12 2 1 3 15
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

Chilmari 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 5,988
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 1304 21.78
2 Y007 Assault by blunt object, farm XX: External causes of morbidity and mortality 996 16.63
3 A010 Typhoid fever I: Certain infectious and parasitic diseases 809 13.51
4 V366 Occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle, passenger, traffic accident XX: External causes of morbidity and mortality 730 12.19
5 J458 Mixed asthma X: Diseases of the respiratory system 603 10.07
6 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 493 8.23
7 O800 Spontaneous vertex delivery XV: Pregnancy, childbirth and the puerperium 407 6.80
8 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation XI: Diseases of the digestive system 356 5.95
9 T601 Halogenated insecticides XIX: Injury, poisoning and certain other consequences of external causes 225 3.76
10 O031 Spontaneous abortion, incomplete, complicated by delayed or excessive haemorrhage XV: Pregnancy, childbirth and the puerperium 65 1.09

Chilmari 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 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 2 18.18
2 J458 Mixed asthma X: Diseases of the respiratory system 2 18.18
3 J960 Acute respiratory failure I: Certain infectious and parasitic diseases 2 18.18
4 K729 Hepatic failure, unspecified XI: Diseases of the digestive system 2 18.18
5 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 1 9.09
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 9.09
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1 9.09
8 0 0.00
9 0 0.00
10 0 0.00

Chilmari 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 (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,144
Bed Occupancy Rates (%) 55.58
Average Length of Hospital Stay (No. of days per patient) 1.69
Hospital Death Rate (%) 0.18


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 127

 

Chilmari 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 26 12 2 12 46.15
Non Doctor 0 0 0 0 0.00
Class II 17 2 15 0 0.00
Class III 79 52 19 8 10.13
Class IV 22 13 5 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 0 0 4 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 2 2 4 50.00
Class IV 4 0 0 4 100.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 1 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 14 5 9 0 0.00
Class IV 0 0 0 0 0.00

 

Chilmari 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 26 12 2 12 46.15
Non Doctor 0 0 0 0 0.00
Class II 17 2 12 3 17.65
Class III 92 56 17 19 20.65
Class IV 23 13 5 5 21.74
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

 

Chilmari 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 5 0 21 14 0 0 2 1 0
Nurse 0 0 0 0 17 17 0 0 3 1 0
Medical Assistant 0 0 0 0 5 3 0 0 0 0 0
Medical Technologist 0 0 0 0 5 3 0 0 0 0 0
CHCP 14 14 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0 0
HA 0 0 0 0 25 24 0 0 0 0 0

Chilmari 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 1 0 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 0 0 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 1 0 1 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 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Chilmari 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Chilmari 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) 0 0 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Chilmari 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 2 1 1 0 0


Chilmari 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) 5 2 3 0 0
Laptop 16 15 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 2 3 0 0
Scanner 1 1 0 0 0
UPS 5 2 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


Chilmari 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 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 44 28 16 0 0

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

Important information and necessary issues for Chilmari Upazila Health Complex
In spite of many difficulties we tried our level best to render maximum Service to the people . We are sure that satisfactory service can be given if more doctors are posted here. Particularly IMCI & EOC trained consultants & female doctors. Equipments Which are lacking should be provided with. Community clinic should be repaired, constructed & upgraded so that maximum health service can be given at the grass root level. We are to serve the humanity and let us belive that we can perform this noble duty with full satisfaction. Thanksto all. Dr. Md.Abul Kalam Azad UH&FPO Chilmari,Kurigram .