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Aditmari Upazila Health Complex | Health Bulletin 2015 |
Preface
Aditmari Upazilla Health Complex, Health Bulletin 2015 I am very glad to publish this health bulletin. This bulletin contains all the health related information’s of 2014. This bulletin is published to disseminate the information of Aditmari upazila to other line departments and development partners of health. I hope all the information’s of this bulletin will help for planning and bridging the gaps in health services of the upazila . This health bulletin will help us to find constrains and also to see the result and achievements of 2014 . The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets . This health bulletin also shows the information on safe drinking water and sanitation status of the upazila . All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authorities to look into of this issue . Finally I would like to congratulate the initiator of this health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Md. Kashem Ali. U H & F P O Aditmari,Lalmonirhat.
Dr. Md. Kashem Ali
UH&FPO
Aditmari Upazila Health Complex

Aditmari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Aditmari
Organization Code 10001339
Name of UHFPO Dr. Md. Kashem Ali
Land Phone No. 1 -0592256014
Land Phone No. 2
FAX No.
Mobile No. 01712438869
Email aditmari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.9254 And Long: 89.3436
No. of Unions in the Upazila8
No. of Households in the Upazila 51,232
Population in the Upazila 247,294
Area of Upazila in sq km 196.25

Aditmari 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 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 1 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 29 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 1 10

Aditmari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,402


Under 5 Mortality Rate: 48.686 (Per 1,000 live births)
Infant Mortality Rate: 31.655 (Per 1,000 live births)
Neonatal Mortality Rate: 25.731 (Per 1,000 live births)
Still Birth Rate: 24.065 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 25,894
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 93%

Aditmari 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: 5,935
Total Number of Deliveries: 5,478
Valid TT Coverage: 48.00 %
Maternal Mortality Ratio (MMR) is: 129.58 per 100,000 live births.

Aditmari 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 9,195 10,252 19,447 2,250 1,330 3,580 23,027 1,162 2,083 3,245 430 285 715 3,960
Union Sub-Centres 563 657 1,220 345 387 732 1,952 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 1,312 1,562 2,874 1,012 971 1,983 4,857 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 4,764 14,476 19240 5,434 22,144 27,578 46,818 0 0 0 0 0 0 27,578
Community Clinics 90,680 124,892 215,572 2,995 2,003 4,998 220,570 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 249 112 361 0 0 0 361 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Aditmari 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 892 1,172 2,064 348 295 643 2,707 1 1 2 1 0 1 3
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 0 345 345 0 0 0 345 0 0 0 0 0 0 0

Aditmari 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 2,701
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 505 18.70
2 V09 Pedestrian injured in other and unspecified transport accidents XX: External causes of morbidity and mortality 350 12.96
3 J45 Asthma X: Diseases of the respiratory system 310 11.48
4 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 270 10.00
5 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 267 9.89
6 X99 Assault by sharp object XX: External causes of morbidity and mortality 177 6.55
7 A03 Shigellosis I: Certain infectious and parasitic diseases 103 3.81
8 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 78 2.89
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 65 2.41
10 K35 Acute appendicitis XI: Diseases of the digestive system 45 1.67

Aditmari 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 3
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I21 Acute myocardial infarction IX: Diseases of the circulatory system 2 66.67
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1 33.33
3 IX: Diseases of the circulatory system 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Aditmari 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 (%) 82.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,813
Bed Occupancy Rates (%) 37.33
Average Length of Hospital Stay (No. of days per patient) 2.52
Hospital Death Rate (%) 0.11


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 275

 

Aditmari 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 2 1 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 58 46 9 3 5.17
Class IV 19 12 5 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 4 2 2 25.00
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 1 1 0 0 0.00
Rural Dispensaries
Class I Doctor 8 4 2 2 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 7 1 1 11.11
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 34 16 13 5 14.71
Class IV 0 0 0 0 0.00

 

Aditmari 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 17 6 3 8 47.06
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 101 69 23 9 8.91
Class IV 20 13 5 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

 

Aditmari 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 8 0 9 3 0 0 0 0 0
Nurse 0 0 0 0 10 7 0 0 2 0 0
Medical Assistant 0 0 7 0 0 2 2 0 0 0 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0 0
CHCP 30 20 0 0 0 0 0 0 0 0 4
HI 0 0 2 2 0 0 0 0 0 0 4
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 30 0 0 0 0 0

Aditmari 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 0 1 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 2 0 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 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 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 2 2 0 0 0


Aditmari 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 1 1 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Aditmari 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 0 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 0 0 1 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Aditmari 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 1 1 0 0 0


Aditmari 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) 1 1 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 0 3 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 3 1 0 0
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 1 1 0 0 0


Aditmari 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 54 46 6 2 0

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

Important information and necessary issues for Aditmari Upazila Health Complex
1. With the staff of 31 bed 50 bedded hospital should be run but staffs 31 bedded as are inadequate. 2. X-ray machine is out of order from the very beginning. Once upon a time it was repaired. but immediately it was non functional. It seems to be Irreparable. 3. Inadequate OT instrument . 4. The hospital premises network is very poor. 5. Ultra sonogram machine is needed to see fetal condition.