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Hatibandha Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Health Bulletin of Hatibandha Upazila. THIS Bulletin contains all the Health related information of 2014. This Bulletin is published to the information of Hatibandha upazila to other line department and development partners of health. I hope all the information of this bulletin will help planning and bridging the gaps in health services of this upazila. Goverment Health office has many data in the line. The health bulletin help us to find contains and also to see the results and achievement of 2014. The Bulletin contains the sttus of MDG4&MDG5 which will help to localize the MDG targets. This Health bulletin also the information of save drinking water and sanitation status of the upaila.All the sanctioned and vacant posts are published in the bulletin of 2013. I like to take attention of the higher authority to look into to this issue. Finaly i would like to attention of higher authority to look into this issu. Finaly I would like to congratulate the initiator of the Health Bulletin Software for setting us one step ahead toward Digital Bangladesh.
Dr. Md. Ramjan Ali
UH&FPO
Hatibandha Upazila Health Complex

Hatibandha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Hatibandha
Organization Code 10001342
Name of UHFPO Dr. Md. Ramjan Ali
Land Phone No. 1 -0592356014
Land Phone No. 2
FAX No.
Mobile No. 01720334063
Email hatibandha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.1217 And Long: 89.1413
No. of Unions in the Upazila12
No. of Households in the Upazila 52,600
Population in the Upazila 269,607
Area of Upazila in sq km 289.42

Hatibandha 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 2 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) 9 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 31 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

Hatibandha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,889


Under 5 Mortality Rate: 50.093 (Per 1,000 live births)
Infant Mortality Rate: 31.924 (Per 1,000 live births)
Neonatal Mortality Rate: 26.320 (Per 1,000 live births)
Still Birth Rate: 24.113 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 28,607
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Hatibandha 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: 8
Total No. of Recipients Who Took at least one ANC: 6,470
Total Number of Deliveries: 5,983
Valid TT Coverage: 32.00 %
Maternal Mortality Ratio (MMR) is: 135.85 per 100,000 live births.

Hatibandha 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 16,593 15,500 32,093 3,641 3,000 6,641 38,734 3,671 3,045 6,716 1,300 1,543 2,843 9,559
Union Sub-Centres 12,464 19,080 31,544 1,059 2,015 3,074 34,618 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 63,130 150,007 213,137 8,865 10,236 19,101 232,238 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

Hatibandha 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 3,024 3,879 6,903 500 720 1,220 8,123 13 9 22 6 4 10 32
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

Hatibandha 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 8,123
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 1580 19.45
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1158 14.26
3 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 913 11.24
4 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation XI: Diseases of the digestive system 802 9.87
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 280 3.45
6 J459 Asthma, unspecified X: Diseases of the respiratory system 220 2.71
7 V395 Passenger injured in collision with other and unspecified motor vehicles in traffic accident XX: External causes of morbidity and mortality 205 2.52
8 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 95 1.17
9 F411 Generalized anxiety disorder V: Mental and behavioural disorders 75 0.92
10 O021 Missed abortion XV: Pregnancy, childbirth and the puerperium 55 0.68

Hatibandha 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 38
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 5 13.16
2 R570 Cardiogenic shock XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 4 10.53
3 P210 Severe birth asphyxia IX: Diseases of the circulatory system 3 7.89
4 J46 Status asthmaticus X: Diseases of the respiratory system 3 7.89
5 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 2 5.26
6 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 2 5.26
7 I509 Heart failure, unspecified IX: Diseases of the circulatory system 2 5.26
8 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 2.63
9 J129 Viral pneumonia, unspecified X: Diseases of the respiratory system 1 2.63
10 V395 Passenger injured in collision with other and unspecified motor vehicles in traffic accident XX: External causes of morbidity and mortality 1 2.63

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 15,491
Bed Occupancy Rates (%) 84.88
Average Length of Hospital Stay (No. of days per patient) 1.91
Hospital Death Rate (%) 0.47


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 863

 

Hatibandha 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 1 2 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 64 47 11 6 9.38
Class IV 19 13 4 2 10.53
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 3 1 6 60.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 6 2 2 20.00
Class IV 2 2 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 31 13 14 4 12.90
Class IV 0 0 0 0 0.00

 

Hatibandha 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 4 3 12 63.16
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 108 67 27 14 12.96
Class IV 21 15 4 2 9.52
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

 

Hatibandha 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 2 1 9 3 8 3 3 0 0
Nurse 0 0 0 0 11 7 0 0 5 0 3
Medical Assistant 0 0 10 7 2 1 0 0 2 0 0
Medical Technologist 0 0 2 1 8 7 0 0 0 0 0
CHCP 31 27 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 35 34 0 0 0 0 2

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


Hatibandha 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 0 0 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


Hatibandha 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 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Hatibandha 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 3 3 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Hatibandha 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) 2 2 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 0 0 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 32 32 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 6 1 0 0
Scanner 1 1 0 0 0
UPS 2 2 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 32 32 0 0 0
Multimedia 1 1 0 0 0


Hatibandha 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 99 94 5 0 0

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

Important information and necessary issues for Hatibandha Upazila Health Complex
Important Information and necessary issues for Hatibandha Health Complex.There is no Jr. Consultant(Surgery), Jr. Consultant(Medicine), Jr. Consultant(Anes) in the Hatibandha Health Complex.The vacant post should be filled up immediately specially those of doctors. All the rapairable should be urgent. Mainly repair of the X- Ray Machine. We have already reciived 33 Laptop Computer & Modem for Comunity Clinic &USC in last year.Finally I am very happy to write this Health bulletin of 2014 published in 2015 because this ducuments will help us to compare our progress in before years. It will help the future health service and to take important advice from the Health Bulletin in future. ( Dr. Md. Ramjan Ali ) UH&FPO Upazila Health Complex, Hatibandha, Lalmonirhat.