Porsha Upazila Health Complex | Health Bulletin 2015 |
Preface
Since Health Bulletin has an important role in health serviec. So I am highly glad to publish this bulletin of porsha upazila.Health related infomations of this upazila are in this Bulletin.I hope it will disseminate the informations of porsha upazila to other line department and development partner of health. I also hope the informations will help for planning and bridging the gaps in health services of this upazila.This Bulletin will help us to find obstacles and also to see the results and achievements of 2014.The status of MDG4,MDG5 are Contained in the bulletin which will help to localize the MDG targets.Health Bulletin of 2014 also Contains the Vacant and sanctioned posts.I expect the attention of higher authority to look into this Matter.At last I would like to congratulate the initiator of the Health bulletin software.
Porsha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Porsha
Organization Code
10001405
Name of UHFPO Dr.Md.Matiur Rahman.
Land Phone No. 1
74429-056020
Land Phone No. 2
FAX No.
Mobile No.
01712579219
Email Porsha@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.0226 And
Long:
88.4553
No. of Unions in the Upazila 6
No. of Households in the Upazila 28,264
Population in the Upazila 129,421
Area of Upazila in sq km 270.25
Porsha 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
4
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
2
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
3
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
12
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
2
0
No. of NGO Clinics/Facilities
0
0
Porsha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,046
Under 5 Mortality Rate: 49.573 (Per 1,000 live births)
Infant Mortality Rate: 42.351 (Per 1,000 live births)
Neonatal Mortality Rate: 23.638 (Per 1,000 live births)
Still Birth Rate: 2.955 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 20,971
Fully Vaccinated Children (<= 12 months): 93.00 %
Fully Vaccinated Children (<= 23 months): 96%
Porsha 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:
3
Total No. of Recipients Who Took at least one ANC:
2,919
Total Number of Deliveries:
3,036
Valid TT Coverage: 57.00 %
Maternal Mortality Ratio (MMR) is:
98.49 per 100,000 live births.
Porsha 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
11,090
16,635
27,725
3,697
5,554
9,251
36,976
816
1,105
1,921
287
243
530
2,451
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)
4,312
5,027
9,339
2,172
2,262
4,434
13,773
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
3,928
29,398
33326
4,711
4,574
9,285
42,611
0
0
0
0
0
0
9,285
Community Clinics
23,290
47,097
70,387
4,520
5,939
10,459
80,846
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
Porsha 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
776
975
1,751
298
316
614
2,365
2
5
7
1
1
2
9
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
201
324
525
71
86
157
682
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Porsha 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
2,365
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
415
17.55
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
401
16.96
3
J15 Bacterial pneumonia, NEC
X: Diseases of the respiratory system
186
7.86
4
A010 Typhoid fever
I: Certain infectious and parasitic diseases
158
6.68
5
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
86
3.64
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
55
2.33
7
T659 Toxic effect of unspecified substance
XIX: Injury, poisoning and certain other consequences of external causes
45
1.90
8
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
22
0.93
9
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
10
0.42
10
G403 Generalized idiopathic epilepsy and epileptic syndromes
VI: Diseases of the nervous system
9
0.38
Porsha 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
9
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J15 Bacterial pneumonia, NEC
X: Diseases of the respiratory system
2
22.22
2
J459 Asthma, unspecified
X: Diseases of the respiratory system
2
22.22
3
P210 Severe birth asphyxia
X: Diseases of the respiratory system
1
11.11
4
I301 Infective pericarditis
IX: Diseases of the circulatory system
1
11.11
5
P070 Extremely low birth weight
XVI: Certain conditions originating in the perinatal period
1
11.11
6
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
1
11.11
7
R571 Hypovolaemic shock
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
11.11
8
0
0.00
9
0
0.00
10
0
0.00
Porsha Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
59.00
Coverage of households having access to sanitary latrines (%)
69.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
7,406
Bed Occupancy Rates (%)
40.58
Average Length of Hospital Stay (No. of days per patient)
4.60
Hospital Death Rate (%)
0.30
Porsha Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
346
Porsha 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
10
3
2
5
50.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
45
27
3
15
33.33
Class IV
19
7
5
7
36.84
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
3
0
3
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
6
2
0
0.00
Class IV
2
0
0
2
100.00
Rural Dispensaries
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
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
13
6
6
1
7.69
Class IV
0
0
0
0
0.00
Porsha 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
16
6
2
8
50.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
53
34
5
14
26.42
Class IV
21
7
5
9
42.86
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
Porsha 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
6
3
10
4
0
0
0
0
0
Nurse
0
0
0
0
10
5
0
0
0
0
0
Medical Assistant
0
0
6
5
2
2
0
0
2
0
0
Medical Technologist
0
0
2
2
7
6
0
0
0
0
0
CHCP
13
12
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
1
0
0
0
0
0
0
AHI
0
0
0
0
4
2
0
0
0
0
0
HA
0
0
0
0
20
16
0
0
0
0
1
Porsha 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)
1
1
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
0
0
0
0
0
Autoclave
2
2
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
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
3
2
1
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Porsha 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
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Porsha 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)
3
3
0
0
0
Colorimeter
1
1
0
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
Porsha 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
3
1
1
1
0
Porsha 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)
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)
7
6
1
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
1
1
0
0
0
UPS
6
5
1
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
Porsha 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
45
40
4
1
0
Porsha Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Porsha Upazila Health Complex
All Posts of Consaltants,Post of RMO, many Posts of 3rd & 4th Class for 31 bad are Vacant. Posts for 50 beded Hospital has not been Created.There is no basic EOC Service.I expect the attention of higher authority to look into this Meter.
Thank's
Dr.Md.Matiur Rahman
UH&FPO.
Upazila Health Complex.
Porsha.Naogaon
