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Singra Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the Upazila health bulletin 2015 (belong data Jan.- Dec. 2014) This bulletin contains all the health related information of 2014. I hope all the information of this bulletin will help for planing, implementation & bridging the gaps in health service of this upazila. This bulletin is published to disseminate the information of Singra upazila to other departments. All health related data are stored properly in the office of health department. This health bulletin will help us to find constrains for implantation of planing strategy. It also helps to find out different health related data, information & the results & achievements of previous time period. This bulletin contains the status of MDG-4, MDG-5, morbidity & mortality profile which will help to localize the limitation, achievement,strategy 7 targets for MDG. This health bulletin also contains the information about safe drinking water staff profile & sanitation status of the upazila . Finally I would like to congratulate the initiator of the health bulletin software which is definitely an innovative idea & I hope it will open a new era in health services of Bangladesh & it will help us to move one step ahed toward Digital Bangladesh. Dr.Anjuman Ara UH&FPO Upazila Health Complex, Singra,Natore Email-singra@uhfpo.dghs.gov.bd
Dr. Anjuman Ara
UH&FPO
Singra Upazila Health Complex

Singra Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Singra
Organization Code 10001438
Name of UHFPO Dr. Anjuman Ara
Land Phone No. 1 -0772663030
Land Phone No. 2
FAX No.
Mobile No. 01712247495
Email singra@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 89.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 83,014
Population in the Upazila 379,901
Area of Upazila in sq km 500.33

Singra 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 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 10 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 8 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 42 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 5 50
No. of NGO Clinics/Facilities 1 0

Singra Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,975


Under 5 Mortality Rate: 14.922 (Per 1,000 live births)
Infant Mortality Rate: 7.147 (Per 1,000 live births)
Neonatal Mortality Rate: 3.887 (Per 1,000 live births)
Still Birth Rate: 2.382 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 52,320
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Singra 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: 1
Total No. of Recipients Who Took at least one ANC: 7,549
Total Number of Deliveries: 7,994
Valid TT Coverage: 86.00 %
Maternal Mortality Ratio (MMR) is: 12.54 per 100,000 live births.

Singra 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 31,930 33,623 65,553 9,518 10,926 20,444 85,997 11,685 12,330 24,015 2,376 2,853 5,229 29,244
Union Sub-Centres 22,324 27,531 49,855 7,139 9,537 16,676 66,531 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) 21,537 25,361 46898 7,819 8,956 16,775 63,673 0 0 0 0 0 0 16,775
Community Clinics 123,166 234,009 357,175 18,471 20,739 39,210 396,385 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 20,576 22,159 42,735 3,120 4,289 7,409 50,144 0 0 0 0 0 0 0
NGO Clinics/Facilities 11,231 18,458 29,689 2,350 3,123 5,473 35,162 0 0 0 0 0 0 0

Singra 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 4,978 4,042 9,020 958 996 1,954 10,974 23 7 30 2 1 3 33
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 469 379 848 0 0 0 848 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Singra 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 10,974
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 3320 30.25
2 J170 Pneumonia in bacterial diseases classified elsewhere X: Diseases of the respiratory system 1595 14.53
3 J069 Acute upper respiratory infection, unspecified X: Diseases of the respiratory system 1420 12.94
4 X96 Assault by explosive material XX: External causes of morbidity and mortality 931 8.48
5 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 809 7.37
6 O809 Single spontaneous delivery, unspecified XV: Pregnancy, childbirth and the puerperium 746 6.80
7 J45 Asthma X: Diseases of the respiratory system 713 6.50
8 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 618 5.63
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 424 3.86
10 V499 Car occupant [any] injured in unspecified traffic accident XX: External causes of morbidity and mortality 398 3.63

Singra 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 33
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 14 42.42
2 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 7 21.21
3 B99 Other and unspecified infectious diseases IX: Diseases of the circulatory system 4 12.12
4 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 1 3.03
5 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 1 3.03
6 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2 6.06
7 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 1 3.03
8 I51 Complications and ill-defined descriptions of heart disease IX: Diseases of the circulatory system 1 3.03
9 N189 Chronic renal failure, unspecified XIV: Diseases of the genitourinary system 1 3.03
10 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 3.03

Singra 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 (%) 99.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,974
Bed Occupancy Rates (%) 96.99
Average Length of Hospital Stay (No. of days per patient) 1.00
Hospital Death Rate (%) 0.30


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 4,219

 

Singra 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 1 8 1 10.00
Class III 108 74 21 13 12.04
Class IV 19 7 9 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 14 6 4 4 28.57
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 18 14 4 0 0.00
Class IV 4 3 0 1 25.00
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 44 22 19 3 6.82
Class IV 0 0 0 0 0.00

 

Singra 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 23 8 5 10 43.48
Non Doctor 0 0 0 0 0.00
Class II 10 1 8 1 10.00
Class III 170 110 44 16 9.41
Class IV 23 10 9 4 17.39
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

 

Singra 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 14 10 9 3 0 0 0 0 0
Nurse 0 0 0 0 11 9 0 0 3 0 0
Medical Assistant 0 0 14 14 2 2 0 0 10 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 44 41 0 0 0 0 0 0 0 0 7
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 11 11 0 0 0 0 0
HA 0 0 0 0 54 45 0 0 0 0 9

Singra 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 1 1 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 0 0 2 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 2 2 0 0 0
Ceiling mounting OT Light 0 0 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 1 1 0 0 0
Sucker machine (electric) 1 0 0 1 0
Ventilator 0 0 0 0 0


Singra 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 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Singra 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) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Singra 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 1 1 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Singra 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) 3 3 0 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 2 2 0 0 0
IPS 1 0 0 1 0
ICT equipment
Computer (desktop) 9 8 1 0 0
Laptop 47 43 4 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 0 1
Printer (laser) 6 2 0 0 4
Scanner 1 1 0 0 0
UPS 7 6 0 1 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


Singra 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) 1 1 0 0 0
Land phone 2 2 0 0 0
Mobile phone 1 1 0 0 0
Total 105 87 6 7 5

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

Important information and necessary issues for Singra Upazila Health Complex
I would like to mention some important factors and necessary issues which will help us to achieve a good result in future. The vacant post (Statistician, Store keeper, Junior Mechanic,Doctors etc) should be filled immediately. Existing Doctor , Nurse , SACMO & otters Staffs need more training on IMCI & EOC . I am very happy to publish this health bulletin of 2015 (belong Jan-Dec/2014) because the document will help comparing our progress in upcoming years. This is very necessary document which will help public to understand health services & comparing valuable data about health service.