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Atghoria Upazila Health Complex | Health Bulletin 2015 |
Preface
The Constitution of Bangladesh mandates for basic health care services for its people as one of the fundamental responsibilities of the state.Towards this goal,the government has taken different endeavors to extend health facilities to the population.This Health Bulletin is a statistical year book of hospitals,health services,health workforce and health situation of the country reflected through the various health programs undertaken by Directorate General of health services (DGHS).The contents of this Health Bulletin are rich and useful to provide an overview of the health situation of the country.I am sure that the health policy makers,planners and program managers will definitely see this health bulletin as one of the good resources of the health sector of Bangladesh.I congratulate this great endeavor and wish that the readers will well accept the Health Bulletin. (Dr.Md Abdus Sattar) UH&FPO. Athhoria.pabna
Dr.Md.Abdus Sattar
UH&FPO
Atghoria Upazila Health Complex

Atghoria Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Atghoria
Organization Code 10001472
Name of UHFPO Dr.Md.Abdus Sattar
Land Phone No. 1 -0732256015
Land Phone No. 2
FAX No.
Mobile No. 01711266511
Email atgharia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila5
No. of Households in the Upazila 36,215
Population in the Upazila 175,101
Area of Upazila in sq km 186.15

Atghoria 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 5 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) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 22 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

Atghoria Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,073


Under 5 Mortality Rate: 5.401 (Per 1,000 live births)
Infant Mortality Rate: 5.156 (Per 1,000 live births)
Neonatal Mortality Rate: 5.156 (Per 1,000 live births)
Still Birth Rate: 0.491 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 18,355
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):

Atghoria 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: 2
Total No. of Recipients Who Took at least one ANC: 4,708
Total Number of Deliveries: 4,073
Valid TT Coverage: 7.00 %
Maternal Mortality Ratio (MMR) is: 49.10 per 100,000 live births.

Atghoria 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 21,972 39,732 61,704 12,320 13,200 25,520 87,224 2,748 2,582 5,330 550 609 1,159 6,489
Union Sub-Centres 5,709 19,356 25,065 901 965 1,866 26,931 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) 3,083 28,812 31895 7,612 8,003 15,615 47,510 0 0 0 0 0 0 15,615
Community Clinics 51,976 151,043 203,019 12,566 12,462 25,028 228,047 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

Atghoria 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 1,646 2,298 3,944 198 223 421 4,365 4 3 7 0 0 0 7
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

Atghoria 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 4,365
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 782 17.92
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 586 13.42
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 263 6.03
4 J45 Asthma X: Diseases of the respiratory system 206 4.72
5 F70 Mild mental retardation V: Mental and behavioural disorders 151 3.46
6 T46 Poisoning by agents primarily affecting the cardiovascular system XIX: Injury, poisoning and certain other consequences of external causes 145 3.32
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 139 3.18
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 128 2.93
9 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 122 2.79
10 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 57 1.31

Atghoria 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 T46 Poisoning by agents primarily affecting the cardiovascular system XIX: Injury, poisoning and certain other consequences of external causes 2 66.67
2 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 33.33
3 XIX: Injury, poisoning and certain other consequences of external causes 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

Atghoria 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 (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,185
Bed Occupancy Rates (%) 98.85
Average Length of Hospital Stay (No. of days per patient) 2.72
Hospital Death Rate (%) 0.16


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 145

 

Atghoria 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 6 2 2 20.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 53 49 1 3 5.66
Class IV 19 9 6 4 21.05
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 5 4 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 2 0 0.00
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 21 11 10 0 0.00
Class IV 0 0 0 0 0.00

 

Atghoria 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 15 10 3 2 13.33
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 80 64 13 3 3.75
Class IV 20 10 6 4 20.00
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

 

Atghoria 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 5 10 8 0 0 1 0 0
Nurse 0 0 0 0 12 10 0 0 3 1 0
Medical Assistant 0 0 5 5 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 21 21 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 24 22 0 0 0 0 0

Atghoria 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 0 0 1 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 1 0 1 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 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 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Atghoria 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 3 3 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Atghoria 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 2 2 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 1 0 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Atghoria 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 4 4 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Atghoria 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 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 6 2 0 0
Laptop 24 24 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 3 2 0 0
Scanner 0 0 0 0 0
UPS 6 4 2 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Atghoria 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 80 66 9 5 0

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

Important information and necessary issues for Atghoria Upazila Health Complex
''Important information and necessary issues on Upazila Health Complex Athgoria ,Pabna'' Annual Health Bulletin is a revolutionary and highly appreciated step towards digitization of health services taken by the present MIS administration in Bangladesh. I would like to propose some steps to improve health service deliveries at grass-root level.Vacant post of doctors,nurses & paramedics should be filled up immediately.Necessary equipments,transport facilities should be ensured.All medical,non-medical and statistical personnel should be properly trained up.'' With best regard and thanks to all. Dr.Md.Abdus Sattar UH&FPO Atghoria,Pabna.