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Chatmohar Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure for me to know that Chatmohar Upazila health complex is going to publish a health bulletin for the 4th time. This bulletin contains all the health related information of 2014The bulletin is published to disseminate the information of planning and bridging the gaps in the health services of this Upazila & other government health office . Many data is stored in this bulletin . The health bulletin will help us to find out constrains and also to see the achievement of 2015 of this upazilla health complex .The bulletin contains the status of MDG-4 and MDG-5 which will to localize the MDG Target.This health bulletin also has the information on safe drinking water and sanitation status of this upazila.All sanction & vacant post are published in the bulletin of 2014.I would like to draw attention of the higher authority to take necessary step to inaugurate the 50 bedded hospital & allocate the appropriate fund within shortest possible time . So that the people of this locality can get the desired benefit. I would like to thank all who are involved in developing and editing this health bulletin and special thanks to DGHS for providing technical and financial support for setting us one step ahead toward digital Bangladesh. (Dr,Manzura Rahman) Upazila health & Family planning officer Chatmohar,Pabna.
Dr.Manzura Rahman
UH&FPO
Chatmohar Upazila Health Complex

Chatmohar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Chatmohar
Organization Code 10001479
Name of UHFPO Dr.Manzura Rahman
Land Phone No. 1 07324-0732456125
Land Phone No. 2
FAX No.
Mobile No. 01711101493
Email chatmohar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.1357 And Long: 89.1712
No. of Unions in the Upazila11
No. of Households in the Upazila 67,691
Population in the Upazila 304,728
Area of Upazila in sq km 313.00

Chatmohar 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) 9 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 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 2 20
No. of NGO Clinics/Facilities 0 0

Chatmohar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,589


Under 5 Mortality Rate: 1.845 (Per 1,000 live births)
Infant Mortality Rate: 1.581 (Per 1,000 live births)
Neonatal Mortality Rate: 1.449 (Per 1,000 live births)
Still Birth Rate: 1.977 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 53,049
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):

Chatmohar 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: 13,262
Total Number of Deliveries: 7,604
Valid TT Coverage: 14.00 %
Maternal Mortality Ratio (MMR) is: 26.35 per 100,000 live births.

Chatmohar 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 17,332 35,379 52,711 12,201 16,785 28,986 81,697 5,264 5,346 10,610 1,520 1,910 3,430 14,040
Union Sub-Centres 18,767 27,669 46,436 2,507 4,379 6,886 53,322 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) 15,500 72,223 87723 5,663 20,671 26,334 114,057 0 0 0 0 0 0 26,334
Community Clinics 170,933 212,498 383,431 21,380 24,495 45,875 429,306 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

Chatmohar 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 2,965 4,546 7,511 820 1,471 2,291 9,802 18 18 36 6 8 14 50
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 150 240 390 10 8 18 408 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Chatmohar 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 9,782
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1453 14.85
2 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 1252 12.80
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1129 11.54
4 Y090 Assault by unspecified means, home XX: External causes of morbidity and mortality 972 9.94
5 O809 Single spontaneous delivery, unspecified XV: Pregnancy, childbirth and the puerperium 659 6.74
6 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 352 3.60
7 V115 Pedal cyclist injured in collision with other pedal cycle, passenger, traffic accident XX: External causes of morbidity and mortality 277 2.83
8 J450 Predominantly allergic asthma X: Diseases of the respiratory system 223 2.28
9 T480 Oxytocic drugs XIX: Injury, poisoning and certain other consequences of external causes 211 2.16
10 F449 Dissociative [conversion] disorder, unspecified V: Mental and behavioural disorders 173 1.77

Chatmohar 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 50
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 9 18.00
2 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 8 16.00
3 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 6 12.00
4 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 4 8.00
5 P368 Other bacterial sepsis of newborn XVI: Certain conditions originating in the perinatal period 4 8.00
6 V115 Pedal cyclist injured in collision with other pedal cycle, passenger, traffic accident XX: External causes of morbidity and mortality 3 6.00
7 P239 Congenital pneumonia, unspecified XVI: Certain conditions originating in the perinatal period 3 6.00
8 J450 Predominantly allergic asthma X: Diseases of the respiratory system 2 4.00
9 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 2 4.00
10 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 1 2.00

Chatmohar 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 (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 20,570
Bed Occupancy Rates (%) 112.71
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 1.00


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,872

 

Chatmohar 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 21 7 7 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 80 56 9 15 18.75
Class IV 22 12 9 1 4.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 4 4 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 13 9 4 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 4 0 0 0.00
Class IV 2 1 0 1 50.00
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 37 13 16 8 21.62
Class IV 0 0 0 0 0.00

 

Chatmohar 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 32 13 11 8 25.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 84 60 13 11 13.10
Class IV 24 12 9 3 12.50
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

 

Chatmohar 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 11 10 21 14 0 0 1 0 0
Nurse 0 0 0 0 16 16 0 0 4 2 0
Medical Assistant 0 0 0 0 0 0 0 0 12 0 0
Medical Technologist 0 0 2 2 7 7 0 0 0 0 0
CHCP 37 29 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 2 0 0 0
AHI 0 0 0 0 0 0 7 7 0 0 23
HA 0 0 0 0 0 0 34 26 0 0 9

Chatmohar 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) 1 1 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 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 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 5 5 0 0 0
Sucker machine (electric) 8 5 1 1 1
Ventilator 0 0 0 0 0


Chatmohar 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 8 3 2 3 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 0 0 1 0


Chatmohar 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) 2 2 0 0 0
Colorimeter 2 0 0 2 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 3 1 0 0
Pediatric equipment
Baby incubator 1 0 0 0 1
Phototherapy unit 1 1 0 0 0


Chatmohar 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 1 1 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 3 3 0 0 0
Vehicles
Ambulance 3 1 0 1 1


Chatmohar 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) 4 3 1 0 0
Generator
Generator (diesel/petrol) 1 0 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 11 10 0 1 0
Laptop 29 29 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 4 2 2 0 0
Printer (laser) 5 2 3 0 0
Scanner 1 1 0 0 0
UPS 1 1 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 30 30 0 0 0
Multimedia 1 1 0 0 0


Chatmohar 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 141 117 10 10 4

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

Important information and necessary issues for Chatmohar Upazila Health Complex
Important information and necessary issues for Chatmohar Upazila health complex-Last year we could not give maximum efforts to improve the status due to many reason. Here I like to mention some important factors which will help us to achieve good result in future. 1.The vacant post should be filled up immidiatly .2.Our Doctors,Nurses & Other related stuffs need more training on health service.All the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this Health bulletin-2014.Because this document will help us to compare our progress in years.This is very useful document and will help the public to understand health services and to provide us the useful advice for important in future.