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Iswardi Upazila Health Complex | Health Bulletin 2015 |
Preface
We are glad to see that MIS-Health of DGHS is going to publish local health bulletin.This Health Bulletin display clincal ,financial and administrative performnce of all UHC of Bangladesh.Also this health bullatin may plag a vital role for setting health policy and to asses the performance of individual.Finally,I,thank Director of MIS Health and his team for taking this nobel initaitive of publishing this local Health Bulletin.With thanks and regards.
Dr. Amin Ahamed Khan
UH&FPO
Iswardi Upazila Health Complex

Iswardi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Iswardi
Organization Code 10001482
Name of UHFPO Dr. Amin Ahamed Khan
Land Phone No. 1 -0732663644
Land Phone No. 2
FAX No.
Mobile No. 01711003939
Email iswardi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 56,097
Population in the Upazila 364,400
Area of Upazila in sq km 244.25

Iswardi 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 7 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) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 28 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 7 60
No. of NGO Clinics/Facilities 2 0

Iswardi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,363


Under 5 Mortality Rate: 1.886 (Per 1,000 live births)
Infant Mortality Rate: 1.414 (Per 1,000 live births)
Neonatal Mortality Rate: 0.943 (Per 1,000 live births)
Still Birth Rate: 3.457 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 47,079
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%

Iswardi 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: 9,401
Total Number of Deliveries: 6,380
Valid TT Coverage: 19.00 %
Maternal Mortality Ratio (MMR) is: 15.72 per 100,000 live births.

Iswardi 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 11,770 32,797 44,567 7,004 6,517 13,521 58,088 4,320 5,760 10,080 360 445 805 10,885
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) 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 59,657 146,702 206,359 13,021 15,394 28,415 234,774 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 4,564 8,478 13,042 1,324 1,768 3,092 16,134 0 0 0 0 0 0 0
NGO Clinics/Facilities 345 890 1,235 234 323 557 1,792 0 0 0 0 0 0 0

Iswardi 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 4,103 8,746 12,849 354 491 845 13,694 31 19 50 1 2 3 53
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 234 1,224 1,458 0 0 0 1,458 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Iswardi 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 13,340
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1475 11.06
2 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1675 12.56
3 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 391 2.93
4 X850 Assault by drugs, medicaments and biological substances, home XX: External causes of morbidity and mortality 420 3.15
5 T45 Poisoning by primarily systemic and haematological agents, NEC XIX: Injury, poisoning and certain other consequences of external causes 439 3.29
6 J12 Viral pneumonia, NEC X: Diseases of the respiratory system 278 2.08
7 J459 Asthma, unspecified X: Diseases of the respiratory system 279 2.09
8 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 347 2.60
9 A924 Rift Valley fever I: Certain infectious and parasitic diseases 564 4.23
10 F411 Generalized anxiety disorder V: Mental and behavioural disorders 325 2.44

Iswardi 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 67
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 3 4.48
2 J12 Viral pneumonia, NEC X: Diseases of the respiratory system 4 5.97
3 I400 Infective myocarditis IX: Diseases of the circulatory system 18 26.87
4 J459 Asthma, unspecified X: Diseases of the respiratory system 9 13.43
5 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 4 5.97
6 R074 Chest pain, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 2.99
7 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 1.49
8 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 1.49
9 A924 Rift Valley fever I: Certain infectious and parasitic diseases 0 0.00
10 B99 Other and unspecified infectious diseases I: Certain infectious and parasitic diseases 11 16.42

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
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.) 16,016
Bed Occupancy Rates (%) 87.76
Average Length of Hospital Stay (No. of days per patient) 1.20
Hospital Death Rate (%) 0.50


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 266
Minor Surgeries 720

 

Iswardi 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 5 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 24 22 2 0 0.00
Class IV 19 10 7 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 1 0 0 0.00
Non Doctor 1 1 0 0 0.00
Class II 2 0 0 2 100.00
Class III 83 30 53 0 0.00
Class IV 16 8 8 0 0.00
Rural Dispensaries
Class I Doctor 7 3 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 5 2 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 28 12 15 1 3.57
Class IV 0 0 0 0 0.00

 

Iswardi 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 8 7 1 6.25
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 100 66 28 6 6.00
Class IV 19 10 7 2 10.53
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

 

Iswardi 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 7 7 9 8 0 0 2 0 0
Nurse 0 0 0 0 11 11 0 0 7 4 0
Medical Assistant 0 0 7 7 2 2 0 0 9 0 42
Medical Technologist 0 0 0 0 9 9 0 0 0 0 26
CHCP 28 27 0 0 0 0 0 0 0 0 11
HI 0 0 0 0 2 2 0 0 0 0 7
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 34 29 0 0 0 0 0

Iswardi 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 1 1 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 4 4 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 2 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 4 4 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Iswardi 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 1 1 0 0 0
Dental equipment
Dental unit 2 1 0 1 0


Iswardi 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) 5 3 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Iswardi 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


Iswardi 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) 0 0 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 1 1 0
Printer (laser) 5 5 0 0 0
Scanner 0 0 0 0 0
UPS 0 0 0 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 0 0 0 0 0


Iswardi 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 60 52 5 3 0

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

Important information and necessary issues for Iswardi Upazila Health Complex
1.This UHC is EOC Hospital(Cartifficate of award for outstanding performance in Emergency obstetriccare 2011, 2012,2013,2014). 2. 50 Beded Hospital with Administrative approval on 15 September 2011 . 3. It is very necessary to new recruitment employment on 50 baded Hospital. 4. It is necessary to Medical equipment & Medicine. 5. Very Urgent supply in generator to the indoor and O T.