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Atwari Upazila Health Complex | Health Bulletin 2015 |
Preface
21st Century is called the age of revolution.Digitalization is a part of revolution. Our on line Health bulletin is also the part of that digitalization.I am very pleased for the publisment of health bulletin on Atwari upazila.This bulletin is contains all health related information of 2014.I hope,all information will help for planning,monitoring and bridging the gaps in health services of this upazila.The bulletin contains the status of MDG4 & MDG5 which will help to localize the MDG targets. The shortage of manpower is a burning problem of this upazila .In spite of this shortage of manpower,we work heart & soul to achieve the goal. Finally I would like to congratulate to the initiator of the health bulletin for promoting us one step ahead towards digital Bangladesh .
Dr.Mowla Baksh Chaudhury
UH&FPO
Atwari Upazila Health Complex

Atwari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Atwari
Organization Code 10001500
Name of UHFPO Dr.Mowla Baksh Chaudhury
Land Phone No. 1 -0565256010
Land Phone No. 2
FAX No.
Mobile No. 01712521459
Email
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 30,003
Population in the Upazila 133,230
Area of Upazila in sq km 290.02

Atwari 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 1 0
No. of Union Sub-Centres 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 1 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 13 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 1 9
No. of NGO Clinics/Facilities 1 0

Atwari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,892


Under 5 Mortality Rate: 38.382 (Per 1,000 live births)
Infant Mortality Rate: 33.887 (Per 1,000 live births)
Neonatal Mortality Rate: 30.429 (Per 1,000 live births)
Still Birth Rate: 20.401 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 13,924
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months):

Atwari 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: 2,963
Total Number of Deliveries: 2,890
Valid TT Coverage: 43.00 %
Maternal Mortality Ratio (MMR) is: 103.73 per 100,000 live births.

Atwari 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 13,073 14,105 27,178 1,728 1,971 3,699 30,877 2,606 1,309 3,915 315 210 525 4,440
Union Sub-Centres 11,179 12,602 23,781 1,606 1,662 3,268 27,049 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) 5,550 30,192 35742 3,629 3,897 7,526 43,268 0 0 0 0 0 0 7,526
Community Clinics 37,756 67,660 105,416 4,907 5,137 10,044 115,460 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

Atwari 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 2,134 2,769 4,903 503 442 945 5,848 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

Atwari 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 4,286
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 1180 27.53
2 Y08 Assault by other specified means XX: External causes of morbidity and mortality 922 21.51
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 513 11.97
4 Y76 Obstetric and gynaecological devices associated with adverse incidents XX: External causes of morbidity and mortality 452 10.55
5 B34 Viral infection of unspecified site I: Certain infectious and parasitic diseases 385 8.98
6 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 302 7.05
7 J17 Pneumonia in diseases classified elsewhere X: Diseases of the respiratory system 220 5.13
8 D63 Anaemia in chronic diseases classified elsewhere III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 129 3.01
9 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system XIX: Injury, poisoning and certain other consequences of external causes 120 2.80
10 I95 Hypotension IX: Diseases of the circulatory system 63 1.47

Atwari 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 0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 0 0.00
2 0 0.00
3 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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,913
Bed Occupancy Rates (%) 76.24
Average Length of Hospital Stay (No. of days per patient) 3.25
Hospital Death Rate (%) 0.00


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 317

 

Atwari 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 3 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 11 0 8 3 27.27
Class III 46 28 10 8 17.39
Class IV 19 13 5 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 0 0 1 100.00
Non Doctor 1 1 0 0 0.00
Class II 2 0 0 2 100.00
Class III 50 6 38 6 12.00
Class IV 12 5 6 1 8.33
Rural Dispensaries
Class I Doctor 6 4 1 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 5 0 5 50.00
Class IV 4 2 1 1 25.00
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 4 9 0 0.00
Class IV 0 0 0 0 0.00

 

Atwari 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 7 1 8 50.00
Non Doctor 1 1 0 0 0.00
Class II 13 0 8 5 38.46
Class III 119 42 58 19 15.97
Class IV 35 20 12 3 8.57
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

 

Atwari 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 5 9 3 0 0 0 0 0
Nurse 0 0 0 0 12 9 0 0 5 0 0
Medical Assistant 0 0 6 5 2 1 0 0 1 0 0
Medical Technologist 0 0 4 0 8 4 0 0 0 0 11
CHCP 13 13 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0 9
AHI 0 0 0 0 4 4 0 0 0 0 0
HA 0 0 0 0 20 18 0 0 0 0 0

Atwari 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 1 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 1 1 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 2 2 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Atwari 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Atwari 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 2 3 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 1 1 0 0 0


Atwari 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 0 0 0 0 0
Vehicles
Ambulance 2 2 0 0 0


Atwari 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 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) 8 8 0 0 0
Laptop 18 17 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 10 8 2 0 0
Scanner 1 1 0 0 0
UPS 4 3 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Atwari 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) 0 0 0 0 0
Land phone 1 0 1 0 0
Mobile phone 1 1 0 0 0
Total 70 59 11 0 0

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

Important information and necessary issues for Atwari Upazila Health Complex
Here I like mention some important factors which will help us to achieve good result in future. 1st The vacant post Should be filled immediately.2nd our Doctor and Nurse more training on IMCI & EOC.3rd All the repairable equipment`s should be repaired as soon as possible.Finally I am very happy to produce will help bulletin of 2014 because the document will help us to compare our progress in next year . This very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.