Paba Upazila Health Complex | Health Bulletin 2015 |
Preface
It is my great pleasure to present the Health Bulletin-2014 of Upozilla Health Complex paba.From this health bulletin one can easily be informed about the facilities available and service provided by the Upozilla health complex. It also reflects the total health situation of the Upozilla throughout the year.I am very mach greatful to all my colleagues who worked hard and supported me to prepare the bulletin.My special thanks to MIS,DGHS for proper guidline to do a hard work in the easiest way. I hope this bulletin will be the reflection of the health status of the people of the Upozilla. At last I would like to thank Almighty Allah to be with us to do a great job.Thank you everybody.AllahHafez
Paba Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Paba
Organization Code
10001547
Name of UHFPO Dr.Md.Rizaul Haque Choudhary
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01730324706
Email paba@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
89.0000
No. of Unions in the Upazila 9
No. of Households in the Upazila 64,576
Population in the Upazila 312,866
Area of Upazila in sq km 294.50
Paba 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
2
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)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
32
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
3
0
Paba Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,082
Under 5 Mortality Rate: 8.855 (Per 1,000 live births)
Infant Mortality Rate: 2.952 (Per 1,000 live births)
Neonatal Mortality Rate: 2.558 (Per 1,000 live births)
Still Birth Rate: 0.197 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,134
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 94%
Paba 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:
0
Total No. of Recipients Who Took at least one ANC:
4,705
Total Number of Deliveries:
5,419
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Paba 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
35,678
56,789
92,467
17,896
22,093
39,989
132,456
915
824
1,739
205
150
355
2,094
Union Sub-Centres
11,256
17,546
28,802
5,674
5,223
10,897
39,699
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
7,934
11,170
19,104
4,321
2,095
6,416
25,520
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
94,661
264,264
358,925
25,988
40,423
66,411
425,336
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
6,574
4,675
11,249
1,234
1,567
2,801
14,050
567
467
1,034
248
198
446
1,480
NGO Clinics/Facilities
1,986
1,563
3,549
895
1,123
2,018
5,567
0
0
0
0
0
0
0
Paba 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
897
964
1,861
123
159
282
2,143
2
1
3
0
0
0
3
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
456
532
988
104
96
200
1,188
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Paba 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
1,130
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
436
38.58
2
K270 Peptic ulcer, site unspecified, acute with haemorrhage
XI: Diseases of the digestive system
224
19.82
3
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
145
12.83
4
J450 Predominantly allergic asthma
X: Diseases of the respiratory system
136
12.04
5
D500 Iron deficiency anaemia secondary to blood loss (chronic)
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
68
6.02
6
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
41
3.63
7
J180 Bronchopneumonia, unspecified
X: Diseases of the respiratory system
28
2.48
8
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
25
2.21
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
14
1.24
10
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
13
1.15
Paba 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
I500 Congestive heart failure
IX: Diseases of the circulatory system
3
100.00
2
0
0.00
3
IX: Diseases of the circulatory system
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
Paba Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
6,387
Bed Occupancy Rates (%)
56.45
Average Length of Hospital Stay (No. of days per patient)
5.65
Hospital Death Rate (%)
0.27
Paba Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
753
Paba 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
2
2
22.22
Non Doctor
0
0
0
0
0.00
Class II
11
1
9
1
9.09
Class III
73
57
10
6
8.22
Class IV
24
17
5
2
8.33
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
1
1
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
2
0
0
0.00
Class IV
1
1
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
0
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
3
1
0
0.00
Class IV
2
2
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
34
15
18
1
2.94
Class IV
0
0
0
0
0.00
Paba 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
18
8
8
2
11.11
Non Doctor
0
0
0
0
0.00
Class II
11
1
9
1
9.09
Class III
107
72
28
7
6.54
Class IV
24
17
5
2
8.33
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
Paba 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
9
9
9
7
0
0
0
0
0
Nurse
0
0
0
0
11
10
0
0
7
0
0
Medical Assistant
0
0
9
9
2
2
0
0
10
0
0
Medical Technologist
0
0
9
9
6
6
0
0
0
0
0
CHCP
34
33
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
7
7
0
0
0
0
0
HA
0
0
0
0
35
31
0
0
0
0
0
Paba 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
1
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
0
0
0
0
0
Autoclave
2
2
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
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
8
4
3
1
0
Ventilator
0
0
0
0
0
Paba 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
1
0
0
0
Paba 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
Paba 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
1
1
0
0
0
Paba 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
0
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
37
35
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
3
2
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
36
36
0
0
0
Multimedia
1
1
0
0
0
Paba 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
0
0
0
0
0
Mobile phone
1
1
0
0
0
Total
115
105
9
1
0
Paba Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Paba Upazila Health Complex
The X-ray Machine of Paba UHC is non functional for a long period.Repare or replacement is essential for better delivery
