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Puthia Upazila Health Complex | Health Bulletin 2015 |
Preface
I am glad to publish this health of bulletin of puthia upazia.This bulletin contains all the health related information of 2014 of puthia upazila . This bulletin is published to disseminate the information of puthia upazila health complex and other union health sub-centers and community clinics to other department and development partners of health.I hope all the information of this bulletin will help for planning and narrowing the gaps in health services of this upazila. This health bulletin will help us to find all reports,information and also is see me result and achievements of 2014.This bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG Targets.This health bulletin has also the information as safe drinking water and sanitation status of the upazila.All the sanitation and vacant posts are published in this bulletin of 2014. In my conclusion I would to congratulate the initiator of the health bulletin software for selling us are step ahead toward digital Bangladesh.
Dr. Gopendra Nath Acharya.
UH&FPO
Puthia Upazila Health Complex

Puthia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Puthia
Organization Code 10001551
Name of UHFPO Dr. Gopendra Nath Acharya.
Land Phone No. 1 07228-0722856129
Land Phone No. 2
FAX No.
Mobile No. 01712240740
Email putia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 48,431
Population in the Upazila 209,475
Area of Upazila in sq km 192.64

Puthia 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 5 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 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 12 0
No. of NGO Clinics/Facilities 0 0

Puthia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,341


Under 5 Mortality Rate: 7.483 (Per 1,000 live births)
Infant Mortality Rate: 3.592 (Per 1,000 live births)
Neonatal Mortality Rate: 2.394 (Per 1,000 live births)
Still Birth Rate: 2.394 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,241
Fully Vaccinated Children (<= 12 months): 90.00 %
Fully Vaccinated Children (<= 23 months): 0%

Puthia 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: 2,575
Total Number of Deliveries: 3,349
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Puthia 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 27,791 40,170 67,961 17,948 21,153 39,101 107,062 2,567 1,811 4,378 1,521 1,110 2,631 7,009
Union Sub-Centres 32,691 50,751 83,442 13,075 11,857 24,932 108,374 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 68,762 162,489 231,251 15,771 17,903 33,674 264,925 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

Puthia 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 2,278 4,085 6,363 282 263 545 6,908 3 3 6 0 0 0 6
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

Puthia 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 6,908
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 936 13.55
2 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 902 13.06
3 Y079 By unspecified person XX: External causes of morbidity and mortality 617 8.93
4 A014 Paratyphoid fever, unspecified I: Certain infectious and parasitic diseases 359 5.20
5 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 256 3.71
6 J459 Asthma, unspecified X: Diseases of the respiratory system 162 2.35
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 152 2.20
8 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 139 2.01
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 82 1.19
10 J129 Viral pneumonia, unspecified X: Diseases of the respiratory system 70 1.01

Puthia 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 6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R092 Respiratory arrest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 4 66.67
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 2 33.33
3 XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,069
Bed Occupancy Rates (%) 66.13
Average Length of Hospital Stay (No. of days per patient) 1.75
Hospital Death Rate (%) 0.09


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 417

 

Puthia 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 13 3 5 23.81
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 63 38 15 10 15.87
Class IV 22 13 6 3 13.64
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
Class IV 2 1 1 0 0.00
Rural Dispensaries
Class I Doctor 5 2 2 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 9 1 0 0.00
Class IV 5 2 2 1 20.00
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 14 13 1 3.57
Class IV 0 0 0 0 0.00

 

Puthia 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 28 16 7 5 17.86
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 103 64 29 10 9.71
Class IV 26 15 8 3 11.54
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

 

Puthia 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 4 28 23 0 0 0 0 0
Nurse 0 0 0 0 15 15 0 0 6 0 0
Medical Assistant 0 0 5 5 4 4 0 0 8 0 0
Medical Technologist 0 0 5 5 10 10 0 0 0 0 0
CHCP 28 27 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 29 24 0 0 0 0 0

Puthia 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) 2 0 1 1 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 0 2 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 1 0 1 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 0 1 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


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


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


Puthia 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 2 2 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Puthia 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 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 1 1 0 0
ICT equipment
Computer (desktop) 10 9 1 0 0
Laptop 35 35 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 7 1 0 0
Scanner 1 1 0 0 0
UPS 10 7 3 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 35 35 0 0 0
Multimedia 1 1 0 0 0


Puthia 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 136 114 20 2 0

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

Important information and necessary issues for Puthia Upazila Health Complex
Form Last year we tried to improve - the health status of puthia upazila. Here I Live to mention some important factors which win help us to achieve better results in future. 1) The Vacant post should be filled immediately. 2) All the deputations should be cancelled . 3) Our doctors and nurses need more training to improve their skilnes .4) Number of bed capacity of the health complex should be increased immediately my taking handover of the new building after finishing its construction.5) All the necessary equipments should be supplied as soon as possible. Finally I am very happy to write this health bulletin of 2015 , because this document with help us to compare our progress in up coming years.This is very useful document and with help the public to understand health services and to improvide us the useful advice for improvehttp://app.dghs.gov.bd/localhealthbulletin2014/index.php?page=entry#page_13ment in future.