Tarash Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Heath Bulletin of Tarash Upazila. This bulletin is published to disseminate the information of tarash Upazila to other line department and development partners of health. I have all the information of this bulletin help for planing and bridging the gaps in health services of this Upazila. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. This health bulletin has also the information on safe drinking water and sanitation status of the Upazila. I like to take attention of the higher authority to look into this issue.
Finally, I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead toward Digital Bangladesh.
Tarash Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Tarash
Organization Code
10001662
Name of UHFPO Dr. Md Shriful Islam.
Land Phone No. 1
07528-0752856208
Land Phone No. 2
FAX No.
0752856208
Mobile No.
01717171591
Email tarash@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0000 And
Long:
93.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 46,406
Population in the Upazila 192,733
Area of Upazila in sq km 3.72
Tarash 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
1
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
7
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
8
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
26
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
0
No. of NGO Clinics/Facilities
1
0
Tarash Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,186
Under 5 Mortality Rate: 166.948 (Per 1,000 live births)
Infant Mortality Rate: 89.376 (Per 1,000 live births)
Neonatal Mortality Rate: 62.395 (Per 1,000 live births)
Still Birth Rate: 56.492 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 68,799
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 96%
Tarash 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:
11
Total No. of Recipients Who Took at least one ANC:
4,523
Total Number of Deliveries:
1,135
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR) is:
927.49 per 100,000 live births.
Tarash 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
28,656
33,342
61,998
13,853
14,579
28,432
90,430
287
298
585
168
185
353
938
Union Sub-Centres
4,854
6,582
11,436
1,622
1,871
3,493
14,929
96
100
196
43
37
80
276
Union Health and Family Welfare Centre (belongs to DGHS)
1,628
5,743
7,371
488
563
1,051
8,422
155
165
320
76
83
159
479
Union Health and Family Welfare Centre (belongs to DGFP)
1,255
4,650
5905
216
286
502
6,407
145
189
334
48
58
106
608
Community Clinics
47,420
71,000
118,420
8,530
9,642
18,172
136,592
354
397
751
88
96
184
935
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)
86
46
132
5
7
12
144
0
0
0
0
0
0
0
Private Clinics/Facilities
3,874
7,345
11,219
2,890
2,154
5,044
16,263
164
175
339
55
66
121
460
NGO Clinics/Facilities
1,029
4,352
5,381
687
692
1,379
6,760
70
82
152
28
31
59
211
Tarash 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
1,178
1,329
2,507
527
548
1,075
3,582
3
5
8
3
2
5
13
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
Tarash 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
1,786
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
363
20.32
2
J189 Pnuemonia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
336
18.81
3
Y042 Assult Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
228
12.77
4
T44 Poisoning Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
89
4.98
5
J45 Asthma Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
86
4.82
6
V892 R,T,A Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
83
4.65
7
T119 Heart disease Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
64
3.58
8
A01 Enterice fever Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
61
3.42
9
K27 Peptice ulcer Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
32
1.79
10
D50 Anuemia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
29
1.62
Tarash 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
13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pnuemonia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
5
38.46
2
T119 Heart disease Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
15.38
3
J459 Asthma Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
15.38
4
D50 Anuemia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
7.69
5
Y142 Assult Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0
0.00
6
A09 Diarrhoea Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0
0.00
7
T44 Poisoning Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
7.69
8
V892 R,T,A. Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
7.69
9
A01 Enteric fever Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0
0.00
10
98 T,B. Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
7.69
Tarash 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 (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
598
Bed Occupancy Rates (%)
5.29
Average Length of Hospital Stay (No. of days per patient)
0.33
Hospital Death Rate (%)
0.73
Tarash Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
106
Tarash 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
4
1
4
44.44
Non Doctor
0
0
0
0
0.00
Class II
10
0
9
1
10.00
Class III
67
56
4
7
10.45
Class IV
20
13
4
3
15.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
5
2
1
12.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
7
2
0
0.00
Class IV
8
1
0
7
87.50
Rural Dispensaries
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
2
0
0
0.00
Class IV
1
1
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
26
19
7
0
0.00
Class IV
0
0
0
0
0.00
Tarash 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
17
10
3
4
23.53
Non Doctor
0
0
0
0
0.00
Class II
10
0
9
1
10.00
Class III
103
83
13
7
6.80
Class IV
20
13
4
3
15.00
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
Tarash 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
8
7
9
5
106
96
10
9
2
Nurse
0
0
0
0
12
9
0
0
9
9
0
Medical Assistant
0
0
8
8
2
2
0
0
10
10
0
Medical Technologist
0
0
1
1
7
7
0
0
4
4
0
CHCP
26
26
0
0
0
0
0
0
0
0
7
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
3
Tarash 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
1
0
0
0
Ultrasonogram machine
1
1
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
1
1
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
2
1
1
0
0
Portable OT Light
2
1
1
0
0
Fracture table
2
1
1
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
12
6
4
2
0
Ventilator
0
0
0
0
0
Tarash 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
4
2
2
0
0
Pulse oximeter
2
1
1
0
0
Dental equipment
Dental unit
2
1
1
0
0
Tarash 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
1
1
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
10
5
2
1
2
Pediatric equipment
Baby incubator
2
1
1
0
0
Phototherapy unit
0
0
0
0
0
Tarash 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
4
2
2
0
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Tarash 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)
0
0
0
0
0
Generator
Generator (diesel/petrol)
12
6
4
2
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)
14
7
6
1
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
8
4
3
1
0
Scanner
0
0
0
0
0
UPS
2
1
1
0
0
Fax
2
1
1
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
1
1
0
0
Multimedia
2
1
1
0
0
Tarash 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
2
1
0
1
0
Mobile phone
2
1
0
1
0
Total
107
56
40
9
2
Tarash Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Tarash Upazila Health Complex
Important information and necessary issues for Tarash upozila Health complex last year,wecould not give our maximum efforts to improve the
health status due to many reasons. Here like mention some important factors which will help us to achieve good results in future.
1. The vacant post should be filled immediately. 2. our doctors, sacmo and nurse need more training on imci 3.Number of community clinic and the
bed capacity of the health complex should be increased.4.All the repairable equiments should be repaired as soon aspossible 5.we have three female H A who need CSBA training finally
I am very happy to write this health bulletin of 2014 because this document will help us to
compare our progress in upcoming years.this is very useful document and will helpthe publice to understant health services and to provvide us the useful advice for improvementtin ..future
