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Alamdanga Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Health Bulletin of Alamdanga upajila.This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Alamdanga upazila to other line department and development partners of Health.I hope all the information of this bulletin will help for planning and bridging the gaps in health services and also to see the results and achievements of 2014.The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets.Finally I would like to congratulate the initiator of the health bulletin Software for setting us one step ahead towards Digital Bangladesh. Dr. Mst. Nurun Nahar Begum UH & FPO Alamdanga upazila Health Complex Dr. Mst. Nurun Nahar Begum UH&FPO Alamdanga Upazila Health Complex
Dr. Mst. NurunNahar Begum
UH&FPO
Alamdanga Upazila Health Complex

Alamdanga Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Alamdanga
Organization Code 10001719
Name of UHFPO Dr. Mst. NurunNahar Begum
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01712529508
Email alamdanga@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4710 And Long: 88.5410
No. of Unions in the Upazila15
No. of Households in the Upazila 86,354
Population in the Upazila 354,839
Area of Upazila in sq km 380.38

Alamdanga 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 5 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 8 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 44 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 16 160
No. of NGO Clinics/Facilities 0 0

Alamdanga Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,390


Under 5 Mortality Rate: 10.390 (Per 1,000 live births)
Infant Mortality Rate: 9.091 (Per 1,000 live births)
Neonatal Mortality Rate: 4.824 (Per 1,000 live births)
Still Birth Rate: 3.711 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,895
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 94%

Alamdanga 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: 2
Total No. of Recipients Who Took at least one ANC: 5,550
Total Number of Deliveries: 5,362
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR) is: 37.11 per 100,000 live births.

Alamdanga 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 26,845 34,549 61,394 5,295 7,062 12,357 73,751 2,332 1,323 3,655 232 175 407 4,062
Union Sub-Centres 18,467 31,403 49,870 4,126 5,405 9,531 59,401 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 8,745 47,215 55,960 11,714 15,618 27,332 83,292 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 122,166 303,654 425,820 18,354 25,468 43,822 469,642 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

Alamdanga 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 1,993 3,173 5,166 581 775 1,356 6,522 14 9 23 0 0 0 23
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 317 2,965 3,282 106 142 248 3,530 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Alamdanga 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 6,522
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 885 13.57
2 Y00 Assault by blunt object XX: External causes of morbidity and mortality 730 11.19
3 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 513 7.87
4 K36 Other appendicitis XI: Diseases of the digestive system 499 7.65
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 442 6.78
6 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 174 2.67
7 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 164 2.51
8 J45 Asthma X: Diseases of the respiratory system 124 1.90
9 R07 Pain in throat and chest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 99 1.52
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 98 1.50

Alamdanga 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 23
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 5 21.74
2 I50 Heart failure IX: Diseases of the circulatory system 4 17.39
3 D50 Iron deficiency anaemia X: Diseases of the respiratory system 3 13.04
4 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 2 8.70
5 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2 8.70
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 4.35
7 Y00 Assault by blunt object XX: External causes of morbidity and mortality 1 4.35
8 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 4.35
9 R07 Pain in throat and chest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 4.35
10 I11 Hypertensive heart disease IX: Diseases of the circulatory system 1 4.35

Alamdanga 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 (%) 92.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 17,788
Bed Occupancy Rates (%) 157.21
Average Length of Hospital Stay (No. of days per patient) 2.88
Hospital Death Rate (%) 0.38


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 1,301
Minor Surgeries 2,323

 

Alamdanga 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 10 7 0 3 30.00
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 84 57 15 12 14.29
Class IV 19 8 8 3 15.79
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 14 6 6 2 14.29
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 19 10 4 5 26.32
Class IV 5 4 0 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 44 20 21 3 6.82
Class IV 0 0 0 0 0.00

 

Alamdanga 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 24 13 6 5 20.83
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 103 67 19 17 16.50
Class IV 24 10 8 6 25.00
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

 

Alamdanga 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 14 12 10 7 0 0 1 0 0
Nurse 0 0 0 0 12 12 0 0 1 5 0
Medical Assistant 0 0 14 14 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 1 0
CHCP 44 41 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 3 3 0 0 0
AHI 0 0 0 0 0 0 10 10 0 0 0
HA 0 0 0 0 0 0 49 40 0 0 10

Alamdanga 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 1 1 0 0 0
Autoclave 3 2 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 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 1 0 0 0
Sucker machine (electric) 5 3 2 0 0
Ventilator 0 0 0 0 0


Alamdanga 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Alamdanga 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Alamdanga 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 0 1 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 1 0 1 0 0


Alamdanga 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 0 0 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 5 1 4 0 0
Scanner 1 1 0 0 0
UPS 0 0 0 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 0 0 0 0 0


Alamdanga 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 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 44 29 15 0 0

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

Important information and necessary issues for Alamdanga Upazila Health Complex
Inspite of difficultes we tried our level best to render maximum service to the people. we are sure that satisfactory service can be given if more doctors are posted here, particulariy consultants. equipments which are lacking should be provided with. community clinic should be repared and upgrade so that maximum service can be given at the grass root level.we are to serve the humanity and let us believe that we can perform this noble duty with full satisfaction.