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Terakhada Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very happy to publish the local Health Bulletin of Terokhada upazila. The Statistics of different activities done in Health sector in January to December, 2014 have been reported in the bulletin. Terokhada is a hard to rich as well as a remote upazila, around 25km away from khulna Headquarter. Yet, we are in a better position to achieve MDG 4&5 and achievement of other indicators are also satisfactory. I also hope that the reports of health services in the bulletin will level the gaps between the health officials and the common public in our society. So, I personally thank all officials concerned to the health services for such a better achievement. At the same time, I heartily thank Honorable DG- Health, ADG- Planning & Development, Honorable Director -MIS and every one associated with the publication of the bulletin, who give me directives and technical support in this assignment which will ultimately guide us to build up a big digital Bangladesh.
Dr. Fakir Mohammad Moniruzzaman
UH&FPO
Terakhada Upazila Health Complex

Terakhada Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Terakhada
Organization Code 10001828
Name of UHFPO Dr. Fakir Mohammad Moniruzzaman
Land Phone No. 1 04029-056004
Land Phone No. 2
FAX No.
Mobile No. 01710031398
Email terokhada@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.9293 And Long: 89.6440
No. of Unions in the Upazila6
No. of Households in the Upazila 23,656
Population in the Upazila 128,191
Area of Upazila in sq km 186.54

Terakhada 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) 5 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 12 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 0 0
No. of NGO Clinics/Facilities 0 0

Terakhada Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,427


Under 5 Mortality Rate: 5.356 (Per 1,000 live births)
Infant Mortality Rate: 1.648 (Per 1,000 live births)
Neonatal Mortality Rate: 0.824 (Per 1,000 live births)
Still Birth Rate: 2.060 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 13,349
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 96%

Terakhada 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: 1
Total No. of Recipients Who Took at least one ANC: 2,716
Total Number of Deliveries: 2,435
Valid TT Coverage: 100.00 %
Maternal Mortality Ratio (MMR) is: 41.20 per 100,000 live births.

Terakhada 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 25,483 32,543 58,026 3,951 4,174 8,125 66,151 1,028 1,231 2,259 253 210 463 2,722
Union Sub-Centres 6,401 9,395 15,796 1,267 1,475 2,742 18,538 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) 2,097 3,687 5784 825 604 1,429 7,213 0 0 0 0 0 0 1,429
Community Clinics 29,543 46,124 75,667 6,304 6,516 12,820 88,487 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

Terakhada 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 1,405 2,124 3,529 266 200 466 3,995 7 2 9 0 0 0 9
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

Terakhada 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 3,995
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 629 15.74
2 O80 Single spontaneous delivery XV: Pregnancy, childbirth and the puerperium 320 8.01
3 X96 Assault by explosive material XX: External causes of morbidity and mortality 238 5.96
4 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 225 5.63
5 J45 Asthma X: Diseases of the respiratory system 189 4.73
6 A98 Other viral haemorrhagic fevers, NEC I: Certain infectious and parasitic diseases 151 3.78
7 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 145 3.63
8 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 131 3.28
9 D60 Acquired pure red cell aplasia [erythroblastopenia] III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 101 2.53
10 T36 Poisoning by systemic antibiotics XIX: Injury, poisoning and certain other consequences of external causes 89 2.23

Terakhada 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 9
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 5 55.56
2 T363 Macrolides XIX: Injury, poisoning and certain other consequences of external causes 2 22.22
3 I50 Heart failure X: Diseases of the respiratory system 1 11.11
4 I519 Heart disease, unspecified IX: Diseases of the circulatory system 1 11.11
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 89.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,370
Bed Occupancy Rates (%) 109.32
Average Length of Hospital Stay (No. of days per patient) 3.10
Hospital Death Rate (%) 0.23


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 218

 

Terakhada 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 4 2 4 40.00
Non Doctor 0 0 0 0 0.00
Class II 12 0 7 5 41.67
Class III 65 28 12 25 38.46
Class IV 19 10 6 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 3 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 4 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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 0 1 1 50.00
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 14 7 7 0 0.00
Class IV 0 0 0 0 0.00

 

Terakhada 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 8 4 4 25.00
Non Doctor 0 0 0 0 0.00
Class II 12 0 7 5 41.67
Class III 86 40 19 27 31.40
Class IV 20 11 6 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

 

Terakhada 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 6 10 6 1 0 4 2 0
Nurse 0 0 0 0 13 7 0 0 5 5 0
Medical Assistant 0 0 6 5 2 2 4 3 5 0 0
Medical Technologist 0 0 1 1 8 4 0 0 2 0 0
CHCP 14 14 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 2 1 0 0 0 0 1
AHI 0 0 0 0 7 6 0 0 0 0 0
HA 0 0 0 0 34 19 0 0 0 0 1

Terakhada 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 2 1 1 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 2 1 1 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Terakhada 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 0 0 0 0 0


Terakhada 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 0 1 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 1 1 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Terakhada 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 1 0 1 0


Terakhada 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) 3 2 1 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 16 16 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 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 16 16 0 0 0
Multimedia 1 1 0 0 0


Terakhada 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 78 66 7 5 0

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

Important information and necessary issues for Terakhada Upazila Health Complex
2014 year we could not give our maximum efforts to improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. The Vacant post should be fill up immediately ( Doctors post-15 but fill up only 04 with UHFPO without any specialist doctor, Medical Technologist Lab & Radio post vacant for a long time, Health Assistant post-34 but fill up 19 and Ambulance Driver post vacant too.) 2. All the repairable equipments should be repaired as soon as possible.