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Shyamnagar Upazila Health Complex, Satkhira | Health Bulletin 2015 |
Preface
Page 1: Shyamnagar Upazila is a remote Upazila in Satkhira District. It is situated on 5o km south from Satkhira. It has 12 unions with 75410 households. Most of the unions are not accessible through roads .At presents the population is around 359244 which was censuses by H&FP basic field workers, along with arsenoeciosis searching program 2013.The Upazila Health complex is located near at the north pole of the Upazila. Majority of the people of this Upazila is uncovered by health services from this Upazila Health complex because of the location of this Upazila Health complex and also barrier of default communication facilities. 38 Running community Clinics in this Upazila performs a great role in Primary Health Care Which is performed by 38 trained CHCP along with basic Health and family planning Workers. Majority of house made of mud and interior communication specially road communication is ill developed specially Gabura ,Padmapukur and khaikali unions. In rainy session most of the land goes under water due to faulty excavation system of rain water. I am very much glad to publish this health bulletin of my Upazila. This bulletin contains all the health related information of 2015. This health bulletin will help us to find constrains and also to see the results and achievements of 2015. 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 toward Digital Bangladesh.
DR. MD. NAZRUL ISLAM
UH&FPO
Shyamnagar Upazila Health Complex, Satkhira

Shyamnagar Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Shyamnagar
Organization Code 10001928
Name of UHFPO DR. MD. NAZRUL ISLAM
Land Phone No. 1 -047264417
Land Phone No. 2
FAX No.
Mobile No. 01712984944
Email shyamnagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4500 And Long: 94.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 75,410
Population in the Upazila 359,244
Area of Upazila in sq km 433.36

Shyamnagar Upazila Health Complex, Satkhira | 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 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 11 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 38 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 10 70
No. of NGO Clinics/Facilities 0 0

Shyamnagar Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,226


Under 5 Mortality Rate: 14.116 (Per 1,000 live births)
Infant Mortality Rate: 1.661 (Per 1,000 live births)
Neonatal Mortality Rate: 11.210 (Per 1,000 live births)
Still Birth Rate: 11.763 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 34,285
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Shyamnagar Upazila Health Complex, Satkhira | 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: 7
Total No. of Recipients Who Took at least one ANC: 7,509
Total Number of Deliveries: 7,284
Valid TT Coverage: 100.00 %
Maternal Mortality Ratio (MMR) is: 96.87 per 100,000 live births.

Shyamnagar Upazila Health Complex, Satkhira | 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 12,284 22,284 34,568 3,566 6,892 10,458 45,026 4,080 7,008 11,088 1,992 2,195 4,187 15,275
Union Sub-Centres 0 0 0 0 0 0 0 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 115,850 223,340 339,190 18,175 19,342 37,517 376,707 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 435 612 1,047 249 225 474 1,521 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Shyamnagar Upazila Health Complex, Satkhira | 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 2,423 6,268 8,691 1,119 1,671 2,790 11,481 38 30 68 10 15 25 93
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 102 369 471 78 95 173 644 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Shyamnagar Upazila Health Complex, Satkhira | 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 11,482
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y00 Assault by blunt object XX: External causes of morbidity and mortality 1593 13.87
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1091 9.50
3 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 977 8.51
4 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 604 5.26
5 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 307 2.67
6 K25 Gastric ulcer XI: Diseases of the digestive system 270 2.35
7 F32 Depressive episode V: Mental and behavioural disorders 256 2.23
8 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 236 2.06
9 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 179 1.56
10 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 172 1.50

Shyamnagar Upazila Health Complex, Satkhira | 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 98
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 21 21.43
2 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 20 20.41
3 N18 Chronic renal failure XVI: Certain conditions originating in the perinatal period 8 8.16
4 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 7 7.14
5 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 6 6.12
6 I21 Acute myocardial infarction IX: Diseases of the circulatory system 6 6.12
7 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 3 3.06
8 I20 Angina pectoris IX: Diseases of the circulatory system 3 3.06
9 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 2 2.04
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 1.02

Shyamnagar Upazila Health Complex, Satkhira | 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 (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 36,975
Bed Occupancy Rates (%) 202.60
Average Length of Hospital Stay (No. of days per patient) 3.22
Hospital Death Rate (%) 0.85


Shyamnagar Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 1,232
Minor Surgeries 5,325

 

Shyamnagar Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 22 10 0 12 54.55
Non Doctor 0 0 0 0 0.00
Class II 19 0 15 4 21.05
Class III 123 72 21 30 24.39
Class IV 25 12 7 6 24.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 12 7 4 1 8.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 6 3 3 25.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 38 26 11 1 2.63
Class IV 0 0 0 0 0.00

 

Shyamnagar Upazila Health Complex, Satkhira | 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 34 17 4 13 38.24
Non Doctor 0 0 0 0 0.00
Class II 19 0 15 4 21.05
Class III 161 98 32 31 19.25
Class IV 25 12 7 6 24.00
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

 

Shyamnagar Upazila Health Complex, Satkhira | 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 0 0 34 21 0 0 1 3 0
Nurse 0 0 0 0 19 15 0 0 1 3 0
Medical Assistant 0 0 12 9 2 2 0 0 4 0 0
Medical Technologist 0 0 0 0 11 6 0 0 0 0 0
CHCP 38 37 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 3 0 0 0 0 15
AHI 0 0 0 0 13 12 0 0 0 0 0
HA 0 0 0 0 65 51 0 0 0 0 0

Shyamnagar Upazila Health Complex, Satkhira | 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) 1 1 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 4 4 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 18 7 6 5 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 3 3 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 3 2 1 0 0
Portable OT Light 12 6 6 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 2 1 0 0 1
Sucker machine (electric) 5 4 1 0 0
Ventilator 0 0 0 0 0


Shyamnagar Upazila Health Complex, Satkhira | 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 6 5 1 0 0
Pulse oximeter 8 4 4 0 0
Dental equipment
Dental unit 1 1 0 0 0


Shyamnagar Upazila Health Complex, Satkhira | 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) 4 2 2 0 0
Colorimeter 2 2 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 3 0 0 0
Pediatric equipment
Baby incubator 2 2 0 0 0
Phototherapy unit 1 1 0 0 0


Shyamnagar Upazila Health Complex, Satkhira | 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 2 2 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 3 2 0 1 0


Shyamnagar Upazila Health Complex, Satkhira | 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) 15 10 5 0 0
Generator
Generator (diesel/petrol) 4 2 1 1 0
Generator (gas) 0 0 0 0 0
Solar panel 3 2 1 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 2 2 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 8 8 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Shyamnagar Upazila Health Complex, Satkhira | 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 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 138 101 29 7 1

Shyamnagar Upazila Health Complex, Satkhira | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Shyamnagar Upazila Health Complex, Satkhira