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Hijla Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this bulletin of Hijla upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Hijla upazila to other line department and development partners of health services. I hope all the information of this bulletin will help for planing and will find out the lacking of health services of this upazila. Government health office has many data stored in the fine. this health bulletin will help us to find the higher authority to look into this issue. Finally i wish the best success of this bulletin, Dr. Prosanta Kr. Bisuas UH&FPO Upazila Health Complex, Hizla.. Barisal.
Dr.Prosanta Kr. Bisuas
UH&FPO
Hijla Upazila Health Complex

Hijla Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Hijla
Organization Code 10001984
Name of UHFPO Dr.Prosanta Kr. Bisuas
Land Phone No. 1 -0432456003
Land Phone No. 2
FAX No.
Mobile No. 01711482676
Email hijla@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 27,156
Population in the Upazila 148,202
Area of Upazila in sq km 515.61

Hijla 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 3 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 19 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

Hijla Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,272


Under 5 Mortality Rate: 13.577 (Per 1,000 live births)
Infant Mortality Rate: 7.022 (Per 1,000 live births)
Neonatal Mortality Rate: 3.979 (Per 1,000 live births)
Still Birth Rate: 2.575 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 21,824
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Hijla 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: 4,277
Total Number of Deliveries: 4,369
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR) is: 23.41 per 100,000 live births.

Hijla 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 4,346 9,618 13,964 2,106 2,767 4,873 18,837 845 1,180 2,025 367 442 809 2,834
Union Sub-Centres 4,621 6,624 11,245 1,812 1,912 3,724 14,969 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 3,425 3,972 7,397 1,124 1,098 2,222 9,619 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 31,594 77,786 109,380 12,803 15,640 28,443 137,823 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

Hijla 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 1,113 1,101 2,214 222 232 454 2,668 2 3 5 1 2 3 8
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

Hijla 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 2,386
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 667 27.95
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 492 20.62
3 J13 Pneumonia due to Streptococcus pneumoniae X: Diseases of the respiratory system 202 8.47
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 101 4.23
5 J45 Asthma X: Diseases of the respiratory system 93 3.90
6 A060 Acute amoebic dysentery I: Certain infectious and parasitic diseases 65 2.72
7 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 54 2.26
8 V804 Rider or occupant injured in collision with car, pick-up truck, van, heavy transport vehicle or bus XX: External causes of morbidity and mortality 44 1.84
9 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 28 1.17
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 19 0.80

Hijla 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 8
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
003 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1 12.50
2 J80 Adult respiratory distress syndrome X: Diseases of the respiratory system 1 12.50
3 E15 Nondiabetic hypoglycaemic coma 1 12.50
4 T373 Other antiprotozoal drugs XIX: Injury, poisoning and certain other consequences of external causes 1 12.50
5 I409 Acute myocarditis, unspecified IX: Diseases of the circulatory system 1 12.50
6 J45 Asthma X: Diseases of the respiratory system 1 12.50
7 P29 Cardiovascular disorders originating in the perinatal period XVI: Certain conditions originating in the perinatal period 1 12.50
8 J128 Other viral pneumonia X: Diseases of the respiratory system 1 12.50
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 84.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,321
Bed Occupancy Rates (%) 91.22
Average Length of Hospital Stay (No. of days per patient) 4.33
Hospital Death Rate (%) 0.34


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 87

 

Hijla 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 0 6 60.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 81 36 14 31 38.27
Class IV 21 10 5 6 28.57
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 4 0 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 2 0 3 60.00
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 1 0 1 50.00
Class IV 1 0 0 1 100.00
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 23 5 15 3 13.04
Class IV 0 0 0 0 0.00

 

Hijla 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 15 7 0 8 53.33
Non Doctor 0 0 0 0 0.00
Class II 10 1 5 4 40.00
Class III 110 44 29 37 33.64
Class IV 20 12 5 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

 

Hijla 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 1 10 6 0 0 0 0 0
Nurse 0 0 0 0 10 6 0 0 1 1 0
Medical Assistant 0 0 6 3 2 2 0 0 3 0 0
Medical Technologist 0 0 0 0 6 4 0 0 0 0 0
CHCP 23 20 0 0 0 0 0 0 20 0 0
HI 0 0 0 0 0 0 3 2 2 0 0
AHI 0 0 0 0 0 0 8 6 5 0 0
HA 0 0 0 0 0 0 36 18 18 0 0

Hijla 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 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 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 4 2 0 0 2
Sterilizer 0 0 0 0 0
Sucker machine (electric) 2 0 0 2 0
Ventilator 0 0 0 0 0


Hijla 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 3 0 0 3 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Hijla 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) 1 1 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Hijla 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 1 1 0 0 0


Hijla 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) 1 1 0 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) 2 2 0 0 0
Laptop 1 0 0 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 0 0 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Hijla 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 26 17 1 6 2

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

Important information and necessary issues for Hijla Upazila Health Complex
Last year we could not give our best efforts improve the health status due to many reasons. Here I like mention some important factors which help us to to achieve good results in future. 1. The vacant post should be filled immediately . 2.New 50 bed hospital building should be handover immediately. 3. All repairable equipment's should be repaired as soon as possible. 4. All deputation order should be cancelled for improving workforce of the hospital. 5. All old building should be repair as early as possible.