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.
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 Upazila 6
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.