Muladi Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin Muladi upazila. This bulletin contains all the health related information 2014. I hope all the information of this bulletin will help for planning& budget and the gaps in health services of this upazila.This health bulletin will help us to find out our restriction, problem & also to see the results & achievement of 2015 The bulletin contains the status of MDG-4& MDG5 which will help to localize the MDG tergets. Finally I would like to congratulate the team of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Muladi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Muladi
Organization Code
10001991
Name of UHFPO Dr. Muhammad Abdur Razzaque
Land Phone No. 1
-0432675213
Land Phone No. 2
FAX No.
Mobile No.
01716060522
Email muladi@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0000 And
Long:
91.0000
No. of Unions in the Upazila 7
No. of Households in the Upazila 35,233
Population in the Upazila 211,456
Area of Upazila in sq km 261.50
Muladi 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
50
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
3
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
4
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
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
3
15
No. of NGO Clinics/Facilities
0
0
Muladi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,322
Under 5 Mortality Rate: 14.656 (Per 1,000 live births)
Infant Mortality Rate: 9.207 (Per 1,000 live births)
Neonatal Mortality Rate: 4.322 (Per 1,000 live births)
Still Birth Rate: 3.006 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,345
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):
Muladi 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:
6
Total No. of Recipients Who Took at least one ANC:
5,448
Total Number of Deliveries:
5,326
Valid TT Coverage: 19.00 %
Maternal Mortality Ratio (MMR) is:
112.74 per 100,000 live births.
Muladi 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
4,590
6,916
11,506
2,216
2,435
4,651
16,157
1,012
815
1,827
115
62
177
2,004
Union Sub-Centres
11,234
15,342
26,576
3,456
3,570
7,026
33,602
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
37,787
73,457
111,244
9,892
11,155
21,047
132,291
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
211
1,437
1,648
266
312
578
2,226
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Muladi 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
1,241
1,457
2,698
56
62
118
2,816
5
7
12
1
1
2
14
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
11
279
290
19
0
19
309
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Muladi 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
2,816
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
819
29.08
2
A09 Diarrohia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
580
20.60
3
R50.9 Fever of unknown origin Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
312
11.08
4
J180 Pneumonia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
167
5.93
5
D63 Anaemia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
123
4.37
6
J45 Asthma Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
120
4.26
7
151,6 CVD unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
89
3.16
8
V99 RTA Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
87
3.09
9
O045 Abortion Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
109
3.87
10
J22 Unspecified acute lower respiratory infection Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
56
1.99
Muladi 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
14
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J22 Respiratory failure,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
3
21.43
2
R100 Acute abdomen Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
14.29
3
P219 Birth asphyxia,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
7.14
4
A011 Paratyphoid fever A Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
7.14
5
1219 Acute myocardial infarction,unspecified Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
14.29
6
J.22 ARI Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
7.14
7
T54.0 Poisoning Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
7.14
8
V892 Person injured in unspecified motor-vehicle accident ,trafic Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
14.29
9
J.45.9 Asthma Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
7.14
10
0
0.00
Muladi Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
12,622
Bed Occupancy Rates (%)
69.16
Average Length of Hospital Stay (No. of days per patient)
4.48
Hospital Death Rate (%)
0.50
Muladi Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
784
Muladi 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
21
10
2
9
42.86
Non Doctor
0
0
0
0
0.00
Class II
16
0
12
4
25.00
Class III
74
40
12
22
29.73
Class IV
25
12
2
11
44.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
1
0
3
75.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
0
0
4
100.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
0
1
2
66.67
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
3
0
3
50.00
Class IV
3
2
0
1
33.33
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
29
8
11
10
34.48
Class IV
0
0
0
0
0.00
Muladi 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
28
10
3
15
53.57
Non Doctor
0
0
0
0
0.00
Class II
16
0
12
4
25.00
Class III
113
50
34
29
25.66
Class IV
28
14
2
12
42.86
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
Muladi 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
7
2
21
12
0
0
5
0
0
Nurse
0
0
0
0
16
12
0
0
12
0
0
Medical Assistant
0
0
7
3
3
1
0
0
4
0
0
Medical Technologist
0
0
3
0
10
7
0
0
7
0
0
CHCP
29
19
0
0
0
0
0
0
19
0
2
HI
0
0
0
0
0
0
2
2
2
0
0
AHI
0
0
0
0
0
0
7
7
7
0
0
HA
0
0
0
0
0
0
35
33
33
0
12
Muladi 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)
1
0
0
1
0
X-ray machine (300 mA)
1
0
0
0
1
Ultrasonogram machine
0
0
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
2
1
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
5
1
1
3
0
Ceiling mounting OT Light
1
0
1
0
0
Portable OT Light
1
0
1
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
2
1
1
0
0
Ventilator
0
0
0
0
0
Muladi 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
Muladi 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)
0
0
0
0
0
Colorimeter
2
1
1
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
Muladi 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
1
0
0
0
Refrigerator
3
3
0
0
0
Vehicles
Ambulance
1
0
1
0
0
Muladi 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
1
0
0
0
1
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
6
3
0
0
3
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
1
0
0
Printer (laser)
0
0
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
0
0
0
0
0
Multimedia
0
0
0
0
0
Muladi 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
0
1
0
0
Mobile phone
1
1
0
0
0
Total
38
18
11
4
5
Muladi Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Muladi Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here We like to mission some important factors which will help us to achieve good results in future.The vacant post should be filled immediatly & our doctors, nurses need more training on Emoc & IMCI &computer. AAll the third class official staff need training on computer. All the repairable equipments should be repair . New x-ray machine (300ma) should be installed as soon possible. This UHC upgraded to 50 bed hospital from 31 bed in 2006 but finance allotment as per 31 bed, hospital since that period renovation started in in unknown reason work stopped after completing only 10% achievement. HED declared on 16-05-2013 as highly risk of 05 (five) outdoor rooms & indoor. & 05 doctor quarter & third & forth class quarter .X-ray machine cannot be installed due to shortage of space. New ambulance & multemedia machine need very argent.Finally I am very happy to write the health bulletin of 2014. Because this document will help to compare our progress upcoming year. This very useful document will help the public to understand health services & to provide us the useful advice to improvement in future.
