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Charfession Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of upazila Health Complex, Charfassion, Bhola. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Charfassion upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Charfassion upazila. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulleting contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step head toward Digital Bangladesh.
Dr.Md . Siddiqur Rahman .
UH&FPO
Charfession Upazila Health Complex

Charfession Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Charfession
Organization Code 10002006
Name of UHFPO Dr.Md . Siddiqur Rahman .
Land Phone No. 1 -0492374009
Land Phone No. 2
FAX No.
Mobile No. 01714051117
Email charfession@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 91.0000
No. of Unions in the Upazila21
No. of Households in the Upazila 97,756
Population in the Upazila 574,828
Area of Upazila in sq km 1,440.00

Charfession 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 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 1 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 62 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 1 11
No. of NGO Clinics/Facilities 1 20

Charfession Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 15,553


Under 5 Mortality Rate: 29.833 (Per 1,000 live births)
Infant Mortality Rate: 16.974 (Per 1,000 live births)
Neonatal Mortality Rate: 9.773 (Per 1,000 live births)
Still Birth Rate: 3.472 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 107,767
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 0%%

Charfession 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: 20
Total No. of Recipients Who Took at least one ANC: 16,182
Total Number of Deliveries: 15,812
Valid TT Coverage: 20.00 %
Maternal Mortality Ratio (MMR) is: 128.59 per 100,000 live births.

Charfession 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 16,564 27,357 43,921 4,326 3,768 8,094 52,015 8,759 7,446 16,205 1,600 1,167 2,767 18,972
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) 4,113 6,111 10,224 2,014 2,404 4,418 14,642 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 164,390 359,586 523,976 42,766 56,251 99,017 622,993 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 595 325 920 43 28 71 991 0 0 0 0 0 0 0
NGO Clinics/Facilities 3,126 4,214 7,340 418 513 931 8,271 0 0 0 0 0 0 0

Charfession 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 3,956 6,125 10,081 1,009 1,827 2,836 12,917 25 36 61 14 28 42 103
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 90 560 650 10 7 17 667 0 0 0 0 0 0 0
NGO Clinics/Facilities 460 671 1,131 215 112 327 1,458 0 0 0 0 0 0 0

Charfession 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 12,917
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 2410 18.66
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2139 16.56
3 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 1001 7.75
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 613 4.75
5 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 382 2.96
6 O06 Unspecified abortion XV: Pregnancy, childbirth and the puerperium 376 2.91
7 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 198 1.53
8 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 144 1.11
9 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 131 1.01
10 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 102 0.79

Charfession 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 103
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 24 23.30
2 J110 Influenza with pneumonia, virus not identified X: Diseases of the respiratory system 19 18.45
3 P210 Severe birth asphyxia IX: Diseases of the circulatory system 11 10.68
4 G04 Encephalitis, myelitis and encephalomyelitis VI: Diseases of the nervous system 6 5.83
5 P361 Sepsis of newborn due to other and unspecified streptococci XVI: Certain conditions originating in the perinatal period 5 4.85
6 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 3 2.91
7 J459 Asthma, unspecified X: Diseases of the respiratory system 3 2.91
8 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 3 2.91
9 T300 Burn of unspecified body region, unspecified degree XIX: Injury, poisoning and certain other consequences of external causes 1 0.97
10 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 0.97

Charfession 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 (%) 83.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 23,592
Bed Occupancy Rates (%) 129.27
Average Length of Hospital Stay (No. of days per patient) 1.83
Hospital Death Rate (%) 0.80


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 573

 

Charfession 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 15 1 7 7 46.67
Class III 107 75 20 12 11.21
Class IV 24 19 1 4 16.67
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 0 1 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
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 65 31 29 5 7.69
Class IV 0 0 0 0 0.00

 

Charfession 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 35 20 3 12 34.29
Non Doctor 0 0 0 0 0.00
Class II 15 1 7 7 46.67
Class III 187 108 49 30 16.04
Class IV 25 19 1 5 20.00
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

 

Charfession 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 1 1 21 11 13 10 2 3 29
Nurse 0 0 0 0 15 9 0 0 9 5 4
Medical Assistant 0 0 1 1 2 2 13 1 4 0 0
Medical Technologist 0 0 1 0 10 7 0 0 6 0 0
CHCP 65 60 0 0 0 0 0 0 57 0 4
HI 0 0 0 0 0 0 4 4 4 0 0
AHI 0 0 0 0 0 0 13 13 13 0 0
HA 0 0 0 0 0 0 65 57 57 0 0

Charfession 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) 2 1 0 1 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 2 1 1 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Charfession 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 4 1 3 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Charfession 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) 3 3 0 0 0
Colorimeter 1 0 0 1 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 4 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Charfession 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 1 1 0 0 0
Vehicles
Ambulance 4 2 1 1 0


Charfession 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) 5 0 5 0 0
Generator
Generator (diesel/petrol) 3 0 3 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 60 60 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 7 6 1 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 2 2 0 0 0


Charfession 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 138 115 20 3 0

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

Important information and necessary issues for Charfession Upazila Health Complex
Charfassion is a large upazila with 21 unions and a class one pawroshova . This upazila is larger in area than 18 districts of the country . This UHC is the only hospital for this large area and around 6 luc people . 37% post is vacant of physician in this upazila . So, it is very difficult to run the health complex and the sub -center . If manpower problem can be solved , this hospital can be a model in the health service of Bangladesh . We seek attantion of higher authority to post new doctors and Nurses . Medicine and other logistics are not adequate in porpotion to the number of population . There are no CSBA in this upazila . With limited manpower and limited resource this hospital is trying it's best to fulfill the expectation of 6 luc population of this upazila . BOR 153 % of 2014.