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.
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 Upazila 21
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.