Tajumuddin Upazila Health Complex | Health Bulletin 2015 |
Preface
Health bulletin is an script that includes the reports of the activities done in relation to the health services of the people.In past times this bulletin would be published centrally in which a reader could find an accumulated report as a whole.But the activities in a particular area could not be visualized through those concreted reports.Now since an opportunity has touched me to present a local document in front of the nation, I am very much glad to publish this health bulletin of Tajumuddin upazila health complex . This bulletin contains all the health service related information of this institution for the year 2013. This bulletin is published to disseminate the information of Tajumuddin upazila health complex to the other Govt. and Non-govt. departments and to the departments of the development partners of the health services in Bangladesh. Tajumuddin is a upazila of which about one third of the people live in hard to reach areas. Yet we try to serve them as best as we can.We have many data in relation to our services stored in files. This health bulletin will open those files in front of general people which will help to make bridge between the service provider and the service seekers. This bulletin also shows our services , our achievements, our necessities, our lacking and limitations. The bulletin contains the status of MDG 4 and MDG 5 which will help to drive us to achieve the MDG targets the partnership activities of the people and the service providers. 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 2013. 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 ahead toward Digital Bangladesh.
Dr Md Moslehuddin
UH&FPO
Tajumuddin Upazila Health Complex
Tajumuddin Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Tajumuddin
Organization Code
10002018
Name of UHFPO Dr.Santosh Kumar Sarder
Land Phone No. 1
-0492756005
Land Phone No. 2
FAX No.
Mobile No.
01715018422
Email tajumuddin@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.0000 And
Long:
91.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 24,043
Population in the Upazila 139,623
Area of Upazila in sq km 513.00
Tajumuddin 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
0
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
16
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
1
0
Tajumuddin Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,787
Under 5 Mortality Rate: 10.827 (Per 1,000 live births)
Infant Mortality Rate: 8.714 (Per 1,000 live births)
Neonatal Mortality Rate: 0.000 (Per 1,000 live births)
Still Birth Rate: 1.320 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 22,752
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%
Tajumuddin 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:
0
Total No. of Recipients Who Took at least one ANC:
3,756
Total Number of Deliveries:
3,767
Valid TT Coverage: 59.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Tajumuddin 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
30,688
32,708
63,396
8,356
8,575
16,931
80,327
864
688
1,552
12
53
65
1,617
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)
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
71,650
140,507
212,157
12,458
13,509
25,967
238,124
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
Tajumuddin 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
952
836
1,788
617
0
617
2,405
5
3
8
3
0
3
11
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
Tajumuddin 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
1,691
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
621
36.72
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
472
27.91
3
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
218
12.89
4
K29 Gastritis and duodenitis
XI: Diseases of the digestive system
117
6.92
5
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
38
2.25
6
J45 Asthma
X: Diseases of the respiratory system
29
1.71
7
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
25
1.48
8
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
21
1.24
9
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
18
1.06
10
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
15
0.89
Tajumuddin 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
5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
2
40.00
2
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
2
40.00
3
V87 Traffic accident of specified type but victim's mode of transport unknown
XVI: Certain conditions originating in the perinatal period
1
20.00
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Tajumuddin 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 (%)
93.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
9,120
Bed Occupancy Rates (%)
80.60
Average Length of Hospital Stay (No. of days per patient)
5.39
Hospital Death Rate (%)
0.30
Tajumuddin Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
0
Tajumuddin 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
9
3
0
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
84
55
16
13
15.48
Class IV
19
8
4
7
36.84
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
3
0
2
40.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
1
0
4
80.00
Class IV
0
0
0
0
0.00
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
18
11
7
0
0.00
Class IV
0
0
0
0
0.00
Tajumuddin 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
14
6
0
8
57.14
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
84
56
16
12
14.29
Class IV
19
8
4
7
36.84
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
Tajumuddin 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
5
3
9
3
0
0
5
0
0
Nurse
0
0
0
0
10
5
0
0
5
0
0
Medical Assistant
0
0
5
1
2
1
0
0
2
0
0
Medical Technologist
0
0
0
0
7
4
0
0
0
0
0
CHCP
18
18
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
2
1
0
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
0
HA
0
0
0
0
32
31
0
0
0
0
0
Tajumuddin 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
1
0
0
X-ray machine (300 mA)
0
0
0
0
0
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
0
0
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
2
1
1
0
0
Fracture table
0
0
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
Tajumuddin 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
2
1
1
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
1
1
0
0
Tajumuddin 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
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
1
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Tajumuddin 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
2
1
1
0
0
Tajumuddin 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)
0
0
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)
8
4
2
2
0
Laptop
36
18
15
3
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
8
4
4
0
0
Scanner
2
1
1
0
0
UPS
4
2
0
2
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
34
18
16
0
0
Multimedia
2
1
1
0
0
Tajumuddin 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
2
1
0
1
0
PA system (Sound)
0
0
0
0
0
Land phone
2
1
0
1
0
Mobile phone
2
1
1
0
0
Total
113
57
48
8
0
Tajumuddin Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Tajumuddin Upazila Health Complex
Important information and necessary issues for Tajumuddin Upazila Health Complex Last year we could not give our maximum efforts improve the health status due to many reasesons. Here I like mention some important factors which will help us to achieve good results in future.1. The vacant post should be filled immediately. 2.Our doctor and nurse need more training on IMCI. 3. Number of Community Clinics should be increased specially in hard to reach islands and char areas.4.All the repariable equipment's should be repaired as soon as possible.5.Female HA's & CHCP's should be enough trained in CSBA to serve our mothers during their child deliveries. Finally I am very happy to publish this Health Bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
