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Azmiriganj Upazila Health Complex | Health Bulletin 2015 |
Preface
Now a days information is the vital factor in completing the journey towards the digital Bangladesh. So "Health Bulletin-2015" of UHC, Ajmeriganj has been published. This Health Bulletin contains some health related vital data and information in 2014. This bulletin published to disseminate the information of UHC Ajmeriganj to all the stakeholders involved in the development of health. I hope everybody can get an idea about our health service by reading this health bulletin. Special thanks to MIS for helping us to publish this health bulletin.
Dr. Golam Mustafa
UH&FPO
Azmiriganj Upazila Health Complex

Azmiriganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Azmiriganj
Organization Code 10002074
Name of UHFPO Dr. Golam Mustafa
Land Phone No. 1 -0832256007
Land Phone No. 2
FAX No.
Mobile No. 01712240157
Email ajmeriganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.2221 And Long: 91.2504
No. of Unions in the Upazila5
No. of Households in the Upazila 24,258
Population in the Upazila 123,576
Area of Upazila in sq km 215.00

Azmiriganj 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 2 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) 1 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 9 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

Azmiriganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,152


Under 5 Mortality Rate: 25.698 (Per 1,000 live births)
Infant Mortality Rate: 23.160 (Per 1,000 live births)
Neonatal Mortality Rate: 16.180 (Per 1,000 live births)
Still Birth Rate: 7.297 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 20,441
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 93%

Azmiriganj 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: 8
Total No. of Recipients Who Took at least one ANC: 3,060
Total Number of Deliveries: 3,175
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR) is: 253.81 per 100,000 live births.

Azmiriganj 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 2,639 35,964 38,603 8,946 9,759 18,705 57,308 2,645 1,236 3,881 142 125 267 4,148
Union Sub-Centres 19,508 26,372 45,880 4,175 4,485 8,660 54,540 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 23,221 52,544 75,765 5,873 5,210 11,083 86,848 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

Azmiriganj 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 755 2,196 2,951 497 516 1,013 3,964 22 3 25 13 16 29 54
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

Azmiriganj 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 3,964
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 649 16.37
2 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 614 15.49
3 Y090 Assault by unspecified means, home XX: External causes of morbidity and mortality 535 13.50
4 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 325 8.20
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 150 3.78
6 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 100 2.52
7 I11 Hypertensive heart disease IX: Diseases of the circulatory system 62 1.56
8 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 46 1.16
9 T900 Sequelae of superficial injury of head XIX: Injury, poisoning and certain other consequences of external causes 42 1.06
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 19 0.48

Azmiriganj 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 54
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J11 Influenza, virus not identified X: Diseases of the respiratory system 23 42.59
2 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 6 11.11
3 I21 Acute myocardial infarction X: Diseases of the respiratory system 6 11.11
4 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 4 7.41
5 T51 Toxic effect of alcohol XIX: Injury, poisoning and certain other consequences of external causes 2 3.70
6 I501 Left ventricular failure IX: Diseases of the circulatory system 2 3.70
7 Q21 Congenital malformations of cardiac septa XVII: Congenital malformations, deformations and chromosomal abnormalities 1 1.85
8 A41 Other septicaemia I: Certain infectious and parasitic diseases 1 1.85
9 R56 Convulsions, NEC XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 1.85
10 R07 Pain in throat and chest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 1.85

Azmiriganj Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 67.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 7,193
Bed Occupancy Rates (%) 63.57
Average Length of Hospital Stay (No. of days per patient) 1.81
Hospital Death Rate (%) 1.36


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 30
Minor Surgeries 236

 

Azmiriganj 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 1 2 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 1 2 7 70.00
Class III 45 28 4 13 28.89
Class IV 17 8 3 6 35.29
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 1 1 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 1 0 2 66.67
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 1 1 2 50.00
Class IV 2 2 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 11 4 7 0 0.00
Class IV 0 0 0 0 0.00

 

Azmiriganj 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 3 3 8 57.14
Non Doctor 0 0 0 0 0.00
Class II 10 1 2 7 70.00
Class III 63 34 12 17 26.98
Class IV 19 10 3 6 31.58
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

 

Azmiriganj 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 0 2 0
Nurse 0 0 0 0 9 3 0 0 0 0 0
Medical Assistant 0 0 5 3 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 0 0 0 0 0 0 0
CHCP 11 11 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 0 0 0 0 0 0
AHI 0 0 0 0 4 3 0 0 0 0 0
HA 0 0 0 0 20 14 0 0 0 0 1

Azmiriganj 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 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 2 2 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 2 2 0 0 0
Portable OT Light 1 0 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Azmiriganj 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 7 5 2 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Azmiriganj 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) 2 1 0 0 1
Colorimeter 1 0 0 0 1
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 0 0 1
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Azmiriganj 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 0 1 0 0
Refrigerator 1 0 1 0 0
Vehicles
Ambulance 1 1 0 0 0


Azmiriganj 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) 4 2 2 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 7 5 2 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 3 0 0
Scanner 1 1 0 0 0
UPS 6 4 2 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 1 1 0 0 0


Azmiriganj 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 0 1 0 0
Total 60 40 17 0 3

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

Important information and necessary issues for Azmiriganj Upazila Health Complex
Ajmeriganj upazilla is a rural area. Most of the place are there in under water in six month. So all of the area to serve is difficult in this time. Here i mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled up immediately. 2. All the repairable equipments should be repaired as soon as possible. 3. We need a photocopy machine and a digital camera etc. Finally i am very happy to publish this ``Local Health Bulletin-2015" because this document will be help the people to understand health service and to provide us useful advice for improve in future.