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Sreemangal Upazila Health Complex | Health Bulletin 2015 |
Preface
It gives me immense pleasure to welcome you all to this Health Bulletin,2015 of Sreemongal Upazilla.This Bulletin encompasses all the health service related information of 2014.It serves to disseminate the information of health sector of Sreemongal Upazilla among other departments and development partners of health.The Health Bulletin will help us to find the shortcomings and also to see the achievements of 2014,thus bridging the gaps in health services of this upazilla.This bulletin contains the status of MDG-4 & MDG-5 which will help to localise those parameter of MDG which should be given more emphasis in ongoing year and plan accordingly. Finally I would like to thank the whole MIS team to set us one step ahead towards 'DIGITAL BANGLADESH' by helping to publish this Health Bulletin.
Dr Md Najibush Shaheed
UH&FPO
Sreemangal Upazila Health Complex

Sreemangal Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Sreemangal
Organization Code 10002125
Name of UHFPO Dr Md Najibush Shaheed
Land Phone No. 1 -0862671291
Land Phone No. 2
FAX No.
Mobile No. 01715518725
Email Sreemongal@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 61,885
Population in the Upazila 298,000
Area of Upazila in sq km 425.00

Sreemangal 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) 7 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 3 0
No. of Community Clinics 29 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 30
No. of NGO Clinics/Facilities 2 0

Sreemangal Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,405


Under 5 Mortality Rate: 49.180 (Per 1,000 live births)
Infant Mortality Rate: 37.627 (Per 1,000 live births)
Neonatal Mortality Rate: 25.761 (Per 1,000 live births)
Still Birth Rate: 22.482 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 27,392
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 95%

Sreemangal 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: 18
Total No. of Recipients Who Took at least one ANC: 5,334
Total Number of Deliveries: 6,508
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR) is: 281.03 per 100,000 live births.

Sreemangal 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 18,131 29,009 47,140 11,153 14,231 25,384 72,524 6,800 8,775 15,575 2,145 1,780 3,925 19,500
Union Sub-Centres 13,066 16,419 29,485 5,894 6,751 12,645 42,130 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) 8,520 12,340 20860 3,042 3,865 6,907 27,767 0 0 0 0 0 0 6,907
Community Clinics 57,443 128,381 185,824 10,601 10,749 21,350 207,174 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 472 1,490 1,962 112 130 242 2,204 0 0 0 0 0 0 0

Sreemangal 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 2,166 2,888 5,054 1,080 1,086 2,166 7,220 10 6 16 3 3 6 22
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

Sreemangal 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 7,220
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 740 10.25
2 Y04 Assault by bodily force XX: External causes of morbidity and mortality 451 6.25
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 304 4.21
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 78 1.08
5 J45 Asthma X: Diseases of the respiratory system 187 2.59
6 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 285 3.95
7 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 211 2.92
8 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 243 3.37
9 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 280 3.88
10 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 158 2.19

Sreemangal 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 22
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 4 18.18
2 I50 Heart failure IX: Diseases of the circulatory system 4 18.18
3 B19 Unspecified viral hepatitis X: Diseases of the respiratory system 6 27.27
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 8 36.36
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 87.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,045
Bed Occupancy Rates (%) 66.00
Average Length of Hospital Stay (No. of days per patient) 1.67
Hospital Death Rate (%) 0.30


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 103
Minor Surgeries 6,560

 

Sreemangal 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 10 4 2 4 40.00
Non Doctor 0 0 0 0 0.00
Class II 9 1 8 0 0.00
Class III 77 45 20 12 15.58
Class IV 21 11 10 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 4 2 1 14.29
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 4 2 1 14.29
Class IV 0 0 0 0 0.00
Rural Dispensaries
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 2 0 1 33.33
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 32 13 14 5 15.63
Class IV 0 0 0 0 0.00

 

Sreemangal 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 20 10 4 6 30.00
Non Doctor 0 0 0 0 0.00
Class II 9 1 8 0 0.00
Class III 122 64 36 22 18.03
Class IV 0 0 0 0 0.00
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

 

Sreemangal 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 10 8 10 6 0 0 6 1 6
Nurse 0 0 0 0 9 0 0 0 9 3 7
Medical Assistant 0 0 3 2 0 0 0 0 0 0 0
Medical Technologist 0 0 0 0 5 4 0 0 0 0 0
CHCP 32 27 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 3 0 0
AHI 0 0 0 0 9 9 0 0 9 0 1
HA 0 0 0 0 45 41 0 0 28 0 4

Sreemangal 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 1 0 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 4 4 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 5 2 0 3 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 2 0 0 0
Operating microscope 2 2 0 0 0
Ceiling mounting OT Light 3 3 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 5 2 3 0 0
Sucker machine (electric) 7 4 3 0 0
Ventilator 0 0 0 0 0


Sreemangal 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 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 5 2 3 0 0
Pulse oximeter 5 1 4 0 0
Dental equipment
Dental unit 1 1 0 0 0


Sreemangal 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) 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 1 0 0 0 1


Sreemangal 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 1 1 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Sreemangal 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) 4 4 0 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 7 5 2 0 0
Laptop 32 20 12 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 6 1 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 0 1 0 0


Sreemangal 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 115 79 32 3 1

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

Important information and necessary issues for Sreemangal Upazila Health Complex
In 2014 mass Increased NVD &C/S at UHC Sreemongal.Sreemongal UHC Upgraded 50 bed Hospital But not yet manpower created.Taking 30 bed manpower we are Going on 50 bed Hospital.It is Our Main problem.We hope 50 bed manpower created shortly.By this time our health Service will be improved. Thank you to all.