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Fulbari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Fulbari upazila. This bulletin contains all the health related information of 2014. this bulletin is published to disseminate the information of Fulbari 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 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 achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information of safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to take attention of the higher authority to look into to this isssue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. DR. Abdul Hye UH&FPO Fulbari Upazila Health Complex
DR. Habibul Hasan
UH&FPO
Fulbari Upazila Health Complex

Fulbari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Fulbari
Organization Code 10002235
Name of UHFPO DR. Habibul Hasan
Land Phone No. 1 -0582556010
Land Phone No. 2
FAX No.
Mobile No. 01774927380
Email fulbari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 94.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 36,096
Population in the Upazila 167,912
Area of Upazila in sq km 164.00

Fulbari 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 6 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) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 23 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

Fulbari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,176


Under 5 Mortality Rate: 41.247 (Per 1,000 live births)
Infant Mortality Rate: 37.469 (Per 1,000 live births)
Neonatal Mortality Rate: 31.171 (Per 1,000 live births)
Still Birth Rate: 27.393 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 22,141
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98.00%

Fulbari 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: 5
Total No. of Recipients Who Took at least one ANC: 4,014
Total Number of Deliveries: 3,276
Valid TT Coverage: 57.00 %
Maternal Mortality Ratio (MMR) is: 157.43 per 100,000 live births.

Fulbari 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 10,450 13,291 23,741 2,401 3,371 5,772 29,513 494 302 796 72 49 121 917
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 7,169 29,726 36,895 8,026 13,037 21,063 21,063
Community Clinics 80,015 185,991 266,006 10,842 10,851 21,693 287,699 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

Fulbari 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 1,254 1,607 2,861 201 277 478 3,339 4 1 5 0 0 0 5
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

Fulbari 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 2,861
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 765 26.74
2 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 479 16.74
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 374 13.07
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 146 5.10
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 126 4.40
6 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 121 4.23
7 J45 Asthma X: Diseases of the respiratory system 88 3.08
8 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 78 2.73
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 67 2.34
10 T44 Poisoning by drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 49 1.71

Fulbari 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 J45 Asthma X: Diseases of the respiratory system 2 40.00
2 A010 Typhoid fever I: Certain infectious and parasitic diseases 1 20.00
3 I15 Secondary hypertension X: Diseases of the respiratory system 1 20.00
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 20.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,789
Bed Occupancy Rates (%) 59.12
Average Length of Hospital Stay (No. of days per patient) 3.77
Hospital Death Rate (%) 0.17


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 112

 

Fulbari 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 6 3 30.00
Class III 52 35 7 10 19.23
Class IV 19 12 4 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 4 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 1 1 16.67
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 23 11 12 0 0.00
Class IV 0 0 0 0 0.00

 

Fulbari 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 15 7 2 6 40.00
Non Doctor 0 0 0 0 0.00
Class II 10 1 6 3 30.00
Class III 59 40 8 11 18.64
Class IV 19 12 4 3 15.79
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

 

Fulbari 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 6 6 9 3 0 0 2 0 0
Nurse 0 0 0 0 10 7 0 0 2 0 0
Medical Assistant 0 0 6 5 2 2 0 0 3 0 12
Medical Technologist 0 0 0 0 8 4 0 0 0 0 12
CHCP 23 23 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 2 1 0 0 0 0 2
AHI 0 0 0 0 5 5 0 0 0 0 0
HA 0 0 0 0 25 22 0 0 19 0 0

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


Fulbari 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 4 2 1 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Fulbari 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 1 1 0 0 0
Centrifuge machine (electric) 2 1 1 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 2 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Fulbari 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 1 1 0 0 0
Vehicles
Ambulance 3 2 1 0 0


Fulbari 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) 3 3 0 0 0
Generator
Generator (diesel/petrol) 2 1 1 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 6 1 0 0
Laptop 4 3 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 5 5 0 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


Fulbari 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 0 1 0 0
Land phone 1 0 1 0 0
Mobile phone 1 1 0 0 0
Total 64 45 17 2 0

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

Important information and necessary issues for Fulbari Upazila Health Complex
Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achoeve 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 clinic and the bed capacity of the health complex should be increased. (4) All the repairable equipments should be repaired as soon as possible. Finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document will help the public to understand health services and to provide us the useful advice for improvement in future.