HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Alfadanga Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of alfadanga upazila. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of alfadanga 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 file. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. 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 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 attention of the higher authority to look into 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. Monower Hossain UH&FPO Alfadanga Upazila Health Complex
Dr. Md. Monower Hossain
UH&FPO
Alfadanga Upazila Health Complex

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAlfadanga
Name of UHFPO Dr. Md. Monower Hossain
Telephone No. 0632256008
FAX No. 0
Mobile No. 01712285410
Email alfadanga@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 0.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 20,816
No. of Population in the Upazila 120,033
Area of Upazila in sq km 135.25

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of Union Sub-Centres 6 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 13 0
No of Trauma Centres 0 0
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 3 30
No. of NGO Clinics/Facilities 0 0

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,522


Total No. of children treated under IMCI Program 23,006
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 28.55 per 1,000 live births.

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 4

Legends

  • R.P.W-
  • Registered Pregnanat Woman
  • 1st ANC-
  • No. of 1st ANC recipients
  • R.P.W-
  • No. of 4th ANC recipients
  • C. Preg-
  • No. of complicated pregnancies
  • N. deli-
  • No. of normal deliveries
  • V. deli-
  • No. of vaginal deliveries
  • C. deli-
  • No. of cesarean deliveries
  • PNC-
  • No. of PNC services provided to mother in the Upazila

Maternal health and MDG-5 (No.) (January-December, 2013)


All ANC Receiptients: 465
Total Number of Deliveries: 247
No. of Maternal Death: 1
Valid TT Coverage: 1973.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 39.65 per 100,000 live births.

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 5

No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 31,389 11,957 19,432 8,010 537 354 183 227
Union Sub-Centres 6,695 2,331 4,364 996 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 97,147 37,188 59,959 14,000 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 61 38 23 1 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 135,292 51,514 83,778 23,007 537 354 183 227
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 5,103 2,100 3,003 183 21 12 9 2
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 5,103 2,100 3,003 183 21 12 9 2

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 6

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 65
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 K270 Peptic ulcer, site unspecified, acute with haemorrhage 731 1,124.62
2 Y048 Assault by bodily force, other specified places 219 336.92
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin 221 340.00
4
P629 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
441 678.46
5 J450 Predominantly allergic asthma 66 101.54
6 J180 Bronchopneumonia, unspecified 58 89.23
7 I10 Essential (primary) hypertension 217 333.85
8 F412 Mixed anxiety and depressive disorder 89 136.92
9 V892 Person injured in unspecified motor-vehicle accident, traffic 130 200.00
10 N390 Urinary tract infection, site not specified 52 80.00

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 7

Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period 23
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 C342 Middle lobe, bronchus or lung 1 4.35
2 O25 Malnutrition in pregnancy 1 4.35
3 I20 Angina pectoris 3 13.04
4 I21 Acute myocardial infarction 1 4.35
5 I60 Subarachnoid haemorrhage 3 13.04
6 E10 Insulin-dependent diabetes mellitus 1 4.35
7 J44 Other chronic obstructive pulmonary disease 5 21.74
8 D500 Iron deficiency anaemia secondary to blood loss (chronic) 4 17.39
9 J45 Asthma 2 8.70
10 K270 Peptic ulcer, site unspecified, acute with haemorrhage 2 8.70

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 99.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 4,150
Bed Occupancy Rates (%) 78.05
Average Length of Hospital Stay (No. of days per patient) 3.02
Hospital Death Rate (%) 0.00


Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 400

 

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 10

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 12 1 11 0 0.00
Class III 41 27 5 9 21.95
Class IV 19 7 2 10 52.63
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 4 0 3 42.86
Class IV 1 0 0 1 100.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
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
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 13 5 7 1 7.69
Class IV 0 0 0 0 0.00

 

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 10 5 0 5 50.00
Non Doctor 0 0 0 0 0.00
Class II 9 1 8 0 0.00
Class III 83 51 16 16 19.28
Class IV 20 9 2 9 45.00
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

 

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 12

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 6 1 10 3 0 0 0 0
Nurse 0 0 0 0 11 11 0 0 6 5
Medical Assistant 0 0 6 4 2 2 0 0 3 0
Medical Technologist 0 0 0 0 9 4 0 0 0 0
CHCP 13 12 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0
AHI 0 0 0 0 4 3 0 0 0 0
HA 0 0 0 0 17 13 0 0 0 0
CSBA trained*** 0 0 0 0 4 4 0 0 0 0

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 13

Existing equipments 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
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 1 1 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 2 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 0 2 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 1 1 0 0
Portable OT Light 4 4 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 4 1 3 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 14

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 4 2 2 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 2 1 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 15

Existing equipments 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) 1 1 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 4 2 2 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 16

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 0 0 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 2 1 0 1 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 17

Existing equipments 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) 2 1 0 0 1
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 7 1 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) 7 6 1 0 0
Scanner 0 0 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 1 1 0 0 0
Multimedia 2 1 1 0 0


Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 18

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 66 50 14 1 1

Alfadanga Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Alfadanga Upazila Health Complex |
 Important information and necessary issues for Alfadanga Upazila health Complex Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like to 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 equipment`s should be repaired as soon as possible. Finally I am very happy to write this health bulletin of 2013 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.