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Sarisabari Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin Sharishabari Upazila. This Bulletin Contains all the health related information of 2013. I hope all the information of this bulletin will help for planning & bridging the gaps in health service of this Upazila.
Dr. Abul Basher Md. Asaduzzaman
UH&FPO
Sarisabari Upazila Health Complex

Sarisabari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaSarisabari
Name of UHFPO Dr. Abul Basher Md. Asaduzzaman
Telephone No. 0982756029
FAX No. 0
Mobile No. 01712426929
Email sharishabari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 90.0000
No. of Unions in the Upazila8
No. of Households in the Upazila 74,600
No. of Population in the Upazila 345,913
Area of Upazila in sq km 263.00

Sarisabari 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 3 0
No. of Union Health and Family Welfare Centres 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 41 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 0 0
No. of NGO Clinics/Facilities 0 0

Sarisabari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,825


Total No. of children treated under IMCI Program 23,427
Fully Vaccinated Children: 91.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 12.60 per 1,000 live births.

Sarisabari 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: 819
Total Number of Deliveries: 6522
No. of Maternal Death: 4
Valid TT Coverage: 65.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 58.61 per 100,000 live births.

Sarisabari 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 31,162 13,115 18,047 1,788 9,979 5,169 4,810 780
Union Sub-Centres 51,608 25,203 26,405 5,894 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 62,148 29,308 32,840 5,023 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 242,615 117,306 125,309 12,387 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 387,533 184,932 202,601 25,092 9,979 5,169 4,810 780
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 7,162 3,013 4,149 1,007 23 16 7 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 7,162 3,013 4,149 1,007 23 16 7 2

Sarisabari 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 8869
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 R10 Abdominal and pelvic pain 1917 21.61
2 A009 Cholera, unspecified 993 11.20
3 E46 Unspecified protein-energy malnutrition 970 10.94
4 J14 Pneumonia due to Haemophilus influenzae 961 10.84
5 R50 Fever of unknown origin 858 9.67
6 L08 Other local infections of skin and subcutaneous tissue 614 6.92
7 J22 Unspecified acute lower respiratory infection 562 6.34
8 K27 Peptic ulcer, site unspecified 404 4.56
9 H15 Disorders of sclera 397 4.48
10 H60 Otitis externa 386 4.35

Sarisabari 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 25
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J99 Respiratory disorders in diseases classified elsewhere 7 28.00
2 J22 Unspecified acute lower respiratory infection 5 20.00
3 E46 Unspecified protein-energy malnutrition 4 16.00
4 J45 Asthma 3 12.00
5 V40 Car occupant injured in collision with pedestrian or animal 3 12.00
6 P29 Cardiovascular disorders originating in the perinatal period 2 8.00
7 R50 Fever of unknown origin 1 4.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85.00
Coverage of households having access to sanitary latrines (%) 80.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 18,360
Bed Occupancy Rates (%) 101.00
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 0.28


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 17
Minor Surgeries 1970

 

Sarisabari 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 21 7 1 13 61.90
Non Doctor 0 0 0 0 0.00
Class II 16 2 14 0 0.00
Class III 21 16 3 2 9.52
Class IV 19 13 4 2 10.53
Union Health & Family Welfare Center (under DGHS)
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 22 8 14 0 0.00
Class IV 14 6 8 0 0.00
Rural Dispensaries
Class I Doctor 8 0 1 7 87.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 8 3 0 0.00
Class IV 3 3 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 41 14 27 0 0.00
Class IV 0 0 0 0 0.00

 

Sarisabari 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 29 7 2 20 68.97
Non Doctor 0 0 0 0 0.00
Class II 16 2 8 6 37.50
Class III 148 69 57 22 14.86
Class IV 22 16 4 2 9.09
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

 

Sarisabari 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 8 1 21 8 0 0 1 1
Nurse 0 0 0 0 14 14 0 0 3 3
Medical Assistant 0 0 8 8 2 2 0 0 7 0
Medical Technologist 0 0 0 0 8 8 0 0 0 0
CHCP 41 41 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 12 12 0 0 0 0
HA 0 0 0 0 60 40 0 0 0 0
CSBA trained*** 0 0 0 0 0 6 0 0 0 0

Sarisabari 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) 0 0 0 0 0
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 1 1 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 0 0 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 1 1 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 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 1 1 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 1 1 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 2 2 0 0 0


Sarisabari 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 1 1 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Sarisabari 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) 0 0 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) 3 3 0 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 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Sarisabari 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 1 1 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) 1 1 0 0 0
Refrigerator 2 2 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 1 1 0 0 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


Sarisabari 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 3 3 0 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 2 2 0 0 0
Scanner 1 1 0 0 0
UPS 2 2 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 0 0 0 0 0


Sarisabari 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 43 42 1 0 0

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

Important information and necessary issues for Sarisabari Upazila Health Complex |
 Sharishabari UHC has been upgraded from 50 Bed Hospital., To deliver the services to the patients as 50 Bed hospital following essential measures should be taken immediately- A. posting of:- 1. consultant/specialists (Medicine, Gynae & Obs, Anaesthesia). 2. RMO. 3. Dental Surgeon. 4. Nursing Superviser. 5. Other Staffs. B:- 1. Well equiped Operation theatre. 2. Essential instruments for performing operations. 3. Anesthesia machine and necessary drugs related with anesthesia. C:- 1. A New AMBULANCE. D:- 1. Medical equipments and logistic support should be continued in a timely fashion. 2. Repairable instruments should be repaired immediately (e.g- X-ray machine, Sucker machine, Microscope etc.) E:- Doctor and nurses need more training on IMCI, EOC, communicable and non-communicable diseases. Finally, I am very happy to write this health Bulletin 2014, 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 advices for our improvement