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Astagram Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of austogram upazila.This bulletin contains all the health related information of 2013This bulletin is published to disseminate the information austogram upazila to other line department and development partners of health.I hope all the information of this bulletin will help for planning and briding the gaps in health services of this upazilla.Governmment health office has many data stored in the fine.This health bulletin will help us to find constrains and also to see the results and achievements of 2012.The bulletin contains the status of MDG4 and MDG5 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 2012.I like to take attention of the higher authority to look into to 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.Muhammad Salmaan
UH&FPO
Astagram Upazila Health Complex

Astagram Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAstagram
Name of UHFPO Dr.Muhammad Salmaan
Telephone No. 0942256007
FAX No. 0
Mobile No. 01711457106
Email austogram@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila8
No. of Households in the Upazila 30,262
No. of Population in the Upazila 160,436
Area of Upazila in sq km 335.53

Astagram 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 0 0
No. of Union Health and Family Welfare Centres 2 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 20 0
No of Trauma Centres 0 0
No. of MCWCs 1 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 1 0

Astagram Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,337


Total No. of children treated under IMCI Program 15,558
Fully Vaccinated Children: 89.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.87 per 1,000 live births.

Astagram 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: 680
Total Number of Deliveries: 4116
No. of Maternal Death: 5
Valid TT Coverage: 79.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 93.69 per 100,000 live births.

Astagram 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 35,593 13,843 21,750 10,526 2,776 1,306 1,470 1,514
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 18,936 8,564 10,372 3,836 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 58,426 20,450 37,976 14,606 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 112,955 42,857 70,098 28,968 2,776 1,306 1,470 1,514
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 2,209 976 1,233 1,114 13 7 6 9
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 2,209 976 1,233 1,114 13 7 6 9

Astagram 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 1673
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 600 35.86
2 J18 Pneumonia, organism unspecified 400 23.91
3 K27 Peptic ulcer, site unspecified 200 11.95
4 B349 Viral infection, unspecified 107 6.40
5 F064 Organic anxiety disorder 103 6.16
6 J45 Asthma 75 4.48
7 N390 Urinary tract infection, site not specified 70 4.18
8 J449 Chronic obstructive pulmonary disease, unspecified 65 3.89
9 A010 Typhoid fever 53 3.17
10 0 0.00

Astagram 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 22
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I219 Acute myocardial infarction, unspecified 6 27.27
2 J46 Status asthmaticus 3 13.64
3 P21 Birth asphyxia 6 27.27
4 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 6 27.27
5 R100 Acute abdomen 1 4.55
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 87.00
Coverage of households having access to sanitary latrines (%) 69.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 8,564
Bed Occupancy Rates (%) 46.90
Average Length of Hospital Stay (No. of days per patient) 2.70
Hospital Death Rate (%) 0.86


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 175

 

Astagram 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 4 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 7 1 5 1 14.29
Class III 55 29 6 20 36.36
Class IV 21 10 2 9 42.86
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 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 7 1 0 6 85.71
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 20 12 7 1 5.00
Class IV 0 0 0 0 0.00

 

Astagram 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 16 5 0 11 68.75
Non Doctor 0 0 0 0 0.00
Class II 7 1 3 3 42.86
Class III 74 40 13 21 28.38
Class IV 21 10 3 8 38.10
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

 

Astagram 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 7 1 9 4 0 0 0 0
Nurse 0 0 0 0 9 5 0 0 0 0
Medical Assistant 0 0 7 5 2 1 0 0 1 0
Medical Technologist 0 0 0 0 8 4 0 0 0 0
CHCP 20 19 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 0 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0
HA 0 0 0 0 25 16 0 0 0 0
CSBA trained*** 0 0 0 0 0 2 0 0 0 0

Astagram 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) 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 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 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 0 1 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 0 0 0 0 0
Portable OT Light 3 0 3 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 4 4 0 0 0
Sucker machine (electric) 5 5 0 0 0
Ventilator 0 0 0 0 0


Astagram 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Astagram 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 0 0 0 1
Colorimeter 0 0 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 1 1 0 0 0
Microscope (binocular) 3 0 3 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


Astagram 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 1 0 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


Astagram 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 2 0 0 0
Generator
Generator (diesel/petrol) 1 1 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) 2 1 1 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 2 2 0 0 0
Scanner 1 1 0 0 0
UPS 0 0 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 0 0 0 0 0


Astagram 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 35 24 9 1 1

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

Important information and necessary issues for Astagram 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 achieve good results in future.1.The vacant post should be Filled up immediately.2.our doctors and nurse need more training on IMCI.3.All the repairable equipment should be repaired as soon as possible. Finally I am very happy to prepare this health bulletin 2o14because this document will help us to compare our progress in upcoming days.This is very useful document that will help the public to understand health service and to provide us the useful advice for improvement in future.