Itna Upazila Health Complex | Health Bulletin 2014 |
Preface
In course of time the 3rd edition of local health bulletin of itna Upazila is published In a little modified form. I feel happy to find myself in this little effort. The inconsistance of the health indicators with our national standard, still exists due to unadvoidable under reporting. In spite of that the publication will focus a little light on the health situation of the upazila, its unavoidable difficulties as hoar area an our sustained effort to overcome these. Lack of communication and lack of manpower still exists. Our outrest effort also exists overcome these and to keep running the health service of itna upazila. The readers are requested to keep in mind the reality of hoar area. constructive creticism and wise suggestions are well come from the respected readers for improvement of future editions. I am grateful to every one related to publication of the bulletin. My respect and gratituade to director MIS of DGHS.Thanks to software experts of DGHS & officers & statistician of itna Upazila Health complex. May Allah help us.
Itna Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Itna
Name of UHFPO Dr. Md. Israel Hussain
Telephone No. 0942656010
FAX No. 0
Mobile No. 01711660048
Email itna@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.3200 And Long: 91.0500
No. of Unions in the Upazila 9
No. of Households in the Upazila 31,128
No. of Population in the Upazila 171,697
Area of Upazila in sq km 457.10
Itna 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
31
No. of Union Sub-Centres
1
0
No. of Union Health and Family Welfare Centres
5
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
21
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
Itna Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,878
Total No. of children treated under IMCI Program 12,630
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 5.61 per 1,000 live births.
Itna 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: 1251
Total Number of Deliveries: 5920
No. of Maternal Death: 7
Valid TT Coverage: 41.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
119.09 per 100,000 live births.
Itna 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
61,304
21,269
40,035
11,629
809
431
378
235
Union Sub-Centres
8,884
3,920
4,964
1,671
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
86,858
28,544
58,314
16,656
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
157,046
53,733
103,313
29,956
809
431
378
235
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
2,097
1,038
1,059
523
12
6
6
8
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
2,097
1,038
1,059
523
12
6
6
8
Itna 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
2620
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y09 Assault by unspecified means
677
25.84
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
441
16.83
3
R50 Fever of unknown origin
367
14.01
4
K27 Peptic ulcer, site unspecified
391
14.92
5
J18 Pneumonia, organism unspecified
497
18.97
6
L08 Other local infections of skin and subcutaneous tissue
29
1.11
7
J45 Asthma
5
0.19
8
R100 Acute abdomen
50
1.91
9
I10 Essential (primary) hypertension
56
2.14
10
V92 Water-transport-related drowning and submersion without accident to watercraft
9
0.34
Itna 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
20
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J18 Pneumonia, organism unspecified
6
30.00
2
I51 Complications and ill-defined descriptions of heart disease
4
20.00
3
J969 Respiratory failure, unspecified
3
15.00
4
I50 Heart failure
4
20.00
5
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
3
15.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Itna 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 (%)
89.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
9,636
Bed Occupancy Rates (%)
85.00
Average Length of Hospital Stay (No. of days per patient)
3.68
Hospital Death Rate (%)
0.76
Itna Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
178
Itna 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
2
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
13
1
5
7
53.85
Class III
82
41
21
20
24.39
Class IV
21
11
5
5
23.81
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
0
0
8
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
0
0
8
100.00
Class IV
0
0
0
0
0.00
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
1
0
0
1
100.00
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
25
10
12
3
12.00
Class IV
0
0
0
0
0.00
Itna 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
18
4
2
12
66.67
Non Doctor
0
0
0
0
0.00
Class II
13
1
5
7
53.85
Class III
105
50
21
34
32.38
Class IV
22
12
5
5
22.73
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
Itna 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
9
0
9
6
0
0
0
0
Nurse
0
0
0
0
12
6
0
0
0
0
Medical Assistant
0
0
9
0
2
2
0
0
0
0
Medical Technologist
0
0
0
0
5
3
0
0
0
0
CHCP
25
22
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
1
0
0
0
0
AHI
0
0
0
0
8
3
0
0
0
0
HA
0
0
0
0
40
30
0
0
0
0
CSBA trained***
0
0
0
0
0
6
0
0
0
0
Itna 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)
1
0
0
1
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
0
1
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
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
2
1
0
1
0
Ventilator
0
0
0
0
0
Itna 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
0
1
3
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Itna 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
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
0
0
0
0
0
Microscope (binocular)
0
0
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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Itna 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)
1
1
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
0
0
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
Itna 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
0
0
0
1
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
12
6
0
1
5
Laptop
3
2
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
2
0
0
1
Scanner
2
1
1
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
1
1
0
0
0
Itna 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
37
19
3
8
7
Itna Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Itna Upazila Health Complex |
If we think about the health service of itna upazila two important issues come forward, Which obstacle the proper service delivery & development, these are lack of communication & lack of manpower. Itna is a remote haor upazila. Most of the lands remain submerged under water in rainy season and in dry season the lands are cultivated.The villages has no road communication with upazila head Quater. In rainy season boat communication is easy but time consuming & risky. Lack of manpower is another issuse. Greater number of posts remain Vacant years after years. Due to lack of manpower it is hard to develop efficient teamwork. Due to lack of communication it is hard to supervise the haelth service activities. Any deficiency in comprehensive service hampers the confidence of the people and make them disintersted to attend the hospital. Lack of communication & lack of residence facility makes the employees disintersted to works in haor area which are the main causes of manpower deficiency. Inspite of those maximum utilization of existing fascilities makes us confidant to run the service & make the srevice acceptable to all.
Dr. Md. Israel Hussain
UH&FPO
Itna Upazila Health Complex