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

Tarail Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very much glad to publish the Health Bulletin of Upazila Health Complex,Tarail ,Kishoreganj for the year 2014.This health bulletin contains all the health related issues and data of 2013.Through this bulletin, people can know about the services of different health facilities.We also come to know the achievements of different health issues eg.neonatal .infant and maternal mortality,communicable and non-communicable diseases and access to safe drinking water and sanitation etc.Through this bulletin we can also find out the contraints and problems of health services which helps us to correct in coming year so that the service providers can give better attention to the clients.The health bulletin is a storehouse of information and data of different health issues which is essential for implementation of future planning of different programe of health issues. I would like to congratulate MIS (DGHS) under MOHFW for continuing to publish local health bulletin to progress us one step ahead to establish digital Bangladesh. I am grateful to all office staffs and other staffs of this health complex, specially to the statistician who worked hard to complete this health bulletin . I also convey my gratitude to all field staffs, spicially to Nurse (incharge) , Health Inspecter (incharge) and Sanitary Inspector who helped to enrich the health bulletin by providing diffrent information and data related to health issues, I will be grateful to all concerned to help us to find out the mistake of this health bulletin which will be corrected in future.
Dr.Mohd.Ahsanul Haque
UH&FPO
Tarail Upazila Health Complex

Tarail Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaTarail
Name of UHFPO Dr.Mohd.Ahsanul Haque
Telephone No. 0943475014
FAX No. 0
Mobile No. 01820067488
Email tarail@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.5491 And Long: 90.8908
No. of Unions in the Upazila7
No. of Households in the Upazila 35,318
No. of Population in the Upazila 178,329
Area of Upazila in sq km 139.75

Tarail 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 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 1 0

Tarail Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,091


Total No. of children treated under IMCI Program 35,777
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 8.04 per 1,000 live births.

Tarail 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: 4230
Total Number of Deliveries: 6127
No. of Maternal Death: 6
Valid TT Coverage: 6.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 98.51 per 100,000 live births.

Tarail 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 36,439 23,100 13,339 1,616 2,970 1,570 1,400 834
Union Sub-Centres 16,593 7,666 8,927 3,788 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 175,474 60,577 114,897 13,012 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 20,794 4,621 16,173 2,310 0 0 0 0
Total 249,300 95,964 153,336 20,726 2,970 1,570 1,400 834
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 3,685 1,953 1,732 1,377 27 17 10 13
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 245 0 245 15 0 0 0 0
Total 3,930 1,953 1,977 1,392 27 17 10 13

Tarail 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 5028
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 793 15.77
2 T07 Unspecified multiple injuries 674 13.40
3 J189 Pneumonia, unspecified 397 7.90
4 J46 Status asthmaticus 201 4.00
5 K27 Peptic ulcer, site unspecified 154 3.06
6 T07 Unspecified multiple injuries 128 2.55
7 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 113 2.25
8 A010 Typhoid fever 88 1.75
9 I10 Essential (primary) hypertension 68 1.35
10 D50 Iron deficiency anaemia 62 1.23

Tarail 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 40
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J46 Status asthmaticus 6 15.00
2 J189 Pneumonia, unspecified 4 10.00
3 J129 Viral pneumonia, unspecified 3 7.50
4 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 2 5.00
5 J47 Bronchiectasis 2 5.00
6 P21 Birth asphyxia 1 2.50
7 R10 Abdominal and pelvic pain 1 2.50
8 G03 Meningitis due to other and unspecified causes 1 2.50
9 I10 Essential (primary) hypertension 1 2.50
10 N04 Nephrotic syndrome 1 2.50

Tarail 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 (%) 87.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 13,187
Bed Occupancy Rates (%) 72.23
Average Length of Hospital Stay (No. of days per patient) 2.70
Hospital Death Rate (%) 0.80


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 3335

 

Tarail 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 8 2 11 52.38
Non Doctor 0 0 0 0 0.00
Class II 16 1 12 3 18.75
Class III 67 35 19 13 19.40
Class IV 26 12 6 8 30.77
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 1 0 5 83.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 3 1 2 33.33
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 2 1 0 1 50.00
Class IV 1 1 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 13 5 2 10.00
Class IV 0 0 0 0 0.00

 

Tarail 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 28 9 2 17 60.71
Non Doctor 0 0 0 0 0.00
Class II 16 1 12 3 18.75
Class III 95 55 22 18 18.95
Class IV 26 13 6 7 26.92
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

 

Tarail 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 21 10 0 0 1 0
Nurse 0 0 0 0 17 13 0 0 1 1
Medical Assistant 0 0 7 5 2 2 0 0 4 0
Medical Technologist 0 0 1 0 9 6 0 0 0 0
CHCP 21 18 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0
HA 0 0 0 0 30 24 0 0 0 0
CSBA trained*** 0 0 0 0 0 13 0 0 0 0

Tarail 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 1 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) 1 1 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 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 1 1 0 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) 2 2 0 0 0
Ventilator 0 0 0 0 0


Tarail 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 2 2 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 0 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Tarail 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) 1 1 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


Tarail 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) 0 0 0 0 0
Refrigerator 1 1 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 2 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


Tarail 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) 1 1 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 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 23 23 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 8 4 3 0 1
Scanner 1 1 0 0 0
UPS 7 7 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 22 22 0 0 0
Multimedia 1 1 0 0 0


Tarail 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 2 2 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 105 99 5 0 1

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

Important information and necessary issues for Tarail Upazila Health Complex |
 Here I like to mention some important factors which should be solved as early as possible for achieving better results in health service in future. 1) Manpower issue:- This health complex is a 50 beded hospital. Most of the posts are still now vacant . In addition to this upazila, a large number of people come here to get health services from surrounding upazila eg. Itna, Madan, Kendua, Nandail, Karimgonj etc. Due to shortage of man power of some important posts it is very difficult to provide better services to the people. So the vacant posts should be filled up immediately, specially the posts of Doctor, RMO, Medical officer /assistant surgeon , Junior consultants ( Obs & Gyne, Ophthanology etc) , nurses. Due to shortage of Medical Officer /Assistant Surgeon ,nurses, we can not give proper attention to the admitted patients & Out door Patients. Other important vacant posts are MT(Lab) Nursing supervisor etc. 2) Initiate OT service:- Necessary action should be taken to initiate OT service by posting Junior consultants ( Obs,& Gyne ) . As this health complex is under DSF Maternal Health Voucher Scheme , it is very urgent to fill up the posts of Junior consultants (Obs & Gyne ) for performing cesarean operation.