Louhajang Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this e-health bulletin of Lauhajang Upazila. This bulletin contains all the health related information of 2012. This bulletin is published to disseminate the information of Lauhajang Upazila to other line department and development partners of health.On this special occasion, I express my thanks to all concerned, directly or indirectly remained with us to publish this bulletin. 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 fine. This e-health bulletin will help us to find constrains and also to see the results and achievements of 2012. 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. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Hope we will be able to serve a better Bulletin in the next Time.
Louhajang Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Louhajang
Name of UHFPO Dr. Gour Pada Sikder
Telephone No. 00
FAX No. 0
Mobile No. 01017151015
Email lauhajang@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.2862 And Long: 90.2053
No. of Unions in the Upazila 10
No. of Households in the Upazila 30,503
No. of Population in the Upazila 155,338
Area of Upazila in sq km 129.00
Louhajang 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
4
0
No. of Union Health and Family Welfare Centres
6
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
16
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
1
5
No. of NGO Clinics/Facilities
0
0
Louhajang Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,960
Total No. of children treated under IMCI Program 3,730
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 23.99 per 1,000 live births.
Louhajang 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: 1787
Total Number of Deliveries: 3565
No. of Maternal Death: 2
Valid TT Coverage: 99.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
50.51 per 100,000 live births.
Louhajang 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
35,753
11,587
24,166
11,967
6,244
2,993
3,251
2,599
Union Sub-Centres
35,417
12,738
22,679
9,889
596
351
245
125
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
118,081
38,480
79,601
18,153
819
258
561
321
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
4,157
1,590
2,567
1,298
366
115
251
95
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
197,565
64,395
129,013
41,307
8,025
3,717
4,308
3,296
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
2,332
914
1,418
301
6
2
4
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
305
105
200
95
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
2,637
1,019
1,618
396
6
2
4
2
Louhajang 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
2616
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
K25 Gastric ulcer
109
4.17
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
101
3.86
3
Y00 Assault by blunt object
654
25.00
4
T629 Noxious substance eaten as food, unspecified
610
23.32
5
V892 Person injured in unspecified motor-vehicle accident, traffic
321
12.27
6
J18 Pneumonia, organism unspecified
311
11.89
7
A01 Typhoid and paratyphoid fevers
299
11.43
8
I10 Essential (primary) hypertension
251
9.59
9
J45 Asthma
221
8.45
10
J21 Acute bronchiolitis
115
4.40
Louhajang 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
8
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
V892 Person injured in unspecified motor-vehicle accident, traffic
3
37.50
2
T629 Noxious substance eaten as food, unspecified
2
25.00
3
I50 Heart failure
2
25.00
4
J45 Asthma
1
12.50
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Louhajang Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
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.)
10,312
Bed Occupancy Rates (%)
60.00
Average Length of Hospital Stay (No. of days per patient)
3.00
Hospital Death Rate (%)
0.21
Louhajang Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
250
Louhajang 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
12
9
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
15
2
6
7
46.67
Class III
100
51
39
10
10.00
Class IV
25
14
7
4
16.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
4
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
3
3
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
2
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
3
0
0.00
Class IV
4
2
1
1
25.00
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
23
6
14
3
13.04
Class IV
0
0
0
0
0.00
Louhajang 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
31
18
13
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
114
59
45
10
8.77
Class IV
29
16
8
5
17.24
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
Louhajang 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
10
10
21
20
0
0
2
0
Nurse
0
0
0
0
15
10
0
0
4
0
Medical Assistant
0
0
10
10
2
2
0
0
2
0
Medical Technologist
0
0
4
4
8
8
0
0
0
0
CHCP
23
20
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
2
0
0
0
0
AHI
0
0
0
0
9
7
0
0
0
0
HA
0
0
0
0
45
38
0
0
0
0
CSBA trained***
20
4
0
0
45
4
0
0
0
0
Louhajang 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)
2
1
1
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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
0
0
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
0
0
0
0
0
Portable OT Light
2
1
1
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)
1
1
0
0
0
Ventilator
0
0
0
0
0
Louhajang 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
0
0
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
Louhajang 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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Louhajang 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
1
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
Louhajang 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)
4
2
1
1
0
Generator
Generator (diesel/petrol)
2
1
0
1
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)
14
7
7
0
0
Laptop
4
2
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
8
4
4
0
0
Scanner
0
0
0
0
0
UPS
14
7
7
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
2
1
1
0
0
Louhajang 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
62
35
25
2
0
Louhajang Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Louhajang Upazila Health Complex |
Last year we could not give our maximum efforts to 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. Our doctor and nurse need more training on IMCI 2. Number of community clinics and the bed occupancy rate of the health complex should be increased 3. All the repairable equipments should be repaired as soon as possible 4. All deputation order of officers and staffs to other organizations should be cancelled. Finally I am very happy to write this health bulletin of 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 advice for improvement in future.