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Serajdikhan Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very happy to publish this Health bulletin of serajdikhan upazilla. This bulletin contains all the health related information of this upazila of 2013 This bulletin is published to disseminate the information of serajdikhan upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. This 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. All the sanctioned and vacant posts are published in this bulletin of 2013. I like to take attention of the higher authority to look into this issue. Finally, I would like to congratulate the initiator of the health bulletin software for setting us on one step ahead towards Digital Bangladesh.
Dr. Ulfat Begum
UH&FPO
Serajdikhan Upazila Health Complex

Serajdikhan Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaSerajdikhan
Name of UHFPO Dr. Ulfat Begum
Telephone No. 0692463103
FAX No. 0
Mobile No. 01712544683
Email serajdikhan@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 90.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 51,514
No. of Population in the Upazila 260,231
Area of Upazila in sq km 180.19

Serajdikhan 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 8 0
No. of Union Health and Family Welfare Centres 13 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 30 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 6 0
No. of NGO Clinics/Facilities 0 0

Serajdikhan Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,516


Total No. of children treated under IMCI Program 46,782
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 19.96 per 1,000 live births.

Serajdikhan 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: 1640
Total Number of Deliveries: 7535
No. of Maternal Death: 7
Valid TT Coverage: 61.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 93.13 per 100,000 live births.

Serajdikhan 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 74,846 25,419 49,427 3,207 10,000 5,090 4,910 1,526
Union Sub-Centres 52,086 22,938 29,148 13,337 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 269,003 81,792 187,211 30,238 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 20,182 8,962 11,220 9,122 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 436,299 139,111 277,006 55,904 10,000 5,090 4,910 1,526
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 3,222 1,160 2,062 645 8 6 2 0
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 3,179 1,645 1,534 846 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 6,401 2,805 3,596 1,491 8 6 2 0

Serajdikhan 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 3867
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 K529 Noninfective gastroenteritis and colitis, unspecified 710 18.36
2 A01 Typhoid and paratyphoid fevers 431 11.15
3 T009 Multiple superficial injuries, unspecified 423 10.94
4 K25 Gastric ulcer 374 9.67
5 J45 Asthma 108 2.79
6 I15 Secondary hypertension 85 2.20
7 T509 Other and unspecified drugs, medicaments and biological substances 79 2.04
8 J159 Bacterial pneumonia, unspecified 76 1.97
9 S09 Other and unspecified injuries of head 51 1.32
10 J44 Other chronic obstructive pulmonary disease 48 1.24

Serajdikhan 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 J45 Asthma 3 37.50
2 N18 Chronic renal failure 3 37.50
3 J96 Respiratory failure, NEC 1 12.50
4 I509 Heart failure, unspecified 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

Serajdikhan 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 (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,048
Bed Occupancy Rates (%) 56.00
Average Length of Hospital Stay (No. of days per patient) 2.72
Hospital Death Rate (%) 0.08


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 21
Minor Surgeries 288

 

Serajdikhan 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 11 5 5 23.81
Non Doctor 0 0 0 0 0.00
Class II 14 1 12 1 7.14
Class III 99 57 29 13 13.13
Class IV 25 8 6 11 44.00
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 17 8 9 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 25 16 8 1 4.00
Class IV 8 2 0 6 75.00
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 34 7 21 6 17.65
Class IV 0 0 0 0 0.00

 

Serajdikhan 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 38 19 14 5 13.16
Non Doctor 0 0 0 0 0.00
Class II 14 1 12 1 7.14
Class III 157 72 58 27 17.20
Class IV 33 10 6 17 51.52
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

 

Serajdikhan 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 17 17 21 16 0 0 0 0
Nurse 0 0 0 0 14 13 0 0 1 2
Medical Assistant 0 0 17 17 2 2 0 0 7 0
Medical Technologist 0 0 8 8 10 10 0 0 0 0
CHCP 34 28 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 2 0 0 0 0
AHI 0 0 0 0 11 11 0 0 0 0
HA 0 0 0 0 55 44 0 0 0 0
CSBA trained*** 0 0 0 0 0 1 0 0 0 0

Serajdikhan 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) 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 3 3 0 0 0
Autoclave 6 3 2 1 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 1 1 0 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 2 0 0 1
Sterilizer 0 0 0 0 0
Sucker machine (electric) 5 2 1 2 0
Ventilator 0 0 0 0 0


Serajdikhan 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 7 2 1 0 4
Pulse oximeter 1 0 1 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


Serajdikhan 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 1 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) 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


Serajdikhan 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 1 1 0 0 0
Blood bank refrigerator 2 2 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 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


Serajdikhan 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) 0 0 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) 11 9 1 1 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 3 2 1 0 0
Scanner 0 0 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Serajdikhan 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 63 44 10 4 5

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

Important information and necessary issues for Serajdikhan Upazila Health Complex |
 Important information and necessary issues for Serajdikhan Upazila Health Complex : Important information and necessary issues for Serajdikhan Upazila Health complex Last year we could not give our maximum efforts improves the Health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Pair doctor should be available to provide EmOC services properly. 3. Post of junior mechanics should be filled very immediate to run and maintain the generator. 4. Our doctor and nurse need more training on IMCI. 5.All the repairable equipment should be repair as soon as possible. Finally I am very glad to write this health bulletin of 2013 because this document will help us to compare our progress in upcoming years. This is very useful document and it will help the pubic to understand health service and to provide us the useful advice for improvement in future.