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Sreenagar Upazila Health Complex | Health Bulletin 2014 |
Preface
This is the Second time the health bulletin is published in this Upazila.It is a great pleasure for me to publish this health bulletin of Sreenagar Upazila. to publish it in time am grateful to Almighty Allah This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Sreenagar Upazila to other departments and development partners of health. I hope all the information of this bulletin will help for planning the health services of this Upazila. DR. MD. Sayeduzzaman Upazila Health Complex Sreenagar, Munshiganj
DR. MD. Sayeduzzaman
UH&FPO
Sreenagar Upazila Health Complex

Sreenagar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaSreenagar
Name of UHFPO DR. MD. Sayeduzzaman
Telephone No. 027627026
FAX No. 0
Mobile No. 01712259646
Email Sreenagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5539 And Long: 90.5434
No. of Unions in the Upazila14
No. of Households in the Upazila 54,391
No. of Population in the Upazila 263,210
Area of Upazila in sq km 155.00

Sreenagar 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 3 0
No. of Union Health and Family Welfare Centres 11 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 25 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 3 10
No. of NGO Clinics/Facilities 0 0

Sreenagar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,455


Total No. of children treated under IMCI Program 5,471
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 22.91 per 1,000 live births.

Sreenagar 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: 2623
Total Number of Deliveries: 5518
No. of Maternal Death: 4
Valid TT Coverage: 75.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 73.33 per 100,000 live births.

Sreenagar 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 50,023 15,921 34,102 25,655 10,899 4,106 6,793 2,936
Union Sub-Centres 42,994 17,950 25,044 14,986 445 250 195 125
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 144,797 48,081 96,716 30,339 571 340 231 135
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 5,590 2,050 3,540 1,580 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 248,994 84,002 159,402 72,560 11,915 4,696 7,219 3,196
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 3,975 1,850 2,125 502 11 6 5 4
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 901 359 542 230 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,876 2,209 2,667 732 11 6 5 4

Sreenagar 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 4335
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y00 Assault by blunt object 545 12.57
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 541 12.48
3 K27 Peptic ulcer, site unspecified 490 11.30
4 V892 Person injured in unspecified motor-vehicle accident, traffic 345 7.96
5 T629 Noxious substance eaten as food, unspecified 321 7.40
6 I10 Essential (primary) hypertension 320 7.38
7 J18 Pneumonia, organism unspecified 300 6.92
8 J45 Asthma 299 6.90
9 N390 Urinary tract infection, site not specified 196 4.52
10 A01 Typhoid and paratyphoid fevers 199 4.59

Sreenagar 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 15
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 5 33.33
2 V892 Person injured in unspecified motor-vehicle accident, traffic 4 26.67
3 T629 Noxious substance eaten as food, unspecified 3 20.00
4 N90 Other noninflammatory disorders of vulva and perineum 3 20.00
5 I10 Essential (primary) hypertension 2 13.33
6 I50 Heart failure 1 6.67
7 B19 Unspecified viral hepatitis 1 6.67
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,266
Bed Occupancy Rates (%) 75.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.50


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 250

 

Sreenagar 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 9 4 26.67
Class III 100 53 40 7 7.00
Class IV 25 15 8 2 8.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 7 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 7 4 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 2 1 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 3 2 1 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 28 8 20 0 0.00
Class IV 0 0 0 0 0.00

 

Sreenagar 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 35 20 15 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 15 2 11 2 13.33
Class III 117 63 47 7 5.98
Class IV 28 17 9 2 7.14
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

 

Sreenagar 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 14 14 21 21 0 0 4 2
Nurse 0 0 0 0 14 11 0 0 4 4
Medical Assistant 0 0 14 14 2 2 0 0 2 0
Medical Technologist 0 0 3 3 10 10 0 0 0 0
CHCP 28 28 0 0 0 0 0 0 0 0
HI 4 4 0 0 0 0 0 0 0 0
AHI 11 11 0 0 0 0 0 0 0 0
HA 55 45 0 0 0 0 0 0 0 0
CSBA trained*** 4 4 0 0 4 4 0 0 0 0

Sreenagar 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 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 2 1 1 0 0
Autoclave 2 1 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 2 1 1 0
Operating microscope 2 1 1 0 0
Ceiling mounting OT Light 2 1 1 0 0
Portable OT Light 4 2 1 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 6 3 2 1 0
Ventilator 0 0 0 0 0


Sreenagar 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 3 1 1 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Sreenagar 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) 2 1 1 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


Sreenagar 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 2 1 1 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 4 2 1 1 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


Sreenagar 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) 6 3 3 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) 12 6 5 1 0
Laptop 4 2 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 1 1 3 0
Scanner 0 0 0 0 0
UPS 12 6 6 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 2 1 1 0 0
Multimedia 0 0 0 0 0


Sreenagar 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 1 1 0 0
Mobile phone 2 1 1 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 86 42 34 10 0

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

Important information and necessary issues for Sreenagar Upazila Health Complex |
 We tried our level best to give a better health care service to the people of this Upazila. In spite of our tremendous effort, sometimes we could not give the optimum service to our clients. We have limitations also. Here I like to mention some important factors which will help us to achieve good result in future. 1. Our doctors, nurses and field workers need more training to meet the incoming threats like Bird flu etc. 2. We need a modern X-ray machine because our existing one is very old and regular supply of X-ray film and ECG papers should be ensured. 3. As RTA cases are increasing, we need another ambulance and ambulance driver. 4. Due to power failure, vaccines stored in the refrigerator come under threat. For this, immunization program is hampered in the field level. We need a generator immediately for EPI room to maintain optimum temperature for vaccines. Finally I am very happy 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 will help the people of this Upazila to understand health services given by the health providers and it will provide us the useful advice for improvement in future.