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Fulbaria Upazila Health Complex | Health Bulletin 2014 |
Preface
In each & every upazila there is a upazila health complex(Hospital). So many work has been done in this hospital. But we have no way to express our performance.this local health bulletin gives us such facility to express our duties & people will know about our yearly performance. Our health complex 2 km. distance from upazila parishad. This hospital is for 31 bed but at present it is transformed into 50 bed.New building has been buildup.In 2013 years we Completed NID 2 times, Newly Eleven Community Clinic functioning,Indoor Residual Spray 2 times. Fulbaria Upazila was Kala-azar Epidemic area but at Present Fulbaria is not kala-azar Epidemic. At 2013 gave 41 CHCP for 3 month Basic Trainning.At fulbaria we are giving Delivery facilities with Community Clinic.So we hope this year bulletin 2014 is more ethical than health bulletin 2013.
Dr. Md. Abdul Quddus
UH&FPO
Fulbaria Upazila Health Complex

Fulbaria Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaFulbaria
Name of UHFPO Dr. Md. Abdul Quddus
Telephone No. 0902373032
FAX No. 0
Mobile No. 01716940419
Email fulbaria@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.3735 And Long: 90.1645
No. of Unions in the Upazila13
No. of Households in the Upazila 102,820
No. of Population in the Upazila 482,415
Area of Upazila in sq km 399.00

Fulbaria 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 4 0
No. of Union Health and Family Welfare Centres 9 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 51 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 0
No. of NGO Clinics/Facilities 1 0

Fulbaria Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,845


Total No. of children treated under IMCI Program 5,206
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 30.68 per 1,000 live births.

Fulbaria 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: 9535
Total Number of Deliveries: 427
No. of Maternal Death: 20
Valid TT Coverage: 18.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 203.15 per 100,000 live births.

Fulbaria 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 18,374 6,564 11,810 9,660 2,551 1,565 986 434
Union Sub-Centres 47,611 19,946 27,665 7,306 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 375,259 114,674 260,585 47,763 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 441,244 141,184 300,060 64,729 2,551 1,565 986 434
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 4,189 1,858 2,331 669 3 2 1 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 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,189 1,858 2,331 669 3 2 1 2

Fulbaria 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 4189
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 811 19.36
2 Y850 Sequelae of motor-vehicle accident 623 14.87
3 K27 Peptic ulcer, site unspecified 448 10.69
4 J18 Pneumonia, organism unspecified 259 6.18
5 T629 Noxious substance eaten as food, unspecified 137 3.27
6 J458 Mixed asthma 72 1.72
7 V892 Person injured in unspecified motor-vehicle accident, traffic 49 1.17
8 A085 Other specified intestinal infections 42 1.00
9 I10 Essential (primary) hypertension 34 0.81
10 O03 Spontaneous abortion 15 0.36

Fulbaria 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 5
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J18 Pneumonia, organism unspecified 2 40.00
2 T36 Poisoning by systemic antibiotics 2 40.00
3 I21 Acute myocardial infarction 1 20.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Fulbaria 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 (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,368
Bed Occupancy Rates (%) 74.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.14


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 14
Minor Surgeries 3250

 

Fulbaria 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 6 2 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 12 3 9 0 0.00
Class III 22 20 1 1 4.55
Class IV 19 10 2 7 36.84
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 5 3 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 7 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 3 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 7 1 0 0.00
Class IV 4 4 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 60 19 24 17 28.33
Class IV 0 0 0 0 0.00

 

Fulbaria 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 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
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

 

Fulbaria 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 13 12 9 8 0 0 16 0
Nurse 0 0 0 0 11 11 0 0 10 1
Medical Assistant 0 0 13 13 2 2 0 0 12 0
Medical Technologist 0 0 4 4 8 8 0 0 10 0
CHCP 60 43 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 6 5 5 0
AHI 0 0 0 0 0 0 17 17 16 0
HA 0 0 0 0 0 0 85 76 76 0
CSBA trained*** 0 0 0 0 0 0 0 10 10 0

Fulbaria 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 1 0 1 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 1 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 3 2 1 0 0
Fracture table 1 0 1 0 0
Hydrolic OT Table 1 0 1 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 1 0 1 0 0
Ventilator 0 0 0 0 0


Fulbaria 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 0 0 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


Fulbaria 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) 2 1 0 1 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 1 0 1 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 0 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


Fulbaria 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 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


Fulbaria 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) 4 1 3 0 0
Air conditioner (window) 0 0 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 1 1 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 48 47 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 1 2 0 0
Printer (laser) 4 4 0 0 0
Scanner 0 0 0 0 0
UPS 6 4 2 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


Fulbaria 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 0 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 94 73 19 2 0

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

Important information and necessary issues for Fulbaria Upazila Health Complex |
 Fulbaria Upazila is situated southern site of Mymensingh city. It is a large upazila contain 13 union & 5 lac people. within the upazila communication is not good.There is only one UH&FPO in whole upazila.It is very tough to control both Hospital & field staffs by him. One or two Assistant UH&FPO post may be created to provide better service. There is no allocated vehicle for UH&FPO. A car may be alloted against his name for better field side management.