Haluaghat Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad & my pleasure that we are going to publish this health bulletin of haluaghat upazila health complex ,Mymensingh with great blessing of almighty Allah.It is published to disseminate the information of our Upazila to other line departments and development partners of health with a hope that this will help for planning and bridging the existing gaps in health services. The bulletin will also help us to see the result and achievement of 2013 in health sector . Haluaghat has 12 unions and 312517 population. most of them are law socioeconomic condition.People living in this upazila depends mainly on agriculture.one land part is present in this Upazila to connect the Meghalaya province of India from where coals are imported.Their houses are made of wood,bamboo and tins . Sanitary condition of is not up to the level.A few of the tube wells are contaminated with arsenic.These tube wells are red marked and people are alerted not to drink water from this tube well.All sanctioned & vacant posts are published here to bring attention of the higher authority.I think& hope that this health bulletin software is a great step in digitalization of our health sector, with a view to achieve a digital Bangladesh.
Haluaghat Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Haluaghat
Name of UHFPO Dr.Md.Liaquat Ali Khan
Telephone No. 0902656003
FAX No. 0
Mobile No. 01716312512
Email haluaghat@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0705 And Long: 90.2018
No. of Unions in the Upazila 12
No. of Households in the Upazila 72,894
No. of Population in the Upazila 312,517
Area of Upazila in sq km 349.91
Haluaghat 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
9
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
20
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
50
No. of NGO Clinics/Facilities
2
0
Haluaghat Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,223
Total No. of children treated under IMCI Program 7,308
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 24.78 per 1,000 live births.
Haluaghat 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: 6815
Total Number of Deliveries: 6922
No. of Maternal Death: 8
Valid TT Coverage: 16.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
110.76 per 100,000 live births.
Haluaghat 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
28,085
13,763
14,322
6,956
8,479
4,122
4,357
1,261
Union Sub-Centres
37,423
10,582
26,841
3,557
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
168,733
50,833
117,900
37,017
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
25,077
7,200
17,877
2,250
5,478
2,055
3,423
1,500
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
284,395
82,378
176,940
49,780
13,957
6,177
7,780
4,684
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
5,480
1,895
3,585
891
18
9
9
5
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
26,628
6,020
20,608
2,595
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
32,108
7,915
24,193
3,486
18
9
9
5
Haluaghat 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
6371
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
D559 Anaemia due to enzyme disorder, unspecified
1721
27.01
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1030
16.17
3
Y09 Assault by unspecified means
998
15.66
4
A010 Typhoid fever
470
7.38
5
K27 Peptic ulcer, site unspecified
361
5.67
6
J459 Asthma, unspecified
308
4.83
7
J189 Pneumonia, unspecified
295
4.63
8
N390 Urinary tract infection, site not specified
172
2.70
9
I10 Essential (primary) hypertension
129
2.02
10
T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
124
1.95
Haluaghat 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
23
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J449 Chronic obstructive pulmonary disease, unspecified
6
26.09
2
J189 Pneumonia, unspecified
4
17.39
3
I67 Other cerebrovascular diseases
3
13.04
4
J960 Acute respiratory failure
1
4.35
5
J459 Asthma, unspecified
1
4.35
6
Y546 Electrolytic, caloric and water-balance agents
1
4.35
7
I519 Heart disease, unspecified
1
4.35
8
D690 Allergic purpura
1
4.35
9
K709 Alcoholic liver disease, unspecified
1
4.35
10
J989 Respiratory disorder, unspecified
1
4.35
Haluaghat Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
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.)
17,630
Bed Occupancy Rates (%)
97.00
Average Length of Hospital Stay (No. of days per patient)
3.00
Hospital Death Rate (%)
0.36
Haluaghat Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
1031
Haluaghat 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
4
4
1
11.11
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
84
46
27
11
13.10
Class IV
20
9
2
9
45.00
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
12
5
2
5
41.67
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
15
13
1
1
6.67
Class IV
3
0
0
3
100.00
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
13
14
7
20.59
Class IV
0
0
0
0
0.00
Haluaghat 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
21
9
6
6
28.57
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
133
72
42
19
14.29
Class IV
23
9
2
12
52.17
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
Haluaghat 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
12
12
9
8
0
0
4
2
Nurse
0
0
0
0
17
16
0
0
5
4
Medical Assistant
0
0
12
12
2
2
0
0
12
0
Medical Technologist
0
0
0
0
8
8
0
0
0
0
CHCP
34
27
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
9
9
0
0
0
0
HA
0
0
0
0
51
42
0
0
0
0
CSBA trained***
0
0
0
0
0
3
0
0
0
0
Haluaghat 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
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
3
1
0
0
2
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
0
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
0
0
1
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
12
12
0
0
0
Ventilator
0
0
0
0
0
Haluaghat 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
7
3
4
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Haluaghat 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
2
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
Haluaghat 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
0
1
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
Haluaghat 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)
1
1
0
0
0
Generator
Generator (diesel/petrol)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
0
2
0
0
ICT equipment
Computer (desktop)
6
6
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
0
0
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
1
1
0
0
0
Haluaghat 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
59
45
10
2
2
Haluaghat Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Haluaghat Upazila Health Complex |
Haluaghat upazila is a boarder once upazila adjacent to the Megalaya province of India .It is a 50 bed health complex and it has 3 union sub centers (RD).Out of 34 proposed community clinics 20 are functioning.There are 8 union Health and family welfare centres (UH &F WC) in this Upazila, which are run by the FWVs and SACMOs. One Private Hospital are servicing here.There are several diagnostic Center are Providing services. MNCH & DSF activities are present in this Upazila But Lack of anesthesiologist we can't provide the Caesarean services. If we get one anesthesiologist then cesarean & DSF service will be incresed .We need all the proposed Community Clinics to render services at the doorstep of the villagers. I feel proud that my staff are delivering good services to the poor villagers with so many limitation. I like to mention some important factors which will help us to improve our services in future . These are:- 1.Vacant post should be filled up immediately. 2.Deputation should be cancelled so that they can provide services in this Upazila . 3. Number of community clinics should be increased. 4. The repairable equipments should be repaired as early as possible. Finally I am very happy to publish this health bulletin of 2013, because this document will help us to compare our progress in upcoming years with thanks.