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Trisal Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of trishal Upazila. This bulletin contains all the health related information of 2013. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulletin contains the status of MDG4 and MDG5 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 sactionet and vacant posts are publlished in this bulletin of 2013. I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Dr. Md. Mashihur Rahman
UH&FPO
Trisal Upazila Health Complex

Trisal Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaTrisal
Name of UHFPO Dr. Md. Mashihur Rahman
Telephone No. 0903256003
FAX No. 0
Mobile No. 01718796021
Email trishal@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.3434 And Long: 90.2340
No. of Unions in the Upazila12
No. of Households in the Upazila 95,341
No. of Population in the Upazila 445,935
Area of Upazila in sq km 339.00

Trisal 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 12 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 41 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 0 0
No. of NGO Clinics/Facilities 0 0

Trisal Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,638


Total No. of children treated under IMCI Program 38,953
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 24.59 per 1,000 live births.

Trisal 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: 2201
Total Number of Deliveries: 9541
No. of Maternal Death: 21
Valid TT Coverage: 5.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 217.89 per 100,000 live births.

Trisal 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 68,179 32,574 35,605 13,115 16,890 8,965 7,925 1,455
Union Sub-Centres 63,484 30,881 32,603 9,323 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 99,960 22,505 77,455 34,004 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 160,694 57,238 103,456 15,478 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 392,317 143,198 249,119 71,920 16,890 8,965 7,925 1,455
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 4,916 1,901 3,015 295 4 3 1 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 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,916 1,901 3,015 295 4 3 1 0

Trisal 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 0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 F912 Socialized conduct disorder 2098 0.00
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1345 0.00
3 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 638 0.00
4 Z634 Disappearance and death of family member 504 0.00
5 J189 Pneumonia, unspecified 281 0.00
6 V892 Person injured in unspecified motor-vehicle accident, traffic 81 0.00
7 A010 Typhoid fever 62 0.00
8 J450 Predominantly allergic asthma 51 0.00
9 B550 Visceral leishmaniasis 38 0.00
10 T659 Toxic effect of unspecified substance 9 0.00

Trisal 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 4
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 R509 Fever, unspecified 2 50.00
2 G463 Brain stem stroke syndrome 1 25.00
3 J969 Respiratory failure, unspecified 1 25.00
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

Trisal 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 (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,938
Bed Occupancy Rates (%) 71.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.00


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 2945

 

Trisal 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 15 3 3 14.29
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 28 17 8 3 10.71
Class IV 22 15 3 4 18.18
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 32 16 15 1 3.13
Class IV 21 9 8 4 19.05
Rural Dispensaries
Class I Doctor 4 2 0 2 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 6 2 0 0.00
Class IV 4 2 0 2 50.00
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 44 19 22 3 6.82
Class IV 0 0 0 0 0.00

 

Trisal 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 33 20 5 8 24.24
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 163 77 62 24 14.72
Class IV 26 15 3 8 30.77
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

 

Trisal 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 10 21 18 0 0 2 0
Nurse 0 0 0 0 16 16 0 0 5 1
Medical Assistant 0 0 12 12 2 2 0 0 6 0
Medical Technologist 0 0 0 0 8 8 0 0 0 0
CHCP 44 41 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 12 12 0 0 0 0
HA 0 0 0 0 59 39 0 0 0 0
CSBA trained*** 0 0 0 0 0 1 0 0 0 0

Trisal 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) 1 1 0 0 0
X-ray machine (300 mA) 0 0 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 1 1 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 1 1 0 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 4 2 2 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 4 1 3 0 0


Trisal 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 1 1 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 4 3 1 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 2 0 2 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Trisal 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 2 2 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


Trisal 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 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 2 2 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


Trisal 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) 1 1 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) 7 7 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 4 2 0 2 0
Printer (laser) 7 5 0 2 0
Scanner 0 0 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Trisal 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 0 0 0 0 0
Mobile phone 0 0 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 55 43 8 4 0

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

Important information and necessary issues for Trisal Upazila Health Complex |
 Last year we could not give our maximum efforts to improve 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. Our doctor and nurse need more training . 3. All the repairable equipments should be repaired as soon as possible. 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 public and policy makers to understand health services, It also provide us laps and gaps improvement in future.