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Araihazar Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Araihazar upazila. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Araihazar 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. The bulletin contains the status of MDG 4 and MDG5 which will help to localize the MDG target. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant post are published in this bulletin of 2013. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr. Ramesh Chandra Saha
UH&FPO
Araihazar Upazila Health Complex

Araihazar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAraihazar
Name of UHFPO Dr. Ramesh Chandra Saha
Telephone No. 027654024
FAX No. 0
Mobile No. 01712021071
Email araihazar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 78,478
No. of Population in the Upazila 381,754
Area of Upazila in sq km 196.95

Araihazar 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 12 0
No. of Union Health and Family Welfare Centres 0 0
No. of Rural/Urban/Thana Dispensaries 1 20
No. of Community Clinics 36 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 62
No. of NGO Clinics/Facilities 0 0

Araihazar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 12,817


Total No. of children treated under IMCI Program 61,138
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.72 per 1,000 live births.

Araihazar 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: 2170
Total Number of Deliveries: 3865
No. of Maternal Death: 1
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 7.80 per 100,000 live births.

Araihazar 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 106,465 37,571 68,894 6,996 5,729 3,614 2,115 251
Union Sub-Centres 55,255 16,777 38,478 4,783 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 319,756 90,050 229,706 48,796 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 39,044 16,200 22,844 12,369 6,187 2,172 4,015 206
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 559,564 160,598 359,922 72,944 11,916 5,786 6,130 4,266
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 3,022 1,304 1,718 87 3 1 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 5,422 1,558 3,864 125 1 0 1 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 8,444 2,862 5,582 212 4 1 3 0

Araihazar 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 3109
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y04 Assault by bodily force 937 30.14
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 468 15.05
3 O80 Single spontaneous delivery 344 11.06
4 R10 Abdominal and pelvic pain 268 8.62
5 A88 Other viral infections of central nervous system, NEC 101 3.25
6 J45 Asthma 89 2.86
7 T60 Toxic effect of pesticides 80 2.57
8 Y34 Unspecified event, undetermined intent 57 1.83
9 I95 Hypotension 52 1.67
10 J22 Unspecified acute lower respiratory infection 40 1.29

Araihazar 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 3
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 1 33.33
2 T60 Toxic effect of pesticides 1 33.33
3 R10 Abdominal and pelvic pain 1 33.33
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 92.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 8,071
Bed Occupancy Rates (%) 71.33
Average Length of Hospital Stay (No. of days per patient) 2.59
Hospital Death Rate (%) 0.10


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 2025

 

Araihazar 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 7 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 98 55 29 14 14.29
Class IV 19 7 3 9 47.37
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 7 5 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 17 11 6 0 0.00
Class IV 5 2 0 3 60.00
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 36 16 17 3 8.33
Class IV 0 0 0 0 0.00

 

Araihazar 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 27 15 6 6 22.22
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 151 82 52 17 11.26
Class IV 24 9 3 12 50.00
Other Hospitals & Clinics
Class I Doctor 6 0 1 5 83.33
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

 

Araihazar 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 9 6 1 3 1
Nurse 0 0 0 0 11 10 0 0 2 0
Medical Assistant 0 0 12 12 2 2 0 0 11 0
Medical Technologist 0 0 5 5 8 8 0 0 0 0
CHCP 36 33 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 60 51 0 0 0 0
CSBA trained*** 0 0 0 0 0 5 0 10 0 0

Araihazar 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 0 0 1 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 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 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 3 1 0 2 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 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 1 0 0 0
Sterilizer 5 3 2 0 0
Sucker machine (electric) 6 3 3 0 0
Ventilator 0 0 0 0 0


Araihazar 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 4 4 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


Araihazar 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 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) 3 3 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


Araihazar 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 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


Araihazar 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) 1 0 1 0 0
Air conditioner (window) 2 1 1 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) 3 3 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 4 2 0 0
Scanner 1 1 0 0 0
UPS 1 1 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 2 2 0 0 0
Multimedia 1 1 0 0 0


Araihazar 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) 1 1 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 55 40 12 3 0

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

Important information and necessary issues for Araihazar Upazila Health Complex |
 Here , I like to mention some important factors which will help us to achieve good results . (1). The vacant post must be filled immediately. (2). our doctors & nurses need more training on IMCI. (3). Number of community clinic and the bed capacity of the health complex must be increased .(4) For increased and better supportive supervision of health related activities at fields one four wheal motor car is urgently needed. Finally, I am happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and provide us the useful advice for improvement in future.