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Palash Upazila Health Complex | Health Bulletin 2014 |
Preface
This is my great pleasure to publish this "HEALTH BULLETIN" of Palash Upazilla. It has 04 unions and 01 Pawrushova. Sitallakkha river runs west sight in this upazila. There are 03 railway station, 04 College, 24 high school, 63 Gov Primary school, 25 madrasha & 16 big industry in this upazila. This bulletin contains all the health related information of 2013. This bulletin is published for dissemination the information of Palash Upazilla 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 Upazilla. This health bulletin will help us to find constrains and also to see the result and achievements of 2013. This health bulletin has also the information on safe drinking water and sanitation status of the upazilla. All the sanctioned and vacant post are published in this bulletin. I like to draw attention of the higher authourity about this. Finally i would like to congratulate the initiator of the health bulletin software for setting one step ahed towards digital Bangladesh. We are proud to publish local health bulletin 2014.
Dr.Manju Bhoje
UH&FPO
Palash Upazila Health Complex

Palash Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaPalash
Name of UHFPO Dr.Manju Bhoje
Telephone No. 029466326
FAX No. 0
Mobile No. 01712429057
Email palash@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5820 And Long: 90.3930
No. of Unions in the Upazila5
No. of Households in the Upazila 45,096
No. of Population in the Upazila 225,506
Area of Upazila in sq km 94.43

Palash 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 2 0
No. of Union Health and Family Welfare Centres 3 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 13 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 30
No. of NGO Clinics/Facilities 1 0

Palash Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,536


Total No. of children treated under IMCI Program 17,181
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 4.70 per 1,000 live births.

Palash 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: 3301
Total Number of Deliveries: 1789
No. of Maternal Death: 1
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 18.06 per 100,000 live births.

Palash 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 69,731 18,921 50,810 24,415 3,705 1,715 1,990 1,527
Union Sub-Centres 18,670 6,887 11,783 5,353 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 103,362 41,979 61,383 14,287 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 5,850 2,586 3,264 1,350 1,149 521 628 305
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 203,463 70,373 127,240 45,405 4,854 2,236 2,618 2,155
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 2,502 803 1,699 372 7 3 4 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 820 118 702 93 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 3,322 921 2,401 465 7 3 4 0

Palash 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 2626
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 350 13.33
2 T149 Injury, unspecified 321 12.22
3 J189 Pneumonia, unspecified 228 8.68
4 A928 Other specified mosquito-borne viral fevers 117 4.46
5 J459 Asthma, unspecified 102 3.88
6 A010 Typhoid fever 72 2.74
7 K319 Disease of stomach and duodenum, unspecified 56 2.13
8 V892 Person injured in unspecified motor-vehicle accident, traffic 48 1.83
9 L119 Acantholytic disorder, unspecified 21 0.80
10 E14 Unspecified diabetes mellitus 12 0.46

Palash 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 7
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified 2 28.57
2 X63 Intentional self-poisoning by and exposure to other drugs acting on the autonomic nervous system 1 14.29
3 I258 Other forms of chronic ischaemic heart disease 1 14.29
4 J46 Status asthmaticus 1 14.29
5 A403 Septicaemia due to Streptococcus pneumoniae 1 14.29
6 D022 Bronchus and lung 1 14.29
7 K717 Toxic liver disease with fibrosis and cirrhosis of liver 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Palash 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 (%) 99.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 8,770
Bed Occupancy Rates (%) 77.56
Average Length of Hospital Stay (No. of days per patient) 3.69
Hospital Death Rate (%) 0.58


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 42
Minor Surgeries 1347

 

Palash 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 5 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 57 27 18 12 21.05
Class IV 19 4 4 11 57.89
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 2 5 2 22.22
Class IV 6 1 2 3 50.00
Rural Dispensaries
Class I Doctor 2 0 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 4 0 0 0.00
Class IV 2 0 0 2 100.00
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 13 5 8 0 0.00
Class IV 0 0 0 0 0.00

 

Palash 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 14 7 7 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 64 35 18 11 17.19
Class IV 21 4 4 13 61.90
Other Hospitals & Clinics
Class I Doctor 3 0 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 3 0 0 0.00
Class IV 0 0 0 0 0.00

 

Palash 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 2 2 9 8 3 3 1 1
Nurse 0 0 0 0 11 11 0 0 4 3
Medical Assistant 0 0 2 2 2 2 3 3 3 0
Medical Technologist 0 0 0 0 2 2 0 0 0 0
CHCP 13 13 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0
HA 0 0 0 0 29 22 0 0 0 0
CSBA trained*** 0 0 0 0 6 6 0 0 0 0

Palash 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 1 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 2 1 0 1 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 1 1 0 0 0
Autoclave 5 3 2 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 2 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 3 3 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 13 7 0 6 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Palash 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 9 6 0 3 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 2 1 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Palash 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 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) 6 3 0 3 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


Palash 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


Palash 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) 4 4 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 11 7 0 0 4
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 7 4 1 0 2
Scanner 1 1 0 0 0
UPS 9 5 0 0 4
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 2 1 0 0 1


Palash 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 0 1 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 94 61 7 14 12

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

Important information and necessary issues for Palash Upazila Health Complex |
Palash Upazila health complex is a 31 bedded hospital. It is on the way to upgraded 50 bedded hospital, building has already been handed over but yet not functionally active because of lack manpower and other facilities.Some patient coming to this hospitals are diverted to district hospital to available specialist service which is nearer to our health complex. If speacilist doctors are posted here than we can provide them with residence. We are proud to publish local health bulletin which help us to know about our health status, health facilities and health service to our country.We understand the health bulletin circle to keep up with the latest health information and contains the status of MDG 4 and MDG 5 which help to localize the MDG target.I hope that people will be interested to get their service from this institution and the number of patients will increase significantly. We are lacking of ECG, Ultrasonogram, Surgical Management, Paediatrician, Ent Speacilist, Orthopedic surgeon facility which we should get as early as possible for better service. To achieve the target of MDG, the 50 bedded hospital should run as early as possible by filling the all requirments by the government thus people will get better service from this hospital. We wish the new year 2014 finds us in good health and better service to the people of palash upazila. Best regards, Dr.Manju Bhoje UH&FPO Upazila Health Complex, Palash, Narsingdi