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Purbadhala Upazila Health Complex | Health Bulletin 2014 |
Preface
With best regard to our father of the nation Bangabandhu Sheik Mujibur Rahaman whose inspiration makes our health service available up to upazila level. Hence I would like to thanks his efficient daughter Honourable prime minister Sheik Hasina for extension of health service up to village level even up to house to house through community clinic establishment. I am Dr.Md.Rezaul Ahsan Muslimi , UH&FPO , Purbadhala , Netrakona hence presenting all necessary documents & datas of 2013 with great pleasure & happiness. I hope all this information will help us for planning and bridging the laps & gaps in health services of this upazila. This health bulletin will help us to find constrains and achievements of 2013. The bulletin contains the status of MDG-4 and MDG-5 , Which further promotes us to reach towards Vision 2021. Dr.Md.Rezaul ahsan Muslimi UH&FPO Purbadhala , Netrakona.
Dr. Md Rezaul Ahsan Muslimi
UH&FPO
Purbadhala Upazila Health Complex

Purbadhala Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaPurbadhala
Name of UHFPO Dr. Md Rezaul Ahsan Muslimi
Telephone No. 0953256018
FAX No. 0
Mobile No. 01818948644
Email purbadhala@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.5600 And Long: 90.3600
No. of Unions in the Upazila11
No. of Households in the Upazila 66,754
No. of Population in the Upazila 321,831
Area of Upazila in sq km 308.17

Purbadhala 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 1 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 33 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

Purbadhala Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,544


Total No. of children treated under IMCI Program 12,806
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 6.55 per 1,000 live births.

Purbadhala 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: 4661
Total Number of Deliveries: 1182
No. of Maternal Death: 3
Valid TT Coverage: 74.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 35.11 per 100,000 live births.

Purbadhala 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 19,432 8,942 10,490 3,302 3,368 2,152 1,216 387
Union Sub-Centres 34,563 14,067 20,496 9,486 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 6,743 1,588 5,155 2,599 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 182,518 59,395 123,123 33,461 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 243,256 83,992 159,264 48,848 3,368 2,152 1,216 387
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 6,640 3,124 3,516 1,323 18 10 8 10
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 6,640 3,124 3,516 1,323 18 10 8 10

Purbadhala 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 7963
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1091 13.70
2 Y079 By unspecified person 855 10.74
3 A929 Mosquito-borne viral fever, unspecified 658 8.26
4 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 530 6.66
5 J189 Pneumonia, unspecified 308 3.87
6 J459 Asthma, unspecified 115 1.44
7 V879 Person injured in other specified (collision)(noncollision) transport accidents involving nonmotor vehicle (traffic) 106 1.33
8 T609 Pesticide, unspecified 88 1.11
9 O669 Obstructed labour, unspecified 91 1.14
10 O074 Failed medical abortion, without complication 34 0.43

Purbadhala 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 28
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 P210 Severe birth asphyxia 5 17.86
2 J189 Pneumonia, unspecified 5 17.86
3 I210 Acute transmural myocardial infarction of anterior wall 3 10.71
4 J459 Asthma, unspecified 2 7.14
5 A410 Septicaemia due to Staphylococcus aureus 2 7.14
6 R092 Respiratory arrest 2 7.14
7 I259 Chronic ischaemic heart disease, unspecified 1 3.57
8 I516 Cardiovascular disease, unspecified 1 3.57
9 G039 Meningitis, unspecified 1 3.57
10 E649 Sequelae of unspecified nutritional deficiency 1 3.57

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 82.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 24,882
Bed Occupancy Rates (%) 136.34
Average Length of Hospital Stay (No. of days per patient) 3.11
Hospital Death Rate (%) 0.35


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 745

 

Purbadhala 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 22 6 1 15 68.18
Non Doctor 0 0 0 0 0.00
Class II 15 0 14 1 6.67
Class III 100 45 42 13 13.00
Class IV 22 14 5 3 13.64
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 0 0 1 100.00
Rural Dispensaries
Class I Doctor 9 1 1 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 13 9 2 2 15.38
Class IV 4 1 0 3 75.00
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 33 16 16 1 3.03
Class IV 0 0 0 0 0.00

 

Purbadhala 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 32 7 2 23 71.88
Non Doctor 0 0 0 0 0.00
Class II 15 0 14 1 6.67
Class III 148 71 60 17 11.49
Class IV 26 15 5 6 23.08
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

 

Purbadhala 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 10 2 22 7 0 0 1 0
Nurse 0 0 0 0 16 14 0 0 2 0
Medical Assistant 0 0 10 10 2 2 0 0 10 0
Medical Technologist 0 0 4 2 10 7 0 0 0 0
CHCP 33 32 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 11 6 0 0 0 0
HA 0 0 0 0 57 56 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 9 0

Purbadhala 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 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 1 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 1 1 0 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 2 0 0 0 2
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 0 2 0 0
Sterilizer 4 3 1 0 0
Sucker machine (electric) 3 1 0 0 2
Ventilator 0 0 0 0 0


Purbadhala 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 0 0 0 1
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 2 1 0 0 1
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 3 2 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Purbadhala 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) 0 0 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 2 1 0 0 1
Phototherapy unit 1 1 0 0 0


Purbadhala 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 1 1 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 2 2 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


Purbadhala 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) 3 3 0 0 0
Generator
Generator (diesel/petrol) 0 0 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) 12 7 0 0 5
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 2 2 0 0 0
Scanner 1 1 0 0 0
UPS 5 0 0 0 5
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 1 1 0 0 0


Purbadhala 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 0 1 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 61 36 7 0 18

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

Important information and necessary issues for Purbadhala Upazila Health Complex |
 Here I like to mention some important factors which will help us to achieve good results in future. People should be motivated further to create hospital friendly environment through BCC & political assurance & national procedures. So that the health service provider & health service client activities will run effectively & smoothly. 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. 4. Comprehensive EOC should be started immediately . 5. Community Clinic program should be geared up. Accountabilities of the CHCP's should be improved through Govt. & social guideline. They should be committed also to serve the illiterate , poor & distress people of the society. 6. Improvement of the existing facilities for the staffs and other should be increase as we just started this procedure . So this may not be the final one. Gradually we will improve day by day.