Sakhipur Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Shakhipur Upazila. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Shakhipur 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. Government health office has many data stored in the file. This health bulletin will help us to find constrains and also to see the result and achievements of 2013 The bulleting contains the status of MDG4 and MDG5 which will help to localize the MDG targets. The 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. I like to take attention of the higher authority to look at this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Sakhipur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Sakhipur
Name of UHFPO Dr. Md. Anwar Hossain
Telephone No. 0923256013
FAX No. 0
Mobile No. 01712870187
Email shakhipur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 66,461
No. of Population in the Upazila 279,702
Area of Upazila in sq km 461.00
Sakhipur 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
37
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
7
70
No. of NGO Clinics/Facilities
1
6
Sakhipur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,709
Total No. of children treated under IMCI Program 56,874
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 8.20 per 1,000 live births.
Sakhipur 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: 2640
Total Number of Deliveries: 6641
No. of Maternal Death: 6
Valid TT Coverage: 27.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
89.43 per 100,000 live births.
Sakhipur 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
43,932
16,537
27,395
10,619
7,574
2,798
4,776
1,583
Union Sub-Centres
26,160
8,879
17,281
11,625
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
9,449
3,519
5,930
1,122
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
256,419
59,204
197,215
33,506
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
335,960
88,139
247,821
56,872
7,574
2,798
4,776
1,583
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
6,434
2,213
4,221
1,298
25
14
11
8
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
6,434
2,213
4,221
1,298
25
14
11
8
Sakhipur 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
7732
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Diarrhoea,A090 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1223
15.82
2
Assult,Y09 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
755
9.76
3
Pneumonia, J189 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
374
4.84
4
Viral Fever, J06.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
327
4.23
5
Poisoning,T600 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
283
3.66
6
Road traffic accident, V892 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
141
1.82
7
Bronchial AsthmaJ459 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
128
1.66
8
Hypertention,I159 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
87
1.13
9
Abortion006 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
47
0.61
10
Kala Azar,B550 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
34
0.44
Sakhipur 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
33
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Bro- Asthma, J459 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
5
15.15
2
Severe pneumonia, J189 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
4
12.12
3
Prematured Baby with L.B,W P071 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
6.06
4
OPC Poisoning,T600 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
6.06
5
Birth Asphyxia.P210 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
6.06
6
Very Severe DiseaseJ189 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
3.03
7
COPD,J449 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
3.03
8
RTA,D501 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
3.03
9
Genaral weakness,R53 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
3.03
10
AnamiaD501 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
3.03
Sakhipur Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
88.00
Coverage of households having access to sanitary latrines (%)
81.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
17,126
Bed Occupancy Rates (%)
94.00
Average Length of Hospital Stay (No. of days per patient)
2.76
Hospital Death Rate (%)
0.43
Sakhipur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
548
Minor Surgeries
1395
Sakhipur 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
14
4
3
14.29
Non Doctor
0
0
0
0
0.00
Class II
19
1
18
0
0.00
Class III
25
21
1
3
12.00
Class IV
23
17
4
2
8.70
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
1
1
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
2
0
0
0.00
Class IV
1
1
0
0
0.00
Rural Dispensaries
Class I
Doctor
5
3
1
1
20.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
7
1
0
0.00
Class IV
3
2
0
1
33.33
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
37
18
19
0
0.00
Class IV
0
0
0
0
0.00
Sakhipur 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
18
5
4
14.81
Non Doctor
0
0
0
0
0.00
Class II
19
1
18
0
0.00
Class III
110
58
40
12
10.91
Class IV
27
21
4
2
7.41
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
Sakhipur 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
6
5
21
18
0
0
2
3
Nurse
0
0
0
0
20
20
0
0
6
4
Medical Assistant
0
0
6
6
2
2
0
0
7
0
Medical Technologist
0
0
4
4
12
11
0
0
0
0
CHCP
37
37
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
4
4
4
0
AHI
0
0
0
0
0
0
12
11
7
0
HA
0
0
0
0
0
0
58
51
49
0
CSBA trained***
0
0
0
0
0
0
0
14
0
0
Sakhipur 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
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
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
4
1
0
2
1
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
4
4
0
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
5
1
4
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
3
3
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
6
6
0
0
0
Ventilator
0
0
0
0
0
Sakhipur 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
3
3
0
0
0
Pulse oximeter
3
3
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
3
3
0
0
0
Sakhipur 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)
3
2
1
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)
3
2
1
0
0
Obstetric equipment
Fetal Monitor
1
1
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
2
2
0
0
0
Phototherapy unit
1
1
0
0
0
Sakhipur 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
2
2
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
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
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
Sakhipur 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
1
3
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
0
1
0
0
ICT equipment
Computer (desktop)
7
5
0
2
0
Laptop
2
1
0
1
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
3
0
2
0
Scanner
1
1
0
0
0
UPS
5
3
0
2
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
0
0
0
0
0
Sakhipur 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
86
64
10
10
2
Sakhipur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Sakhipur Upazila Health Complex |
Last year we could not achieve our all targets due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctors and nurses need more training on EmOC& IMCI. 3. We have 31 female HA among them 14 HA are trained CSBA and other 17 female HA need CSBA training. 4. Ultrasonography machine with trained manpower is needed. 5. As our health complex is 50 beded post of 4th class employs should increase. DSF&TMNCP (Tangail maternal, Neonatal & child Health programme ) is well functioning in our health complex.