Sarail Upazila Health Complex | Health Bulletin 2014 |
Preface
We are very much happy to inform that we have published a health bulletin 3rd time which contains all the health related data and information of Sarail upazilla. Although we have some limitation such as lack of manpower,shortage of modern equipment . We are trying to maintain a good health service for the peoples. T he government is committed to extent the health service at the grass root level through the better functioning of community clinic to achieve the immunization goal through the ward. level immunization centre. We are also committed to extend our hand to establish a good health service to make a healthy Bangladesh in near future. So this 3rd edition of the health bulletin will be very much helpful to us in future to take decision and data analysis in various purposes.
Sarail Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Sarail
Name of UHFPO DR.Abu Saleh Md Musa Khan
Telephone No. 0852756002
FAX No. 0
Mobile No. 01716244424
Email sarail@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0714 And Long: 91.1182
No. of Unions in the Upazila 9
No. of Households in the Upazila 47,053
No. of Population in the Upazila 316,379
Area of Upazila in sq km 196.25
Sarail 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
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
21
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
12
0
No. of NGO Clinics/Facilities
3
0
Sarail Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 10,798
Total No. of children treated under IMCI Program 15,412
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Sarail 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: 2784
Total Number of Deliveries: 10904
No. of Maternal Death: 2
Valid TT Coverage: 82.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Sarail 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
49,769
22,873
26,896
9,065
9,960
4,654
5,306
2,878
Union Sub-Centres
65,693
25,220
40,473
8,207
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
44,554
21,212
23,342
7,654
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
223,992
87,311
136,681
47,806
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
37,330
17,455
19,875
7,512
0
0
0
0
NGO Clinics/Facilities
15,356
1,044
14,312
4,508
0
0
0
0
Total
474,024
175,115
261,579
84,752
9,960
4,654
5,306
2,878
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
4,310
1,985
2,325
1,219
5
1
4
5
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
4,310
1,985
2,325
1,219
5
1
4
5
Sarail 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
5529
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
T149 Injury, unspecified
1906
34.47
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1809
32.72
3
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
876
15.84
4
O60 Preterm delivery
182
3.29
5
J189 Pneumonia, unspecified
131
2.37
6
J99 Respiratory disorders in diseases classified elsewhere
101
1.83
7
A880 Enteroviral exanthematous fever [Boston exanthem]
97
1.75
8
B769 Hookworm disease, unspecified
83
1.50
9
R509 Fever, unspecified
66
1.19
10
I10 Essential (primary) hypertension
31
0.56
Sarail 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
4856
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J45 Asthma
2
0.04
2
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
2
0.04
3
J18 Pneumonia, organism unspecified
1
0.02
4
J99 Respiratory disorders in diseases classified elsewhere
0
0.00
5
T21 Burn and corrosion of trunk
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Sarail Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
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.)
9,490
Bed Occupancy Rates (%)
52.00
Average Length of Hospital Stay (No. of days per patient)
1.80
Hospital Death Rate (%)
0.10
Sarail Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
12
Minor Surgeries
302
Sarail 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
20
7
4
9
45.00
Non Doctor
0
0
0
0
0.00
Class II
15
1
7
7
46.67
Class III
112
73
20
19
16.96
Class IV
24
18
2
4
16.67
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
0
0
4
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
0
3
75.00
Class IV
0
0
0
0
0.00
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
5
0
3
37.50
Class IV
4
4
0
0
0.00
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
21
9
12
0
0.00
Class IV
0
0
0
0
0.00
Sarail 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
29
8
5
16
55.17
Non Doctor
0
0
0
0
0.00
Class II
15
1
7
7
46.67
Class III
145
88
32
25
17.24
Class IV
28
22
2
4
14.29
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
Sarail 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
8
2
20
11
0
0
1
1
Nurse
0
0
0
0
14
8
0
0
0
0
Medical Assistant
0
0
8
5
2
2
0
0
7
0
Medical Technologist
0
0
0
0
7
7
0
0
0
0
CHCP
36
21
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
2
0
0
0
0
AHI
0
0
0
0
11
11
0
0
0
0
HA
0
0
0
0
54
39
0
0
0
0
CSBA trained***
0
0
0
0
0
6
0
0
0
0
Sarail 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)
2
1
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
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
4
2
2
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
6
3
0
3
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
4
2
2
0
0
Portable OT Light
10
5
5
0
0
Fracture table
2
1
1
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
1
0
1
0
Sucker machine (electric)
4
2
2
0
0
Ventilator
0
0
0
0
0
Sarail 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
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
10
5
4
1
0
Pulse oximeter
2
1
0
1
0
Dental equipment
Dental unit
2
1
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Sarail 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)
4
2
2
0
0
Colorimeter
2
1
1
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)
5
3
2
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
Sarail 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
4
2
2
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
12
6
6
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
2
1
1
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
Sarail 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)
8
4
3
0
1
Generator
Generator (diesel/petrol)
4
2
2
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)
4
2
2
0
0
Laptop
4
2
2
0
0
Printer (dot matrix)
4
2
2
0
0
Printer (inkjet)
2
1
0
1
0
Printer (laser)
0
0
0
0
0
Scanner
2
1
1
0
0
UPS
4
2
0
2
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
2
1
1
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Sarail 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
2
1
1
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
116
59
46
10
1
Sarail Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Sarail Upazila Health Complex |
For smoth running of the upazilla heath complex shortage of manpower is a bar. To overcome this problem, vacant post of all category manpower should placed urgently .
Maximum staff quarters of the upazilla heath complex are damage and not useable.Urgent repair and maintaince of this quarters should be done immediatly.
There is no functional Ambulance in Sarail upazilla heath complex
Need at least 3 Emergency Medical officers to face the emmergency service
Medicine allotment for the upazilla heath complex should be increased.
