Haimchar Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Haimchar Upazila. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Haimchar 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 fine. This health bulletin will help to fine constrains and also
Haimchar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Haimchar
Name of UHFPO Dr. Abdul Haque
Telephone No. 0842352011
FAX No. 0
Mobile No. 01712188960
Email haimchar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 91.0000
No. of Unions in the Upazila 6
No. of Households in the Upazila 19,897
No. of Population in the Upazila 101,257
Area of Upazila in sq km 174.38
Haimchar 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
0
0
No. of Union Health and Family Welfare Centres
6
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
7
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
Haimchar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,138
Total No. of children treated under IMCI Program 3,987
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
Haimchar 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: 1095
Total Number of Deliveries: 3147
No. of Maternal Death: 3
Valid TT Coverage: 75.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Haimchar 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
33,199
13,722
19,477
6,259
12,142
4,493
7,649
2,810
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
17,588
6,852
10,736
8,946
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
55,311
16,698
38,613
3,117
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
106,098
37,272
68,826
18,322
12,142
4,493
7,649
2,810
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
2,115
987
1,128
443
9
7
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
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
2,115
987
1,128
443
9
7
2
0
Haimchar 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
2558
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
645
25.22
2
J677 Air-conditioner and humidifier lung
372
14.54
3
X85 Assault by drugs, medicaments and biological substances
341
13.33
4
J45 Asthma
229
8.95
5
K27 Peptic ulcer, site unspecified
192
7.51
6
A01 Typhoid and paratyphoid fevers
135
5.28
7
J189 Pneumonia, unspecified
117
4.57
8
T36 Poisoning by systemic antibiotics
47
1.84
9
I10 Essential (primary) hypertension
34
1.33
10
B159 Hepatitis A without hepatic coma
16
0.63
Haimchar 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
9
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I21 Acute myocardial infarction
2
22.22
2
I64 Stroke, not specified as haemorrhage or infarction
1
11.11
3
J45 Asthma
2
22.22
4
J09 Influenza due to identified avian influenza virus
3
33.33
5
S80 Superficial injury of lower leg
1
11.11
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Haimchar Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
75.00
Coverage of households having access to sanitary latrines (%)
80.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
9,820
Bed Occupancy Rates (%)
86.79
Average Length of Hospital Stay (No. of days per patient)
3.70
Hospital Death Rate (%)
0.34
Haimchar Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
68
Haimchar 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
2
2
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
9
0
6
3
33.33
Class III
65
27
16
22
33.85
Class IV
19
15
4
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
2
1
3
50.00
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
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
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
14
5
5
4
28.57
Class IV
0
0
0
0
0.00
Haimchar 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
15
4
3
8
53.33
Non Doctor
0
0
0
0
0.00
Class II
9
0
6
3
33.33
Class III
65
27
16
22
33.85
Class IV
19
15
4
0
0.00
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
Haimchar 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
3
9
4
0
0
2
0
Nurse
0
0
0
0
9
6
0
0
2
0
Medical Assistant
0
0
6
2
2
2
0
0
2
0
Medical Technologist
0
0
0
0
2
1
0
0
0
0
CHCP
14
10
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
1
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
HA
0
0
0
0
29
20
0
0
0
0
CSBA trained***
0
0
0
0
0
4
0
0
0
0
Haimchar 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)
4
2
1
1
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
0
0
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
0
0
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
0
0
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
2
1
1
0
0
Ventilator
0
0
0
0
0
Haimchar 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
2
1
1
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
4
2
1
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Haimchar 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
4
2
1
1
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)
0
0
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
Haimchar 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)
2
1
1
0
0
Refrigerator
2
1
1
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
Haimchar 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)
0
0
0
0
0
Generator
Generator (diesel/petrol)
4
2
1
1
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
1
1
0
0
ICT equipment
Computer (desktop)
9
7
2
0
0
Laptop
4
2
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
1
0
0
Printer (laser)
4
3
1
0
0
Scanner
2
1
1
0
0
UPS
8
6
2
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
1
1
0
0
Multimedia
0
0
0
0
0
Haimchar 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
2
1
1
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
63
37
22
4
0
Haimchar Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Haimchar Upazila Health Complex |
Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. The vacant post should be filled immediately. Our doctor and nurse need training on IMCI. All the repairable equipments should be repaired as soon as possible. Finally, I am very happy to write this health bulletin of 2013 because this document will help to compare our progress in upcoming year. This is very useful document and will help the public to understand health service and to provide us the useful advice for improvement in future.
