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Matlab(Uttar) Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very to publish this Health bulletin of Matlab north Upazila.This bulletine contains all the health related informaton of 2013.This bulletin is publish to disseminate the information of Matlab north Upazila to other line department and development partners of health.I hope all the inforamton of this bulletin will help for planning and bridging the gaps in health service of thisUpazila.ThisHealth bulletin will help us to find constrains and also to see the results and achivevements of 2013.The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets.This health Bulletin has also the information on safe drinking water and sanitation status of the Upazila.all the sanctioned and vacant posts are published in this bulletin of 2013.I like to take attention of the higher authority to look into to this issue.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.md.shah alam mollah
UH&FPO
Matlab(Uttar) Upazila Health Complex

Matlab(Uttar) Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaMatlab(Uttar)
Name of UHFPO Dr.md.shah alam mollah
Telephone No. 0842851020
FAX No. 0
Mobile No. 01737355454
Email matlabnorth@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 91.0000
No. of Unions in the Upazila15
No. of Households in the Upazila 62,418
No. of Population in the Upazila 382,195
Area of Upazila in sq km 279.00

Matlab(Uttar) 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 6 0
No. of Union Health and Family Welfare Centres 14 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 32 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 11 0
No. of NGO Clinics/Facilities 3 0

Matlab(Uttar) Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 12,668


Total No. of children treated under IMCI Program 6,785
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 6.71 per 1,000 live births.

Matlab(Uttar) 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: 4911
Total Number of Deliveries: 7491
No. of Maternal Death: 10
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 78.94 per 100,000 live births.

Matlab(Uttar) 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 24,067 11,332 12,735 9,368 1,302 737 565 195
Union Sub-Centres 16,030 6,662 9,368 1,995 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 9,540 4,612 4,928 1,625 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 81,086 36,865 44,221 9,820 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 130,723 59,471 71,252 22,808 1,302 737 565 195
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 1,094 582 512 120 0 0 0 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 1,094 582 512 120 0 0 0 0

Matlab(Uttar) 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 1280
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 155 12.11
2 D539 Nutritional anaemia, unspecified 147 11.48
3 J45 Asthma 138 10.78
4 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 130 10.16
5 B349 Viral infection, unspecified 220 17.19
6 I11 Hypertensive heart disease 90 7.03
7 J189 Pneumonia, unspecified 90 7.03
8 N39 Other disorders of urinary system 93 7.27
9 K27 Peptic ulcer, site unspecified 92 7.19
10 A010 Typhoid fever 125 9.77

Matlab(Uttar) 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 0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 0 0.00
2 0 0.00
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Matlab(Uttar) Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91.00
Coverage of households having access to sanitary latrines (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 7,779
Bed Occupancy Rates (%) 68.75
Average Length of Hospital Stay (No. of days per patient) 6.84
Hospital Death Rate (%) 0.00


Matlab(Uttar) Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 56

 

Matlab(Uttar) 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 10 7 2 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 9 0 6 3 33.33
Class III 106 42 21 43 40.57
Class IV 16 5 4 7 43.75
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 2 3 3 37.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 1 5 2 25.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 6 4 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 6 0 0 0.00
Class IV 6 6 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 44 16 16 12 27.27
Class IV 0 0 0 0 0.00

 

Matlab(Uttar) 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 24 13 7 4 16.67
Non Doctor 0 0 0 0 0.00
Class II 9 0 6 3 33.33
Class III 112 49 26 37 33.04
Class IV 22 11 4 7 31.82
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

 

Matlab(Uttar) 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 14 11 9 8 0 0 2 4
Nurse 0 0 0 0 9 6 0 0 3 0
Medical Assistant 0 0 14 5 1 1 0 0 4 0
Medical Technologist 0 0 0 0 4 2 0 0 0 0
CHCP 44 32 0 0 0 0 0 0 0 0
HI 0 0 0 0 5 5 0 0 0 0
AHI 0 0 0 0 15 15 0 0 0 0
HA 0 0 0 0 75 58 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 10 0 0

Matlab(Uttar) 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) 2 1 0 0 1
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 1 0 0 1 1
Dehumidifier 2 0 0 0 2
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 3 2 1 0 0
Autoclave 2 2 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 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 6 3 3 0 0
Ventilator 0 0 0 0 0


Matlab(Uttar) 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 2 1 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 14 7 7 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Matlab(Uttar) 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) 2 1 1 0 0
Colorimeter 8 4 4 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) 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


Matlab(Uttar) 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) 4 4 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 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


Matlab(Uttar) 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) 6 3 3 0 0
Generator
Generator (diesel/petrol) 1 0 1 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) 10 6 0 0 4
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 2 0 0 2
Scanner 1 1 0 0 0
UPS 0 0 0 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Matlab(Uttar) 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 76 44 21 0 11

Matlab(Uttar) Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Matlab(Uttar) Upazila Health Complex |
Last year 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.a) The Vacant post should be filled immediately.b)our doctor and nurse need more training on IMCI.c)Number of community clinic and the bad capacity of the health complex should be increased.d)All the repairable equipment's should be repaired as soon as possible.e)We have most female HA who need CSBA training.Finally I am very happy to write this health bulletin of 2013 because this document will help us to compare our progress in upcoming years.This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.