HPNSDP
Supported by:
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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Anwara Upazila Health Complex | Health Bulletin 2014 |
Preface
It gives me much pleasure to publish this Health Bulletin of Anowara upazila. This Bulletin contains all the health related information of the year 2013.It serves to disseminate the information of Anowara upazila among the other departments and development partners of health. The health bulletin will help us to find the constrains and also to see the achievements of 2013, thus bridging the gaps in health services of this upazila. Subjects and information like safe drinking water and sanitation status of the upazila is also narrated here. All the sanctioned and vacant posts are published in this Bulletin,2013. In short, the Bulletin contains the status of MDG-4 and MDG-5 which will helps to focus MDG targets. Finally, I would like to thank this initiative of Health bulletin and technical supports along with this set up which will enable us to look forward for digital Bangladesh. Dr.Abdul Quaiyum UH&FPO Anwara Upazila Health Complex.Chittagong.
Dr.Abdul Quaiyum
UH&FPO
Anwara Upazila Health Complex

Anwara Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAnwara
Name of UHFPO Dr.Abdul Quaiyum
Telephone No. 0302956023
FAX No. 0
Mobile No. 01814121015
Email anwara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.2240 And Long: 91.8891
No. of Unions in the Upazila11
No. of Households in the Upazila 52,600
No. of Population in the Upazila 310,458
Area of Upazila in sq km 164.13

Anwara 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 2 0
No. of Union Health and Family Welfare Centres 9 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 27 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 1 0

Anwara Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,293


Total No. of children treated under IMCI Program 55,214
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 0.00 per 1,000 live births.

Anwara 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: 4524
Total Number of Deliveries: 7059
No. of Maternal Death: 0
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Anwara 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 43,997 20,628 23,369 11,679 18,165 10,150 8,015 7,532
Union Sub-Centres 15,454 6,620 8,834 1,253 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 56,667 13,566 43,101 7,707 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 180,038 51,346 128,692 34,575 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 296,156 92,160 203,996 55,214 18,165 10,150 8,015 7,532
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 8,827 4,297 4,530 4,022 3 1 2 3
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 8,827 4,297 4,530 4,022 3 1 2 3

Anwara 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 23092
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3774 16.34
2 J189 Pneumonia, unspecified 1141 4.94
3 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 1011 4.38
4 J459 Asthma, unspecified 274 1.19
5 H522 Astigmatism 148 0.64
6 V194 Driver injured in collision with other and unspecified motor vehicles in traffic accident 103 0.45
7 B779 Ascariasis, unspecified 32 0.14
8 R509 Fever, unspecified 30 0.13
9 I110 Hypertensive heart disease with (congestive) heart failure 27 0.12
10 T520 Petroleum products 7 0.03

Anwara 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 6
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J459 Asthma, unspecified 2 33.33
2 H522 Astigmatism 1 16.67
3 A419 Septicaemia, unspecified 1 16.67
4 I110 Hypertensive heart disease with (congestive) heart failure 1 16.67
5 J180 Bronchopneumonia, unspecified 1 16.67
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Anwara 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 (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 16,161
Bed Occupancy Rates (%) 99.00
Average Length of Hospital Stay (No. of days per patient) 2.33
Hospital Death Rate (%) 0.08


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1544

 

Anwara 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 11 5 5 23.81
Non Doctor 0 0 0 0 0.00
Class II 17 1 10 6 35.29
Class III 84 47 15 22 26.19
Class IV 23 16 6 1 4.35
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 3 2 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 5 1 3 33.33
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 2 2 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 33 10 18 5 15.15
Class IV 0 0 0 0 0.00

 

Anwara 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 33 16 7 10 30.30
Non Doctor 0 0 0 0 0.00
Class II 17 1 10 6 35.29
Class III 130 64 34 32 24.62
Class IV 25 18 6 1 4.00
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

 

Anwara 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 11 7 21 16 0 0 1 2
Nurse 0 0 0 0 17 11 0 0 4 1
Medical Assistant 0 0 11 9 2 2 0 0 0 0
Medical Technologist 0 0 0 0 6 4 0 0 0 0
CHCP 33 28 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0
HA 0 0 0 0 45 35 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Anwara 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 1 1 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 1 1 0 0 0
Operating microscope 2 2 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 4 4 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Anwara 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 4 3 1 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 0 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Anwara 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 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) 2 2 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 1 0 0
Phototherapy unit 0 0 0 0 0


Anwara 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 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


Anwara 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) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 3 1 2 0 0
ICT equipment
Computer (desktop) 9 7 2 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 0 0 0 0 0
Fax 0 0 0 0 0
Intercom 1 1 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


Anwara 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 61 52 9 0 0

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

Important information and necessary issues for Anwara Upazila Health Complex |
 It is a matter of great that we are going to publish the local health Bulletin 2013 in the web .We are opening the window of information and charter in the citizen about each of the health facilities geographical, demography, disaster and climatic condition, socioeconomic status, population and family welfare and above all the basic community health care. This Health Bulletin clear that a total health care delivery system of the Govt. and NGO sectors and all other related developments. We sincerely & greatly hope and give our effort to put forward step by step and achieve the goal of vision 2021 of Digital Bangladesh. Dr.ABDUL QUAIYUM UH&FPO Anwara Upazila Health Complex.Chittagong.