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

Chandanaish Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish the health bulletin of this upazila. This bulletin contains all the necessary health related information of 2013. This bulletin is published to disseminate the information to others concerned. I hope, all the information of this bulletin will help in planning,budget and bridging the gaps in health services of this upazila.This health bulletin will help us to find constraints and also to see the results and achievements. The bulletin contains the status of MDG 4 and MDG 5 which will help us 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 draw the attention of the higher authority to look into to these issues. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Thanks to all.
DR.SHISHIR KUMAR ROY.
UH&FPO
Chandanaish Upazila Health Complex

Chandanaish Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaChandanaish
Name of UHFPO DR.SHISHIR KUMAR ROY.
Telephone No. 0303356004
FAX No. 0
Mobile No. 01711724037
Email chandanaish@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.2400 And Long: 92.0100
No. of Unions in the Upazila10
No. of Households in the Upazila 43,793
No. of Population in the Upazila 256,538
Area of Upazila in sq km 56.00

Chandanaish 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 5 0
No. of Union Health and Family Welfare Centres 5 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 2 0
No. of NGO Clinics/Facilities 0 0

Chandanaish Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,121


Total No. of children treated under IMCI Program 35,896
Fully Vaccinated Children: 91.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 8.03 per 1,000 live births.

Chandanaish 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: 1218
Total Number of Deliveries: 1203
No. of Maternal Death: 3
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 267.62 per 100,000 live births.

Chandanaish 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 43,879 22,352 21,527 24,472 3,742 2,155 1,587 1,151
Union Sub-Centres 43,525 19,985 23,540 21,321 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 67,962 35,842 32,120 18,452 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 155,366 78,179 77,187 64,245 3,742 2,155 1,587 1,151
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 4,303 2,851 1,452 1,152 23 18 5 4
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 4,303 2,851 1,452 1,152 23 18 5 4

Chandanaish 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 4303
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1232 28.63
2 J159 Bacterial pneumonia, unspecified 1143 26.56
3 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 913 21.22
4 Y099 Assault by unspecified means, unspecified place 903 20.99
5 A010 Typhoid fever 876 20.36
6 T469 Other and unspecified agents primarily affecting the cardiovascular system 243 5.65
7 J459 Asthma, unspecified 121 2.81
8 J118 Influenza with other manifestations, virus not identified 98 2.28
9 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 76 1.77
10 V010 Pedestrian injured in collision with pedal cycle, nontraffic accident 45 1.05

Chandanaish 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 23
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y101 Poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics, undetermined intent, residential institution 12 52.17
2 J159 Bacterial pneumonia, unspecified 7 30.43
3 J459 Asthma, unspecified 4 17.39
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

Chandanaish Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 82.00
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.) 68,351
Bed Occupancy Rates (%) 87.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.75


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 845

 

Chandanaish 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 12 5 4 19.05
Non Doctor 0 0 0 0 0.00
Class II 17 1 10 6 35.29
Class III 36 15 2 19 52.78
Class IV 22 17 4 1 4.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 1 1 3 60.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 1 1 3 60.00
Class IV 0 0 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 5 3 2 0 0.00
Class IV 5 4 1 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

 

Chandanaish 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 31 15 6 10 32.26
Non Doctor 0 0 0 0 0.00
Class II 17 1 10 6 35.29
Class III 92 46 14 32 34.78
Class IV 40 26 13 1 2.50
Other Hospitals & Clinics
Class I Doctor 7 3 1 3 42.86
Non Doctor 0 0 0 0 0.00
Class II 7 0 4 3 42.86
Class III 9 5 1 3 33.33
Class IV 13 7 8 -2 -15.38

 

Chandanaish 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 10 4 21 17 0 0 10 3
Nurse 0 0 0 0 15 12 0 0 9 14
Medical Assistant 0 0 10 9 2 2 0 0 5 5
Medical Technologist 0 0 0 0 15 4 0 0 0 0
CHCP 21 21 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0
HA 0 0 0 0 40 25 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Chandanaish 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) 1 1 0 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 1 0 0 0 1
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 2 1 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 1 0 0 1
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 0 0 1
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 9 5 2 0 2
Ceiling mounting OT Light 2 1 0 0 1
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 10 6 0 0 4
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Chandanaish 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 4 3 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 5 3 0 1 1
Pulse oximeter 2 1 0 0 1
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


Chandanaish 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 1 1 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) 8 5 3 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


Chandanaish 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 2 1 0 0 1
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 2 1 0 0 1
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


Chandanaish 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) 2 1 0 0 1
Generator
Generator (diesel/petrol) 2 1 0 1 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) 11 8 0 0 3
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 5 3 0 2 0
Printer (laser) 6 5 0 0 1
Scanner 1 1 0 0 0
UPS 2 2 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Chandanaish 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 94 63 6 4 21

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

Important information and necessary issues for Chandanaish Upazila Health Complex |
 In comparison to 2013, we have tried our best to improve the health status in all parameters. I like to mention some requisites which will help us to achieve better results in future. These are- 1) the vacant positions are to be filled as soon as possible, 2) doctors and nurses are to to be trained and oriented periodically on IMCI,EMOC,Anesthesia,OBS and other subjects, 3) repairable equipments are to be repaired as early as possible. Finally I like to express my joy for publishing this bulletin because this will help us to compare our achievements in upcoming years. The document will help the public to understand the health services and to provide us the useful advice for the improvement in future. Supper Emergence 1.Water pump Machine 5 HP, 2.Furniture's. 3. Patients beds.4. Night guards posting.5.Health assistant.