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

Fatikchari Upazila Health Complex | Health Bulletin 2014 |
Preface
Fatickchari is the largest Upazila of Bangladesh . Total area of this upazila is 657 sq. km. Therre are a Municipality & 18 union council in this Upazila. The total population of this Upazila About 5,01,140. But for this large population there are a few facility for health care. There are one 31 beded hospital , one 20 beded hospital, ten union sub centre, ten health & family welfare centre and 51 community clinics in this upazila. The EOC progreme are functioning in the 31 beded hospital since 2004. This 31 beded hospital is also a women friendly hospital. More patients are admited from its bed capacity. Most of the time there is 150% Bed ocopency in this hospital. If this hospital upgrade up to 50 bed people of this upazila will get more health care facilities. Dr. Debasish dutta UH&FPO Fatikchari Upazila Health Complex Fatickchari, Chittagong.
Dr. Debasish dutta
UH&FPO
Fatikchari Upazila Health Complex

Fatikchari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaFatikchari
Name of UHFPO Dr. Debasish dutta
Telephone No. 00
FAX No. 0
Mobile No. 01730324447
Email fatikchari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 94.0000
No. of Unions in the Upazila18
No. of Households in the Upazila 94,007
No. of Population in the Upazila 501,140
Area of Upazila in sq km 687.00

Fatikchari 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 10 0
No. of Union Health and Family Welfare Centres 10 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 51 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 7 75
No. of NGO Clinics/Facilities 0 0

Fatikchari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 11,726


Total No. of children treated under IMCI Program 57,790
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 0.43 per 1,000 live births.

Fatikchari 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: 7368
Total Number of Deliveries: 16864
No. of Maternal Death: 5
Valid TT Coverage: 51.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 42.64 per 100,000 live births.

Fatikchari 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 41,703 12,722 28,981 24,329 7,800 3,840 3,960 4,120
Union Sub-Centres 12,840 3,840 9,000 14,760 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 9,737 2,524 7,213 8,230 0 0 0 9,600
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 643,900 231,580 412,320 429,300 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 708,180 250,666 457,514 476,619 7,800 3,840 3,960 13,720
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 6,228 1,008 5,220 3,372 3 1 2 2
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 6,228 1,008 5,220 3,372 3 1 2 2

Fatikchari 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 9600
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1974 20.56
2 J189 Pneumonia, unspecified 636 6.63
3 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 588 6.13
4 R50 Fever of unknown origin 566 5.90
5 Z51 Other medical care 249 2.59
6 K26 Duodenal ulcer 50 0.52
7 K29 Gastritis and duodenitis 40 0.42
8 J11 Influenza, virus not identified 25 0.26
9 G50 Disorders of trigeminal nerve 11 0.11
10 O36 Maternal care for other known or suspected fetal problems 10 0.10

Fatikchari 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 5
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2 40.00
2 J17 Pneumonia in diseases classified elsewhere 1 20.00
3 I46 Cardiac arrest 2 40.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85.00
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.) 11,134
Bed Occupancy Rates (%) 102.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.05


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 115
Minor Surgeries 825

 

Fatikchari 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 7 0 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 127 48 79 0 0.00
Class IV 31 26 5 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 10 2 1 7 70.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 3 1 6 60.00
Class IV 10 3 0 7 70.00
Rural Dispensaries
Class I Doctor 10 3 0 7 70.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 20 9 1 10 50.00
Class IV 10 10 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 51 23 28 0 0.00
Class IV 0 0 0 0 0.00

 

Fatikchari 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 35 14 2 19 54.29
Non Doctor 0 0 0 0 0.00
Class II 17 0 13 4 23.53
Class III 178 84 79 15 8.43
Class IV 31 26 5 0 0.00
Other Hospitals & Clinics
Class I Doctor 6 4 1 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 5 0 3 2 40.00
Class III 2 1 0 1 50.00
Class IV 9 2 0 7 77.78

 

Fatikchari 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 20 7 8 7 6 4 2 0
Nurse 0 0 0 0 14 12 5 3 5 4
Medical Assistant 0 0 20 14 2 2 1 0 14 0
Medical Technologist 0 0 0 0 5 4 1 0 0 0
CHCP 51 51 0 0 0 0 0 0 0 0
HI 0 0 0 0 5 5 0 0 0 0
AHI 0 0 0 0 16 15 0 0 0 0
HA 0 0 0 0 79 62 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Fatikchari 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 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 1 0 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 0 1 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Fatikchari 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 2 2 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Fatikchari 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) 1 1 0 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) 1 1 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


Fatikchari 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) 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


Fatikchari 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) 4 2 2 0 0
Generator
Generator (diesel/petrol) 3 0 2 1 0
Generator (gas) 0 0 0 0 0
Solar panel 1 0 0 0 1
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 7 6 0 1 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 3 2 0 0
Scanner 1 1 0 0 0
UPS 7 7 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 1 1 0 0 0


Fatikchari 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 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 53 40 9 3 1

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

Important information and necessary issues for Fatikchari Upazila Health Complex |
Urgent implementaion of 50 bed hospital in fatickchari health complex wihch was approved in ECNEC meeting last year (2011) , urgent renovation of old 31 bedhospital building , urgent renovation of officers querter & staff querter . urgent renovation of only over head tank with was made for 50 year back. Urgent repair of sewerage system.Urgent replacement of electric wearing of hospital & street lighs post. urgent setting of control penal of electric wearing.