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.
Fatikchari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Fatikchari
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 Upazila 18
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.