Mirarsarai Upazila Health Complex | Health Bulletin 2014 |
Preface
Welcome to Health Bulletin of Mirsarai, Chittagong. Mirsarai is situated in the Northest part of Chittagong district. It is separated from the District Feni, by river Feni. This place of natural beauty has hills on the east and sea on the west. It is crossed by Dhaka- Chittagong highway and railway. With limited resources health officials and workers are delivering service to large population of the Upazilla. This bulletin sheds light on different public health aspects of the Upazilla.
Mirarsarai Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Mirarsarai
Name of UHFPO Dr. A S M Tabarok Ullah Chowdhury
Telephone No. 00
FAX No. 0
Mobile No. 01711812190
Email mirsarai@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.5304 And Long: 91.3102
No. of Unions in the Upazila 16
No. of Households in the Upazila 89,710
No. of Population in the Upazila 471,160
Area of Upazila in sq km 482.88
Mirarsarai 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
7
0
No. of Union Health and Family Welfare Centres
8
0
No. of Rural/Urban/Thana Dispensaries
1
0
No. of Community Clinics
39
0
No of Trauma Centres
0
0
No. of MCWCs
1
0
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
4
15
No. of NGO Clinics/Facilities
1
10
Mirarsarai Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,059
Total No. of children treated under IMCI Program 27,556
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 27.38 per 1,000 live births.
Mirarsarai 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: 5276
Total Number of Deliveries: 3893
No. of Maternal Death: 0
Valid TT Coverage: 78.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Mirarsarai 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
47,405
19,605
27,800
17,350
10,510
4,526
5,984
3,545
Union Sub-Centres
40,492
17,506
22,986
19,845
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
52,989
22,480
30,509
27,865
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
7,459
4,202
3,257
1,182
3,720
2,706
1,014
1,527
NGO Clinics/Facilities
4,202
3,001
1,201
285
83
34
49
17
Total
160,006
66,794
85,753
66,527
14,313
7,266
7,047
4,608
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
5,338
1,320
4,018
1,660
29
15
14
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
9,037
4,490
4,547
1,179
13
8
5
3
NGO Clinics/Facilities
1,825
822
1,003
295
0
0
0
0
Total
16,200
6,632
9,568
3,134
42
23
19
7
Mirarsarai 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
6994
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A009 Cholera, unspecified
1583
22.63
2
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
468
6.69
3
K27 Peptic ulcer, site unspecified
523
7.48
4
J45 Asthma
247
3.53
5
T37 Poisoning by other systemic anti-infectives and antiparasitics
212
3.03
6
A010 Typhoid fever
338
4.83
7
J449 Chronic obstructive pulmonary disease, unspecified
121
1.73
8
F41 Other anxiety disorders
208
2.97
9
0
0.00
10
0
0.00
Mirarsarai 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
22
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J15 Bacterial pneumonia, NEC
2
9.09
2
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
4
18.18
3
J170 Pneumonia in bacterial diseases classified elsewhere
2
9.09
4
J449 Chronic obstructive pulmonary disease, unspecified
6
27.27
5
L21 Seborrhoeic dermatitis
2
9.09
6
J45 Asthma
2
9.09
7
V011 Pedestrian injured in collision with pedal cycle, traffic accident
4
18.18
8
0
0.00
9
0
0.00
10
0
0.00
Mirarsarai Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
Coverage of households having access to sanitary latrines (%)
87.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
9,294
Bed Occupancy Rates (%)
59.27
Average Length of Hospital Stay (No. of days per patient)
1.59
Hospital Death Rate (%)
0.47
Mirarsarai Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
872
Minor Surgeries
193
Mirarsarai 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
6
1
14
66.67
Non Doctor
0
0
0
0
0.00
Class II
16
2
8
6
37.50
Class III
120
61
37
22
18.33
Class IV
25
18
7
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
1
1
6
75.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
3
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
7
2
2
3
42.86
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
3
0
0.00
Class IV
0
0
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
49
17
19
13
26.53
Class IV
0
0
0
0
0.00
Mirarsarai 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
36
9
4
23
63.89
Non Doctor
0
0
0
0
0.00
Class II
16
1
8
7
43.75
Class III
191
88
62
41
21.47
Class IV
32
25
7
0
0.00
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
Mirarsarai 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
0
0
21
7
0
0
0
0
Nurse
0
0
0
0
16
9
0
0
0
0
Medical Assistant
0
0
0
0
17
17
0
0
0
0
Medical Technologist
0
0
0
0
3
2
0
0
0
0
CHCP
49
36
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
74
59
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
2
2
Mirarsarai 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)
4
1
1
2
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
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
3
3
0
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
2
2
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
3
0
0
3
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
3
1
0
2
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
3
2
1
0
0
Mirarsarai 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
2
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
1
3
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
2
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Mirarsarai 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)
4
4
0
0
0
Obstetric equipment
Fetal Monitor
2
2
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
1
0
1
0
0
Phototherapy unit
3
3
0
0
0
Mirarsarai 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
1
1
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
1
1
0
0
0
Blood bank refrigerator
2
2
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
3
3
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
5
4
1
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
1
1
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
3
1
0
2
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
Mirarsarai 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)
1
0
1
0
0
Air conditioner (window)
3
2
1
0
0
Generator
Generator (diesel/petrol)
3
1
2
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
0
1
0
0
IPS
3
1
2
0
0
ICT equipment
Computer (desktop)
6
6
0
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
2
1
1
0
0
Scanner
1
1
0
0
0
UPS
6
6
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
Mirarsarai 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)
1
1
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
95
70
16
9
0
Mirarsarai Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Mirarsarai Upazila Health Complex |
Though we are determined to serve the people of Mirsarai, there are several problems which needs to improve the delivery of service. Most important ones are mentioned below: 1. we need proper water and sanitation facilities here.Due to lack of deep tube well to collect ground water,stuffs are currently using pond water for their domestic purpose.This is hazardous and unhealthy 2.we need better electricity service.As load shedding causes disruption in delivery of service to the patient.Thus,we need abetter electricity connection with limited load shedding.This will ensure that operation theatre and nebulizer machine and suction machines can be used when necessary 3. X-ray machine is not working at the moment. we need this to be repaired urgently.