Patiya Upazila Health Complex | Health Bulletin 2014 |
Preface
Patiya is one of the largest Upazila of Bangladesh. Total area of this upazila is 365 sq. km. There are a Municipality & 22 Union council in this Upazila. The total population of this Upazila of about 522728. But for this huge population there is a few health facility. There are a one 50 beded hospital, seven union sub-center, sixteen health & family welfare center and 51 community clinics in this Upazila. The EmOC program are functioning in the 50 beded hospital. This 50 beded hospital is also a women friendly hospital. Average Bed occupancy rate in this hospital about 102% .
Patiya Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Patiya
Name of UHFPO Dr. Dulal Prasad Bhattacharjee
Telephone No. 0303556410
FAX No. 0
Mobile No. 01727234384
Email patiya@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.2996 And Long: 91.9707
No. of Unions in the Upazila 22
No. of Households in the Upazila 84,921
No. of Population in the Upazila 522,728
Area of Upazila in sq km 365.00
Patiya 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
16
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
51
0
No of Trauma Centres
0
0
No. of MCWCs
1
10
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
0
0
No. of NGO Clinics/Facilities
1
10
Patiya Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,723
Total No. of children treated under IMCI Program 29,613
Fully Vaccinated Children: 86.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 1.85 per 1,000 live births.
Patiya 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: 4860
Total Number of Deliveries: 11025
No. of Maternal Death: 5
Valid TT Coverage: 18.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
51.42 per 100,000 live births.
Patiya 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
36,833
18,193
18,640
11,824
24,335
13,925
10,410
7,126
Union Sub-Centres
59,887
22,315
37,572
12,925
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
83,561
35,236
48,325
22,110
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
194,265
55,213
139,052
35,208
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
4,631
416
4,215
1,486
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
9,226
3,174
6,052
12,379
0
0
0
0
Total
388,403
134,547
253,856
95,932
24,335
13,925
10,410
7,126
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
6,278
1,332
4,946
3,576
16
8
8
6
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
416
0
416
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
6,694
1,332
5,362
3,576
16
8
8
6
Patiya 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
9854
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
2952
29.96
2
O80 Single spontaneous delivery
1154
11.71
3
J189 Pneumonia, unspecified
1086
11.02
4
J449 Chronic obstructive pulmonary disease, unspecified
521
5.29
5
J459 Asthma, unspecified
291
2.95
6
B820 Intestinal helminthiasis, unspecified
222
2.25
7
Y00 Assault by blunt object
130
1.32
8
K270 Peptic ulcer, site unspecified, acute with haemorrhage
127
1.29
9
O610 Failed medical induction of labour
111
1.13
10
R509 Fever, unspecified
83
0.84
Patiya 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
J189 Pneumonia, unspecified
6
27.27
2
J449 Chronic obstructive pulmonary disease, unspecified
5
22.73
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
1
4.55
4
G463 Brain stem stroke syndrome
1
4.55
5
I129 Hypertensive renal disease without renal failure
1
4.55
6
C220 Liver cell carcinoma
1
4.55
7
C349 Bronchus or lung, unspecified
1
4.55
8
I259 Chronic ischaemic heart disease, unspecified
1
4.55
9
J969 Respiratory failure, unspecified
1
4.55
10
I64 Stroke, not specified as haemorrhage or infarction
1
4.55
Patiya 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 (%)
65.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
18,631
Bed Occupancy Rates (%)
102.00
Average Length of Hospital Stay (No. of days per patient)
1.90
Hospital Death Rate (%)
0.23
Patiya Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
96
Minor Surgeries
252
Patiya 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
9
4
8
38.10
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
108
55
41
12
11.11
Class IV
23
15
8
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
16
5
5
6
37.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
16
1
3
12
75.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
7
3
3
1
14.29
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
14
8
0
6
42.86
Class IV
7
6
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
66
15
32
19
28.79
Class IV
0
0
0
0
0.00
Patiya 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
44
18
10
16
36.36
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
205
77
70
58
28.29
Class IV
30
21
9
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
Patiya 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
23
16
21
13
0
0
2
3
Nurse
0
0
0
0
15
15
0
0
5
6
Medical Assistant
0
0
23
11
2
2
0
0
8
0
Medical Technologist
0
0
7
1
11
8
0
0
0
0
CHCP
66
47
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
3
0
0
0
0
AHI
0
0
0
0
13
13
0
0
0
0
HA
0
0
0
0
65
63
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Patiya 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
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
2
2
0
0
0
Autoclave
3
3
0
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
2
2
0
0
0
Portable OT Light
3
2
1
0
0
Fracture table
2
2
0
0
0
Hydrolic OT Table
3
3
0
0
0
Sterilizer
5
5
0
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Patiya 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
7
3
2
2
0
Pulse oximeter
0
0
0
0
0
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
Patiya 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
3
0
0
0
Colorimeter
2
2
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
3
0
1
0
Obstetric equipment
Fetal Monitor
1
1
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Patiya 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
4
4
0
0
0
Blood bank refrigerator
1
0
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
1
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
Patiya 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)
8
6
2
0
0
Generator
Generator (diesel/petrol)
2
1
0
0
1
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
1
0
1
0
ICT equipment
Computer (desktop)
4
4
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
1
0
0
1
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
3
0
0
0
Scanner
1
1
0
0
0
UPS
5
4
1
0
0
Fax
0
0
0
0
0
Intercom
1
0
1
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
0
0
0
0
0
Patiya 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
2
1
1
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
89
73
9
5
2
Patiya Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Patiya Upazila Health Complex |
In this moment to improve health service in Patiya Upazila the urgent need is to fill-up the vacant post of office staffs & also to provide some modern digital instrument (e.g. X-Ry Machine) which are very necessary for treatment. If we every body become honest, sincere & patriot in our own position then we can make a healthy nation very soon. আমরা প্রত্যেকে যদি মনে রাখি :- ‘‘জীবে প্রেম করে যেই জন, সেই জন সেবিছে ঈশ্বর’’ এবং Service to mankind, service to god. This should be our slogan to achieve the goal.