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Chaddagram Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very much glad to publish health bulletin of Chauddagram Upzilla Health Complex.It contains all health related information in this upazilla of 2013.The publishing purpose of this bulletin to disseminate the information of this UHC to other line department & development organization of health.I think presenting information will help for planning and recovery the lacking in health service of this upazilla. It also help us to see the result & achievement at a glance of this UHC. The bulletin contains the stutas of MDG 4 & MDG 5,which will help to localize MDG targets.It has also the information on safe drinking water and sanitation status of this upazilla.More over it presents vacant posts.I hope respective higher authority evaluate the information. Finally I would like to congratulate the initiator of the health bulletin software which set us one step ahead towards digital Bangladesh. Dr.Md.Mozibul Hoque UH&FPO Chowddagram,Comilla.
Dr.Md.Mozibul Hoque
UH&FPO
Chaddagram Upazila Health Complex

Chaddagram Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaChaddagram
Name of UHFPO Dr.Md.Mozibul Hoque
Telephone No. 0802056120
FAX No. 0
Mobile No. 01718463819
Email chowddagram@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 85,930
No. of Population in the Upazila 488,750
Area of Upazila in sq km 271.70

Chaddagram 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 8 0
No. of Rural/Urban/Thana Dispensaries 1 10
No. of Community Clinics 42 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 15 0
No. of NGO Clinics/Facilities 2 0

Chaddagram Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 12,403


Total No. of children treated under IMCI Program 2,468
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 0.16 per 1,000 live births.

Chaddagram 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: 1806
Total Number of Deliveries: 3470
No. of Maternal Death: 0
Valid TT Coverage: 18.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Chaddagram 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 76,744 36,755 39,989 40,469 5,133 2,621 2,512 0
Union Sub-Centres 18,777 6,453 12,324 6,543 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 79,863 24,123 55,740 23,124 0 0 0 0
Rural/Urban/Thana Dispensaries 6,885 2,271 4,614 3,426 393 189 204 0
Community Clinics 55,314 15,402 39,912 4,235 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 237,583 85,004 152,579 77,797 5,526 2,810 2,716 0
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 8,573 3,541 5,032 0 9 3 6 3
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 109 57 52 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 482 148 334 67 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 9,164 3,746 5,418 67 9 3 6 3

Chaddagram 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 8573
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X85 Assault by drugs, medicaments and biological substances 595 6.94
2 A009 Cholera, unspecified 495 5.77
3 J189 Pneumonia, unspecified 445 5.19
4 T609 Pesticide, unspecified 205 2.39
5 J449 Chronic obstructive pulmonary disease, unspecified 157 1.83
6 B33 Other viral diseases, NEC 116 1.35
7 V03 Pedestrian injured in collision with car, pick-up truck or van 114 1.33
8 R39 Other symptoms and signs involving the urinary system 113 1.32
9 K35 Acute appendicitis 45 0.52
10 T29 Burns and corrosions of multiple body regions 11 0.13

Chaddagram 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 12
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J189 Pneumonia, unspecified 3 25.00
2 A009 Cholera, unspecified 3 25.00
3 A419 Septicaemia, unspecified 3 25.00
4 J449 Chronic obstructive pulmonary disease, unspecified 3 25.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 15,192
Bed Occupancy Rates (%) 110.90
Average Length of Hospital Stay (No. of days per patient) 1.94
Hospital Death Rate (%) 0.17


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1224

 

Chaddagram 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 16 1 4 19.05
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 140 72 25 43 30.71
Class IV 22 15 3 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 7 0 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 8 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 5 3 0 2 40.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 5 1 4 40.00
Class IV 5 4 0 1 20.00
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 39 17 22 0 0.00
Class IV 0 0 0 0 0.00

 

Chaddagram 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 24 3 8 22.86
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 155 85 26 44 28.39
Class IV 27 19 3 5 18.52
Other Hospitals & Clinics
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 4 0 1 3 75.00
Class III 6 4 1 1 16.67
Class IV 10 7 2 1 10.00

 

Chaddagram 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 14 10 21 17 0 0 2 2
Nurse 0 0 0 0 16 16 0 0 3 3
Medical Assistant 0 0 14 14 2 2 0 0 10 1
Medical Technologist 0 0 0 0 7 6 0 0 0 0
CHCP 39 39 0 0 0 0 0 0 0 0
HI 0 0 0 0 6 5 0 0 0 0
AHI 0 0 0 0 17 16 0 0 0 0
HA 0 0 0 0 84 51 0 0 0 0
CSBA trained*** 0 0 0 0 5 5 0 0 0 0

Chaddagram 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 1 0 0 0 0
Dehumidifier 1 1 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 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 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Chaddagram 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 1 1 0 0 0
Pulse oximeter 1 1 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


Chaddagram 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) 0 0 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) 3 3 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 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Chaddagram 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 1 1 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


Chaddagram 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 2 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 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) 5 5 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 0
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 0 0 0 0 0
Multimedia 1 1 0 0 0


Chaddagram 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 41 41 0 0 0

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

Important information and necessary issues for Chaddagram Upazila Health Complex |
 Chowddagram UHC is a 50 beded hospital .But most of the time near about hundred patients admit here.So it is very tough to manage those patients. This UHC's OT is ready for EOC operation. Recently on (24/4/2014) EOC started with help of respected Directeor Chittagong Division & C/S Comilla.proper OT temperature is not mantained due to in sufficient A/C . So we need anther A/C. .For uninterrupted electric supply we need a high power I P S and seperate Transformer for UHC Chowddagram. Our Ambulance was active on 2013 but now it is inactive .Patient ratio Female Doctor is insufficient. So vacant post should be filled by more female doctors. Dr.Md.Mozibul Hoque UH&FPO.Chowddagram.Comilla.