Homna Upazila Health Complex | Health Bulletin 2014 |
Preface
Homna Upazila is the remotest Upazila of Comilla district. It is 60 km north west from Comilla.It has 10 Union with 350 villages with 36273 households. All the union is accessible through roads.The population is around 205977. The Upazila health complex is located at the middle of the Upazila. The socio -economic condition is well. Titas is the main river which passes beside the middle of the Upazila. Most of the people in this Upazila depend on agriculture, fishing,business and foreing currency .
Homna Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Homna
Name of UHFPO Dr. Harun Ar Rashid
Telephone No. 0802554037
FAX No. 0
Mobile No. 01712187537
Email homna@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.6811 And Long: 90.7820
No. of Unions in the Upazila 10
No. of Households in the Upazila 36,490
No. of Population in the Upazila 207,585
Area of Upazila in sq km 132.79
Homna 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
2
0
No. of Union Health and Family Welfare Centres
8
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
26
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
3
0
No. of NGO Clinics/Facilities
0
0
Homna Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 226
Total No. of children treated under IMCI Program 6,480
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Homna 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: 2689
Total Number of Deliveries: 6227
No. of Maternal Death: 0
Valid TT Coverage: 7.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Homna 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
28,394
9,360
19,034
15,446
6,820
2,840
3,980
1,607
Union Sub-Centres
10,610
4,077
6,533
4,422
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
63,470
27,580
35,890
40,066
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
102,474
41,017
61,457
59,934
6,820
2,840
3,980
1,607
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
5,355
2,168
3,187
1,050
27
16
11
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
2,020
570
1,450
720
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
7,375
2,738
4,637
1,770
27
16
11
4
Homna 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
6405
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
1236
19.30
2
Y09 Assault by unspecified means
893
13.94
3
K27 Peptic ulcer, site unspecified
819
12.79
4
A01 Typhoid and paratyphoid fevers
595
9.29
5
O75 Other complications of labour and delivery, NEC
432
6.74
6
J189 Pneumonia, unspecified
419
6.54
7
X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances
191
2.98
8
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
189
2.95
9
V44 Car occupant injured in collision with heavy transport vehicle or bus
140
2.19
10
J45 Asthma
139
2.17
Homna 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
31
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J44 Other chronic obstructive pulmonary disease
9
29.03
2
J18 Pneumonia, organism unspecified
9
29.03
3
I64 Stroke, not specified as haemorrhage or infarction
3
9.68
4
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
2
6.45
5
J45 Asthma
2
6.45
6
C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs
2
6.45
7
I10 Essential (primary) hypertension
2
6.45
8
X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances
1
3.23
9
X09 Exposure to unspecified smoke, fire and flames
1
3.23
10
0
0.00
Homna Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
58.00
Coverage of households having access to sanitary latrines (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
14,779
Bed Occupancy Rates (%)
80.00
Average Length of Hospital Stay (No. of days per patient)
2.43
Hospital Death Rate (%)
0.20
Homna Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
342
Homna 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
15
4
2
9.52
Non Doctor
0
0
0
0
0.00
Class II
15
1
11
3
20.00
Class III
69
30
14
25
36.23
Class IV
24
15
4
5
20.83
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
3
5
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
6
2
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
1
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
4
0
0
0.00
Class IV
2
1
0
1
50.00
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
26
4
18
4
15.38
Class IV
0
0
0
0
0.00
Homna 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
31
19
10
2
6.45
Non Doctor
0
0
0
0
0.00
Class II
15
1
11
3
20.00
Class III
109
44
34
31
28.44
Class IV
26
16
4
6
23.08
Other Hospitals & Clinics
Class I
Doctor
6
2
4
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
6
4
0
0.00
Class IV
8
4
4
0
0.00
Homna 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
10
10
21
19
0
0
3
1
Nurse
0
0
0
0
15
12
0
0
4
0
Medical Assistant
0
0
10
10
2
2
0
0
3
0
Medical Technologist
0
0
2
2
10
8
0
0
0
0
CHCP
26
22
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
1
0
0
0
0
AHI
0
0
0
0
7
5
0
0
0
0
HA
0
0
0
0
36
20
0
0
0
0
CSBA trained***
0
0
0
0
0
2
0
0
0
0
Homna 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
0
1
0
0
X-ray machine (300 mA)
2
1
1
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
0
0
0
0
0
Autoclave
0
0
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
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
2
0
1
1
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Homna 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
0
2
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
0
1
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Homna 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
2
1
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
2
2
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
Homna 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
2
2
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
0
0
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
Homna 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
4
0
0
0
Generator
Generator (diesel/petrol)
1
0
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
9
8
1
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
2
2
0
0
0
Scanner
0
0
0
0
0
UPS
2
0
2
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
0
0
0
0
0
Homna 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
52
36
14
2
0
Homna Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Homna Upazila Health Complex |
It is the matter of great satisfaction and immense value that we are going to publish the local health bulletin in the web. and thus opening the window of information about each of the health facilities, its geographical situation, demography, climatic condition, socioeconomic status, population and family welfare care, community health care, delivery system and all related Govt . and NGO sectors . we sincerely hope this effort will create one step ahead to achieve the goal of Digital Bangladesh .
