Laksham Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Laksam upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Laksam upazila to other line department and debelopment partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the fine.This health bulletin will help us to find constrains and also to see the results and achievements of 2014. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Laksham Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Laksham
Name of UHFPO Dr. Mohammad Salahuddin
Telephone No. 0803251444
FAX No. 0
Mobile No. 01819320440
Email laksam@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.2339 And Long: 91.1174
No. of Unions in the Upazila 7
No. of Households in the Upazila 40,375
No. of Population in the Upazila 336,058
Area of Upazila in sq km 151.81
Laksham 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
3
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
16
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
23
170
No. of NGO Clinics/Facilities
2
0
Laksham Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,922
Total No. of children treated under IMCI Program 17,930
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 0.76 per 1,000 live births.
Laksham 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: 841
Total Number of Deliveries: 7992
No. of Maternal Death: 5
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
63.12 per 100,000 live births.
Laksham 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
15,601
6,389
9,212
3,627
2,815
1,707
1,108
104
Union Sub-Centres
23,920
7,223
16,697
10,495
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
67,217
17,097
50,120
14,672
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
106,738
30,709
76,029
28,794
2,815
1,707
1,108
104
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
5,832
2,435
3,397
482
12
5
7
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
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
5,832
2,435
3,397
482
12
5
7
3
Laksham 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
6314
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
T00 Superficial injuries involving multiple body regions
1671
26.46
2
A009 Cholera, unspecified
1276
20.21
3
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
404
6.40
4
O66 Other obstructed labour
364
5.76
5
A01 Typhoid and paratyphoid fevers
269
4.26
6
T600 Organophosphate and carbamate insecticides
264
4.18
7
J189 Pneumonia, unspecified
144
2.28
8
J459 Asthma, unspecified
135
2.14
9
M34 Systemic sclerosis
70
1.11
10
O05 Other abortion
64
1.01
Laksham 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
15
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J459 Asthma, unspecified
6
40.00
2
J189 Pneumonia, unspecified
2
13.33
3
I21 Acute myocardial infarction
2
13.33
4
J449 Chronic obstructive pulmonary disease, unspecified
1
6.67
5
J13 Pneumonia due to Streptococcus pneumoniae
1
6.67
6
I64 Stroke, not specified as haemorrhage or infarction
1
6.67
7
R17 Unspecified jaundice
1
6.67
8
B189 Chronic viral hepatitis, unspecified
1
6.67
9
0
0.00
10
0
0.00
Laksham Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
65.00
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.)
12,083
Bed Occupancy Rates (%)
66.20
Average Length of Hospital Stay (No. of days per patient)
1.94
Hospital Death Rate (%)
0.25
Laksham Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
375
Laksham 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
3
2
9.52
Non Doctor
0
0
0
0
0.00
Class II
16
1
14
1
6.25
Class III
64
37
8
19
29.69
Class IV
22
8
3
11
50.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
2
0
2
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
2
2
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
1
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
1
0
1
50.00
Class IV
1
0
0
1
100.00
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
25
7
8
10
40.00
Class IV
0
0
0
0
0.00
Laksham 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
26
16
3
7
26.92
Non Doctor
0
0
0
0
0.00
Class II
16
1
14
1
6.25
Class III
95
47
18
30
31.58
Class IV
23
8
3
12
52.17
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
Laksham 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
5
5
21
19
0
0
2
2
Nurse
0
0
0
0
17
16
0
0
4
3
Medical Assistant
0
0
5
5
2
2
0
0
6
0
Medical Technologist
0
0
1
0
10
7
0
0
0
0
CHCP
25
15
0
0
0
0
0
0
15
0
HI
0
0
0
0
2
0
0
0
0
0
AHI
0
0
0
0
6
4
0
0
0
0
HA
0
0
0
0
28
20
0
0
0
0
CSBA trained***
0
1
0
0
0
5
0
0
0
0
Laksham 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)
1
0
0
1
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
2
2
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
0
0
0
0
0
Portable OT Light
5
5
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
3
2
0
1
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
7
4
3
0
0
Laksham 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
6
2
0
4
0
Pulse oximeter
4
3
0
1
0
Dental equipment
Dental unit
2
1
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Laksham 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
0
0
0
1
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
1
0
3
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
1
1
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
1
0
0
0
1
Laksham 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
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
1
1
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
1
0
0
1
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
2
0
0
2
0
Bus
0
0
0
0
0
Jeep
1
0
0
1
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Laksham 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)
5
4
0
0
1
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
5
4
0
0
Laptop
4
2
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
10
5
4
0
1
Scanner
1
1
0
0
0
UPS
10
6
4
0
0
Fax
0
0
0
0
0
Intercom
5
0
0
5
0
Internet fixed line
0
0
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
1
1
0
0
0
Laksham 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
2
1
1
0
0
Photocopier machine
2
1
0
1
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
108
62
21
21
4
Laksham Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Laksham Upazila Health Complex |
.As I mentioned earlier this Health Complex was established in 1965 as 10 bedded Rural Health Centre. Later on in 1975 upgraded to 31 bedded Health complex. Considering , increasing population and local health demand this health complex now should be upgraded to 50 bedded on 26.02.2008.
2.There are very shortage of rooms or spaces for separate IMCI corner, ORT corner, DOTS corner, Nutrition corner, NCD corner, Dental unit and store, doctors rooms, doctor`s rest room, reception counter etc. More Health Complex & field staffs like S.S.N,Pharmacist,Cardiographar, Compunder,Physio Therapist,MT(Lab),HA,MLSS,Wardboy,OT BOY.LAB Attedndent, Emagency Attendent,Sweeper and are needed.
3. Laksam union health sub centre established on 1839 AD. Now it is functioning regularly. But its infrastructure is tin shaded. So it needed a Modern building structure immediately. Other two HEALTH & FAMILY WELFARE CENTRE in Laksam east &Mudaforgonj union constructed by Netherland Govt.But till now this two centres are not absorbed in Revenue.
4. This health bulletin will be much helpful for local level planning and future improvement of health services of Laksam specially.