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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.
Dr. Mohammad Salahuddin
UH&FPO
Laksham Upazila Health Complex

Laksham Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaLaksham
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 Upazila7
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.