HPNSDP
Supported by:
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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Chakaria Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Chakaria upazila. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Chakaria upazila to other line department and development 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 file. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on drinking safe water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2013. I would like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.Anwar Ahamed
UH&FPO
Chakaria Upazila Health Complex

Chakaria Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaChakaria
Name of UHFPO Dr.Anwar Ahamed
Telephone No. 0342256049
FAX No. 0
Mobile No. 01730324466
Email chakoria@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 21.4500 And Long: 92.5000
No. of Unions in the Upazila18
No. of Households in the Upazila 83,155
No. of Population in the Upazila 510,105
Area of Upazila in sq km 503.32

Chakaria 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 15 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 40 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 5 117
No. of NGO Clinics/Facilities 1 14

Chakaria Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 13,741


Total No. of children treated under IMCI Program 19,105
Fully Vaccinated Children: 91.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 2.77 per 1,000 live births.

Chakaria 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: 4496
Total Number of Deliveries: 13465
No. of Maternal Death: 8
Valid TT Coverage: 24.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 58.22 per 100,000 live births.

Chakaria 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 54,979 24,590 30,389 21,583 16,878 8,799 8,079 5,251
Union Sub-Centres 36,101 15,937 20,164 8,049 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 223,425 107,230 116,195 63,017 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 47,805 19,339 28,466 7,163 4,231 1,551 2,680 2,970
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 410,115 167,096 195,214 99,812 21,109 10,350 10,759 7,931
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 8,001 3,850 4,151 4,493 5 2 3 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 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 11,945 4,390 7,555 1,651 46 23 23 31
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 19,946 8,240 11,706 6,144 51 25 26 37

Chakaria 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 12494
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 3670 29.37
2 K27 Peptic ulcer, site unspecified 2638 21.11
3 J18 Pneumonia, organism unspecified 1957 15.66
4 S99 Other and unspecified injuries of ankle and foot 1891 15.14
5 J40 Bronchitis, not specified as acute or chronic 1015 8.12
6 J459 Asthma, unspecified 236 1.89
7 J06 Acute upper respiratory infections of multiple and unspecified sites 200 1.60
8 V892 Person injured in unspecified motor-vehicle accident, traffic 146 1.17
9 J449 Chronic obstructive pulmonary disease, unspecified 143 1.14
10 T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances 115 0.92

Chakaria 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 11
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J18 Pneumonia, organism unspecified 5 45.45
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 9.09
3 J44 Other chronic obstructive pulmonary disease 1 9.09
4 G01 Meningitis in bacterial diseases classified elsewhere 1 9.09
5 G46 Vascular syndromes of brain in cerebrovascular diseases 1 9.09
6 T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances 1 9.09
7 A021 Salmonella septicaemia 1 9.09
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 82.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 24,471
Bed Occupancy Rates (%) 133.00
Average Length of Hospital Stay (No. of days per patient) 2.76
Hospital Death Rate (%) 0.12


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 8
Minor Surgeries 4500

 

Chakaria 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 13 2 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 15 1 9 5 33.33
Class III 64 25 10 29 45.31
Class IV 24 14 3 7 29.17
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 16 0 2 14 87.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 18 1 1 16 88.89
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 0 0 2 100.00
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 2 0 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 45 28 16 1 2.22
Class IV 0 0 0 0 0.00

 

Chakaria 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 39 13 4 22 56.41
Non Doctor 0 0 0 0 0.00
Class II 15 1 9 5 33.33
Class III 194 103 52 39 20.10
Class IV 26 16 3 7 26.92
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

 

Chakaria 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 18 2 21 15 0 0 2 0
Nurse 0 0 0 0 15 10 0 0 9 2
Medical Assistant 0 0 18 4 2 2 0 0 6 0
Medical Technologist 0 0 2 2 10 6 0 0 0 0
CHCP 45 44 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 4 4 0 0
AHI 0 0 0 0 0 0 15 15 0 0
HA 0 0 0 0 0 0 66 56 0 0
CSBA trained*** 0 0 0 0 0 0 14 13 0 0

Chakaria 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) 2 1 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 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 2 2 0 0 0
Electric cautery machine 1 1 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 5 5 0 0 0
Ventilator 0 0 0 0 0


Chakaria 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 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


Chakaria 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) 2 2 0 0 0
Colorimeter 3 2 1 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) 5 5 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Chakaria 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 2 1 0 1 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


Chakaria 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 4 4 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 3 2 1 0 0
Laptop 1 1 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 1 1 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 0 0 0 0 0


Chakaria 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 56 48 6 2 0

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

Important information and necessary issues for Chakaria Upazila Health Complex |
 Inspite of so many lackings. We tried our best to improve the health care status of this health complex.Here I would like mention some important factors which will help to achive good result in future. 1) The vacent post Should filled up immediately espicially Doctors. 2) Our Doctors ,Nurse & SACMO need more training on IMCI. 3) All the repairable equipments should be repaired as soon as possible. Finally I am very happy to write this bulletin of 2013,Because this documents will help us to compare our progress in upcoming years. This is very useful documents and will help the public to understand health services and to provide us the useful advice for improvement in future.