Moheshkhali Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Moheshkhali Upazila. this bulletin contains all the health related information of 2013. this bulletin is published to disseminate the information of Moheshkhali Upazila to other line department& Development partners of health.I hope all the Information of this bulletin will help for planning & 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 & also to see the results & achievements of 2013.the bulletin contains the status of MDG 4& MDG 5 whice will help to localize the MDG targets.this health bulletin has also the information on safe drinking water & sanitation status of the upazila.All the santioned & vacant posts are published in this bulletin of 2013.I like to take attention of the higher authority to look into to this issue.finally.I would like to congratulate the initiator of the health bulletin Software for setting us one step ahead toward Digital Bangladesh.
Moheshkhali Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Moheshkhali
Name of UHFPO Dr. Suchinta Chudury
Telephone No. 0342474261
FAX No. 0
Mobile No. 01711327833
Email moheshkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 0.0000
No. of Unions in the Upazila 9
No. of Households in the Upazila 52,128
No. of Population in the Upazila 334,443
Area of Upazila in sq km 388.50
Moheshkhali 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
1
0
No. of Union Health and Family Welfare Centres
6
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
27
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
0
0
No. of NGO Clinics/Facilities
0
0
Moheshkhali Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 9,469
Total No. of children treated under IMCI Program 8,710
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 1.16 per 1,000 live births.
Moheshkhali 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: 2440
Total Number of Deliveries: 9344
No. of Maternal Death: 4
Valid TT Coverage: 75.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
42.24 per 100,000 live births.
Moheshkhali 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
34,318
14,213
20,105
8,181
1,939
1,102
837
464
Union Sub-Centres
11,332
3,818
7,514
3,946
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
42,888
7,598
35,290
3,946
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
110,700
75,410
35,290
10,102
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
199,238
101,039
98,199
26,175
1,939
1,102
837
464
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
13,224
5,904
7,320
3,101
9
5
4
7
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
13,224
5,904
7,320
3,101
9
5
4
7
Moheshkhali 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
16325
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
3271
20.04
2
J189 Pneumonia, unspecified
2116
12.96
3
J45 Asthma
725
4.44
4
A01 Typhoid and paratyphoid fevers
487
2.98
5
A929 Mosquito-borne viral fever, unspecified
294
1.80
6
Y04 Assault by bodily force
240
1.47
7
J449 Chronic obstructive pulmonary disease, unspecified
149
0.91
8
N390 Urinary tract infection, site not specified
138
0.85
9
T629 Noxious substance eaten as food, unspecified
93
0.57
10
Other's Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
8812
53.98
Moheshkhali 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
16
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Sever Pneumonia 321 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
12.50
2
COPD 460 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
12.50
3
VSD 18 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
6.25
4
AWD & Pneumonia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
12.50
5
CVA Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
6.25
6
COPD Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
3
18.75
7
Acute Abdomen Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
2
12.50
8
UTI Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
6.25
9
Hypovolumic Shock Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
6.25
10
Septicaemia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1
6.25
Moheshkhali Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
60.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
9,961
Bed Occupancy Rates (%)
104.00
Average Length of Hospital Stay (No. of days per patient)
0.97
Hospital Death Rate (%)
0.10
Moheshkhali Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
0
Moheshkhali 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
29
7
0
22
75.86
Non Doctor
0
0
0
0
0.00
Class II
14
1
3
10
71.43
Class III
134
63
15
56
41.79
Class IV
23
10
3
10
43.48
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
0
0
7
100.00
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
Rural Dispensaries
Class I
Doctor
1
0
0
1
100.00
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
29
10
17
2
6.90
Class IV
0
0
0
0
0.00
Moheshkhali 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
29
7
0
22
75.86
Non Doctor
0
0
0
0
0.00
Class II
14
1
3
10
71.43
Class III
134
63
32
39
29.10
Class IV
23
10
3
10
43.48
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
Moheshkhali 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
1
0
29
7
0
0
3
0
Nurse
0
0
0
0
14
4
0
0
1
1
Medical Assistant
0
0
8
2
2
2
0
0
2
0
Medical Technologist
0
0
1
0
11
5
0
0
0
0
CHCP
29
27
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
3
2
0
0
AHI
0
0
0
0
0
0
11
11
0
0
HA
0
0
0
0
0
0
55
35
0
0
CSBA trained***
0
0
0
0
0
0
0
15
0
0
Moheshkhali 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)
0
0
0
0
0
X-ray machine (500 mA)
1
1
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
2
2
0
0
0
Autoclave
1
1
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
0
0
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
0
0
1
Sterilizer
0
0
0
0
0
Sucker machine (electric)
8
4
1
0
3
Ventilator
0
0
0
0
0
Moheshkhali 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
8
5
1
0
2
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Moheshkhali 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
1
1
0
0
Colorimeter
0
0
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)
6
4
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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Moheshkhali 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
0
0
0
1
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
Moheshkhali 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)
3
3
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
4
4
0
0
0
ICT equipment
Computer (desktop)
3
3
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
3
2
0
0
1
Printer (inkjet)
8
4
0
4
0
Printer (laser)
0
0
0
0
0
Scanner
1
1
0
0
0
UPS
1
0
1
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
Moheshkhali 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
62
44
6
4
8
Moheshkhali Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Moheshkhali Upazila Health Complex |
Last year We could not give maximum efforts to improve the health status for many reasons here. I like to mention some important factor which will help us to achieve good result in future.1)The vacant post should be Filled immediately. 2) Our Doctor & Nurse need more training on IMCI. 3) No. of Community Clinic should be increased. 4) All repairable equipment should be repair as soon as possible.Finally i am very happy to write this Health Bulletin of 2014. Because this document will help us to compare our progress in up coming Years. This is very useful document & will help the public to under stand Health services & to provide us the useful advice for improvement in future.