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Sonagazi Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very gald to publish this health bulletin of Sonagazi upazila. This bulletin contains all the health related information of the year 2013. This bulletin is published to disseminate the information of this upazila to other line department and development partners of health service.The dissemination of the data will help us to realize the status and achievement of the upazila in 2013 . The bulletin also help us to achieve MDG terget by close supervision of MDG 4 and MDG 5 status.This health bulletin also contains information of safe drinking water and sanitation status of upazila. All sanctioned and vacant position are mentioned in the bulletin. I would like to draw 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 up one step ahead towards Digital Bangladesh. Dr.Md. Sarwar Jahan . UH&FPO. Sonagazi upazila Health Complex.
Dr.Md. Sarwar Jahan
UH&FPO
Sonagazi Upazila Health Complex

Sonagazi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaSonagazi
Name of UHFPO Dr.Md. Sarwar Jahan
Telephone No. 0332576013
FAX No. 0
Mobile No. 01711812214
Email sonagazi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.9897 And Long: 91.3513
No. of Unions in the Upazila9
No. of Households in the Upazila 48,910
No. of Population in the Upazila 274,264
Area of Upazila in sq km 285.00

Sonagazi 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 31
No. of Union Sub-Centres 5 0
No. of Union Health and Family Welfare Centres 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 32 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

Sonagazi Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,758


Total No. of children treated under IMCI Program 7,727
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 17.31 per 1,000 live births.

Sonagazi 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: 2507
Total Number of Deliveries: 6778
No. of Maternal Death: 0
Valid TT Coverage: 21.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Sonagazi 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 55,575 24,661 30,914 25,397 2,637 1,445 1,192 735
Union Sub-Centres 57,586 25,494 32,092 14,291 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 52,081 11,222 40,859 16,059 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 173,934 59,926 114,008 25,524 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 339,176 121,303 217,873 81,271 2,637 1,445 1,192 735
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 5,941 1,570 4,371 1,871 24 13 11 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 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 5,941 1,570 4,371 1,871 24 13 11 6

Sonagazi 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 7812
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2159 27.64
2 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 911 11.66
3 J189 Pneumonia, unspecified 703 9.00
4 Y009 Assault by blunt object, unspecified place 541 6.93
5 J45 Asthma 398 5.09
6 R509 Fever, unspecified 371 4.75
7 A010 Typhoid fever 278 3.56
8 A419 Septicaemia, unspecified 226 2.89
9 B76 Hookworm diseases 216 2.76
10 J449 Chronic obstructive pulmonary disease, unspecified 161 2.06

Sonagazi 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 30
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified 9 30.00
2 I68 Cerebrovascular disorders in diseases classified elsewhere 3 10.00
3 P21 Birth asphyxia 3 10.00
4 A419 Septicaemia, unspecified 3 10.00
5 J21 Acute bronchiolitis 3 10.00
6 P24 Neonatal aspiration syndromes 2 6.67
7 J45 Asthma 1 3.33
8 O05 Other abortion 1 3.33
9 K721 Chronic hepatic failure 1 3.33
10 P070 Extremely low birth weight 1 3.33

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 82.00
Coverage of households having access to sanitary latrines (%) 80.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 16,659
Bed Occupancy Rates (%) 147.00
Average Length of Hospital Stay (No. of days per patient) 2.13
Hospital Death Rate (%) 0.38


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 180

 

Sonagazi 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 9 3 2 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 11 0 7 4 36.36
Class III 78 45 7 26 33.33
Class IV 19 6 3 10 52.63
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 1 1 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 5 0 1 4 80.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 5 0 5 50.00
Class IV 5 2 0 3 60.00
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 32 23 8 1 3.13
Class IV 0 0 0 0 0.00

 

Sonagazi 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 18 4 4 10 55.56
Non Doctor 0 0 0 0 0.00
Class II 11 0 7 4 36.36
Class III 123 75 17 31 25.20
Class IV 24 8 3 13 54.17
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

 

Sonagazi 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 9 3 9 5 0 0 0 1
Nurse 0 0 0 0 11 7 0 0 0 2
Medical Assistant 0 0 9 9 2 2 0 0 2 0
Medical Technologist 0 0 0 0 5 3 0 0 0 0
CHCP 32 31 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0
HA 0 0 0 0 44 27 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 23

Sonagazi 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 0 1 0
X-ray machine (300 mA) 1 0 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 1 0 0 1 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 1 0 0 1 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Sonagazi 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 0 0 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 4 4 0 0 0
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


Sonagazi 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 1 0 0 0
Colorimeter 2 1 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) 2 1 1 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


Sonagazi 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 0 0 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


Sonagazi 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 0 0 1 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 1 1 1 5
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 2 1 0 2
Scanner 1 0 0 0 1
UPS 2 2 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Sonagazi 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 2 2 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 44 23 7 6 8

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

Important information and necessary issues for Sonagazi Upazila Health Complex |
 Last year we could not give our maximum efforts to improve the health status due to many reason. Here I like mention some improtant factors which will help us to achieve good result in future . 1) The vacant post should be filled immediately. 2) Our health staff in all level need more training on IMCI . 3) All the repairable equipments should be repaired or replaced as soon as possible . I am very happay to write this health bulletin of 2013.