Panchari Upazila Health Complex | Health Bulletin 2014 |
Preface
I greatly appreciate the publication of Local Health Bulletin 2014 from Panchari Hospital that reflects recent improvement in our Health programmer.
Panchari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Panchari
Name of UHFPO Dr. Md: Nasiruddin
Telephone No. 037176044
FAX No. 0
Mobile No. 01720232033
Email panchari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 92.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 15,765
No. of Population in the Upazila 73,700
Area of Upazila in sq km 333.75
Panchari 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
10
No. of Union Sub-Centres
1
0
No. of Union Health and Family Welfare Centres
2
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
5
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
Panchari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 1,837
Total No. of children treated under IMCI Program 4,852
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (January-December, 2013)
Panchari 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: 1891
Total Number of Deliveries: 116
No. of Maternal Death: 0
Valid TT Coverage: 2143.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Panchari 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
28,224
8,210
20,014
7,723
1,483
847
636
346
Union Sub-Centres
9,940
3,960
5,980
1,292
9,940
3,960
5,980
1,292
Union Health and Family Welfare Centre (under DGHS)
2,720
926
1,794
1,254
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
6,815
1,989
4,826
2,793
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
47,699
15,085
32,614
13,062
11,423
4,807
6,616
1,638
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
3,071
1,546
1,525
239
13
10
3
4
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
3,071
1,546
1,525
239
13
10
3
4
Panchari 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
1790
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
277
15.47
2
Y09 Assault by unspecified means
155
8.66
3
J18 Pneumonia, organism unspecified
108
6.03
4
J45 Asthma
64
3.58
5
I139 Hypertensive heart and renal disease, unspecified
62
3.46
6
S09 Other and unspecified injuries of head
46
2.57
7
T619 Toxic effect of unspecified seafood
30
1.68
8
A01 Typhoid and paratyphoid fevers
18
1.01
9
B530 Plasmodium ovale malaria
11
0.61
10
P393 Neonatal urinary tract infection
9
0.50
Panchari 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
17
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
T619 Toxic effect of unspecified seafood
8
47.06
2
J18 Pneumonia, organism unspecified
4
23.53
3
J45 Asthma
2
11.76
4
B53 Other parasitologically confirmed malaria
1
5.88
5
J90 Pleural effusion, NEC
1
5.88
6
N179 Acute renal failure, unspecified
1
5.88
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Panchari Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
53.00
Coverage of households having access to sanitary latrines (%)
74.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
8
Bed Occupancy Rates (%)
84.37
Average Length of Hospital Stay (No. of days per patient)
1.68
Hospital Death Rate (%)
1.41
Panchari Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
727
Panchari 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
4
2
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
50
37
11
2
4.00
Class IV
21
11
10
0
0.00
Union Health & Family Welfare Center (under DGHS)
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
1
2
1
25.00
Class IV
3
1
1
1
33.33
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
2
0
0
0.00
Class IV
1
1
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
8
3
5
0
0.00
Class IV
0
0
0
0
0.00
Panchari 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
13
4
2
7
53.85
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
64
42
16
6
9.38
Class IV
22
12
10
0
0.00
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
Panchari 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
0
0
0
0
0
0
0
0
Nurse
0
0
0
0
10
10
0
0
10
3
Medical Assistant
0
0
0
0
6
3
0
0
1
0
Medical Technologist
0
0
0
0
0
0
0
0
0
0
CHCP
8
8
0
0
0
0
0
0
8
8
HI
0
0
0
0
2
1
0
0
0
0
AHI
0
0
0
0
5
5
0
0
0
0
HA
0
0
0
0
25
25
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Panchari 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)
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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
1
1
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
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
1
1
0
0
0
Panchari 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
1
1
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
Panchari 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
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)
2
2
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
Panchari 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
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
Panchari 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)
1
1
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
1
0
1
0
0
ICT equipment
Computer (desktop)
8
3
0
0
5
Laptop
3
2
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
7
4
1
0
2
Scanner
2
2
0
0
0
UPS
9
3
1
0
5
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
Panchari 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
52
35
5
0
12
Panchari Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Panchari Upazila Health Complex |
It is much pleasure for me ferther chance to write something at the conclusion of the health bulletin of Panchari upazilla.This is a small upazilla consisting of one ten bed health complex.One union health subcentere and five community clinics .Our population is 73700 all most farther extension of structures of subcentere completion of there more community clinics would give better services to the people.We have many problems -Electricity and water supply are causing much suffering to the patients of residents of the complex.Manpower shortage particularly of consultants of medicines ,surgery and Gynae-obs,is a serious short coming .X-ray machine ,OT,Ac is not working due to load shading of electricity .Blood bank and other lab,facilities are also mentionable,in this respect.Ambulance service is not able able for a long time due to huge outstanding of bill . Making a bulletin covering all aspects of upazila is hart job .Many thanks and gratitude to all for their heartiest conception for completing the health bulletin.
