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

Hatiya Upazila Health Complex | Health Bulletin 2014 |
Preface
Hatiya Upazilla health Complex. Health Bulletin-2014 Hatiya Upazilla is a remote Upazilla of Noakhali District. It is an Island. 60 Km South from Noakhali Sadar. It has 11 Unions with 85200 Households. The population is about 475570. 2 Unions of this Upazilla is attached e mainland of noakhali district. Upazilla health Complex is located about 10 km South from Nolchira Sea-truck ghat. The Socio-Ecomomic condition is very poor. This upazilla is Surrounded by the Bay – of – bangle except at its north pole which was by Meghna river . Most of the people in this upazilla depends on agriculture, Fishing and small enterprise business.
Dr.Md.Abdul kadir
UH&FPO
Hatiya Upazila Health Complex

Hatiya Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaHatiya
Name of UHFPO Dr.Md.Abdul kadir
Telephone No. 0322456014
FAX No. 0
Mobile No. 01711179054
Email hatiya@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 94.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 85,200
No. of Population in the Upazila 475,570
Area of Upazila in sq km 2,100.00

Hatiya 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 6 0
No. of Union Health and Family Welfare Centres 2 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 33 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

Hatiya Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 14,323


Total No. of children treated under IMCI Program 7,205
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 0.70 per 1,000 live births.

Hatiya 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: 1897
Total Number of Deliveries: 14324
No. of Maternal Death: 15
Valid TT Coverage: 59.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 104.73 per 100,000 live births.

Hatiya 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 25,282 10,204 15,078 13,108 4,424 2,308 2,116 1,817
Union Sub-Centres 35,850 12,852 22,998 15,176 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 15,656 3,376 12,280 3,508 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 178,765 55,966 122,799 27,029 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 255,553 82,398 173,155 58,821 4,424 2,308 2,116 1,817
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 3,107 1,751 1,356 1,656 62 44 18 57
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 3,107 1,751 1,356 1,656 62 44 18 57

Hatiya 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 4763
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Diarrhoea Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1001 21.02
2
Physical Assault Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
791 16.61
3
Pneumonia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
372 7.81
4
Peptic Ulcer Disease (PUD) Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
182 3.82
5
Anaemia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
161 3.38
6
Road Traffic Accident (RTA) Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
148 3.11
7
Enteric Fever Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
107 2.25
8
Hyper Tension (HTN) Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
59 1.24
9
Organo phosphorus Compound poisoning Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
57 1.20
10
Bronchial Asthma Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
46 0.97

Hatiya 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 119
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Pneumonia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
15 12.61
2
Diarrhoea (AWD) Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
13 10.92
3
Birth Asphyxia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
13 10.92
4
Sepsis Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
11 9.24
5
CVD / CVA Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
10 8.40
6
Hypertension (HTN) Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
7 5.88
7
Organo Phosphorus Compound poisoning Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
7 5.88
8
Myocardial Infarction (MI) Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
4 3.36
9
Anaemia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
4 3.36
10
Road Traffic Accident (RTA) Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
3 2.52

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 89.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,974
Bed Occupancy Rates (%) 78.61
Average Length of Hospital Stay (No. of days per patient) 2.78
Hospital Death Rate (%) 2.49


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 45

 

Hatiya 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 4 0 17 80.95
Non Doctor 0 0 0 0 0.00
Class II 16 2 1 13 81.25
Class III 120 88 14 18 15.00
Class IV 29 11 2 16 55.17
Union Health & Family Welfare Center (under DGHS)
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 4 2 2 0 0.00
Class IV 2 0 2 0 0.00
Rural Dispensaries
Class I Doctor 10 0 0 10 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 16 9 1 6 37.50
Class IV 6 3 0 3 50.00
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 41 21 1 19 46.34
Class IV 0 0 0 0 0.00

 

Hatiya 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 31 4 0 27 87.10
Non Doctor 0 0 0 0 0.00
Class II 16 2 1 13 81.25
Class III 165 98 36 31 18.79
Class IV 33 9 2 22 66.67
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

 

Hatiya 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 10 0 21 4 0 0 1 2
Nurse 0 0 0 0 16 3 0 0 2 0
Medical Assistant 0 0 10 10 2 2 0 0 9 0
Medical Technologist 0 0 0 0 6 2 0 0 0 0
CHCP 41 38 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 0 0 0 0 0
AHI 0 0 0 0 13 4 0 0 0 0
HA 0 0 0 0 65 55 0 0 0 0
CSBA trained*** 0 0 0 0 0 9 0 0 0 0

Hatiya 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) 2 1 0 1 0
X-ray machine (300 mA) 0 0 0 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 4 2 1 0 1
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 2 0 2 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 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 4 2 1 1 0
Sterilizer 4 2 1 1 0
Sucker machine (electric) 6 3 1 2 0
Ventilator 0 0 0 0 0


Hatiya 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 2 2 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 0 0 0 0 0
Pulse oximeter 4 2 1 1 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


Hatiya 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 4 2 1 1 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 4 2 2 0 0
Microscope (binocular) 6 3 3 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 2 1 1 0 0
Phototherapy unit 2 1 0 1 0


Hatiya 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 4 2 2 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


Hatiya 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) 4 2 2 0 0
Generator
Generator (diesel/petrol) 4 2 2 0 0
Generator (gas) 0 0 0 0 0
Solar panel 6 3 3 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 2 2 0 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 2 1 1 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 0 0 0
Scanner 0 0 0 0 0
UPS 3 2 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


Hatiya 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 4 2 0 2 0
Mobile phone 2 1 0 1 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 88 47 26 14 1

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

Important information and necessary issues for Hatiya Upazila Health Complex |
Here ilike to mention some important factors which will help us to achive good result in future : 1, vacant post of Doctors Shuld be filled Immediately , 2, Vacant post of nurse Shuld be filled Immediately , 3, Number of CC Shuld be increased , 4, All the Repairable Equipments Should be Repair As Soon As possible,