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Parbatipur Upazila Health Complex | Health Bulletin 2014 |
Preface
We are very glad to publish a Health Bulletin of Parbatipur Upazila for the 3rd time. It contains all the health related informations of 2013. Most of the information is collected from the report of our health department and some are from family planning department and health related NGOs of this upazila. It is published to disseminate the information of health service of this upazila to other line departments and development partners of health. The publication of this bulletin will make us transparent to others. Our performances, achievements, failures, shortfalls, deficiencies and realities of the health situation of this upazila will be understood. The service providers and service recipients will come closer. Field of co-operation and active participation will be extended. Suggestions and directives from others for the improvement of our activities will be cordially expected which will enrich our activities. Overall the image of our health department will be improved. This health bulletin will help us to find available facilities and probable barriers for planning and bridging the gaps in health services of this upazila. This bulletin contains the data related to MDG4 and MDG5 which will help to localize the MDG targets. It has the information on safe drinking water and sanitation status of the upazila. It also contains the number of patient treated, top ten diseases causing hospital admission and top ten diseases causing death in the hospital. All the sanctioned and vacant posts are published in this bulletin. Hereby we draw the attention to the higher authority to look into this issue. I thank family planning department and health related NGOs of this upazila and all of my colleagues and staffs, especially statistician, for their contribution in preparing this Bulletin. Finally I would like to congratulate the initiator of the health bulletin software of setting us one step ahead toward Digital Bangladesh.
Dr. Md. Atiar Rahman
UH&FPO
Parbatipur Upazila Health Complex

Parbatipur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaParbatipur
Name of UHFPO Dr. Md. Atiar Rahman
Telephone No. 0533474333
FAX No. 0
Mobile No. 01818443696
Email parbatipur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 89.0000
No. of Unions in the Upazila10
No. of Households in the Upazila 85,892
No. of Population in the Upazila 364,681
Area of Upazila in sq km 317.35

Parbatipur 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 8 0
No. of Union Health and Family Welfare Centres 10 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 0 0
No. of NGO Clinics/Facilities 3 119

Parbatipur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,694


Total No. of children treated under IMCI Program 21,326
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 21.25 per 1,000 live births.

Parbatipur 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: 2868
Total Number of Deliveries: 5719
No. of Maternal Death: 8
Valid TT Coverage: 37.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 140.50 per 100,000 live births.

Parbatipur 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 41,566 19,978 21,588 12,601 7,224 3,359 3,865 910
Union Sub-Centres 163,419 68,557 94,862 22,595 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 394,802 131,375 263,427 37,611 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 58,610 19,698 38,912 5,739 2,494 1,426 1,068 490
Total 658,397 239,608 418,789 78,546 9,718 4,785 4,933 1,978
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 5,243 2,250 2,993 679 11 7 4 0
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 10,040 2,716 7,324 2,522 277 154 123 158
Total 15,283 4,966 10,317 3,201 288 161 127 158

Parbatipur 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 5243
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A099 Gastroenteritis and colitis of unspecified origin 1146 21.86
2 Y00 Assault by blunt object 890 16.98
3 K277 Peptic ulcer, site unspecified, chronic without haemorrhage or perforation 503 9.59
4 J18 Pneumonia, organism unspecified 333 6.35
5 D539 Nutritional anaemia, unspecified 289 5.51
6 J459 Asthma, unspecified 205 3.91
7 I10 Essential (primary) hypertension 113 2.16
8 V892 Person injured in unspecified motor-vehicle accident, traffic 112 2.14
9 X68 Intentional self-poisoning by and exposure to pesticides 112 2.14
10 N390 Urinary tract infection, site not specified 46 0.88

Parbatipur 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 I21 Acute myocardial infarction 4 36.36
2 J449 Chronic obstructive pulmonary disease, unspecified 3 27.27
3 W70 Drowning and submersion following fall into natural water 1 9.09
4 D63 Anaemia in chronic diseases classified elsewhere 1 9.09
5 G03 Meningitis due to other and unspecified causes 1 9.09
6 R69 Unknown and unspecified causes of morbidity 1 9.09
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 15,075
Bed Occupancy Rates (%) 82.60
Average Length of Hospital Stay (No. of days per patient) 2.88
Hospital Death Rate (%) 0.21


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 630

 

Parbatipur 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 4 13 61.90
Non Doctor 0 0 0 0 0.00
Class II 17 0 17 0 0.00
Class III 31 20 4 7 22.58
Class IV 22 11 2 9 40.91
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 0 0 5 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 2 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 8 0 2 6 75.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 16 11 3 2 12.50
Class IV 8 6 0 2 25.00
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 40 14 26 0 0.00
Class IV 0 0 0 0 0.00

 

Parbatipur 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 34 4 6 24 70.59
Non Doctor 0 0 0 0 0.00
Class II 17 0 17 0 0.00
Class III 158 84 51 23 14.56
Class IV 30 17 2 11 36.67
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

 

Parbatipur 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 13 2 21 8 0 0 1 0
Nurse 0 0 0 0 17 17 0 0 4 0
Medical Assistant 0 0 13 12 2 2 0 0 11 0
Medical Technologist 0 0 0 0 8 7 1 1 0 0
CHCP 40 40 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 4 2 0 0
AHI 0 0 0 0 0 0 11 11 0 0
HA 0 0 0 0 0 0 55 43 0 0
CSBA trained*** 0 0 0 0 0 0 0 12 0 0

Parbatipur 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 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 2 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 2 2 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 7 3 3 1 0
Sucker machine (electric) 5 3 2 0 0
Ventilator 0 0 0 0 0


Parbatipur 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 5 2 2 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 0 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Parbatipur 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) 3 3 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) 1 1 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 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Parbatipur 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 1 1 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 1 1 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 0 1 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


Parbatipur 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 2 1 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) 9 8 0 1 0
Laptop 50 50 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 7 3 1 1 2
Scanner 1 1 0 0 0
UPS 7 6 0 1 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 50 50 0 0 0
Multimedia 1 1 0 0 0


Parbatipur 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) 1 1 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 172 150 12 8 2

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

Important information and necessary issues for Parbatipur Upazila Health Complex |
 In conclusion ,our interpretation is that, last year we could not deliver optimum health service to the people of the upazila due to many reasons, most of which are reflected in this Health Bulletin. But we tried our level best with existing facilities to deliver quality health service to the people. I like to mention some important issues which will help us to achieve good results in future.** All the vacant posts should be filled up immediately.** This UHC should be taken under EmOC or DSF project and necessary number of Doctors and Nurses should be given basic EmOC training ** Rest of the Doctors, SACMOs and Nurses who didn`t get basic IMCI training should be trained up very soon. **All the female HAs should be trained as CSBA ** Basic and Refresher Training on different subjects should be arranged time to time for all level Health Care Providers.**A new ambulance is to be supplied very soon for this UHC.** Supply of all needed Equipments is to be ensured and repairable Equipments specially X-ray machine should be repaired as soon as possible. Finally we are happy to publish this Health Bulletin of 2013 because this Document will enable us to compare our progress in upcoming years.