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Fulchari Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of fulchari. This bulletin contains all the health related information of 2013.hope all the information of this bulletin will help for planing,implementation & bridging the gaps in health service of this upazila. This bulletin is published to dissemiate the information of fulchari upazila to other departments. All health related data are stored properly in the office of health department. This health bulletin will help us to find constrains for implantation of planing stretegy. It also helps to find out different health realated data, information & the results & achievements of previous time period. This bulletin contains the status of MDG-4,MDG-5, morbidity & mortality profile whice will help to localize the limitation, achievement,strategy 7 targets for MDG. This health bulletin also contains the information about safe drinking water staff profile & sanitation status of the upazila . Finally i would like to congratulate the initiator of the health bulletin software whice is definitely an annovative idea & i hope it will open a new era in health services of Bangladesh & it will help us to move one step ahed toward Digital Bangladesh. Name of the Upazila ; Fulchari. Name of UHFPO; Dr.Amal Chandra Shaha. Telephone No;0542256086. MobileNo;01712647621.Email; fulchari@uhfpo.dghs.gov.bd. (Dr. Amal Chandra Shaha) UHFPO UHC. Fulchari.Gaibandha..
Dr.Amal Chandra Shaha.
UH&FPO
Fulchari Upazila Health Complex

Fulchari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaFulchari
Name of UHFPO Dr.Amal Chandra Shaha.
Telephone No. 0542256086
FAX No. 0
Mobile No. 01712647621
Email fulchari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.2850 And Long: 89.5670
No. of Unions in the Upazila7
No. of Households in the Upazila 32,486
No. of Population in the Upazila 171,640
Area of Upazila in sq km 306.53

Fulchari 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 1 0
No. of Union Health and Family Welfare Centres 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 14 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 1 0

Fulchari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,651


Total No. of children treated under IMCI Program 25,669
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 30.93 per 1,000 live births.

Fulchari 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: 3134
Total Number of Deliveries: 3034
No. of Maternal Death: 5
Valid TT Coverage: 34.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 188.61 per 100,000 live births.

Fulchari 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 46,209 25,285 20,924 1,110 1,413 606 807 110
Union Sub-Centres 12,592 6,575 6,017 2,363 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 169,393 76,215 93,178 13,285 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 12,281 6,450 5,831 1,104 0 0 0 0
Total 240,475 114,525 125,950 17,862 1,413 606 807 110
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 7,973 3,961 4,012 88 0 0 0 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 0 0 0 0 0 0 0 0
Total 7,973 3,961 4,012 88 0 0 0 0

Fulchari 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 7983
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y00 Assault by blunt object 1769 22.16
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1254 15.71
3 K27 Peptic ulcer, site unspecified 89 1.11
4 J14 Pneumonia due to Haemophilus influenzae 83 1.04
5 Z33 Pregnant state, incidental 65 0.81
6 A01 Typhoid and paratyphoid fevers 43 0.54
7 J43 Emphysema 34 0.43
8 Y18 Poisoning by and exposure to pesticides, undetermined intent 29 0.36
9 R50 Fever of unknown origin 17 0.21
10 B15 Acute hepatitis A 15 0.19

Fulchari 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 0
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 0 0.00
2 0 0.00
3 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 67.00
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.) 7,983
Bed Occupancy Rates (%) 69.50
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.00


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 720

 

Fulchari 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 5 0 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 65 46 7 12 18.46
Class IV 20 15 5 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 1 0 5 83.33
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 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 18 7 8 3 16.67
Class IV 0 0 0 0 0.00

 

Fulchari 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 16 6 0 10 62.50
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 91 56 16 19 20.88
Class IV 21 16 5 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

 

Fulchari 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 7 1 9 5 0 0 1 1
Nurse 0 0 0 0 11 8 0 0 2 1
Medical Assistant 0 0 7 4 2 1 0 0 4 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0
CHCP 18 15 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0
HA 0 0 0 0 35 28 0 0 0 0
CSBA trained*** 0 0 0 0 0 3 0 0 0 0

Fulchari 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 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 2 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 2 1 0 0 1
Ventilator 0 0 0 0 0


Fulchari 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 2 1 0 0 1
Pulse oximeter 0 0 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


Fulchari 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) 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Fulchari 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 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


Fulchari 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) 1 0 1 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 2 2 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 4 0 2 0
Scanner 1 1 0 0 0
UPS 1 0 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Fulchari 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 31 23 2 3 3

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

Important information and necessary issues for Fulchari Upazila Health Complex |
 Important information and necessary issues for Fulchari Upazila Health Complex Though we are trying our best to provide optimum services to people, we cannot provide this due to some important factors which are already mentioned previous session.First of all there is configaration of 50 bed hospital but we cannot serve like that because of lack of proper manpower. I would like to summarize some important factors which will help us to provide optimum health services to the people: 1. The vacant positions including consultant, MOs, nurses should be filled immediately. 2. Our doctors and nurses need more training on IMCI, EmOC and other fields. 3. As our UHC was approved for 30 bed it should be immediately functioning with required manpower and logistics. 4. All the repairable equipment’s should be repaired and other important instruments like ECG, incubator, colorimeter, phototherapy machine should be supplied as soon as possible. 5. We have more 5 female HA who need CSBA training Finally I am very glad to publish this health bulletin of 2013 because this document will help us to compare our progress in upcoming years and I think it will provide some important issues for the concern authority to take proper action to improve our services and facilities which will ensure improved health care to the people of our area. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.