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Palashbari Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin'2014 0f Palashbari Upazila.This bulletin contains all health related information & datas of 2013. I hope all information of this bulletin will help for planning & bridge the gaps in death services of this Upazila. This bulletin contains the status of MDG-4 & MDG-5 which help to localize the MDG-4 & MDG-5 in last 4 years.Revitalization of Community Clinics isa unique program in South east Asia through which people of root level getting primary health care. I would like to thank the initiators of the health bulletin soft ware for setting us one step ahead towards digital Bangladesh. Dr. S.M.Abdul Jalil UH&FPO Palashbari,Gaibandha.
Dr. S.M.Abdul Jalil
UH&FPO
Palashbari Upazila Health Complex

Palashbari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaPalashbari
Name of UHFPO Dr. S.M.Abdul Jalil
Telephone No. 0542456013
FAX No. 0
Mobile No. 01712529003
Email palashbari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 63,571
No. of Population in the Upazila 279,806
Area of Upazila in sq km 190.67

Palashbari 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 5 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

Palashbari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,856


Total No. of children treated under IMCI Program 3,578
Fully Vaccinated Children: 93.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 35.42 per 1,000 live births.

Palashbari 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: 4610
Total Number of Deliveries: 5595
No. of Maternal Death: 9
Valid TT Coverage: 88.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 185.34 per 100,000 live births.

Palashbari 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 56,855 22,944 33,911 6,459 2,856 1,927 929 207
Union Sub-Centres 43,744 19,762 23,982 10,070 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 394,680 127,826 266,854 45,864 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 495,279 170,532 324,747 62,393 2,856 1,927 929 207
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 5,619 2,186 3,433 704 24 10 14 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 5,619 2,186 3,433 704 24 10 14 6

Palashbari 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 6323
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 1187 18.77
2 X990 Assault by sharp object, home 715 11.31
3 V190 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident 321 5.08
4 T980 Sequelae of effects of foreign body entering through natural orifice 258 4.08
5
A0L.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
255 4.03
6 A060 Acute amoebic dysentery 190 3.00
7
I00.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
185 2.93
8 K260 Duodenal ulcer, acute with haemorrhage 178 2.82
9 J450 Predominantly allergic asthma 169 2.67
10 J200 Acute bronchitis due to Mycoplasma pneumoniae 149 2.36

Palashbari 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 6323
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I110 Hypertensive heart disease with (congestive) heart failure 6 0.09
2 J450 Predominantly allergic asthma 6 0.09
3 T98 Sequelae of other and unspecified effects of external causes 5 0.08
4
J14.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
4 0.06
5 A090 Other and unspecified gastroenteritis and colitis of infectious origin 3 0.05
6 N170 Acute renal failure with tubular necrosis 1 0.02
7 P210 Severe birth asphyxia 1 0.02
8 F300 Hypomania 1 0.02
9 V290 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident 2 0.03
10 J960 Acute respiratory failure 1 0.02

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,044
Bed Occupancy Rates (%) 106.00
Average Length of Hospital Stay (No. of days per patient) 1.90
Hospital Death Rate (%) 0.25


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 91

 

Palashbari 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 3 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 74 46 14 14 18.92
Class IV 19 11 4 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 0 0 4 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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 10 8 1 1 10.00
Class IV 5 0 1 4 80.00
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 20 12 0 0.00
Class IV 0 0 0 0 0.00

 

Palashbari 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 5 3 10 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 120 77 28 15 12.50
Class IV 24 11 5 8 33.33
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

 

Palashbari 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 0 9 8 0 0 0 0
Nurse 0 0 0 0 10 10 0 0 0 0
Medical Assistant 0 0 9 9 2 2 0 0 0 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0
CHCP 32 32 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0
HA 0 0 0 0 40 29 0 0 0 0
CSBA trained*** 0 0 0 0 9 9 0 0 0 0

Palashbari 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) 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 0 0 0 0 0
Anesthesia machine without ventilator 2 1 1 0 0
Autoclave 4 1 3 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 2 1 1 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 4 2 1 1 0
Portable OT Light 4 2 1 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 8 4 2 2 0
Sucker machine (electric) 6 3 2 1 0
Ventilator 0 0 0 0 0


Palashbari 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 0 0 0 0 0
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


Palashbari 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 0 0 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) 6 3 1 2 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


Palashbari 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 2 1 1 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 2 1 0 0 1
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


Palashbari 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) 2 2 0 0 0
Air conditioner (window) 3 3 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) 6 6 0 0 0
Laptop 2 1 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 4 1 1 0 2
Scanner 1 0 0 0 1
UPS 0 0 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Palashbari 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 0 1 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 69 38 16 9 6

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

Important information and necessary issues for Palashbari Upazila Health Complex |
 Important information and necessary issues for Palashbari Upazila Health complexas follows:- This Upazila Health complex has been upgraded as 50 beded hospital.Infracture ofthe hospital has been completed but its approval & sanctioned yet not got and necessary manpower yet not provided . X-ray machine and other necessary instrument urgently needed. Finally I am happy to write this Health bulletin of 2014.This is very useful documents to understand health service and provide the usefuladvice to important in future. Dr. S.M. Abdul Jalil. UH&FPO Palashbari,Gaibandha.