Sadullapur Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Sadullapur Upazilla under Gaibandha District. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Sadullapur upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Govermment health office has many data stored in the file. This health bulletin will help us to find constrains and also to see the result and achievements of 2013. The bulletin contains the status of MDG4 and MDG5 which will help us to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of this upazila. All the sanctioned and vacant posts are published in the bulletin of 2014. I would like to take attention of the higher authority to look into this matter. Finally I would like to congratulate the initiator of the health bulletin software setting for us one step ahead toward Digital Bangladesh.
Sadullapur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Sadullapur
Name of UHFPO DR. MD. AKHTAR ALAM
Telephone No. 0542556012
FAX No. 0
Mobile No. 01716087439
Email sadullapur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila 11
No. of Households in the Upazila 76,509
No. of Population in the Upazila 321,009
Area of Upazila in sq km 232.86
Sadullapur 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
10
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
35
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
Sadullapur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,835
Total No. of children treated under IMCI Program 12,353
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 35.82 per 1,000 live births.
Sadullapur 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: 2672
Total Number of Deliveries: 5835
No. of Maternal Death: 14
Valid TT Coverage: 21.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
239.93 per 100,000 live births.
Sadullapur 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
49,896
21,151
28,745
7,073
8,030
3,855
4,175
116
Union Sub-Centres
82,079
40,697
41,382
12,798
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
352,896
114,935
237,961
60,786
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
484,871
176,783
308,088
80,657
8,030
3,855
4,175
116
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
4,499
1,874
2,625
669
5
3
2
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
4,499
1,874
2,625
669
5
3
2
4
Sadullapur 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
2013
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
782
38.85
2
Y068 By other specified persons
564
28.02
3
J180 Bronchopneumonia, unspecified
314
15.60
4
J458 Mixed asthma
180
8.94
5
R509 Fever, unspecified
144
7.15
6
V892 Person injured in unspecified motor-vehicle accident, traffic
144
7.15
7
X48 Accidental poisoning by and exposure to pesticides
118
5.86
8
I10 Essential (primary) hypertension
97
4.82
9
K27 Peptic ulcer, site unspecified
85
4.22
10
J44 Other chronic obstructive pulmonary disease
71
3.53
Sadullapur 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
9
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J13 Pneumonia due to Streptococcus pneumoniae
4
44.44
2
R100 Acute abdomen
2
22.22
3
J44 Other chronic obstructive pulmonary disease
1
11.11
4
I64 Stroke, not specified as haemorrhage or infarction
1
11.11
5
A87 Viral meningitis
1
11.11
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Sadullapur Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
99.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
10,992
Bed Occupancy Rates (%)
94.58
Average Length of Hospital Stay (No. of days per patient)
4.97
Hospital Death Rate (%)
0.08
Sadullapur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
0
Sadullapur 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
2
2
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
101
61
20
20
19.80
Class IV
25
19
1
5
20.00
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
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
11
1
1
9
81.82
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
12
6
2
4
33.33
Class IV
6
2
0
4
66.67
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
35
16
20
-1
-2.86
Class IV
0
0
0
0
0.00
Sadullapur 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
20
3
3
14
70.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
148
83
42
23
15.54
Class IV
31
21
1
9
29.03
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
Sadullapur 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
11
2
9
5
0
0
1
0
Nurse
0
0
0
0
11
10
0
0
3
0
Medical Assistant
0
0
11
11
2
2
0
0
5
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
CHCP
35
36
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
10
10
0
0
0
0
HA
0
0
0
0
50
34
0
0
0
0
CSBA trained***
0
0
0
0
0
3
0
0
0
0
Sadullapur 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
1
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
0
0
0
0
0
Autoclave
0
0
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
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Sadullapur 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
1
1
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
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
Sadullapur 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
Sadullapur 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
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
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
Sadullapur 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)
6
3
3
0
0
Air conditioner (window)
0
0
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
1
0
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
43
43
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
1
1
0
0
0
UPS
6
6
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
42
42
0
0
0
Multimedia
1
1
0
0
0
Sadullapur 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
127
124
3
0
0
Sadullapur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Sadullapur Upazila Health Complex |
Last year we could not be able to give our maximum efforts to improve the health status due to the following reasons:
1) Post of 14 doctors were vacant. Among the six doctors,tow doctors were in Gaibandha Sador Hospital on deputation.
2) Only 4 posts of SSN were filled up out of 11 posts.
3) Ambulance service was out of order following road traffic accident.
Here I would like to mention some important things which will help us:
1) All vacant posts of SSN has already been filled up.
2) In the mean time we have got a very nice ambulance.
3) We have got a refregerator bio-chemical and serological agents from district office for our pathology department.
4) One ECG mechine we have already received from CMSD-Dhaka.
5) Construction work of four new community clinic has already been started.
6) We have already distributed Laptops and Tablets among employes of different disciplines.
7) In the mean time we have already completed some activities- like.
(a) Four meal system instead of daily routine three meal for every patient.
(b) Health education related wall writting has already been completed.
(c) Clinliness regarding hospital and its premises we have given special emphasis.
Comment: The vacant post of the doctors should immediately be fulfilled. If it is done very soon , we hope that our service quality for the patient will definitely be improved.