Akkelpur Upazila Health Complex | Health Bulletin 2014 |
Preface
We are glad to publish this health bulletin for the Akkelpur upazilla as per government policy to disseminate the information to public, different development organizations and government departments for use in planning for future development of health sector of this upazilla. Also there are information about deficiencies in this upazilla which will draw attention of the concern authorities to take necessary actions. Akkelpur Upazilla is one of 5 upazillas of Joypurhat district of Rajshahi division. In this health bulletin we will try to inform you about the setup, activities and other aspects of the Health Sector of the Akkelpur Upazilla of Joypurhat District. There will be some basic information regarding health setup, services we provide, our manpower, activities and other matters. The data of this bulletin contain information of the calendar year 2013. We hope that this bulletin will be helpful to all.
Akkelpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Akkelpur
Name of UHFPO Dr. Sushanta Kumar Das
Telephone No. 0572264009
FAX No. 0
Mobile No. 01730324652
Email akkelpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.9692 And Long: 89.0203
No. of Unions in the Upazila 5
No. of Households in the Upazila 33,177
No. of Population in the Upazila 131,602
Area of Upazila in sq km 139.75
Akkelpur 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
2
0
No. of Union Health and Family Welfare Centres
3
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
21
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
Akkelpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,279
Total No. of children treated under IMCI Program 11,485
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Akkelpur 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: 0
Total Number of Deliveries: 2538
No. of Maternal Death: 0
Valid TT Coverage: 43.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Akkelpur 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
33,847
12,035
21,812
16,275
4,650
2,110
2,540
1,206
Union Sub-Centres
23,139
9,178
13,961
5,936
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
131,196
39,180
92,016
26,194
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
188,182
60,393
127,789
48,405
4,650
2,110
2,540
1,206
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
3,847
1,591
2,256
873
15
9
6
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
3,847
1,591
2,256
873
15
9
6
0
Akkelpur 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
4720
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
909
19.26
2
X05 Exposure to ignition or melting of nightwear
424
8.98
3
A99 Unspecified viral haemorrhagic fever
186
3.94
4
J45 Asthma
180
3.81
5
T629 Noxious substance eaten as food, unspecified
170
3.60
6
V899 Person injured in unspecified vehicle accident
110
2.33
7
F412 Mixed anxiety and depressive disorder
95
2.01
8
J18 Pneumonia, organism unspecified
89
1.89
9
I10 Essential (primary) hypertension
74
1.57
10
D50 Iron deficiency anaemia
44
0.93
Akkelpur 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
15
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J45 Asthma
3
20.00
2
T629 Noxious substance eaten as food, unspecified
2
13.33
3
I11 Hypertensive heart disease
2
13.33
4
D50 Iron deficiency anaemia
2
13.33
5
A209 Plague, unspecified
1
6.67
6
P219 Birth asphyxia, unspecified
1
6.67
7
D022 Bronchus and lung
1
6.67
8
J449 Chronic obstructive pulmonary disease, unspecified
1
6.67
9
D010 Colon
1
6.67
10
R18 Ascites
1
6.67
Akkelpur 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 (%)
72.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
12,206
Bed Occupancy Rates (%)
67.00
Average Length of Hospital Stay (No. of days per patient)
2.20
Hospital Death Rate (%)
0.33
Akkelpur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
0
Akkelpur 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
20
3
1
16
80.00
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
67
46
11
10
14.93
Class IV
26
16
5
5
19.23
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
0
0
3
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
3
2
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
0
0
2
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
4
0
0
0.00
Class IV
2
2
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
21
11
9
1
4.76
Class IV
0
0
0
0
0.00
Akkelpur 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
25
3
1
21
84.00
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
67
46
11
10
14.93
Class IV
24
16
5
3
12.50
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
Akkelpur 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
5
0
20
4
0
0
0
0
Nurse
0
0
0
0
16
16
0
0
3
0
Medical Assistant
0
0
5
5
2
2
0
0
3
0
Medical Technologist
0
0
0
0
8
8
0
0
0
0
CHCP
21
21
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
AHI
0
0
0
0
5
5
0
0
0
0
HA
0
0
0
0
24
19
0
0
0
0
CSBA trained***
0
0
0
0
0
8
0
0
0
0
Akkelpur 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)
1
0
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
1
0
0
0
1
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
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)
0
0
0
0
0
Ventilator
0
0
0
0
0
Akkelpur 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
2
2
0
0
0
Pulse oximeter
1
0
0
0
1
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
Akkelpur 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)
2
2
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
2
1
0
0
1
Phototherapy unit
0
0
0
0
0
Akkelpur 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
1
0
0
1
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
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
Akkelpur 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
4
0
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)
8
4
0
0
4
Laptop
26
26
0
0
0
Printer (dot matrix)
1
1
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
3
0
0
2
Scanner
0
0
0
0
0
UPS
0
0
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Akkelpur 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
67
53
0
5
9
Akkelpur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Akkelpur Upazila Health Complex |
Akkelpur Upazila Health Complex is a 50-beded hospital, but there is severe shortage of doctors. Most of the posts of Medical Officers, E.M.O and Consultants are vacant. So, providing adequate services is very difficult. Posts of Medicine, Surgery, Guy-nae&obs, Cardiology, Orthopedics, Skin & VD, Eye, E.N.T. and Anesthesiology consultants are vacant, Operation theater is not functioning because post of anesthetists is empty. Currently major surgery is not possible in this UHC. These problems were informed to the higher authorities through proper channel. We hope that the authorities will take necessary actions to solve these problems so that we can improve our services to the people of akkelpur Upazila of Joyperhat district.
