HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Aditmari Upazila Health Complex | Health Bulletin 2014 |
Preface
Aditmari Upazilla Health Complex, Health Bulletin 2014 I am very glad to publish this health bulletin. This bulletin contains all the health related information’s of 2013. This bulletin is published to disseminate the information of Aditmari upazila to other line departments and development partners of health. I hope all the information’s of this bulletin will help for planning and bridging the gaps in health services of the upazila . 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 MDG 4 and MDG 5 which will help to localize the MDG targets . This health bulletin also shows the information on safe drinking water and sanitation status of the upazila . All the sanctioned and vacant posts are published in this bulletin of 2013. I like to take attention of the higher authorities to look into of this issue . Finally I would like to congratulate the initiator of this health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Hasanul Adam U H & F P O Aditmari,Lalmonirhat.
Dr Md Hasanul Adam
UH&FPO
Aditmari Upazila Health Complex

Aditmari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAditmari
Name of UHFPO Dr Md Hasanul Adam
Telephone No. 0592256014
FAX No. 0
Mobile No. 01716195398
Email aditmari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.9254 And Long: 89.3436
No. of Unions in the Upazila8
No. of Households in the Upazila 51,232
No. of Population in the Upazila 253,224
Area of Upazila in sq km 196.25

Aditmari 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 1 0
No. of Union Health and Family Welfare Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 29 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 10

Aditmari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,602


Total No. of children treated under IMCI Program 21,360
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 28.38 per 1,000 live births.

Aditmari 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: 2423
Total Number of Deliveries: 5742
No. of Maternal Death: 11
Valid TT Coverage: 31.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 196.36 per 100,000 live births.

Aditmari 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 19,447 9,195 10,252 3,250 2,245 950 1,295 209
Union Sub-Centres 13,440 7,155 6,285 145 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 193,715 72,820 120,895 17,520 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 226,602 89,170 137,432 20,915 2,245 950 1,295 209
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 2,017 867 1,150 445 4 2 2 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 341 0 341 0 0 0 0 0
Total 2,358 867 1,491 445 4 2 2 0

Aditmari 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 2462
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X999 Assault by sharp object, unspecified place 445 18.07
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 350 14.22
3 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation 302 12.27
4 A010 Typhoid fever 151 6.13
5 J189 Pneumonia, unspecified 128 5.20
6 J459 Asthma, unspecified 78 3.17
7 I119 Hypertensive heart disease without (congestive) heart failure 64 2.60
8 O021 Missed abortion 56 2.27
9 D509 Iron deficiency anaemia, unspecified 52 2.11
10 T600 Organophosphate and carbamate insecticides 32 1.30

Aditmari 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 4
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 R570 Cardiogenic shock 2 50.00
2 J459 Asthma, unspecified 1 25.00
3 J960 Acute respiratory failure 1 25.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
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.) 10,055
Bed Occupancy Rates (%) 55.10
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.12


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 35

 

Aditmari 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 3 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 1 8 1 10.00
Class III 57 36 13 8 14.04
Class IV 20 11 4 5 25.00
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 8 0 0 8 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 1 0 8 88.89
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 30 16 13 1 3.33
Class IV 0 0 0 0 0.00

 

Aditmari 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 17 3 0 14 82.35
Non Doctor 0 0 0 0 0.00
Class II 10 1 8 1 10.00
Class III 96 51 36 9 9.38
Class IV 20 11 4 5 25.00
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

 

Aditmari 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 8 0 9 3 0 0 0 0
Nurse 0 0 0 0 10 9 0 0 2 0
Medical Assistant 0 0 7 0 2 2 0 0 0 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0
CHCP 30 29 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0
HA 0 0 0 0 30 23 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Aditmari 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 0 1 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 1 0 1 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 2 1 0 0 1
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 3 0 3 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


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


Aditmari 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 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) 2 1 0 1 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 1 1 0 0 0


Aditmari 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 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 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


Aditmari 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) 2 1 1 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 3 0 3 0 0
ICT equipment
Computer (desktop) 8 3 1 0 4
Laptop 1 0 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 2 1 0 0
Scanner 1 1 0 0 0
UPS 4 0 0 0 4
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 1 1 0 0 0


Aditmari 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 54 30 13 2 9

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

Important information and necessary issues for Aditmari Upazila Health Complex |
 Important information and necessary issues for Aditmari Upazilla Health Complex In the year 2013 we could not give our maximum efforts to improve the health status due to many reasons. I like to mention some important factors which will help us to achieve good results in future . Necessary issues that I want to raise are. 1) The vacant posts should be filled immediately specially those of doctors 2) Training of doctors & nurses on IMCI & EOC. 3) All the repairable equipments should be repaired urgently . 4) We are urgent need repair of the x-ray machine. Finally I am very happy to write this health bulletin of 2013. because this document will help us to compare our progress in upcoming years .This will help the public to understand health services and to provide us the useful advice for improvement in future. (5) In the year 2014 we have received 30 Laptop, 30 Modem , 31 PDA and 4 desktop computer from MIS. Thanks to all. Dr. Md. Hasanul Adam UH & FPO Aditmari, Lalmonirhat.