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Atrai Upazila Health Complex | Health Bulletin 2014 |
Preface
I am glad to publish this health bulletin of Atrai Upazila. This bulletin contains all the health related information of 2013. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Upazila. This health bulletin will help us to find constrains and also to see the results and achievements of 2013.All the sanctioned and vacant post are published in this bulletin of 2013.I like to take attention of the higher authority to look in to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr. Md. Abdus Salam UH&FPO Upazila Health Complex Atrai, Naogaon.
Dr. Md. Abdus Salam
UH&FPO
Atrai Upazila Health Complex

Atrai Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAtrai
Name of UHFPO Dr. Md. Abdus Salam
Telephone No. 0742271014
FAX No. 0
Mobile No. 01711440018
Email atrai@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.6113 And Long: 88.9779
No. of Unions in the Upazila8
No. of Households in the Upazila 46,544
No. of Population in the Upazila 207,546
Area of Upazila in sq km 261.00

Atrai 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 0 0
No. of Union Health and Family Welfare Centres 6 0
No. of Rural/Urban/Thana Dispensaries 3 0
No. of Community Clinics 26 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

Atrai Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,070


Total No. of children treated under IMCI Program 38,978
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 32.94 per 1,000 live births.

Atrai 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: 342
Total Number of Deliveries: 5100
No. of Maternal Death: 9
Valid TT Coverage: 45.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 177.51 per 100,000 live births.

Atrai 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 13,674 6,834 6,840 3,916 1,716 971 745 435
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 14,780 6,355 8,425 4,270 0 0 0 0
Rural/Urban/Thana Dispensaries 28,047 12,425 15,622 6,874 0 0 0 0
Community Clinics 158,717 62,863 95,854 32,725 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 215,218 88,477 126,741 47,785 1,716 971 745 435
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 3,745 1,243 2,502 637 12 10 2 1
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 3,745 1,243 2,502 637 12 10 2 1

Atrai 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 4382
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 595 13.58
2 Y00 Assault by blunt object 382 8.72
3 I11 Hypertensive heart disease 245 5.59
4 T46 Poisoning by agents primarily affecting the cardiovascular system 213 4.86
5 T14 Injury of unspecified body region 162 3.70
6 J06 Acute upper respiratory infections of multiple and unspecified sites 138 3.15
7 K27 Peptic ulcer, site unspecified 119 2.72
8 J45 Asthma 98 2.24
9 N390 Urinary tract infection, site not specified 87 1.99
10 A01 Typhoid and paratyphoid fevers 73 1.67

Atrai 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 13
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 T46 Poisoning by agents primarily affecting the cardiovascular system 6 46.15
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 7.69
3 J45 Asthma 2 15.38
4 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 7.69
5 I50 Heart failure 1 7.69
6 I501 Left ventricular failure 1 7.69
7 R10 Abdominal and pelvic pain 1 7.69
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 75.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 9,178
Bed Occupancy Rates (%) 50.00
Average Length of Hospital Stay (No. of days per patient) 2.10
Hospital Death Rate (%) 0.22


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 388
Minor Surgeries 205

 

Atrai 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 3 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 12 0 9 3 25.00
Class III 65 37 14 14 21.54
Class IV 19 11 5 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 1 0 6 85.71
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 5 0 7 58.33
Class IV 6 2 0 4 66.67
Rural Dispensaries
Class I Doctor 3 1 0 2 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 6 0 0 0.00
Class IV 3 3 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 26 16 10 0 0.00
Class IV 0 0 0 0 0.00

 

Atrai 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 19 5 3 11 57.89
Non Doctor 0 0 0 0 0.00
Class II 12 0 9 3 25.00
Class III 109 59 24 26 23.85
Class IV 28 16 5 7 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

 

Atrai 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 10 2 9 6 0 0 0 2
Nurse 0 0 0 0 12 9 0 0 4 0
Medical Assistant 0 0 10 6 2 2 0 0 4 0
Medical Technologist 0 0 0 0 4 4 0 0 0 0
CHCP 26 26 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 7 6 0 0 0 0
HA 0 0 0 0 35 25 0 0 0 0
CSBA trained*** 0 0 0 0 0 6 0 0 0 0

Atrai 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 1 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 2 0 0 0
Autoclave 1 1 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 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 7 7 0 0 0


Atrai 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 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Atrai 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 2 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) 4 1 3 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


Atrai 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 4 4 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 2 1 0 0 1
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Atrai 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) 5 5 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 4 4 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 2 0 0 0
Printer (laser) 2 2 0 0 0
Scanner 2 2 0 0 0
UPS 2 2 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Atrai 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 0 0 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 63 3 0 1

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

Important information and necessary issues for Atrai Upazila Health Complex |
 Last year we could not give our maximum ti improve the health status due to many reasons. 1. The Vacant posts of Doctores and nurses to be filledup immediately. 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 is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.