Porsha Upazila Health Complex | Health Bulletin 2014 |
Preface
Since Health Bulletin has an important role in health serviec. So I am highly glad to publish this bulletin of porsha upazila.Health related infomations of this upazila are in it.I
hope this bulletin will disseminate the informations of porsha upazila to other line department and development partner of health. I also hope the informations will help for planning and bridging the gaps in health services of this upazila.This Bulletin will help us to find obstacles and also to see the results and achievements of 2013.The status of MDG4,MDG5 are Contained in the bulletin which will help to localize the MDG targets.Health Bulletin of 2013 also Contains the Vacant and sanctioned posts.I expect the attention of higher authority to look into this issue.At last I would like to congratulate the initiator of the Health bulletin software.
Porsha Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Porsha
Name of UHFPO Dr.Md.Matiur Rahoman.
Telephone No. 0742956020
FAX No. 0
Mobile No. 01712579219
Email Porsha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0226 And Long: 88.4553
No. of Unions in the Upazila 6
No. of Households in the Upazila 28,123
No. of Population in the Upazila 128,811
Area of Upazila in sq km 270.25
Porsha 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
3
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
12
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
1
0
No. of NGO Clinics/Facilities
0
0
Porsha Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,681
Total No. of children treated under IMCI Program 25,876
Fully Vaccinated Children: 89.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 34.32 per 1,000 live births.
Porsha 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: 151
Total Number of Deliveries: 2687
No. of Maternal Death: 5
Valid TT Coverage: 55.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
186.50 per 100,000 live births.
Porsha 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
17,019
6,699
10,320
6,549
870
374
496
234
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
8,134
3,621
4,513
3,075
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
92,894
30,511
62,383
21,671
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
118,047
40,831
77,216
31,295
870
374
496
234
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
1,711
651
1,060
234
9
7
2
3
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
447
191
256
80
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
2,158
842
1,316
314
9
7
2
3
Porsha 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
1945
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y00 Assault by blunt object
331
17.02
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
288
14.81
3
A010 Typhoid fever
128
6.58
4
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed
82
4.22
5
V892 Person injured in unspecified motor-vehicle accident, traffic
63
3.24
6
T659 Toxic effect of unspecified substance
53
2.72
7
J459 Asthma, unspecified
48
2.47
8
I159 Secondary hypertension, unspecified
28
1.44
9
N390 Urinary tract infection, site not specified
25
1.29
10
K27 Peptic ulcer, site unspecified
12
0.62
Porsha 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
12
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J15 Bacterial pneumonia, NEC
3
25.00
2
I679 Cerebrovascular disease, unspecified
2
16.67
3
T200 Burn of unspecified degree of head and neck
2
16.67
4
W87 Exposure to unspecified electric current
2
16.67
5
I159 Secondary hypertension, unspecified
2
16.67
6
P21 Birth asphyxia
1
8.33
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Porsha Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
56.00
Coverage of households having access to sanitary latrines (%)
63.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
6,100
Bed Occupancy Rates (%)
54.00
Average Length of Hospital Stay (No. of days per patient)
4.29
Hospital Death Rate (%)
0.61
Porsha Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
364
Porsha 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
1
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
10
0
7
3
30.00
Class III
44
33
3
8
18.18
Class IV
17
8
3
6
35.29
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
0
0
6
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
3
3
2
25.00
Class IV
2
0
0
2
100.00
Rural Dispensaries
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
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
13
6
7
0
0.00
Class IV
0
0
0
0
0.00
Porsha 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
15
3
1
11
73.33
Non Doctor
0
0
0
0
0.00
Class II
10
0
7
3
30.00
Class III
53
33
3
17
32.08
Class IV
21
8
5
8
38.10
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
Porsha 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
6
0
9
4
0
0
0
0
Nurse
0
0
0
0
10
7
0
0
0
0
Medical Assistant
0
0
6
4
2
2
0
0
1
0
Medical Technologist
0
0
2
2
8
8
0
0
0
0
CHCP
13
13
0
0
0
0
0
0
0
0
HI
0
0
0
0
1
1
0
0
0
0
AHI
0
0
0
0
4
4
0
0
0
0
HA
0
0
0
0
20
17
0
0
0
0
CSBA trained***
0
0
0
0
0
0
2
1
0
0
Porsha 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
1
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
0
0
0
0
0
Autoclave
2
2
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
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
3
2
1
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Porsha 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
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
Porsha 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)
3
3
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
Porsha 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)
1
1
0
0
0
Refrigerator
0
0
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
3
1
1
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
Porsha 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)
3
3
0
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
0
0
0
0
0
ICT equipment
Computer (desktop)
7
6
1
0
0
Laptop
3
2
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
1
0
0
Printer (laser)
2
2
0
0
0
Scanner
1
1
0
0
0
UPS
7
6
1
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
1
1
0
0
0
Porsha 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
49
41
7
1
0
Porsha Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Porsha Upazila Health Complex |
All Posts of Consaltants,Post of RMO, many Posts of 3rd & 4th Class for 31 bad are Vacant. Posts for 50 beded Hospital has not been Created.There is no basic EOC Service.I expect the attention of higher authority to look into this Meter.
Thank's
Dr.Md.Matiur Rahman
UH&FPO.
Upazila Health Complex.
Porsha.Naogaon