Singra Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish the Upazila health bulletin 2014 (belong data Jan.- Dec. 2013) This bulletin contains all the health related information of 2013. I hope all the information of this bulletin will help for planing, implementation & bridging the gaps in health service of this upazila. This bulletin is published to dissemiate the information of Singra upazila to other departments. All health related data are stored properly in the office of health department. This health bulletin will help us to find constrains for implantation of planing stretegy. It also helps to find out different health realated data, information & the results & achievements of previous time period. This bulletin contains the status of MDG-4, MDG-5, morbidity & mortality profile whice will help to localize the limitation, achievement,strategy 7 targets for MDG. This health bulletin also contains the information about safe drinking water staff profile & sanitation status of the upazila . Finally I would like to congratulate the initiator of the health bulletin software whice is definitely an annovative idea & I hope it will open a new era in health services of Bangladesh & it will help us to move one step ahed toward Digital Bangladesh. Name of the Upazila ;Singra. Name of UHFPO; Dr. Anjuman Ara. Telephone No; 0772663030. Mobile No; 01712247495. Email; Singra@uhfpo.dghs.gov.bd. Dr. Anjuman Ara, UHFPO Upazila Health Complex, Singra, Natore.
Singra Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Singra
Name of UHFPO Dr. Anjuman Ara
Telephone No. 0772663030
FAX No. 0
Mobile No. 01712247495
Email singra@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 89.0000
No. of Unions in the Upazila 12
No. of Households in the Upazila 82,935
No. of Population in the Upazila 343,864
Area of Upazila in sq km 500.33
Singra 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
31
No. of Union Sub-Centres
4
0
No. of Union Health and Family Welfare Centres
8
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
42
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
3
30
No. of NGO Clinics/Facilities
1
0
Singra Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,879
Total No. of children treated under IMCI Program 47,480
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 15.74 per 1,000 live births.
Singra 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: 5054
Total Number of Deliveries: 7918
No. of Maternal Death: 5
Valid TT Coverage: 83.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
63.46 per 100,000 live births.
Singra 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
42,093
17,238
24,855
8,063
9,689
5,209
4,480
1,220
Union Sub-Centres
80,970
38,950
42,020
6,998
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
19,952
7,568
12,384
9,256
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
338,207
141,502
196,705
9,103
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
39,588
18,376
21,212
5,873
0
0
0
0
NGO Clinics/Facilities
30,458
10,347
20,111
9,820
0
0
0
0
Total
590,856
233,981
317,287
49,113
9,689
5,209
4,480
1,220
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
4,512
2,192
2,320
428
36
25
11
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
566
273
293
88
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
5,078
2,465
2,613
516
36
25
11
4
Singra 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
5780
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1235
21.37
2
J170 Pneumonia in bacterial diseases classified elsewhere
898
15.54
3
J069 Acute upper respiratory infection, unspecified
705
12.20
4
X96 Assault by explosive material
495
8.56
5
T60 Toxic effect of pesticides
432
7.47
6
O809 Single spontaneous delivery, unspecified
420
7.27
7
J45 Asthma
388
6.71
8
I516 Cardiovascular disease, unspecified
295
5.10
9
I10 Essential (primary) hypertension
280
4.84
10
V499 Car occupant [any] injured in unspecified traffic accident
256
4.43
Singra 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
40
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I219 Acute myocardial infarction, unspecified
17
42.50
2
I679 Cerebrovascular disease, unspecified
6
15.00
3
B99 Other and unspecified infectious diseases
5
12.50
4
T600 Organophosphate and carbamate insecticides
2
5.00
5
P21 Birth asphyxia
2
5.00
6
A09 Diarrhoea and gastroenteritis of presumed infectious origin
2
5.00
7
J22 Unspecified acute lower respiratory infection
2
5.00
8
I51 Complications and ill-defined descriptions of heart disease
2
5.00
9
N189 Chronic renal failure, unspecified
1
2.50
10
K27 Peptic ulcer, site unspecified
1
2.50
Singra 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.)
9,838
Bed Occupancy Rates (%)
87.12
Average Length of Hospital Stay (No. of days per patient)
1.75
Hospital Death Rate (%)
0.72
Singra Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
720
Singra 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
1
8
1
10.00
Class III
157
103
38
16
10.19
Class IV
25
6
5
14
56.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
10
5
1
4
40.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
6
4
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
3
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
8
0
0
0.00
Class IV
4
0
0
4
100.00
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
44
22
20
2
4.55
Class IV
0
0
0
0
0.00
Singra 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
23
11
2
10
43.48
Non Doctor
0
0
0
0
0.00
Class II
10
1
8
1
10.00
Class III
157
103
38
16
10.19
Class IV
25
6
5
14
56.00
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
Singra 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
14
10
9
4
0
0
2
0
Nurse
0
0
0
0
11
9
0
0
3
2
Medical Assistant
0
0
14
14
2
2
0
0
10
0
Medical Technologist
0
0
0
0
8
8
0
0
0
0
CHCP
44
42
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
AHI
0
0
0
0
11
11
0
0
0
0
HA
0
0
0
0
54
37
0
0
0
0
CSBA trained***
0
0
0
0
12
8
0
0
0
0
Singra 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
1
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
1
1
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
0
0
2
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
0
0
0
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
1
1
0
0
0
Sucker machine (electric)
1
0
0
1
0
Ventilator
0
0
0
0
0
Singra 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
0
0
0
0
0
Pulse oximeter
0
0
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
Singra 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
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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Singra 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)
3
2
1
0
0
Refrigerator
3
2
1
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
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
Singra 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)
3
3
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)
9
8
1
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
0
1
Printer (laser)
8
5
0
0
3
Scanner
1
1
0
0
0
UPS
7
6
0
1
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
48
48
0
0
0
Multimedia
1
1
0
0
0
Singra 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
2
2
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
110
95
4
7
4
Singra Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Singra Upazila Health Complex |
I would like to mention some important factors and necessary issues which will help us to achieve a good result in future. The vacant post (Statistician, Store keeper, Computer Operator, etc) should be filled immediately. Existing Doctor , Nurse , SACMO & otters Staffs need more training on IMCI & EOC . I am very happy to publish this health bulletin of 2014 (belong Jan-Dec/2013) because the document will help comparing our progress in upcoming years. This is very necessary document which will help public to understand health services & comparing valuable data about health service.