Atghoria Upazila Health Complex | Health Bulletin 2014 |
Preface
The Constitution of Bangladesh mandates for basic health care services for its people as one of the fundamental responsibilities of the state.Towards this goal,the government has taken different endeavors to extend health facilities to the population.This Health Bulletin is a statistical year book of hospitals,health services,health workforce and health situation of the country reflected through the various health programs undertaken by Directorate General of health services (DGHS).The contents of this Health Bulletin are rich and useful to provide an overview of the health situation of the country.I am sure that the health policy makers,planners and program managers will definitely see this health bulletin as one of the good resources of the health sector of Bangladesh.I congratulate this great endeavor and wish that the readers will well accept the Health Bulletin.
(Dr.Md Abdus Sattar)
UH&FPO.
Athhoria.pabna
Atghoria Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Atghoria
Name of UHFPO Dr.Md.Abdus Sattar
Telephone No. 0732256015
FAX No. 0
Mobile No. 01711266511
Email atgharia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 35,901
No. of Population in the Upazila 172,232
Area of Upazila in sq km 186.15
Atghoria 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
5
0
No. of Union Health and Family Welfare Centres
4
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
Atghoria Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,948
Total No. of children treated under IMCI Program 12,685
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 2.28 per 1,000 live births.
Atghoria 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: 3770
Total Number of Deliveries: 3948
No. of Maternal Death: 0
Valid TT Coverage: 6.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Atghoria 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
57,093
20,904
36,189
20,751
10,091
4,948
5,143
1,996
Union Sub-Centres
15,641
5,468
10,173
885
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
170,993
41,794
129,199
46,323
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
243,727
68,166
175,561
67,959
10,091
4,948
5,143
1,996
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
3,189
1,125
2,064
335
14
9
5
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
3,189
1,125
2,064
335
14
9
5
1
Atghoria 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
3524
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
K27 Peptic ulcer, site unspecified
757
21.48
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
472
13.39
3
Y09 Assault by unspecified means
294
8.34
4
J45 Asthma
226
6.41
5
F70 Mild mental retardation
192
5.45
6
I10 Essential (primary) hypertension
145
4.11
7
T46 Poisoning by agents primarily affecting the cardiovascular system
131
3.72
8
V892 Person injured in unspecified motor-vehicle accident, traffic
127
3.60
9
A01 Typhoid and paratyphoid fevers
48
1.36
10
J18 Pneumonia, organism unspecified
36
1.02
Atghoria 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
6
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J45 Asthma
3
50.00
2
I10 Essential (primary) hypertension
3
50.00
3
0
0.00
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
Atghoria 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 (%)
98.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,383
Bed Occupancy Rates (%)
101.00
Average Length of Hospital Stay (No. of days per patient)
3.00
Hospital Death Rate (%)
0.42
Atghoria Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
140
Atghoria 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
5
1
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
53
48
1
4
7.55
Class IV
19
10
6
3
15.79
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
5
2
0
3
60.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
4
2
0
0.00
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
21
11
10
0
0.00
Class IV
0
0
0
0
0.00
Atghoria 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
14
6
4
4
28.57
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
80
64
13
3
3.75
Class IV
20
11
6
3
15.00
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
Atghoria 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
4
9
6
0
0
0
0
Nurse
0
0
0
0
12
10
0
0
3
1
Medical Assistant
0
0
5
5
2
2
0
0
6
0
Medical Technologist
0
0
0
0
6
6
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
23
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Atghoria 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
0
0
0
0
0
Autoclave
0
0
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
1
1
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)
1
1
0
0
0
Ventilator
0
0
0
0
0
Atghoria 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
3
3
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Atghoria 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)
0
0
0
0
0
Colorimeter
2
2
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)
3
1
0
2
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
Atghoria 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)
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
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
Atghoria 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)
1
1
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)
6
5
1
0
0
Laptop
23
23
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
4
3
1
0
0
Scanner
0
0
0
0
0
UPS
1
0
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
0
0
0
0
0
Multimedia
0
0
0
0
0
Atghoria 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
55
47
4
4
0
Atghoria Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Atghoria Upazila Health Complex |
''Important information and necessary issues on Upazila Health Complex Athgoria ,Pabna'' Annual Health Bulletin is a revolutionary and highly appreciated step towards digitization of health services taken by the present MIS administration in Bangladesh. I would like to propose some steps to improve health service deliveries at grass-root level.Vacant post of doctors,nurses & paramedics should be filled up immediately.Necessary equipments,transport facilities should be ensured.All medical,non-medical and statistical personnel should be properly trained up.''
With best regard and thanks to all.
Dr.Md.Abdus Sattar
UH&FPO
Atghoria,Pabna.