Chatmohar Upazila Health Complex | Health Bulletin 2014 |
Preface
It is a great pleasure for me to know that Chatmohar Upazila health complex is going to publish a health bulletin for the 3rd time. This bulletin contains all the health related information of 2013The bulletin is published to disseminate the information of planning and bridging the gaps in the health services of this Upazila & other government health office . Many data is stored in this bulletin . The health bulletin will help us to find out constrains and also to see the achievement of 2013 of this upazilla health complex .The bulletin contains the status of MDG-4 and MDG-5 which will to localize the MDG Target.This health bulletin also has the information on safe drinking water and sanitation status of this upazila.All sanction & vacant post are published in the bulletin of 2014.I would like to draw attention of the higher authority to take necessary step to inaugurate the 50 bedded hospital & allocate the appropriate fund within shortest possible time . So that the people of this locality can get the desired benefit. I would like to thank all who are involved in developing and editing this health bulletin and special thanks to DGHS for providing technical and financial support for setting us one step ahead toward digital Bangladesh.
(Dr,Manzura Rahman)
Upazila health & Family planning officer
Chatmohar,Pabna.
Chatmohar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Chatmohar
Name of UHFPO Dr.Manzura Rahman
Telephone No. 0732456125
FAX No. 0
Mobile No. 01711101493
Email chatmohar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.1357 And Long: 89.1712
No. of Unions in the Upazila 11
No. of Households in the Upazila 67,691
No. of Population in the Upazila 304,728
Area of Upazila in sq km 312.25
Chatmohar 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
2
0
No. of Union Health and Family Welfare Centres
9
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
28
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
2
20
No. of NGO Clinics/Facilities
0
0
Chatmohar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,340
Total No. of children treated under IMCI Program 23,466
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 4.22 per 1,000 live births.
Chatmohar 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: 10969
Total Number of Deliveries: 7613
No. of Maternal Death: 2
Valid TT Coverage: 15.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
27.25 per 100,000 live births.
Chatmohar 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
63,174
22,249
40,925
29,616
7,727
3,491
4,236
2,284
Union Sub-Centres
44,246
16,731
27,515
5,791
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
379,410
101,410
278,000
12,633
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
486,830
140,390
346,440
48,040
7,727
3,491
4,236
2,284
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
6,695
2,705
3,990
1,712
51
22
29
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
726
266
460
76
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
7,421
2,971
4,450
1,788
51
22
29
0
Chatmohar 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
8407
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
R100 Acute abdomen
1274
15.15
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
1026
12.20
3
Y090 Assault by unspecified means, home
970
11.54
4
J180 Bronchopneumonia, unspecified
369
4.39
5
T040 Crushing injuries involving head with neck
285
3.39
6
J450 Predominantly allergic asthma
269
3.20
7
I10 Essential (primary) hypertension
183
2.18
8
T480 Oxytocic drugs
181
2.15
9
D550 Anaemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency
151
1.80
10
A410 Septicaemia due to Staphylococcus aureus
121
1.44
Chatmohar 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
51
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J44 Other chronic obstructive pulmonary disease
8
15.69
2
I21 Acute myocardial infarction
7
13.73
3
T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system
5
9.80
4
P210 Severe birth asphyxia
4
7.84
5
I214 Acute subendocardial myocardial infarction
4
7.84
6
T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
4
7.84
7
J18 Pneumonia, organism unspecified
4
7.84
8
P369 Bacterial sepsis of newborn, unspecified
3
5.88
9
J45 Asthma
2
3.92
10
I64 Stroke, not specified as haemorrhage or infarction
2
3.92
Chatmohar 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 (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
17,842
Bed Occupancy Rates (%)
98.00
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
1.00
Chatmohar Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
1826
Chatmohar 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
21
6
7
8
38.10
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
80
59
13
8
10.00
Class IV
22
12
9
1
4.55
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
11
1
1
9
81.82
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
27
8
7
12
44.44
Class IV
18
7
4
7
38.89
Rural Dispensaries
Class I
Doctor
2
2
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
3
1
0
0.00
Class IV
2
2
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
35
13
16
6
17.14
Class IV
0
0
0
0
0.00
Chatmohar 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
32
7
8
17
53.13
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
84
63
13
8
9.52
Class IV
24
14
9
1
4.17
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
Chatmohar 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
11
2
21
13
0
0
0
0
Nurse
0
0
0
0
16
16
0
0
4
2
Medical Assistant
0
0
0
0
0
0
0
0
12
0
Medical Technologist
0
0
2
2
7
7
0
0
0
0
CHCP
35
29
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
2
2
0
0
AHI
0
0
0
0
0
0
7
7
0
0
HA
0
0
0
0
0
0
34
27
0
0
CSBA trained***
0
0
0
0
0
0
7
7
0
0
Chatmohar 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)
2
1
0
1
0
X-ray machine (300 mA)
2
1
1
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)
2
1
1
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
1
0
0
0
0
Dehumidifier
2
1
1
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
1
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
4
2
2
0
0
Portable OT Light
4
2
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
3
3
0
0
0
Sucker machine (electric)
7
4
1
1
1
Ventilator
0
0
0
0
0
Chatmohar 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
2
2
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
8
4
2
2
0
Pulse oximeter
3
2
1
0
0
Dental equipment
Dental unit
2
1
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Chatmohar 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)
4
2
1
1
0
Colorimeter
4
2
1
0
1
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)
8
4
2
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
2
1
0
0
1
Phototherapy unit
2
1
1
0
0
Chatmohar 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
2
1
1
0
0
Blood bank refrigerator
2
1
1
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
2
1
1
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
6
3
3
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
4
2
1
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
Chatmohar 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)
2
1
1
0
0
Air conditioner (window)
6
3
3
0
0
Generator
Generator (diesel/petrol)
2
1
1
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)
20
10
8
1
1
Laptop
4
2
1
1
0
Printer (dot matrix)
8
4
2
0
2
Printer (inkjet)
6
3
1
0
2
Printer (laser)
12
6
5
1
0
Scanner
2
1
1
0
0
UPS
2
1
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
2
1
1
0
0
Chatmohar 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)
2
1
1
0
0
Land phone
2
1
1
0
0
Mobile phone
2
1
1
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
153
80
53
11
9
Chatmohar Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Chatmohar Upazila Health Complex |