Santhia Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Santhia Upazila. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Santhia Upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2013. This Upzila has already received award from ministry of health and family welfare for the extra ordinary Performance in Non EOC activities(2012). In spite of Non EOC Upzzilla, Caesarian Section and Other Minor Operation are Done regularly. Health Complex Campus is decarated with beautiful Garden Contacts of lot of different Kinds of Flower and trees. One Beautiful Mosque a Cafetaria and a motorcycle Stand increases more Beauty of the Ceampus It has a waste disposal plant in Eastern Side of the campus makes it neat and clean. It is a 50 beded Hospital, But Manpower working here only 31 bed. Rest of the post of the 50 bed should be fill-up as early as possible for the smooth running of the Hospital. I like to take attention of the higher authority to look into 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.
Santhia Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Santhia
Name of UHFPO Dr.Md. Anisur Rahman
Telephone No. 0732756108
FAX No. 732756108
Mobile No. 01711469363
Email santhia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila 11
No. of Households in the Upazila 86,747
No. of Population in the Upazila 404,593
Area of Upazila in sq km 331.31
Santhia 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
3
0
No. of Union Health and Family Welfare Centres
8
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
35
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
0
No. of NGO Clinics/Facilities
1
0
Santhia Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,312
Total No. of children treated under IMCI Program 10,075
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 4.24 per 1,000 live births.
Santhia 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: 3685
Total Number of Deliveries: 7109
No. of Maternal Death: 22
Valid TT Coverage: 100.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
300.88 per 100,000 live births.
Santhia 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
49,885
21,313
28,572
13,624
3,567
2,174
1,393
447
Union Sub-Centres
47,610
17,891
29,719
8,889
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
19,196
16,325
2,871
3,235
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
420,007
126,686
293,321
35,433
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
536,698
182,215
354,483
61,181
3,567
2,174
1,393
447
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
6,431
2,182
4,249
518
21
15
6
2
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
6,431
2,182
4,249
518
21
15
6
2
Santhia 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
7315
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y05 Sexual assault by bodily force
972
13.29
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
936
12.80
3
K27 Peptic ulcer, site unspecified
888
12.14
4
A01 Typhoid and paratyphoid fevers
552
7.55
5
F412 Mixed anxiety and depressive disorder
456
6.23
6
J18 Pneumonia, organism unspecified
348
4.76
7
I45 Other conduction disorders
300
4.10
8
T629 Noxious substance eaten as food, unspecified
228
3.12
9
V892 Person injured in unspecified motor-vehicle accident, traffic
168
2.30
10
N39 Other disorders of urinary system
145
1.98
Santhia 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
23
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I45 Other conduction disorders
15
65.22
2
T629 Noxious substance eaten as food, unspecified
4
17.39
3
J18 Pneumonia, organism unspecified
3
13.04
4
K27 Peptic ulcer, site unspecified
1
4.35
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Santhia Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
16,860
Bed Occupancy Rates (%)
81.00
Average Length of Hospital Stay (No. of days per patient)
2.48
Hospital Death Rate (%)
23.00
Santhia Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
87
Minor Surgeries
355
Santhia 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
20
4
2
14
70.00
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
119
65
24
30
25.21
Class IV
25
16
4
5
20.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
2
0
1
33.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
5
1
0
0.00
Class IV
3
3
0
0
0.00
Rural Dispensaries
Class I
Doctor
8
2
0
6
75.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
7
1
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
35
11
25
-1
-2.86
Class IV
0
0
0
0
0.00
Santhia 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
31
7
2
22
70.97
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
140
76
49
15
10.71
Class IV
25
16
4
5
20.00
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
Santhia 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
3
20
7
0
0
2
1
Nurse
0
0
0
0
15
15
0
0
0
0
Medical Assistant
0
0
11
11
2
2
0
0
0
0
Medical Technologist
0
0
0
0
11
11
0
0
0
0
CHCP
35
35
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
10
10
0
0
0
0
HA
0
0
0
0
49
42
0
0
0
0
CSBA trained***
0
0
0
0
15
15
0
0
0
0
Santhia 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
1
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
2
1
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Santhia 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
Santhia 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)
5
5
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
Santhia 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
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
2
1
0
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
Santhia 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)
2
1
0
1
0
Generator (gas)
1
1
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
4
2
0
2
0
Printer (laser)
6
5
1
0
0
Scanner
2
2
0
0
0
UPS
7
7
0
0
0
Fax
1
1
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
1
1
0
0
0
Santhia 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
1
1
0
0
0
Digital camera
1
1
0
0
0
Video camera
0
0
0
0
0
Total
73
67
3
3
0
Santhia Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Santhia Upazila Health Complex |
Important information and necessary issues for Santhia Upazila Health Complex Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. Number of community clinic and their fascilitics should be increased 2. The vacant post should be filled immediately. 3. Manpower and financial Support regarding 50 beded Hospital Should be approved as early as Possible. 4. Our doctors and nurses Should be trained UP. 5. All the repairable equipment’s should be repaired as soon as possible. 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 docu ment and will help the public to understand health services and to provide us the useful advice for improvement in future.I am very happy to write the health bulletin of 2013. because this doument will help us to compare our progress in comming year.This is very useful document to provide in the useful advice for improvement in future.
THANK YOU .