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Mohakhali, Dhaka-1212

Atwari Upazila Health Complex | Health Bulletin 2014 |
Preface
21st Century is called the age of revolution.Digitalization is a part of revolution. Our on line Health bulletin is also the part of that digitalization.I am very pleased for the publisment of health bulletin on Atwari upazila.This bulletin is contains all health related information of 2013.I hope,all information will help for planning,monitoring and bridging the gaps in health services of this upazila.The bulletin contains the status of MDG5 which will help to localize the MDG targets. The shortage of manpower is a burning problem of this upazila .In spite of this shortage of manpower,we work heart & soul to achieve the goal. Finally I would like to congratulate to the initiator of the health bulletin for promoting us one step ahead towards digital Bangladesh .
Dr.Mowla Baksh Chaudhury
UH&FPO
Atwari Upazila Health Complex

Atwari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAtwari
Name of UHFPO Dr.Mowla Baksh Chaudhury
Telephone No. 0565256010
FAX No. 0
Mobile No. 01712521459
Email
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 30,003
No. of Population in the Upazila 133,230
Area of Upazila in sq km 290.02

Atwari 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 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 13 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 9
No. of NGO Clinics/Facilities 1 0

Atwari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,484


Total No. of children treated under IMCI Program 12,926
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 11.27 per 1,000 live births.

Atwari 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: 614
Total Number of Deliveries: 2931
No. of Maternal Death: 3
Valid TT Coverage: 13.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 120.77 per 100,000 live births.

Atwari 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 25,687 12,271 13,416 6,731 3,436 2,364 1,072 233
Union Sub-Centres 27,991 14,096 13,895 2,398 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 21,316 1,909 19,407 5,463 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 110,710 42,107 68,603 12,321 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 185,704 70,383 115,321 26,913 3,436 2,364 1,072 233
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 4,566 2,124 2,442 1,028 2 1 1 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 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,566 2,124 2,442 1,028 2 1 1 0

Atwari 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 5594
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 843 15.07
2 Y08 Assault by other specified means 947 16.93
3 Y76 Obstetric and gynaecological devices associated with adverse incidents 484 8.65
4 J17 Pneumonia in diseases classified elsewhere 161 2.88
5 B34 Viral infection of unspecified site 393 7.03
6 P27 Chronic respiratory disease originating in the perinatal period 261 4.67
7 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system 165 2.95
8 I95 Hypotension 193 3.45
9 K27 Peptic ulcer, site unspecified 509 9.10
10 D63 Anaemia in chronic diseases classified elsewhere 209 3.74

Atwari 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 2
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I21 Acute myocardial infarction 2 100.00
2 0 0.00
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

Atwari Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 71.00
Coverage of households having access to sanitary latrines (%) 68.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 13,739
Bed Occupancy Rates (%) 75.25
Average Length of Hospital Stay (No. of days per patient) 2.50
Hospital Death Rate (%) 0.03


Atwari Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 0

 

Atwari 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 2 0 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 11 0 9 2 18.18
Class III 46 27 9 10 21.74
Class IV 19 11 6 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 0 0 1 100.00
Non Doctor 1 1 0 0 0.00
Class II 0 0 0 0 0.00
Class III 52 6 40 6 11.54
Class IV 12 6 6 0 0.00
Rural Dispensaries
Class I Doctor 6 2 0 4 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 5 1 4 40.00
Class IV 4 3 0 1 25.00
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 4 9 0 0.00
Class IV 0 0 0 0 0.00

 

Atwari 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 16 4 0 12 75.00
Non Doctor 1 1 0 0 0.00
Class II 11 0 9 2 18.18
Class III 121 42 59 20 16.53
Class IV 35 20 12 3 8.57
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

 

Atwari 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 2 9 2 0 0 0 0
Nurse 0 0 0 0 12 10 0 0 5 0
Medical Assistant 0 0 6 6 2 1 0 0 1 0
Medical Technologist 0 0 4 0 8 3 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 16 0 0 0 0
CSBA trained*** 0 0 0 0 0 7 0 0 0 0

Atwari 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 1 0 1 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 1 0 1 0 0
Autoclave 1 1 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 2 2 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Atwari 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 4 2 2 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


Atwari 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 0 0 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 2 3 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


Atwari 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 5 4 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 2 0 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


Atwari 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) 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) 8 8 0 0 0
Laptop 17 16 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 10 8 2 0 0
Scanner 1 1 0 0 0
UPS 4 3 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 1 1 0 0 0


Atwari 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 0 1 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 69 54 15 0 0

Atwari Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Atwari Upazila Health Complex |
Here I like mention some important factors which will help us to achieve good result in future. 1st The vacant post Should be filled immediately.2nd our Doctor and Nurse more training on IMCI & EOC.3rd All the repairable equipment`s should be repaired as soon as possible.Finally I am very happy to produce will help bulletin of 2013 because the document will help us to compare our progress in next year . This very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.