HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Tetulia Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish the health bulletin of Tetulia upazila like last year. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Tetulia upazila to other sactors/departments and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps of the health services of this upazila. Government health office has many data stored in file only. 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.The health bulletin has also the information on safe drinking water ,sanitation and vaccination status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2013.I would like to take attention of the higher authority to look after this crucial issue and take necessary measures accordingly . I like to congratulate all the local community leaders, stake holders,GOB,Develomment partners,NGOS,Private sector organisations for keeping role for community awareness and participation. I am optimist that we can achieve our vision and mission by the year 2021, through different OPs going to be implemented by HPNSDP , initiating by the MOHFW , Government of Bangladesh.
Dr. Pitambar Roy.
UH&FPO
Tetulia Upazila Health Complex

Tetulia Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaTetulia
Name of UHFPO Dr. Pitambar Roy.
Telephone No. 075003
FAX No. 0
Mobile No. 01715123230
Email tetulia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 24,246
No. of Population in the Upazila 126,332
Area of Upazila in sq km 189.12

Tetulia 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 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 10 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

Tetulia Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,979


Total No. of children treated under IMCI Program 4,260
Fully Vaccinated Children: 88.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 21.15 per 1,000 live births.

Tetulia 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: 1291
Total Number of Deliveries: 2991
No. of Maternal Death: 2
Valid TT Coverage: 6.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 67.14 per 100,000 live births.

Tetulia 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 62,432 29,955 32,477 17,457 1,805 1,248 557 485
Union Sub-Centres 26,675 10,917 15,758 6,238 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 71,018 21,474 49,544 8,018 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 160,125 62,346 97,779 31,713 1,805 1,248 557 485
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 2,851 1,024 1,827 570 17 8 9 9
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 2,851 1,024 1,827 570 17 8 9 9

Tetulia 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 3421
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 464 13.56
2 Y003 Assault by blunt object, sports and athletics area 400 11.69
3 A060 Acute amoebic dysentery 336 9.82
4 A930 Oropouche virus disease 319 9.32
5 K270 Peptic ulcer, site unspecified, acute with haemorrhage 245 7.16
6 V447 Car occupant injured in collision with heavy transport vehicle or bus, person on outside of vehicle, traffic accident 157 4.59
7 J159 Bacterial pneumonia, unspecified 131 3.83
8 J43 Emphysema 120 3.51
9 J458 Mixed asthma 120 3.51
10 I517 Cardiomegaly 115 3.36

Tetulia 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 26
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I21 Acute myocardial infarction 3 11.54
2 N18 Chronic renal failure 2 7.69
3 J180 Bronchopneumonia, unspecified 2 7.69
4 P21 Birth asphyxia 2 7.69
5 J99 Respiratory disorders in diseases classified elsewhere 2 7.69
6 A49 Bacterial infection of unspecified site 2 7.69
7 I11 Hypertensive heart disease 2 7.69
8 R57 Shock, NEC 1 3.85
9 I50 Heart failure 1 3.85
10 I68 Cerebrovascular disorders in diseases classified elsewhere 1 3.85

Tetulia 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 (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 9,863
Bed Occupancy Rates (%) 87.37
Average Length of Hospital Stay (No. of days per patient) 3.01
Hospital Death Rate (%) 0.80


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 491

 

Tetulia 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 25 3 0 22 88.00
Non Doctor 0 0 0 0 0.00
Class II 15 2 10 3 20.00
Class III 50 25 4 21 42.00
Class IV 22 12 6 4 18.18
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 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 0 1 16.67
Class IV 3 1 1 1 33.33
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 16 8 5 3 18.75
Class IV 0 0 0 0 0.00

 

Tetulia 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 28 3 0 25 89.29
Non Doctor 0 0 0 0 0.00
Class II 15 2 10 3 20.00
Class III 72 38 9 25 34.72
Class IV 25 13 7 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

 

Tetulia 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 3 0 21 3 4 0 1 1
Nurse 0 0 0 0 15 12 0 0 4 3
Medical Assistant 0 0 3 3 2 2 4 2 3 0
Medical Technologist 0 0 0 0 8 7 0 0 0 0
CHCP 16 13 0 0 0 0 0 0 0 0
HI 0 0 1 0 0 0 0 0 0 0
AHI 0 0 0 0 3 3 0 0 0 0
HA 0 0 0 0 15 11 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Tetulia 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 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) 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 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 3 1 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 1 1 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) 2 1 0 0 1
Ventilator 0 0 0 0 0


Tetulia 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 5 2 1 0 2
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


Tetulia 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) 2 2 0 0 0
Colorimeter 3 2 1 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 1 1 0 0 0
Microscope (binocular) 2 1 1 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 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Tetulia 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 1 1 0 0 0
Blood bank refrigerator 1 0 1 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 2 2 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 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


Tetulia 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) 4 3 1 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) 7 6 1 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 5 5 0 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 1 1 0 0 0
Multimedia 2 1 1 0 0


Tetulia 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 62 48 11 0 3

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

Important information and necessary issues for Tetulia Upazila Health Complex |
 Last year 2013 , we could not give our maximum efforts to improve the health status due to many reasons . Here I like to mention some important factors which will help us to achieve good results in future. 1. The vacant posts should be fulfilled immediately. 2. All the repairable infrastructure, equipments should be repaired as soon as possible. 3. The supply of furniture, logistic and drugs should be ensured. 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 document and will help us to start our endless journey for improvement in H&FP services through TQM and also help the people to understand health services and to provide us the usefull advice for improvement in future.