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Tanore Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of upazila heath Complex,Tanore,Rajshahi. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of tanore 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. 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. Dr.Shahana Alam UH&FPO, Tanore,Rajshahi.
Dr.Shahana Alam
UH&FPO
Tanore Upazila Health Complex

Tanore Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaTanore
Name of UHFPO Dr.Shahana Alam
Telephone No. 0722956013
FAX No. 0
Mobile No. 01711972293
Email tanore@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 39,678
No. of Population in the Upazila 185,876
Area of Upazila in sq km 182.00

Tanore 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 5 0
No. of Union Health and Family Welfare Centres 3 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 19 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 15
No. of NGO Clinics/Facilities 2 0

Tanore Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,069


Total No. of children treated under IMCI Program 9,201
Fully Vaccinated Children: 86.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 2.46 per 1,000 live births.

Tanore 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: 570
Total Number of Deliveries: 4292
No. of Maternal Death: 3
Valid TT Coverage: 18.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 73.73 per 100,000 live births.

Tanore 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 62,695 20,958 41,737 17,658 1,089 410 679 333
Union Sub-Centres 27,376 8,698 18,678 6,210 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 47,631 15,340 32,291 12,335 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 109,297 43,623 65,674 28,698 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 634 259 375 184 0 0 0 0
NGO Clinics/Facilities 276 78 198 127 0 0 0 0
Total 248,543 88,956 158,953 65,212 1,089 410 679 333
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 3,572 1,479 2,093 894 12 7 5 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 384 124 260 94 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 3,956 1,603 2,353 988 12 7 5 2

Tanore 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 4944
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 790 15.98
2 D50 Iron deficiency anaemia 492 9.95
3 J18 Pneumonia, organism unspecified 210 4.25
4 T62 Toxic effect of other noxious substances eaten as food 193 3.90
5 K27 Peptic ulcer, site unspecified 179 3.62
6 E45 Retarded development following protein-energy malnutrition 161 3.26
7 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified 149 3.01
8 F41 Other anxiety disorders 148 2.99
9 M13 Other arthritis 137 2.77
10 A01 Typhoid and paratyphoid fevers 133 2.69

Tanore 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 14
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 K929 Disease of digestive system, unspecified 3 21.43
2 I219 Acute myocardial infarction, unspecified 3 21.43
3 O432 Morbidly adherent placenta 2 14.29
4 J158 Other bacterial pneumonia 2 14.29
5 T482 Other and unspecified agents primarily acting on muscles 1 7.14
6 I10 Essential (primary) hypertension 1 7.14
7 J180 Bronchopneumonia, unspecified 1 7.14
8 T629 Noxious substance eaten as food, unspecified 1 7.14
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 84.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 11,488
Bed Occupancy Rates (%) 91.50
Average Length of Hospital Stay (No. of days per patient) 2.97
Hospital Death Rate (%) 0.31


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 132
Minor Surgeries 528

 

Tanore 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 7 4 10 47.62
Non Doctor 0 0 0 0 0.00
Class II 15 3 12 0 0.00
Class III 60 33 13 14 23.33
Class IV 24 13 3 8 33.33
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 1 1 3 60.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 7 2 1 10.00
Class IV 5 2 1 2 40.00
Rural Dispensaries
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 0 0 0 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 20 8 10 2 10.00
Class IV 0 0 0 0 0.00

 

Tanore 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 29 10 5 14 48.28
Non Doctor 0 0 0 0 0.00
Class II 15 3 12 0 0.00
Class III 70 40 15 15 21.43
Class IV 29 15 4 10 34.48
Other Hospitals & Clinics
Class I Doctor 11 0 1 10 90.91
Non Doctor 1 0 1 0 0.00
Class II 2 0 0 2 100.00
Class III 62 18 38 6 9.68
Class IV 18 5 4 9 50.00

 

Tanore 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 8 4 21 11 0 0 0 0
Nurse 0 0 0 0 15 15 0 0 0 0
Medical Assistant 0 0 8 8 2 2 5 4 2 0
Medical Technologist 0 0 5 5 8 0 5 4 0 0
CHCP 20 19 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 25 18 0 0 0 0
CSBA trained*** 0 0 0 0 8 2 29 5 0 0

Tanore 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) 2 1 0 1 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 0 0 1
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 0 0 1
Autoclave 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 1 0 0 0 1
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 1 0 0 0 1
Fracture table 1 0 0 0 1
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 1 1 0 0 0


Tanore 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 0 0 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 0 0 1
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Tanore 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 1 1 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) 2 2 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


Tanore 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 1 0 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


Tanore 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 0 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) 6 6 0 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 0 0 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 0 0 0 0 0


Tanore 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 39 29 3 1 6

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

Important information and necessary issues for Tanore Upazila Health Complex |
 Important information and necessary issues for Tanore Upazila Health Complex Last year we tried to give our maximum efforts to improve the health status as much as possible. Here I like mention some important factors which will help us to achieve good results in future. 1.This hospital is 50 beaded hospital but construction of buildings works are going on now.2 The vacant post should be filled immediately. 3. Our doctor, nurse,SACMO Pharmacist and field staff need more training on IMCI and other diseases 4. Number of community clinic should be increased and the building repair works should be completed with in short time 4. Only one Ambulance of this hospital Is none functioning now,This ambulance should be repaired immediately and all the repairable equipment’s should be repaired as soon as possible. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.