Haripur Upazila Health Complex | Health Bulletin 2014 |
Preface
Thanks to Almighty Allah. By the grace of Him we have completed the local health bulletin 2014 of Haripur Upazila. This health bulletin reflects all the health related aspects of Haripur Upazila for the year 2013. This local health bulletin is published to disseminate the information of health sector of this Upazila to other line departments and development partners of health. The bulletin contains the status of MDG4 and MDG5, which will help to localize the MDG targets. All the sanctioned and vacant posts are published in this bulletin. Specially extreme shortage of doctors, Nurses, Word boy / Aya and sweepers are the main obstacles to maintain standard health care. Hope the higher authority will look in to this issue.
Although our ambulance is out of order, we are providing ambulance service by getting an ambulance on loan from Pirgonj Upazila Health complex by the kind effort of Civil Surgeon, Thakurgaon, but it is also in a very vulnerable condition.
Another important issue : Haripur Upazila Health Complex has the Administrative sanction of 50 bed but no financial sanction yet. For this reason we are getting Diet and other budgets as per 31 bed hospital.
Finally I must congratulate the initiator of the health bulletin program and software, for setting us one step ahead towards Digital Bangladesh.
Haripur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Haripur
Name of UHFPO Dr.Mohammad ali
Telephone No. 0562356009
FAX No. 0
Mobile No. 01712135381
Email haripur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.0000 And Long: 88.1325
No. of Unions in the Upazila 6
No. of Households in the Upazila 29,890
No. of Population in the Upazila 148,530
Area of Upazila in sq km 199.43
Haripur 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
1
0
No. of Union Health and Family Welfare Centres
6
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
14
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
Haripur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,187
Total No. of children treated under IMCI Program 9,120
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 15.69 per 1,000 live births.
Haripur 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: 1025
Total Number of Deliveries: 3304
No. of Maternal Death: 2
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
62.75 per 100,000 live births.
Haripur 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
23,010
8,645
14,365
5,180
3,076
1,396
1,680
530
Union Sub-Centres
11,230
5,685
5,545
655
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
107,336
48,756
58,580
7,890
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
141,576
63,086
78,490
13,725
3,076
1,396
1,680
530
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
2,772
999
1,773
299
3
3
0
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
2,772
999
1,773
299
3
3
0
0
Haripur 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
2701
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y009 Assault by blunt object, unspecified place
817
30.25
2
A099 Gastroenteritis and colitis of unspecified origin
269
9.96
3
K27 Peptic ulcer, site unspecified
138
5.11
4
J189 Pneumonia, unspecified
66
2.44
5
V190 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident
64
2.37
6
T379 Systemic anti-infective and antiparasitic, unspecified
53
1.96
7
K35 Acute appendicitis
19
0.70
8
D56 Thalassaemia
16
0.59
9
I10 Essential (primary) hypertension
15
0.56
10
J45 Asthma
12
0.44
Haripur 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
3
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
P071 Other low birth weight
2
66.67
2
I219 Acute myocardial infarction, unspecified
1
33.33
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
Haripur 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 (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
7,388
Bed Occupancy Rates (%)
40.48
Average Length of Hospital Stay (No. of days per patient)
2.70
Hospital Death Rate (%)
0.10
Haripur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
99
Minor Surgeries
530
Haripur 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
2
1
18
85.71
Non Doctor
0
0
0
0
0.00
Class II
14
2
9
3
21.43
Class III
59
32
6
21
35.59
Class IV
26
9
3
14
53.85
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
0
0
6
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
4
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
0
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
1
0
1
50.00
Class IV
1
0
0
1
100.00
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
14
8
5
1
7.14
Class IV
0
0
0
0
0.00
Haripur 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
27
2
2
23
85.19
Non Doctor
0
0
0
0
0.00
Class II
14
2
9
3
21.43
Class III
80
44
12
24
30.00
Class IV
27
9
3
15
55.56
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
Haripur 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
1
21
4
0
0
0
0
Nurse
0
0
0
0
14
11
0
0
2
2
Medical Assistant
0
0
6
6
2
1
0
0
0
0
Medical Technologist
0
0
0
0
8
4
0
0
0
0
CHCP
14
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
15
0
0
0
0
CSBA trained***
0
0
0
0
3
3
0
0
0
0
Haripur 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)
1
0
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
1
1
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
0
1
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
2
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
4
4
0
0
0
Portable OT Light
3
3
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
3
3
0
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
3
1
2
0
0
Ventilator
0
0
0
0
0
Haripur 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
4
4
0
0
0
Pulse oximeter
3
3
0
0
0
Dental equipment
Dental unit
2
1
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Haripur 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)
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
2
2
0
0
0
Phototherapy unit
0
0
0
0
0
Haripur 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
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
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
Haripur 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)
1
0
1
0
0
Air conditioner (window)
5
3
2
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
0
2
0
0
ICT equipment
Computer (desktop)
6
6
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
6
5
1
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
0
0
0
0
0
Haripur 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
75
58
17
0
0
Haripur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Haripur Upazila Health Complex |
We are trying our best to deliver standard health care to the people of haripur upazilla of Thakurgaon District, with our very limited manpower. The following issues are the main obstacle to maintain optimum services. 1.In this upazilla out of 27 doctors, only 4 doctors are posted but 02 of them are unauthorized absent since long. 2. Only one sweeper is posted here.3. Out of 15 posts of nurses, there is 3 vacant post's, in addition we have 2 nurses here under MNH programme. Out of 8 SACMO (Former Medical Assistant), Only 02 are posted here. 4. Electrical and sanitary lines are in a very poor condition. 5. There were no renovation or maintenance work done of the hospital and residential buildings. 6. All the repairable equipment should be repaired as soon as possible. 7. Financial approval of 50 bed hospital should be given as earlier as possible. 8. A new ambulance and spare parts, specially tires for the running ambulance (on Loan from Pirganj UHC) is needed urgently. Hope this bulletin will be Avery helpfully document for us to compare our activities and progress in the future and help understand the other departments in the people, what we are doing and in what condition to provide health care. Thank you all