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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

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.
Dr.Mohammad ali
UH&FPO
Haripur Upazila Health Complex

Haripur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaHaripur
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 Upazila6
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