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

Chitalmari Upazila Health Complex | Health Bulletin 2014 |
Preface
I am highly glad to publish the 3rd health bulletin of chitalmari upazila. This health bulletin contains the health related information of chitalmari upazila of 2013. I hope all the information of this health bulletin will be helpful for planning and bridging the gaps in the health services of this upazila.Government health office has many data stored in this file.This health bulletin will help us to see the results and achievements of 2013.The bulletin also contains the safe drinking water and sanitation condition of this upazila. All the sanctioned and vacant posts are published in the health bulletin . I Like to convey my regards to the civil surgeon,Bagerhat Dr Md Bakir Hossain,the upazila chairman Molla Mujibar Rahaman Shamim,chitalmari , the upazila nirbahi officer, chitalmari,vice chairman Md Rashed Pukul, Upazila parishad, chitalmari and Runa Gazi, Femal vice chairman, upazila parishad, chitalmari,Bagerhat.Finaly I would like to convay my congratulation professor Dr. Abul kalam Azad,Director ,MIS,DGHS,Mohakhali,Dhaka with all the initiator of health bulletin software for setting us one step a head toward Digital Bangladesh.
Dr.Md Abdus Shakur
UH&FPO
Chitalmari Upazila Health Complex

Chitalmari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaChitalmari
Name of UHFPO Dr.Md Abdus Shakur
Telephone No. 0465256007
FAX No. 0
Mobile No. 01017143041
Email chitalmari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.7956 And Long: 89.8726
No. of Unions in the Upazila7
No. of Households in the Upazila 29,098
No. of Population in the Upazila 142,153
Area of Upazila in sq km 192.00

Chitalmari 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 31
No. of Union Sub-Centres 0 0
No. of Union Health and Family Welfare Centres 4 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 20
No. of NGO Clinics/Facilities 1 0

Chitalmari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,393


Total No. of children treated under IMCI Program 2,346
Fully Vaccinated Children: 90.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.67 per 1,000 live births.

Chitalmari 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: 1424
Total Number of Deliveries: 2393
No. of Maternal Death: 1
Valid TT Coverage: 82.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 41.79 per 100,000 live births.

Chitalmari 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 33,008 15,177 17,831 9,516 711 398 313 53
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 99,929 34,815 65,114 29,977 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 132,937 49,992 82,945 39,493 711 398 313 53
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 3,056 1,515 1,541 768 34 18 16 4
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 3,056 1,515 1,541 768 34 18 16 4

Chitalmari 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 3056
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X999 Assault by sharp object, unspecified place 631 20.65
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 288 9.42
3 A01 Typhoid and paratyphoid fevers 279 9.13
4 J459 Asthma, unspecified 161 5.27
5 T629 Noxious substance eaten as food, unspecified 131 4.29
6 I516 Cardiovascular disease, unspecified 57 1.87
7 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 53 1.73
8 J189 Pneumonia, unspecified 44 1.44
9 O669 Obstructed labour, unspecified 37 1.21
10 A039 Shigellosis, unspecified 33 1.08

Chitalmari 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 34
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I219 Acute myocardial infarction, unspecified 8 23.53
2 T629 Noxious substance eaten as food, unspecified 7 20.59
3 P219 Birth asphyxia, unspecified 5 14.71
4 I50 Heart failure 4 11.76
5 J459 Asthma, unspecified 3 8.82
6 I516 Cardiovascular disease, unspecified 2 5.88
7 O669 Obstructed labour, unspecified 2 5.88
8 J189 Pneumonia, unspecified 1 2.94
9 A01 Typhoid and paratyphoid fevers 1 2.94
10 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 1 2.94

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 87.00
Coverage of households having access to sanitary latrines (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 9,199
Bed Occupancy Rates (%) 81.45
Average Length of Hospital Stay (No. of days per patient) 3.01
Hospital Death Rate (%) 0.98


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 781

 

Chitalmari 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 4 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 59 32 13 14 23.73
Class IV 19 13 6 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 1 0 4 80.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 2 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 18 6 12 0 0.00
Class IV 0 0 0 0 0.00

 

Chitalmari 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 14 5 0 9 64.29
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 82 39 29 14 17.07
Class IV 19 13 6 0 0.00
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

 

Chitalmari 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 5 1 9 4 0 0 1 0
Nurse 0 0 0 0 10 10 0 0 7 3
Medical Assistant 0 0 5 5 2 2 0 0 7 0
Medical Technologist 0 0 0 0 6 4 0 0 0 0
CHCP 19 19 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0
AHI 0 0 0 0 7 6 0 0 0 0
HA 0 0 0 0 28 23 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 3 3 0 0

Chitalmari 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 0 1 0
X-ray machine (500 mA) 1 1 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 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 5 1 4 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 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 8 5 3 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Chitalmari 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Chitalmari 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) 3 1 2 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


Chitalmari 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 1 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


Chitalmari 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) 2 2 0 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 0 0 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) 3 3 0 0 0
Laptop 21 21 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 2 0 0
Printer (laser) 5 5 0 0 0
Scanner 0 0 0 0 0
UPS 3 3 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 19 19 0 0 0
Multimedia 0 0 0 0 0


Chitalmari 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 81 68 12 1 0

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

Important information and necessary issues for Chitalmari Upazila Health Complex |
 I am very happy to write the health bulletin of 2013. This document will help us to compare our progress in coming year.This is very useful document to provide us the useful advice for improvement in future. Here I like to mention some important subject for improve our health services in this upazila. Firstly the vacant post of should be fill up urgently for functioning the fifty bedded hospital. No Female doctors posted here. Must be posted female doctors. Out of seven union three union have no contraction of UH&FWC. So people of those union suffer mostly.Two union have no doctors& SACMO post created till and there is no doctor posted there now .No doctors should be transferred after posting minimum three years ago.Our doctors and nurse need IMCI training .Hospital delivery must be improved if we can give the better services to the client. I want to tell all of you that we do not see any more child or any more mother die in future. Last of all I convey my regards to all of you .Thank you so much all of you. Dr. Md. Abdus Shakur UH&FPO Chitalmari,Bagerhat.