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Fakirhat Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of UHC, Fakirhat, Bagerhat, This health bulletin contains all the health related information of 2013. This bulletin published to desiminate the informaion of Fakirhat Upazila to other line department and developent partners of health, I hope all the information of this bulletin will help for planning and bridging the gaps in health service in this upazila government health office as many data stored in the file, The bulletin contains the status of MDG-4 and MDG-5 which will help to achieve MDG target. The health bulletin has also the information of safe drinking water and station condition of the upazila. All the sanctioned and vacant post are published in this bulletin. I like to attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us forward digital health service of Bangladesh.
Dr Krishna pada lasker
UH&FPO
Fakirhat Upazila Health Complex

Fakirhat Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaFakirhat
Name of UHFPO Dr Krishna pada lasker
Telephone No. 0465356244
FAX No. 0
Mobile No. 01819054428
Email fakirhat@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.7776 And Long: 89.7010
No. of Unions in the Upazila8
No. of Households in the Upazila 33,725
No. of Population in the Upazila 142,252
Area of Upazila in sq km 159.00

Fakirhat 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 1 0
No. of Union Health and Family Welfare Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 15 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 3 30
No. of NGO Clinics/Facilities 0 0

Fakirhat Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,996


Total No. of children treated under IMCI Program 11,429
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 2.34 per 1,000 live births.

Fakirhat 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: 941
Total Number of Deliveries: 3016
No. of Maternal Death: 5
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 166.89 per 100,000 live births.

Fakirhat 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 55,690 18,632 37,058 10,917 6,611 3,615 2,996 1,615
Union Sub-Centres 9,123 2,878 6,245 1,533 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 81,160 24,214 56,946 7,203 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 145,973 45,724 100,249 19,653 6,611 3,615 2,996 1,615
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 8,111 2,936 5,175 1,061 31 21 10 1
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 8,111 2,936 5,175 1,061 31 21 10 1

Fakirhat 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 8111
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A009 Cholera, unspecified 960 11.84
2 Y04 Assault by bodily force 432 5.33
3 A99 Unspecified viral haemorrhagic fever 360 4.44
4 Z35 Supervision of high-risk pregnancy 288 3.55
5 J18 Pneumonia, organism unspecified 270 3.33
6 S09 Other and unspecified injuries of head 227 2.80
7 V862 Person on outside of all-terrain or other off-road motor vehicle injured in traffic accident 197 2.43
8 T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances 190 2.34
9 J45 Asthma 126 1.55
10 I516 Cardiovascular disease, unspecified 108 1.33

Fakirhat 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 31
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 13 41.94
2 I21 Acute myocardial infarction 5 16.13
3 C809 Malignant neoplasm, unspecified 5 16.13
4 I50 Heart failure 3 9.68
5 N19 Unspecified renal failure 3 9.68
6 T62 Toxic effect of other noxious substances eaten as food 1 3.23
7 P20 Intrauterine hypoxia 1 3.23
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 80.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 19,095
Bed Occupancy Rates (%) 168.76
Average Length of Hospital Stay (No. of days per patient) 2.36
Hospital Death Rate (%) 0.39


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 252
Minor Surgeries 1925

 

Fakirhat 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 1 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 77 30 29 18 23.38
Class IV 19 14 4 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 0 1 6 85.71
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 2 5 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
Class IV 1 1 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 4 13 1 5.56
Class IV 0 0 0 0 0.00

 

Fakirhat 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 17 4 2 11 64.71
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 86 34 34 18 20.93
Class IV 20 15 4 1 5.00
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

 

Fakirhat 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 1 9 5 0 0 3 4
Nurse 0 0 0 0 11 11 0 0 0 4
Medical Assistant 0 0 8 8 2 2 0 0 5 0
Medical Technologist 0 0 1 1 8 6 0 0 0 0
CHCP 18 17 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0
AHI 0 0 0 0 6 4 0 0 0 0
HA 0 0 0 0 29 19 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Fakirhat 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 1 0 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 1 0 0 0
Dental X-ray unit 1 1 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 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 3 2 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Fakirhat 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 1 1 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Fakirhat 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) 4 4 0 0 0
Colorimeter 2 1 0 1 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) 4 3 0 1 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


Fakirhat 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 1 1 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 2 2 0 0 0
Blood bank refrigerator 3 1 0 2 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 0 1 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


Fakirhat 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 1 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 18 17 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 1 1 0
Printer (laser) 5 3 0 0 2
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 17 17 0 0 0
Multimedia 1 1 0 0 0


Fakirhat 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 95 83 3 7 2

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

Important information and necessary issues for Fakirhat Upazila Health Complex |
 Fakirhat Upazila health complex is a very busy station in Bagerhat District.We are facing various problem to provide better service. Many post of the physician and other staff are vacant in this hospital.So it is difficult to run the health complex. Epi,health education and others health programmer are so difficult to run due to shortage of field worker . So immediately posting doctors and other staff for raise good health services.