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Alamdanga Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this Health Bulletin of Alamdanga upajila.This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Alamdanga 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 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.Finally I would like to congratulate the initiator of the health bulletin Software for setting us one step ahead towards Digital Bangladesh. Dr. Abu Mohmmad Zahurul Islam UH & FPO Alamdanga upazila Health Complex Dr. Abu Mohammad Zahurul Islam. UH&FPO Alamdanga Upazila Health Complex
Dr. Abu Mohammad Zahurul Islam.
UH&FPO
Alamdanga Upazila Health Complex

Alamdanga Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAlamdanga
Name of UHFPO Dr. Abu Mohammad Zahurul Islam.
Telephone No. 00
FAX No. 0
Mobile No. 01711942733
Email alamdanga@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4710 And Long: 88.5410
No. of Unions in the Upazila15
No. of Households in the Upazila 86,354
No. of Population in the Upazila 356,076
Area of Upazila in sq km 380.38

Alamdanga 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 5 0
No. of Union Health and Family Welfare Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 43 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 13 130
No. of NGO Clinics/Facilities 0 0

Alamdanga Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,295


Total No. of children treated under IMCI Program 10,285
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 5.48 per 1,000 live births.

Alamdanga 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: 3824
Total Number of Deliveries: 5295
No. of Maternal Death: 3
Valid TT Coverage: 89.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 56.66 per 100,000 live births.

Alamdanga 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 61,725 27,196 34,529 16,135 2,688 1,764 924 252
Union Sub-Centres 43,861 16,263 27,598 10,139 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 62,998 7,842 55,156 32,024 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 323,045 98,174 224,871 38,419 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 491,629 149,475 342,154 96,717 2,688 1,764 924 252
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 4,341 1,788 2,553 844 16 10 6 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 2,878 265 2,613 163 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 7,219 2,053 5,166 1,007 16 10 6 0

Alamdanga 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 5185
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 698 13.46
2 A01 Typhoid and paratyphoid fevers 603 11.63
3 Y00 Assault by blunt object 587 11.32
4 K27 Peptic ulcer, site unspecified 345 6.65
5 K36 Other appendicitis 265 5.11
6 J18 Pneumonia, organism unspecified 194 3.74
7 T629 Noxious substance eaten as food, unspecified 148 2.85
8 J45 Asthma 114 2.20
9 V892 Person injured in unspecified motor-vehicle accident, traffic 96 1.85
10 D50 Iron deficiency anaemia 42 0.81

Alamdanga 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 16
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 D50 Iron deficiency anaemia 4 25.00
2 J45 Asthma 4 25.00
3 R07 Pain in throat and chest 2 12.50
4 I516 Cardiovascular disease, unspecified 2 12.50
5 R50 Fever of unknown origin 1 6.25
6 I11 Hypertensive heart disease 1 6.25
7 K27 Peptic ulcer, site unspecified 1 6.25
8 T60 Toxic effect of pesticides 1 6.25
9
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00
10
0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 94.00
Coverage of households having access to sanitary latrines (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 15,023
Bed Occupancy Rates (%) 132.77
Average Length of Hospital Stay (No. of days per patient) 3.01
Hospital Death Rate (%) 0.33


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 380
Minor Surgeries 1835

 

Alamdanga 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 12 0 12 0 0.00
Class III 84 58 15 11 13.10
Class IV 19 8 8 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 14 7 0 7 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 19 10 4 5 26.32
Class IV 5 4 0 1 20.00
Rural Dispensaries
Class I Doctor 14 7 0 7 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 10 4 0 0.00
Class IV 5 4 0 1 20.00
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 40 20 20 0 0.00
Class IV 0 0 0 0 0.00

 

Alamdanga 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 23 11 1 11 47.83
Non Doctor 0 0 0 0 0.00
Class II 12 0 12 0 0.00
Class III 103 68 19 16 15.53
Class IV 24 12 8 4 16.67
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

 

Alamdanga 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 14 7 9 4 0 0 1 1
Nurse 0 0 0 0 12 12 0 0 1 6
Medical Assistant 0 0 14 14 2 2 0 0 6 0
Medical Technologist 0 0 0 0 6 6 0 0 0 1
CHCP 40 40 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 3 3 0 0
AHI 0 0 0 0 0 0 10 10 0 0
HA 0 0 0 0 0 0 49 40 0 0
CSBA trained*** 0 0 0 0 0 0 0 10 0 0

Alamdanga 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) 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 1 1 0 0 0
Autoclave 3 2 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 5 3 2 0 0
Ventilator 0 0 0 0 0


Alamdanga 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 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


Alamdanga 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) 2 2 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 1 1 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Alamdanga 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 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 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


Alamdanga 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) 1 0 1 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) 7 7 0 0 0
Laptop 3 3 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 1 4 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Alamdanga 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 0 0 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 44 33 11 0 0

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

Important information and necessary issues for Alamdanga Upazila Health Complex |
 Inspite of difficultes we tried our level best to render maximum service to the people. we are sure that satisfactory service can be given if more doctors are posted here, particulariy consultants. equipments which are lacking should be provided with. community clinic should be repared and upgrade so that maximum service can be given at the grass root level.we are to serve the humanity and let us believe that we can perform this noble duty with full satisfaction.