Harinakunda Upazila Health Complex | Health Bulletin 2014 |
Preface
I am pleased to publish this E-Health Bulletin-2014 from Harinakundu UHC,containing all necessary health informations and activities. It has important data and informations on Sanitation status, Safe drinking water, Manpower , Maternal and child health, Medical equipments and achivements of MDG 4 and MDG 5 etc.I think these information would be helpful to understand our present health care situation and to take necessary steps for preparing and publishing of this bulletin. I am pleased to note here that MIS health provided with guidelines and a database software and along with the help of the Civil Surgeon, Jhenidah. We have completed data entry successfully. I hope this E-Health Bulletin will play a vital role to make a bridge with local developing partners and other line helpmates to improve our strategy and work-plan for providing qualitative health services for the porest people. Let us work sincerely to make a real ~Digital Health for Digital Bangladesh". Thanks to all.
Harinakunda Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Harinakunda
Name of UHFPO Dr. Md. Rabiul Hasan
Telephone No. 0452274010
FAX No. 0
Mobile No. 01711011210
Email harinakunda@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 23.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 47,587
No. of Population in the Upazila 197,375
Area of Upazila in sq km 228.00
Harinakunda 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
0
0
No. of Union Health and Family Welfare Centres
7
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
23
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
4
40
No. of NGO Clinics/Facilities
0
0
Harinakunda Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,713
Total No. of children treated under IMCI Program 3,555
Fully Vaccinated Children: 88.00
Neonatal Mortality Rate (January-December, 2013)
Harinakunda 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: 1428
Total Number of Deliveries: 3757
No. of Maternal Death: 5
Valid TT Coverage: 77.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Harinakunda 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
26,484
8,980
17,504
9,471
2,289
1,105
1,184
430
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
59,129
15,443
43,686
18,534
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
169,946
52,625
117,321
37,215
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
255,559
77,048
178,511
65,220
2,289
1,105
1,184
430
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
5,466
2,281
3,185
1,594
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
5,466
2,281
3,185
1,594
31
21
10
1
Harinakunda 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
7060
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
B820 Intestinal helminthiasis, unspecified
1208
17.11
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
640
9.07
3
K27 Peptic ulcer, site unspecified
468
6.63
4
A01 Typhoid and paratyphoid fevers
411
5.82
5
Y004 Assault by blunt object, street and highway
331
4.69
6
I516 Cardiovascular disease, unspecified
216
3.06
7
J18 Pneumonia, organism unspecified
208
2.95
8
D509 Iron deficiency anaemia, unspecified
192
2.72
9
T629 Noxious substance eaten as food, unspecified
183
2.59
10
J449 Chronic obstructive pulmonary disease, unspecified
128
1.81
Harinakunda 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
32
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
T629 Noxious substance eaten as food, unspecified
6
18.75
2
I509 Heart failure, unspecified
5
15.63
3
J449 Chronic obstructive pulmonary disease, unspecified
4
12.50
4
I21 Acute myocardial infarction
4
12.50
5
I516 Cardiovascular disease, unspecified
4
12.50
6
R074 Chest pain, unspecified
2
6.25
7
O72 Postpartum haemorrhage
2
6.25
8
I679 Cerebrovascular disease, unspecified
2
6.25
9
I119 Hypertensive heart disease without (congestive) heart failure
2
6.25
10
P219 Birth asphyxia, unspecified
1
3.13
Harinakunda 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 (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
18,250
Bed Occupancy Rates (%)
78.00
Average Length of Hospital Stay (No. of days per patient)
2.01
Hospital Death Rate (%)
0.45
Harinakunda Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
274
Minor Surgeries
347
Harinakunda 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
7
0
14
66.67
Non Doctor
0
0
0
0
0.00
Class II
17
0
16
1
5.88
Class III
87
50
23
14
16.09
Class IV
22
12
3
7
31.82
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
9
0
0
9
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
6
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
23
11
12
0
0.00
Class IV
0
0
0
0
0.00
Harinakunda 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
30
7
0
23
76.67
Non Doctor
0
0
0
0
0.00
Class II
17
0
16
1
5.88
Class III
119
67
38
14
11.76
Class IV
0
0
0
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
Harinakunda 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
0
0
21
7
9
0
0
2
Nurse
0
0
0
0
17
16
0
0
0
0
Medical Assistant
0
0
0
0
2
2
9
9
6
0
Medical Technologist
0
0
0
0
8
5
0
0
0
0
CHCP
23
23
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
2
2
0
0
AHI
0
0
0
0
0
0
6
6
0
0
HA
0
0
0
0
0
0
29
24
0
0
CSBA trained***
0
0
0
0
0
0
0
5
0
0
Harinakunda 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)
1
1
0
0
0
X-ray machine (300 mA)
0
0
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
1
0
0
1
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
2
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
1
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
6
6
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
4
3
1
0
0
Ventilator
0
0
0
0
0
Harinakunda 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
2
2
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
3
3
0
0
0
Pulse oximeter
2
2
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
Harinakunda 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
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
1
1
0
0
0
Phototherapy unit
1
0
1
0
0
Harinakunda 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
1
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
1
1
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
Harinakunda 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)
5
5
0
0
0
Generator
Generator (diesel/petrol)
1
1
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)
9
8
0
1
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
3
2
0
1
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
2
2
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
1
1
0
0
0
Harinakunda 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
71
62
6
3
0
Harinakunda Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Harinakunda Upazila Health Complex |
1 . It is very difficult to serve these huge population with so insufficient number of staffs. 2. Though it is a comprehensive EOC centre ,but no USG machine is available here. USG machine supply will raise the quality of service . 3. Full time generator supply is needed for this institute. 4. Instruments and furniture are not sufficient in community clinic . Finally I feel very happy to publish this E-Health Bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is a very useful document and will help the people to understand health services and to provide us the useful advice for improvement in future.
