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

Paikgacha Upazila Health Complex | Health Bulletin 2014 |
Preface
I am happy to have published the Health Bulletin of Paikgacha, khulna. The statistics of different activities done in Health sector in 2013, here have been reported in this bulletin. Paikgacha is a hard to reach as well as a remote coastal upazila, around 70km am away from khulna sadar. Yet, we are in a better position to achieve MDG 4 & 5 and our achievement in other indicators are also satisfactory. I also hope that the reports of health services in the Bulletin will level the gaps between the health officials and the common public in our society. so I personally thank all officials concerned to the health services for such a better achievement. At the same time.I heartily thank Honorable DG (Health), ADG (Planning & Development), Director (MIS) and every one associated with the publication of this Bulletin. who give me directives and technical supports in this assignment which will ultimately guide us to build up a effective digital Bangladesh which we are promised for.
Dr. Md. Abul Fazal.
UH&FPO
Paikgacha Upazila Health Complex

Paikgacha Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaPaikgacha
Name of UHFPO Dr. Md. Abul Fazal.
Telephone No. 0402756011
FAX No. 0
Mobile No. 01711864577
Email paikgacha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.5937 And Long: 89.3182
No. of Unions in the Upazila10
No. of Households in the Upazila 66,723
No. of Population in the Upazila 291,497
Area of Upazila in sq km 384.17

Paikgacha 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 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 34 0
No of Trauma Centres 0 0
No. of MCWCs 1 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 6 60
No. of NGO Clinics/Facilities 1 10

Paikgacha Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,699


Total No. of children treated under IMCI Program 29,878
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 3.51 per 1,000 live births.

Paikgacha 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: 3612
Total Number of Deliveries: 3699
No. of Maternal Death: 2
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 54.07 per 100,000 live births.

Paikgacha 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 23,309 9,680 13,629 10,640 1,995 921 1,074 384
Union Sub-Centres 12,416 5,568 6,848 831 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 44,364 19,891 24,473 10,353 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 24,021 7,453 16,568 19,761 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 2,283 719 1,564 735 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 106,393 43,311 63,082 42,320 1,995 921 1,074 384
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 5,835 1,871 3,964 885 62 37 25 9
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 5,835 1,871 3,964 885 62 37 25 9

Paikgacha 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 6720
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y00 Assault by blunt object 824 12.26
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 489 7.28
3 V03 Pedestrian injured in collision with car, pick-up truck or van 210 3.13
4 I64 Stroke, not specified as haemorrhage or infarction 203 3.02
5 X48 Accidental poisoning by and exposure to pesticides 172 2.56
6 D50 Iron deficiency anaemia 163 2.43
7 I10 Essential (primary) hypertension 163 2.43
8 O64 Obstructed labour due to malposition and malpresentation of fetus 162 2.41
9 J46 Status asthmaticus 156 2.32
10 J159 Bacterial pneumonia, unspecified 149 2.22

Paikgacha 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 71
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I21 Acute myocardial infarction 23 32.39
2 G464 Cerebellar stroke syndrome 13 18.31
3 T37 Poisoning by other systemic anti-infectives and antiparasitics 8 11.27
4 V30 Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal 5 7.04
5 J45 Asthma 4 5.63
6 J44 Other chronic obstructive pulmonary disease 3 4.23
7 K223 Perforation of oesophagus 3 4.23
8 K721 Chronic hepatic failure 3 4.23
9 J180 Bronchopneumonia, unspecified 3 4.23
10 E45 Retarded development following protein-energy malnutrition 1 1.41

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 71.00
Coverage of households having access to sanitary latrines (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 23,418
Bed Occupancy Rates (%) 128.00
Average Length of Hospital Stay (No. of days per patient) 3.57
Hospital Death Rate (%) 0.79


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 942
Minor Surgeries 1197

 

Paikgacha 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 6 1 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 104 52 26 26 25.00
Class IV 19 12 2 5 26.32
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 10 7 1 2 20.00
Class IV 5 2 0 3 60.00
Rural Dispensaries
Class I Doctor 5 0 0 5 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 3 3 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 39 21 15 3 7.69
Class IV 0 0 0 0 0.00

 

Paikgacha 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 21 8 1 12 57.14
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 160 86 45 29 18.13
Class IV 32 16 5 11 34.38
Other Hospitals & Clinics
Class I Doctor 2 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 4 0 4 0 0.00
Class III 1 1 0 0 0.00
Class IV 7 2 4 1 14.29

 

Paikgacha 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 10 1 9 7 2 1 9 3
Nurse 0 0 0 0 11 11 4 4 0 2
Medical Assistant 0 0 10 10 2 2 0 0 7 0
Medical Technologist 0 0 0 0 6 2 0 0 0 0
CHCP 39 36 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 3 0 0 0 0
AHI 0 0 0 0 13 9 0 0 0 0
HA 0 0 0 0 65 53 0 0 0 0
CSBA trained*** 0 0 0 0 0 32 0 0 0 0

Paikgacha 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) 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 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 2 2 0 0 0
Autoclave 3 0 2 0 1
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 2 1 1 0 0
Portable OT Light 5 3 2 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 4 1 3 0 0
Sterilizer 5 2 2 1 0
Sucker machine (electric) 6 3 3 0 0
Ventilator 0 0 0 0 0


Paikgacha 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 0 0 0 1
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 5 3 2 0 0
Pulse oximeter 2 0 2 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


Paikgacha 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) 0 0 0 0 0
Colorimeter 0 0 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 1 1 0 0 0


Paikgacha 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 2 2 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 0 1 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 1 0 0 0 1
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


Paikgacha 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) 3 2 1 0 0
Air conditioner (window) 2 1 1 0 0
Generator
Generator (diesel/petrol) 2 1 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) 8 3 0 0 5
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 2 1 1 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 2 2 0 0 0
Multimedia 1 1 0 0 0


Paikgacha 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) 1 1 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 77 42 25 1 9

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

Important information and necessary issues for Paikgacha Upazila Health Complex |
 We are providing optimum health services with our limited manpower. people also satisfy upon our services but it is not possible to maintain this condition for longer period. here I mention some important factors which will help us to achieve good result in future. I. Vacant post of 31 bedded hospital should be fulfilled immediately. 2. Human resources of 50 bedded Hospital is to be created and fulfilled. 3. One deep tube-well is to be sinked. 4. USG machine. 5. Photo-copier Finally I am very happy to write this Health bulletin of 2014, because this document will help us to compare our progress in upcoming years. This is very useful document & will help the public to understand health services and to provide us useful advice for improvement in future.