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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Salika 50 Beded Hospital | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Shalikha upazila. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Shalikha 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 of this upazila. Government health depertment has many data stored in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2012. The bulletine contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take 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 one step ahead toward Digital Bangladesh.
Dr. Munshi Md Sadullah
UH&FPO
Salika 50 Beded Hospital

Salika 50 Beded Hospital | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaSalika
Name of UHFPO Dr. Munshi Md Sadullah
Telephone No. 00
FAX No. 0
Mobile No. 01712290488
Email shalikha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.1815 And Long: 89.2253
No. of Unions in the Upazila7
No. of Households in the Upazila 34,749
No. of Population in the Upazila 170,066
Area of Upazila in sq km 228.00

Salika 50 Beded Hospital | 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 2 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 18 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 0 0
No. of NGO Clinics/Facilities 0 0

Salika 50 Beded Hospital | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,281


Total No. of children treated under IMCI Program 4,123
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 27.43 per 1,000 live births.

Salika 50 Beded Hospital | 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: 547
Total Number of Deliveries: 3281
No. of Maternal Death: 5
Valid TT Coverage: 27.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 152.39 per 100,000 live births.

Salika 50 Beded Hospital | 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 22,888 8,620 14,268 4,602 1,219 556 663 107
Union Sub-Centres 13,018 4,805 8,213 3,592 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 57,197 16,452 40,745 20,030 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 118,050 46,075 71,975 9,894 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 211,153 75,952 135,201 38,118 1,219 556 663 107
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 2,723 1,146 1,577 263 12 4 8 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 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 2,723 1,146 1,577 263 12 4 8 0

Salika 50 Beded Hospital | 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 2986
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 F449 Dissociative [conversion] disorder, unspecified 623 20.86
2 K29 Gastritis and duodenitis 460 15.41
3 A99 Unspecified viral haemorrhagic fever 390 13.06
4 N390 Urinary tract infection, site not specified 321 10.75
5 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 260 8.71
6 A09 Diarrhoea and gastroenteritis of presumed infectious origin 205 6.87
7 Y042 Assault by bodily force, school, other institution and public administrative area 153 5.12
8 R12 Heartburn 124 4.15
9 S82 Fracture of lower leg, including ankle 88 2.95
10 T60 Toxic effect of pesticides 68 2.28

Salika 50 Beded Hospital | 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 12
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 D64 Other anaemias 2 16.67
2 I21 Acute myocardial infarction 2 16.67
3 G03 Meningitis due to other and unspecified causes 2 16.67
4 J16 Pneumonia due to other infectious organisms, NEC 1 8.33
5 J45 Asthma 1 8.33
6 I11 Hypertensive heart disease 1 8.33
7 N40 Hyperplasia of prostate 1 8.33
8 C23 Malignant neoplasm of gallbladder 1 8.33
9 T60 Toxic effect of pesticides 1 8.33
10 0 0.00

Salika 50 Beded Hospital | 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 (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 8,736
Bed Occupancy Rates (%) 47.00
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.40


Salika 50 Beded Hospital | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 972

 

Salika 50 Beded Hospital | 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 9 0 9 0 0.00
Class III 52 29 6 17 32.69
Class IV 19 3 4 12 63.16
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 4 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 0 0 2 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 2 0 0 2 100.00
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 19 6 13 0 0.00
Class IV 0 0 0 0 0.00

 

Salika 50 Beded Hospital | 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 16 7 1 8 50.00
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 81 41 21 19 23.46
Class IV 21 3 4 14 66.67
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

 

Salika 50 Beded Hospital | 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 2 0 9 7 5 1 2 0
Nurse 0 0 0 0 9 9 0 0 0 0
Medical Assistant 0 0 2 2 2 2 5 5 0 0
Medical Technologist 0 0 0 0 6 5 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 5 4 0 0 0 0
HA 0 0 0 0 24 14 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 1 0 0

Salika 50 Beded Hospital | 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 1 0 0 0 1
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 1 2 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 3 1 2 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 0 0 1 0
Sucker machine (electric) 4 1 0 3 0
Ventilator 0 0 0 0 0


Salika 50 Beded Hospital | 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 1 0 1 0 0
Pulse oximeter 2 1 1 0 0
Dental equipment
Dental unit 2 0 1 1 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Salika 50 Beded Hospital | 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 1 1 0 0 0
Microscope (binocular) 4 0 0 4 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


Salika 50 Beded Hospital | 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 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 0 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


Salika 50 Beded Hospital | 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) 4 3 1 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 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) 2 1 0 1 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 6 5 0 1 0
Scanner 0 0 0 0 0
UPS 1 0 0 1 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Salika 50 Beded Hospital | 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 0 0 0 0 0
Mobile phone 1 1 0 0 0
Photocopier machine 1 1 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 54 31 8 14 1

Salika 50 Beded Hospital | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Salika 50 Beded Hospital |
 Important information and necessary issues for Shalika Upazila Health Complex Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. Allocation /Sanction of 50 Beded Staff and Instruments Immediately 2. The vacant post of field level Should be filled 3. For the activation of Ambulance Service one new ambulance and one alternate (on deputation) driver is necessary. 4.ECG Machine is Needed for CHD pt 5. USG machine is needed for critical patient and pregnant mothers. Finally I am very happy to edit this bulletin of 2013 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future and to achieve MDG 4 & 5 by 2015. Our UHC is a 50 Beded Hospital But we Have Allocation of diet Medicine and Manpower for 31 Beds,Most Important is Insufficient Manpower for 50 Beded Hospital as Well as Field service.