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Mohakhali, Dhaka-1212

Assasuni Upazila Health Complex | Health Bulletin 2014 |
Preface
Dr.Provash Chandra Sarder.
UH&FPO
Assasuni Upazila Health Complex

Assasuni Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAssasuni
Name of UHFPO Dr.Provash Chandra Sarder.
Telephone No. 0472256015
FAX No. 0
Mobile No. 01739841238
Email assasuni@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 0.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 62,662
No. of Population in the Upazila 309,677
Area of Upazila in sq km 366.50

Assasuni 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 0 0
No. of Union Health and Family Welfare Centres 10 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 34 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 2 20
No. of NGO Clinics/Facilities 0 0

Assasuni Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,016


Total No. of children treated under IMCI Program 2,602
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 4.98 per 1,000 live births.

Assasuni 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: 2097
Total Number of Deliveries: 4120
No. of Maternal Death: 2
Valid TT Coverage: 20.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 49.80 per 100,000 live births.

Assasuni 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 41,557 16,064 25,493 5,615 1,849 1,293 556 246
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 270,925 94,294 176,631 18,890 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 312,482 110,358 202,124 24,505 1,849 1,293 556 246
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 2,251 848 1,403 415 9 6 3 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 2,251 848 1,403 415 9 6 3 1

Assasuni 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 2666
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y040 Assault by bodily force, home 512 19.20
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 283 10.62
3 J450 Predominantly allergic asthma 84 3.15
4 S070 Crushing injury of face 78 2.93
5 I130 Hypertensive heart and renal disease with (congestive) heart failure 71 2.66
6 J150 Pneumonia due to Klebsiella pneumoniae 56 2.10
7 K270 Peptic ulcer, site unspecified, acute with haemorrhage 42 1.58
8 T600 Organophosphate and carbamate insecticides 32 1.20
9 Q240 Dextrocardia 29 1.09
10 I20 Angina pectoris 21 0.79

Assasuni 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 10
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I 64.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
5 50.00
2 I460 Cardiac arrest with successful resuscitation 1 10.00
3 I950 Idiopathic hypotension 1 10.00
4
J 47.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1 10.00
5 C220 Liver cell carcinoma 1 10.00
6
R50.0 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
1 10.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85.00
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.) 9,122
Bed Occupancy Rates (%) 80.61
Average Length of Hospital Stay (No. of days per patient) 3.48
Hospital Death Rate (%) 0.37


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 123
Minor Surgeries 347

 

Assasuni 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 3 0 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 102 64 17 21 20.59
Class IV 19 11 7 1 5.26
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 11 1 0 10 90.91
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 9 2 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 35 23 12 0 0.00
Class IV 0 0 0 0 0.00

 

Assasuni 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 20 4 0 16 80.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 137 87 29 21 15.33
Class IV 19 11 7 1 5.26
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

 

Assasuni 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 11 1 9 4 0 0 0 0
Nurse 0 0 0 0 11 11 0 0 0 2
Medical Assistant 0 0 11 11 2 2 0 0 0 0
Medical Technologist 0 0 0 0 5 3 0 0 0 0
CHCP 35 35 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 11 11 0 0 0 0
HA 0 0 0 0 54 38 0 0 0 0
CSBA trained*** 0 0 0 0 0 8 0 0 0 0

Assasuni 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 2 0 0 0 0
Dehumidifier 2 2 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 1 1 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 3 3 0 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 1 1 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 6 6 0 0 0
Ventilator 0 0 0 0 0


Assasuni 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 2 2 0 0 0
Pulse oximeter 1 1 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


Assasuni 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) 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 0 0 0 0 0
Microscope (binocular) 3 2 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 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Assasuni 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 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


Assasuni 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) 2 2 0 0 0
Air conditioner (window) 4 4 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 4 3 1 0 0
ICT equipment
Computer (desktop) 4 4 0 0 0
Laptop 1 0 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 4 4 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 0 0 0 0 0


Assasuni 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 63 58 3 2 0

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

Important information and necessary issues for Assasuni Upazila Health Complex |
 Last Year we tried to improved the health Status.Here are some important recommendation which will help us to achieve good results in future. 1. Vacant post particularly doctors should be field up immediately. 2. Nurse and SAC-MO need Training on midwifery and IMCI. 3.Old Condemn Building should be removed immediately because it is hazardous. I am very glad to write this health bulletin of 2013 because this will act as very useful cument and will help the public.