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Tala Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health blletin of upazila health complex,tala,satkhira. This bulletin contains all the health related information of 2013. The bulletin is published to disseminate the information of tala upazila to other department and development partners of health. I hope all the information of this bulletin will help for planning and budgetings. This bulletin contains the status of MDG 4&5 which will help to localize the MDG targets. The health bulletin has also the information ofn safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2013 . 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 toward Digital Bangladesh. Dr. ASM Zahirul Hasan UH&FPO Tala Upazila Health Complex.
Dr. ASM Zahirul Hasan
UH&FPO
Tala Upazila Health Complex

Tala Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaTala
Name of UHFPO Dr. ASM Zahirul Hasan
Telephone No. 0472756105
FAX No. 0
Mobile No. 01711840533
Email tala@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 93.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 72,982
No. of Population in the Upazila 323,722
Area of Upazila in sq km 344.15

Tala 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 12 0
No. of Union Health and Family Welfare Centres 9 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 37 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 9 45
No. of NGO Clinics/Facilities 1 4

Tala Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,452


Total No. of children treated under IMCI Program 4,294
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 2.20 per 1,000 live births.

Tala 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: 5837
Total Number of Deliveries: 5461
No. of Maternal Death: 2
Valid TT Coverage: 69.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 36.68 per 100,000 live births.

Tala 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 27,068 13,570 13,498 7,397 4,377 2,192 2,185 739
Union Sub-Centres 9,688 4,009 5,679 2,602 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 226,807 78,912 147,895 46,839 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 263,563 96,491 167,072 56,838 4,377 2,192 2,185 739
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 3,308 1,220 2,088 1,101 41 23 18 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 3,308 1,220 2,088 1,101 41 23 18 0

Tala 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 2013
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X87 Assault by pesticides 688 34.18
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 524 26.03
3 I500 Congestive heart failure 185 9.19
4 R50 Fever of unknown origin 169 8.40
5 S00 Superficial injury of head 164 8.15
6 D649 Anaemia, unspecified 140 6.95
7 T528 Other organic solvents 126 6.26
8 J45 Asthma 125 6.21
9 J01 Acute sinusitis 87 4.32
10 N390 Urinary tract infection, site not specified 28 1.39

Tala 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 2013
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I516 Cardiovascular disease, unspecified 12 0.60
2 J45 Asthma 5 0.25
3 X46 Accidental poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours 5 0.25
4 I64 Stroke, not specified as haemorrhage or infarction 4 0.20
5 I500 Congestive heart failure 3 0.15
6 I249 Acute ischaemic heart disease, unspecified 2 0.10
7 J80 Adult respiratory distress syndrome 2 0.10
8 R10 Abdominal and pelvic pain 1 0.05
9 D569 Thalassaemia, unspecified 1 0.05
10 I21 Acute myocardial infarction 1 0.05

Tala 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 (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 51,164
Bed Occupancy Rates (%) 101.77
Average Length of Hospital Stay (No. of days per patient) 18,557.00
Hospital Death Rate (%) 0.93


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 189
Minor Surgeries 812

 

Tala 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 22 5 2 15 68.18
Non Doctor 0 0 0 0 0.00
Class II 17 0 17 0 0.00
Class III 130 65 41 24 18.46
Class IV 25 12 4 9 36.00
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 12 1 0 11 91.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 7 6 1 7.14
Class IV 2 1 1 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 37 19 17 1 2.70
Class IV 0 0 0 0 0.00

 

Tala 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 34 5 2 27 79.41
Non Doctor 0 0 0 0 0.00
Class II 17 0 17 0 0.00
Class III 144 72 47 25 17.36
Class IV 27 13 5 9 33.33
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

 

Tala 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 12 1 22 6 0 0 0 0
Nurse 0 0 0 0 17 17 0 0 2 3
Medical Assistant 0 0 12 12 2 2 0 0 5 0
Medical Technologist 0 0 2 1 11 8 0 0 0 0
CHCP 37 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 10 10 0 0 0 0
HA 0 0 0 0 50 37 0 0 0 0
CSBA trained*** 0 0 0 0 19 19 0 0 0 0

Tala 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 0 0 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 2 2 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 2 2 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 3 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Tala 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 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 0 0 0 0 0
Pulse oximeter 0 0 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


Tala 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 1 1 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 1 2 0 0
Obstetric equipment
Fetal Monitor 1 1 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Tala 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 0 0 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 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


Tala 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) 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 1 1 0 0 0
ICT equipment
Computer (desktop) 4 3 1 0 0
Laptop 1 0 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 3 2 0 1 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


Tala 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 0 0 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 45 37 6 2 0

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

Important information and necessary issues for Tala Upazila Health Complex |
In upazila health complex, Tala, Satkhira. 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. The doctors vacant post should be filled immediately. 2. Number of community clinic and the bed capacity of the health complex should be increased. 3. All the repairable equipments should be repaired as soon as possible. I am very happy to write this health 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.