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.
Tala Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Tala
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 Upazila 12
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.