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

Agailjhara Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish the e-health bulletin of Agailjhara upazila.This bulletin contains aii health related information of this upazila,the status of MDG 4 & MDG 5,information of sanctioned & vacant posts, information on safe drinking water & sanitation status. this bulletin will help for planning & bridging the gaps in health services of this upazila.It will also lelp us to find constrains and to see the results and achoevenents . Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digiral Bangladesh. Thanks to MIS,DGHS & all our health workers for theirkind cooperation in printing this matter.
Dr.Md.Salim Mia
UH&FPO
Agailjhara Upazila Health Complex

Agailjhara Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAgailjhara
Name of UHFPO Dr.Md.Salim Mia
Telephone No. 0432356106
FAX No. 0
Mobile No. 01716950311
Email agailjhara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.5390 And Long: 90.3463
No. of Unions in the Upazila5
No. of Households in the Upazila 33,050
No. of Population in the Upazila 170,806
Area of Upazila in sq km 161.25

Agailjhara 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 2 0
No. of Union Health and Family Welfare Centres 2 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 21 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 4 15

Agailjhara Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,274


Total No. of children treated under IMCI Program 32,427
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 12.52 per 1,000 live births.

Agailjhara 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: 200
Total Number of Deliveries: 3297
No. of Maternal Death: 3
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 91.63 per 100,000 live births.

Agailjhara 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 7,356 3,064 4,292 4,187 2,329 1,110 1,219 1,059
Union Sub-Centres 13,880 4,254 9,626 2,906 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 13,965 2,445 11,520 2,130 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 150,029 48,823 101,206 29,092 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 8,638 2,710 5,928 1,873 0 0 0 0
NGO Clinics/Facilities 3,380 1,245 2,135 925 0 0 0 0
Total 205,886 62,541 134,707 41,113 2,329 1,110 1,219 1,059
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 2,165 1,046 1,119 890 19 8 11 2
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 2,165 1,046 1,119 890 19 8 11 2

Agailjhara 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 3055
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 B953 Streptococcus pneumoniae as the cause of diseases classified to other chapters 511 16.73
2 X85 Assault by drugs, medicaments and biological substances 488 15.97
3 R509 Fever, unspecified 395 12.93
4 A09 Diarrhoea and gastroenteritis of presumed infectious origin 392 12.83
5 T481 Skeletal muscle relaxants [neuromuscular blocking agents] 305 9.98
6 K27 Peptic ulcer, site unspecified 210 6.87
7 J45 Asthma 170 5.56
8 V804 Rider or occupant injured in collision with car, pick-up truck, van, heavy transport vehicle or bus 75 2.45
9 N390 Urinary tract infection, site not specified 68 2.23
10 F412 Mixed anxiety and depressive disorder 55 1.80

Agailjhara 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 21
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 T36 Poisoning by systemic antibiotics 9 42.86
2 I68 Cerebrovascular disorders in diseases classified elsewhere 3 14.29
3 I46 Cardiac arrest 3 14.29
4 I50 Heart failure 3 14.29
5 J80 Adult respiratory distress syndrome 1 4.76
6 J45 Asthma 1 4.76
7 O00 Ectopic pregnancy 1 4.76
8 0 0.00
9 0 0.00
10 0 0.00

Agailjhara Upazila Health Complex | 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 (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,397
Bed Occupancy Rates (%) 57.00
Average Length of Hospital Stay (No. of days per patient) 3.38
Hospital Death Rate (%) 0.68


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 41

 

Agailjhara 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 21 5 4 12 57.14
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 66 39 16 11 16.67
Class IV 26 16 5 5 19.23
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 2 0 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 1 3 2 33.33
Class IV 4 2 2 0 0.00
Rural Dispensaries
Class I Doctor 2 1 0 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 1 1 25.00
Class IV 2 2 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 25 8 11 6 24.00
Class IV 0 0 0 0 0.00

 

Agailjhara 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 26 8 4 14 53.85
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 73 41 17 15 20.55
Class IV 28 18 5 5 17.86
Other Hospitals & Clinics
Class I Doctor 5 3 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 6 8 0 0.00
Class IV 15 6 9 0 0.00

 

Agailjhara 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 5 3 21 9 5 5 0 0
Nurse 0 0 0 0 16 16 0 0 7 0
Medical Assistant 0 0 5 4 2 2 0 0 0 0
Medical Technologist 0 0 0 0 10 9 4 4 4 0
CHCP 25 19 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0
HA 0 0 0 0 30 20 0 0 0 0
CSBA trained*** 0 0 0 0 7 0 0 0 0 0

Agailjhara 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 0 0 1 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 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 3 1 2 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 5 4 1 0 0
Ventilator 0 0 0 0 0


Agailjhara 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 5 2 3 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


Agailjhara 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) 3 3 0 0 0
Colorimeter 2 1 1 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) 5 1 4 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 0 0 0 0 0


Agailjhara 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 2 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


Agailjhara 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) 0 0 0 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 7 1 0 0
Laptop 23 23 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 0 0 0 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Agailjhara 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 72 58 13 1 0

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

Important information and necessary issues for Agailjhara Upazila Health Complex |
 It is a great pleasure that I along with my colleges & subordinate staffs could complete the Health bulletin of Agailjhara Upazila for the year 2013. This bulletin contains more or less all the information of the Health Services of Agailjhara Upazila. It also contains the demographic picture, description of Health facilities, sanctioning & existing manpower. Finlay I congratulate my colleges & staffs who work day & nigth to complete the Health bulletin. Dr. Md. Salim Mia UH&FPO Agailjhara, Barisal