Muladi Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin Muladi upazila. This bulletin contains all the health related information 2013. I hope all the information of this bulletin will help for planning& budget and the gaps in health services of this upazila.This health bulletin will help us to find out our restriction, problem & also to see the results & achievement of 2014 The bulletin contains the status of MDG-4& MDG5 which will help to localize the MDG tergets. Finally I would like to congratulate the team of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Muladi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Muladi
Name of UHFPO Dr. Muhammad Abdur Razzaque
Telephone No. 0432675213
FAX No. 0
Mobile No. 01716060522
Email muladi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 91.0000
No. of Unions in the Upazila 7
No. of Households in the Upazila 35,255
No. of Population in the Upazila 210,499
Area of Upazila in sq km 261.50
Muladi 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
3
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
3
10
No. of NGO Clinics/Facilities
0
0
Muladi Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,469
Total No. of children treated under IMCI Program 10,567
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 5.30 per 1,000 live births.
Muladi 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: 749
Total Number of Deliveries: 5497
No. of Maternal Death: 4
Valid TT Coverage: 7.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
73.14 per 100,000 live births.
Muladi 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
9,059
3,826
5,233
4,048
3,131
1,682
1,449
627
Union Sub-Centres
38,699
15,228
23,471
12,429
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
10,579
3,230
7,349
3,222
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
105,344
44,907
60,437
15,860
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
1,579
334
1,245
128
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
166,839
67,525
97,735
35,687
3,131
1,682
1,449
627
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
2,708
1,235
1,473
102
13
5
8
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
290
11
279
19
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
2,998
1,246
1,752
121
13
5
8
2
Muladi 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
2820
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y092 Assault by unspecified means, school, other institution and public administrative area
889
31.52
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
687
24.36
3
R50 Fever of unknown origin
311
11.03
4
O045 Medical abortion, complete or unspecified, complicated by genital tract and pelvic infection
267
9.47
5
J180 Bronchopneumonia, unspecified
187
6.63
6
D63 Anaemia in chronic diseases classified elsewhere
89
3.16
7
J45 Asthma
59
2.09
8
A090 Other and unspecified gastroenteritis and colitis of infectious origin
49
1.74
9
V890 Person injured in unspecified motor-vehicle accident, nontraffic
34
1.21
10
T490 Local antifungal, anti-infective and anti-inflammatory drugs, NEC
22
0.78
Muladi 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
15
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J969 Respiratory failure, unspecified
2
13.33
2
I679 Cerebrovascular disease, unspecified
2
13.33
3
A011 Paratyphoid fever A
2
13.33
4
P219 Birth asphyxia, unspecified
1
6.67
5
V892 Person injured in unspecified motor-vehicle accident, traffic
1
6.67
6
D649 Anaemia, unspecified
1
6.67
7
I219 Acute myocardial infarction, unspecified
1
6.67
8
R100 Acute abdomen
1
6.67
9
B169 Acute hepatitis B without delta-agent and without hepatic coma
1
6.67
10
A090 Other and unspecified gastroenteritis and colitis of infectious origin
1
6.67
Muladi Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
97.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,209
Bed Occupancy Rates (%)
61.43
Average Length of Hospital Stay (No. of days per patient)
5.00
Hospital Death Rate (%)
0.43
Muladi Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
879
Muladi 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
6
1
14
66.67
Non Doctor
0
0
0
0
0.00
Class II
16
0
13
3
18.75
Class III
77
42
24
11
14.29
Class IV
25
13
3
9
36.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
1
0
3
75.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
0
3
75.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
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
3
0
3
50.00
Class IV
3
2
0
1
33.33
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
26
8
11
7
26.92
Class IV
0
0
0
0
0.00
Muladi 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
28
9
1
18
64.29
Non Doctor
0
0
0
0
0.00
Class II
16
0
13
3
18.75
Class III
108
49
35
24
22.22
Class IV
28
15
3
10
35.71
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
Muladi 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
7
3
21
7
0
0
5
0
Nurse
0
0
0
0
16
13
0
0
10
0
Medical Assistant
0
0
7
4
2
2
0
0
6
0
Medical Technologist
0
0
0
0
8
6
0
0
4
0
CHCP
26
19
0
0
0
0
0
0
19
0
HI
0
0
0
0
2
2
0
0
2
0
AHI
0
0
0
0
7
7
0
0
7
0
HA
0
0
0
0
34
33
0
0
33
0
CSBA trained***
0
0
0
0
0
0
0
0
12
12
Muladi 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
0
0
0
1
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
0
0
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
1
0
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
1
0
1
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
4
2
2
0
0
Portable OT Light
2
1
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
2
1
1
0
0
Ventilator
0
0
0
0
0
Muladi 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
4
2
0
2
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Muladi 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)
0
0
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)
2
1
1
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
Muladi 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)
1
1
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
3
3
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
1
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
Muladi 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)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
0
0
0
1
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
6
6
0
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
2
0
0
0
Printer (laser)
0
0
0
0
0
Scanner
0
0
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
1
0
1
0
0
Muladi 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
0
1
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
47
29
12
4
2
Muladi Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Muladi Upazila Health Complex |
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here we like to metion some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediatly.2. Our doctors & nurses need more training on Emoc & IMCI & computer. All the third class official staff need training on computer. All the repairable equipments should be repair. 3. New x-ray machine (300ma) should be installed as soon as possible. This UHC upgraded to 50 beded hospital from 31 bed in 2008 but finance alloted as per 31 bed hospital since that period. Renovation started in 2006 but due to unknown reason., work stopped after completing only 10% achievement. HED declared on 16-05-2013 as highly risk of 05 (five) outdoor rooms, fully indoor wards of hospital & 04 (four) unite officers quarters & 05 (five) unite staff quarters of Muladi UHC, Barisal. Now this indoor,quarter & outdoor rooms are unused. As a result room of the doctors & staffs cannot be arranged . X-ray machine cannot be installed due to shortage of space. Finally I am very happy to write the health bulletin of 2013., because this document will help to compare our progress in upcoming year. This very useful document will help the public to understand health services and to provide us the useful advice to improvement in future.
DR. MUHAMMAD ABDUR RAZZAQUE
UH&FPO, MULADI, BARISAL.