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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.
Dr. Muhammad Abdur Razzaque
UH&FPO
Muladi Upazila Health Complex

Muladi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaMuladi
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 Upazila7
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.