Charfession Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of upazila Health Complex, Charfassion, Bhola. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Charfassion upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Charfassion upazila. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulleting contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on 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 to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step head toward Digital Bangladesh.
Charfession Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Charfession
Name of UHFPO Dr.Md Siddiqur Rahman .
Telephone No. 0492374009
FAX No. 0
Mobile No. 01714051117
Email charfession@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 91.0000
No. of Unions in the Upazila 21
No. of Households in the Upazila 97,756
No. of Population in the Upazila 574,828
Area of Upazila in sq km 1,440.00
Charfession 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
0
0
No. of Union Health and Family Welfare Centres
1
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
61
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
1
11
No. of NGO Clinics/Facilities
0
0
Charfession Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 15,732
Total No. of children treated under IMCI Program 91,987
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 11.51 per 1,000 live births.
Charfession 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: 3227
Total Number of Deliveries: 15751
No. of Maternal Death: 21
Valid TT Coverage: 68.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
133.49 per 100,000 live births.
Charfession 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
33,034
14,687
18,347
11,912
13,081
7,646
5,435
6,399
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
9,370
4,232
5,138
4,547
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
362,906
165,328
197,578
180,591
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
698
286
412
94
0
0
0
0
NGO Clinics/Facilities
9,231
4,146
5,085
2,297
0
0
0
0
Total
415,937
188,679
226,560
199,441
13,081
7,646
5,435
6,399
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
8,937
3,776
5,161
3,989
65
31
34
45
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
398
41
357
35
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
9,335
3,817
5,518
4,024
65
31
34
45
Charfession 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
12926
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y00 Assault by blunt object
2453
18.98
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
2268
17.55
3
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
1114
8.62
4
J18 Pneumonia, organism unspecified
592
4.58
5
O080 Genital tract and pelvic infection following abortion and ectopic and molar pregnancy
354
2.74
6
V892 Person injured in unspecified motor-vehicle accident, traffic
352
2.72
7
T629 Noxious substance eaten as food, unspecified
153
1.18
8
D50 Iron deficiency anaemia
136
1.05
9
B82 Unspecified intestinal parasitism
96
0.74
10
I516 Cardiovascular disease, unspecified
95
0.73
Charfession 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
110
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I516 Cardiovascular disease, unspecified
16
14.55
2
J110 Influenza with pneumonia, virus not identified
14
12.73
3
P210 Severe birth asphyxia
8
7.27
4
P361 Sepsis of newborn due to other and unspecified streptococci
7
6.36
5
R509 Fever, unspecified
5
4.55
6
T629 Noxious substance eaten as food, unspecified
4
3.64
7
J459 Asthma, unspecified
3
2.73
8
G04 Encephalitis, myelitis and encephalomyelitis
3
2.73
9
T300 Burn of unspecified body region, unspecified degree
2
1.82
10
A390 Meningococcal meningitis
2
1.82
Charfession Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
96.00
Coverage of households having access to sanitary latrines (%)
82.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
28,708
Bed Occupancy Rates (%)
157.00
Average Length of Hospital Stay (No. of days per patient)
2.23
Hospital Death Rate (%)
0.85
Charfession Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
108
Minor Surgeries
589
Charfession 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
8
0
14
63.64
Non Doctor
0
0
0
0
0.00
Class II
15
1
11
3
20.00
Class III
107
72
20
15
14.02
Class IV
24
19
2
3
12.50
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
1
0
0
1
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
1
0
1
50.00
Class IV
1
1
0
0
0.00
Rural Dispensaries
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
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
65
31
29
5
7.69
Class IV
0
0
0
0
0.00
Charfession 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
36
11
0
25
69.44
Non Doctor
0
0
0
0
0.00
Class II
15
1
11
3
20.00
Class III
187
106
49
32
17.11
Class IV
25
20
2
3
12.00
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
Charfession 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
1
0
22
8
13
3
2
3
Nurse
0
0
0
0
15
11
0
0
11
5
Medical Assistant
0
0
1
1
2
1
13
2
3
0
Medical Technologist
0
0
1
0
10
7
0
0
0
0
CHCP
61
60
0
0
0
0
0
0
57
0
HI
0
0
0
0
0
0
4
4
4
0
AHI
0
0
0
0
0
0
13
13
13
0
HA
0
0
0
0
0
0
65
57
57
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Charfession 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)
0
0
0
0
0
X-ray machine (300 mA)
2
1
0
1
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
0
0
0
0
0
Anesthesia machine without ventilator
2
1
1
0
0
Autoclave
2
2
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
1
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
4
2
2
0
0
Ventilator
0
0
0
0
0
Charfession 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
4
1
3
0
0
Pulse oximeter
2
2
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
Charfession 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
1
0
0
1
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)
4
4
0
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
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Charfession 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)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
1
1
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
3
2
0
1
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
Charfession 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)
5
0
5
0
0
Generator
Generator (diesel/petrol)
3
1
2
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)
8
7
1
0
0
Laptop
60
60
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
7
6
1
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
1
1
0
0
0
Multimedia
2
2
0
0
0
Charfession 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
137
116
18
3
0
Charfession Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Charfession Upazila Health Complex |
Charfassion is a large upazila with 21 unions and a class one pawroshova . This upazila is larger in area than 18 districts of the country . This UHC is the only hospital for this large area and around 6 luc people . 71% post is vacant of physician in this upazila . So, it is very difficult to run the health complex and the sub -center . If manpower problem can be solved , this hospital can be a model in the health service of Bangladesh . We seek attantion of higher authority to post new doctors and Nurses . Medicine and other logistics are not adequate in porpotion to the number of population . There are no CSBA in this upazila . With limited manpower and limited resource this hospital is trying it's best to fulfill the expectation of 6 luc population of this upazila . BOR 157 % of 2013.