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

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.
Dr.Md Siddiqur Rahman .
UH&FPO
Charfession Upazila Health Complex

Charfession Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaCharfession
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 Upazila21
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.