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

Lalmohan Upazila Health Complex | Health Bulletin 2014 |
Preface
I am really glad to publish thiis Local Health Bulletin/2014 containing all the health ralated informations of Lalmohan Upazila/2013.I hope informations in this Bulletin will help us for planning and bridging the gaps in health services of the Upazila. The Bulletin contains the status of MDG4 and MDG5 which will help us to localize the MDG targets. Finally I would like to congratulate MIS,the initiator of the Health Bulletin software for setting us one step ahead toward digital Bangladesh. Dr.Amalendu Biswas UHFPO Lalmohan,Bhola.
Dr.Amalendu Biswas
UH&FPO
Lalmohan Upazila Health Complex

Lalmohan Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaLalmohan
Name of UHFPO Dr.Amalendu Biswas
Telephone No. 0492575665
FAX No. 0
Mobile No. 01716040229
Email lalmohan@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 88.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 55,518
No. of Population in the Upazila 303,602
Area of Upazila in sq km 396.00

Lalmohan 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 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 32 0
No of Trauma Centres 0 0
No. of MCWCs 1 10
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 0 0

Lalmohan Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,350


Total No. of children treated under IMCI Program 45,851
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 0.72 per 1,000 live births.

Lalmohan 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: 2423
Total Number of Deliveries: 8366
No. of Maternal Death: 2
Valid TT Coverage: 60.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 23.95 per 100,000 live births.

Lalmohan 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 36,276 15,321 20,955 12,810 1,904 1,193 711 580
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 33,786 15,557 18,229 10,686 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 352,412 115,932 236,480 36,309 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 8,629 711 7,918 2,910 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 431,103 147,521 283,582 62,715 1,904 1,193 711 580
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 6,032 2,911 3,121 1,669 31 14 17 7
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 1,354 0 1,354 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 7,386 2,911 4,475 1,669 31 14 17 7

Lalmohan 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 8260
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y001 Assault by blunt object, residential institution 2138 25.88
2 A009 Cholera, unspecified 1503 18.20
3 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation 1112 13.46
4 J189 Pneumonia, unspecified 559 6.77
5 R509 Fever, unspecified 486 5.88
6 V011 Pedestrian injured in collision with pedal cycle, traffic accident 404 4.89
7 J459 Asthma, unspecified 267 3.23
8 T600 Organophosphate and carbamate insecticides 149 1.80
9 I509 Heart failure, unspecified 104 1.26
10 J219 Acute bronchiolitis, unspecified 40 0.48

Lalmohan 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 28
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I509 Heart failure, unspecified 6 21.43
2 I110 Hypertensive heart disease with (congestive) heart failure 4 14.29
3 R509 Fever, unspecified 3 10.71
4 P219 Birth asphyxia, unspecified 3 10.71
5 T600 Organophosphate and carbamate insecticides 3 10.71
6 I219 Acute myocardial infarction, unspecified 2 7.14
7 J189 Pneumonia, unspecified 2 7.14
8 O151 Eclampsia in labour 1 3.57
9 J459 Asthma, unspecified 1 3.57
10 C950 Acute leukaemia of unspecified cell type 1 3.57

Lalmohan Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 68.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 18,542
Bed Occupancy Rates (%) 101.00
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 1.00


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 34
Minor Surgeries 39

 

Lalmohan 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 16 1 11 4 25.00
Class III 108 60 31 17 15.74
Class IV 22 13 5 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 2 0 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 13 3 3 7 53.85
Class IV 4 4 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 34 24 10 0 0.00
Class IV 0 0 0 0 0.00

 

Lalmohan 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 31 10 0 21 67.74
Non Doctor 0 0 0 0 0.00
Class II 16 1 11 4 25.00
Class III 155 87 44 24 15.48
Class IV 26 17 5 4 15.38
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

 

Lalmohan 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 9 2 22 8 0 0 7 2
Nurse 0 0 0 0 14 10 0 0 0 0
Medical Assistant 0 0 9 6 2 1 0 0 1 0
Medical Technologist 0 0 4 0 10 3 0 0 0 0
CHCP 34 34 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 13 13 0 0 0 0
HA 0 0 0 0 65 58 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Lalmohan 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) 1 0 1 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 1 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 2 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Lalmohan 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 0 0 0 0 0
Pulse oximeter 0 0 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


Lalmohan 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) 1 1 0 0 0
Colorimeter 0 0 0 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) 1 1 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Lalmohan 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 1 1 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


Lalmohan 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) 4 3 0 0 1
Generator
Generator (diesel/petrol) 2 2 0 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 8 0 0 0
Laptop 4 3 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 5 5 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Lalmohan 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 49 42 5 0 2

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

Important information and necessary issues for Lalmohan Upazila Health Complex |
 1.Increase the number ofANC,PNC,in UHC,Community clinics and other health facilities.2.Increase the Number of institutional deliveries.3.Initiate ceaserian sectionoperation and improve the quality of EOC services.4.To increase the services in IMCI corner,ANC,PNC and breast feeding corner etc.5. Increase the quality of community clinic services.6.To increase the health services to indoor,outdoor,and emergency patients.7.To ensure the presence of all officers and staffs in the office in time.