Tajumuddin Upazila Health Complex | Health Bulletin 2014 |
Preface
Health bulletin is an script that includes the reports of the activities done in relation to the health services of the people.In past times this bulletin would be published centrally in which a reader could find an accumulated report as a whole.But the activities in a particular area could not be visualized through those concreted reports.Now since an opportunity has touched me to present a local document in front of the nation, I am very much glad to publish this health bulletin of Tajumuddin upazila health complex . This bulletin contains all the health service related information of this institution for the year 2013. This bulletin is published to disseminate the information of Tajumuddin upazila health complex to the other Govt. and Non-govt. departments and to the departments of the development partners of the health services in Bangladesh. Tajumuddin is a upazila of which about one third of the people live in hard to reach areas. Yet we try to serve them as best as we can.We have many data in relation to our services stored in files. This health bulletin will open those files in front of general people which will help to make bridge between the service provider and the service seekers. This bulletin also shows our services , our achievements, our necessities, our lacking and limitations. The bulletin contains the status of MDG 4 and MDG 5 which will help to drive us to achieve the MDG targets the partnership activities of the people and the service providers. 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 ahead toward Digital Bangladesh.
Dr Md Moslehuddin
UH&FPO
Tajumuddin Upazila Health Complex
Tajumuddin Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Tajumuddin
Name of UHFPO Dr Md Moslehuddin
Telephone No. 0492756005
FAX No. 0
Mobile No. 01768169877
Email tajumuddin@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.0000 And Long: 91.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 23,563
No. of Population in the Upazila 127,460
Area of Upazila in sq km 513.00
Tajumuddin 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
31
No. of Union Sub-Centres
0
0
No. of Union Health and Family Welfare Centres
0
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
16
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
0
0
No. of NGO Clinics/Facilities
1
0
Tajumuddin Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,767
Total No. of children treated under IMCI Program 22,316
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Tajumuddin 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: 1537
Total Number of Deliveries: 3767
No. of Maternal Death: 2
Valid TT Coverage: 21.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Tajumuddin 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
46,845
23,433
23,412
15,371
2,781
1,576
1,205
731
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
192,317
85,851
106,466
43,897
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
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
239,162
109,284
129,878
59,268
2,781
1,576
1,205
731
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
1,788
952
836
617
8
5
3
3
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
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
1,788
952
836
617
8
5
3
3
Tajumuddin 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
2405
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y09 Assault by unspecified means
781
32.47
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
599
24.91
3
J12 Viral pneumonia, NEC
298
12.39
4
J80 Adult respiratory distress syndrome
0
0.00
5
A01 Typhoid and paratyphoid fevers
6
0.25
6
K27 Peptic ulcer, site unspecified
197
8.19
7
S00 Superficial injury of head
0
0.00
8
A94 Unspecified arthropod-borne viral fever
0
0.00
9
N390 Urinary tract infection, site not specified
1
0.04
10
I10 Essential (primary) hypertension
29
1.21
Tajumuddin 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
11
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J18 Pneumonia, organism unspecified
0
0.00
2
R509 Fever, unspecified
4
36.36
3
J12 Viral pneumonia, NEC
0
0.00
4
A230 Brucellosis due to Brucella melitensis
0
0.00
5
A23 Brucellosis
0
0.00
6
D51 Vitamin B12 deficiency anaemia
0
0.00
7
V87 Traffic accident of specified type but victim's mode of transport unknown
4
36.36
8
J459 Asthma, unspecified
3
27.27
9
0
0.00
10
0
0.00
Tajumuddin 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 (%)
88.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
7,661
Bed Occupancy Rates (%)
67.00
Average Length of Hospital Stay (No. of days per patient)
3.16
Hospital Death Rate (%)
0.22
Tajumuddin Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
0
Tajumuddin 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
9
2
0
7
77.78
Non Doctor
0
0
0
0
0.00
Class II
10
0
8
2
20.00
Class III
68
39
11
18
26.47
Class IV
19
11
4
4
21.05
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
0
0
5
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
1
0
4
80.00
Class IV
0
0
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
18
11
7
0
0.00
Class IV
0
0
0
0
0.00
Tajumuddin 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
14
2
0
12
85.71
Non Doctor
0
0
0
0
0.00
Class II
10
0
8
2
20.00
Class III
68
39
11
18
26.47
Class IV
19
11
4
4
21.05
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
Tajumuddin 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
5
0
14
2
0
0
0
0
Nurse
0
0
0
0
10
8
0
0
2
0
Medical Assistant
0
0
5
1
2
1
0
0
2
0
Medical Technologist
0
0
0
0
7
2
0
0
0
0
CHCP
18
18
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
HA
0
0
0
0
32
27
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Tajumuddin 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
1
0
0
X-ray machine (300 mA)
0
0
0
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
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
0
0
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Tajumuddin 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
Tajumuddin 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
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
Tajumuddin 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
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
Tajumuddin 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)
0
0
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
3
3
0
0
0
Laptop
19
18
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
3
0
1
0
Scanner
1
1
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
19
18
1
0
0
Multimedia
1
1
0
0
0
Tajumuddin 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
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
58
53
3
2
0
Tajumuddin Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Tajumuddin Upazila Health Complex |
Important information and necessary issues for Tajumuddin Upazila Health Complex Last year we could not give our maximum efforts improve the health status due to many reasesons. Here I like mention some important factors which will help us to achieve good results in future.1. The vacant post should be filled immediately. 2.Our doctor and nurse need more training on IMCI. 3. Number of Community Clinics should be increased specially in hard to reach islands and char areas.4.All the repariable equipment's should be repaired as soon as possible.5.Female HA's & CHCP's should be trained in CSBA to serve our mothers during their child deliveries. Finally I am very happy to publish this Health Bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
