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

Azmiriganj Upazila Health Complex | Health Bulletin 2014 |
Preface
Now a days information is the vital factor in completing the journey towards the digital Bangladesh. So "Health Bulletin-2014" of UHC, Ajmeriganj has been published. This Health Bulletin contains some health related vital data and information in 2013. This bulletin published to disseminate the information of UHC Ajmeriganj to all the stakeholders involved in the development of health. I hope everybody can get an idea about our health service by reading this health bulletin. Special thanks to MIS for helping us to publish this health bulletin.
Dr. Shah Mohammad Jashim Uddin
UH&FPO
Azmiriganj Upazila Health Complex

Azmiriganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAzmiriganj
Name of UHFPO Dr. Shah Mohammad Jashim Uddin
Telephone No. 0832256007
FAX No. 0
Mobile No. 01912476020
Email ajmeriganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.2221 And Long: 91.2504
No. of Unions in the Upazila5
No. of Households in the Upazila 24,258
No. of Population in the Upazila 123,327
Area of Upazila in sq km 215.00

Azmiriganj 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 2 0
No. of Union Health and Family Welfare Centres 1 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 6 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 0 0

Azmiriganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,401


Total No. of children treated under IMCI Program 14,782
Fully Vaccinated Children: 95.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 14.41 per 1,000 live births.

Azmiriganj 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: 2399
Total Number of Deliveries: 3422
No. of Maternal Death: 7
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 205.82 per 100,000 live births.

Azmiriganj 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 61,917 27,522 34,395 18,130 3,895 2,236 1,659 358
Union Sub-Centres 34,179 16,117 18,062 5,070 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 44,364 12,715 31,649 7,385 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 140,460 56,354 84,106 30,585 3,895 2,236 1,659 358
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 2,662 754 1,908 705 23 8 15 16
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 2,662 754 1,908 705 23 8 15 16

Azmiriganj 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 3367
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y09 Assault by unspecified means 585 17.37
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 495 14.70
3 J180 Bronchopneumonia, unspecified 236 7.01
4 K27 Peptic ulcer, site unspecified 342 10.16
5 A010 Typhoid fever 159 4.72
6 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 156 4.63
7 T629 Noxious substance eaten as food, unspecified 46 1.37
8 T900 Sequelae of superficial injury of head 58 1.72
9 I11 Hypertensive heart disease 95 2.82
10 N390 Urinary tract infection, site not specified 7 0.21

Azmiriganj 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 39
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 P219 Birth asphyxia, unspecified 5 12.82
2 J180 Bronchopneumonia, unspecified 3 7.69
3 J189 Pneumonia, unspecified 2 5.13
4 T629 Noxious substance eaten as food, unspecified 2 5.13
5 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 2 5.13
6 R560 Febrile convulsions 2 5.13
7 I516 Cardiovascular disease, unspecified 1 2.56
8 I159 Secondary hypertension, unspecified 3 7.69
9 I210 Acute transmural myocardial infarction of anterior wall 1 2.56
10 I500 Congestive heart failure 1 2.56

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 93.00
Coverage of households having access to sanitary latrines (%) 76.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 6,161
Bed Occupancy Rates (%) 54.45
Average Length of Hospital Stay (No. of days per patient) 2.15
Hospital Death Rate (%) 1.16


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 31
Minor Surgeries 326

 

Azmiriganj 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 2 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 1 3 6 60.00
Class III 45 30 3 12 26.67
Class IV 17 8 3 6 35.29
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 5 3 1 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 3 1 3 42.86
Class IV 2 2 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 11 4 7 0 0.00
Class IV 0 0 0 0 0.00

 

Azmiriganj 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 5 3 6 42.86
Non Doctor 0 0 0 0 0.00
Class II 10 1 3 6 60.00
Class III 63 37 11 15 23.81
Class IV 19 10 3 6 31.58
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

 

Azmiriganj 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 4 9 4 0 0 1 1
Nurse 0 0 0 0 11 4 0 0 1 1
Medical Assistant 0 0 5 4 2 2 0 0 1 0
Medical Technologist 0 0 2 0 6 3 0 0 0 0
CHCP 11 11 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0
AHI 0 0 0 0 4 4 0 0 0 0
HA 0 0 0 0 20 14 0 0 0 0
CSBA trained*** 0 0 0 0 0 2 0 0 0 0

Azmiriganj 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 1 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 1 1 0 0 0
Autoclave 2 2 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 2 1 1 0 0
Portable OT Light 1 0 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 3 2 0 0 1
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Azmiriganj 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 7 5 2 0 0
Pulse oximeter 1 1 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


Azmiriganj 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 2 0 0 1
Colorimeter 2 1 0 0 1
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


Azmiriganj 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 0 1 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 0 1 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


Azmiriganj 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) 3 2 1 0 0
Generator
Generator (diesel/petrol) 5 2 2 0 1
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 2 1 1 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 2 2 0 0 0
UPS 6 6 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 1 0 0 0


Azmiriganj 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 68 51 13 0 4

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

Important information and necessary issues for Azmiriganj Upazila Health Complex |
Ajmeriganj upazilla is a rural area. Most of the place are there in under water in six month. So all of the area to serve is difficult in this time. Here i like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled up immediately. 2. All the repairable equipments should be repaired as soon as possible. 3. We need a photocopy machine and digital camera etc. Finally i am very happy to publish this "Health Bulletin 2014" because this document will be help the people to understand health service and to provide us useful advice for improve in future.