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.
Azmiriganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Azmiriganj
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 Upazila 5
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.