Taherpur Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulltin of Taherpur upzilla. This bulletin contains all the health related information 0f 2013 . This bulletin is published to disseminate the information of Taherpur upzila to other line department 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 upzila .Government health office has many data stored in the file . This health bulletin will help us to find constrains and also to see the results and achievements of 2013 .The bulletin 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 upzila .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 this issue .Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh .
Taherpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Taherpur
Name of UHFPO Dr. Md. Abul Hashem
Telephone No. 00
FAX No. 0
Mobile No. 01711341247
Email taherpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.0976 And Long: 91.1863
No. of Unions in the Upazila 7
No. of Households in the Upazila 36,723
No. of Population in the Upazila 214,491
Area of Upazila in sq km 337.75
Taherpur 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
1
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
15
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
Taherpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,578
Total No. of children treated under IMCI Program 30,195
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 5.41 per 1,000 live births.
Taherpur 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: 662
Total Number of Deliveries: 7653
No. of Maternal Death: 12
Valid TT Coverage: 45.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
158.35 per 100,000 live births.
Taherpur 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
59,175
23,456
35,719
18,044
2,132
1,142
990
651
Union Sub-Centres
12,344
5,612
6,732
3,544
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
113,690
41,630
72,060
29,766
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
185,209
70,698
114,511
51,354
2,132
1,142
990
651
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
2,896
1,576
1,320
388
19
12
7
5
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
436
212
224
321
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
2,896
1,576
1,320
388
455
224
231
326
Taherpur 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
3284
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
X999 Assault by sharp object, unspecified place
781
23.78
2
A009 Cholera, unspecified
564
17.17
3
J22 Unspecified acute lower respiratory infection
890
27.10
4
K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation
322
9.81
5
B99 Other and unspecified infectious diseases
16
0.49
6
O849 Multiple delivery, unspecified
78
2.38
7
B349 Viral infection, unspecified
85
2.59
8
J449 Chronic obstructive pulmonary disease, unspecified
86
2.62
9
O063 Unspecified abortion, incomplete, with other and unspecified complications
64
1.95
10
V011 Pedestrian injured in collision with pedal cycle, traffic accident
86
2.62
Taherpur 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
24
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J22 Unspecified acute lower respiratory infection
7
29.17
2
P219 Birth asphyxia, unspecified
5
20.83
3
A009 Cholera, unspecified
1
4.17
4
I219 Acute myocardial infarction, unspecified
1
4.17
5
J189 Pneumonia, unspecified
2
8.33
6
V011 Pedestrian injured in collision with pedal cycle, traffic accident
3
12.50
7
B99 Other and unspecified infectious diseases
1
4.17
8
I639 Cerebral infarction, unspecified
1
4.17
9
X999 Assault by sharp object, unspecified place
1
4.17
10
J449 Chronic obstructive pulmonary disease, unspecified
1
4.17
Taherpur Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
68.00
Coverage of households having access to sanitary latrines (%)
35.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
7,870
Bed Occupancy Rates (%)
71.44
Average Length of Hospital Stay (No. of days per patient)
2.54
Hospital Death Rate (%)
0.73
Taherpur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
146
Taherpur 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
3
0
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
64
35
8
21
32.81
Class IV
20
7
2
11
55.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
0
0
3
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
3
2
0
1
33.33
Class IV
0
0
0
0
0.00
Rural Dispensaries
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
0
0
1
100.00
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
17
7
10
0
0.00
Class IV
0
0
0
0
0.00
Taherpur 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
13
3
0
10
76.92
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
85
44
18
23
27.06
Class IV
21
7
2
12
57.14
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
Taherpur 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
4
0
9
3
0
0
1
0
Nurse
0
0
0
0
10
5
0
0
1
0
Medical Assistant
0
0
4
2
2
1
0
0
1
0
Medical Technologist
0
0
1
1
7
2
0
0
0
0
CHCP
17
17
0
0
0
0
0
0
0
0
HI
2
2
0
0
0
0
0
0
0
0
AHI
7
7
0
0
0
0
0
0
0
0
HA
35
27
0
0
0
0
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Taherpur 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
1
0
0
0
1
Autoclave
2
1
1
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
0
0
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)
5
2
3
0
0
Ventilator
0
0
0
0
0
Taherpur 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
2
2
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Taherpur 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
2
1
1
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)
2
1
1
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
0
1
0
0
Phototherapy unit
1
0
1
0
0
Taherpur 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
2
0
2
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
0
0
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
Taherpur 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)
1
0
0
0
1
Generator
Generator (diesel/petrol)
3
0
3
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
1
1
0
0
ICT equipment
Computer (desktop)
2
0
2
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
1
1
0
0
0
Scanner
0
0
0
0
0
UPS
1
0
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
0
0
0
0
0
Multimedia
0
0
0
0
0
Taherpur 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
0
0
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
1
0
1
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
35
10
23
0
2
Taherpur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Taherpur Upazila Health Complex |
Last year we could not give our maximum efforts improve the health status due to many reasons . Here I like mention some important factors which will help us to acheive good results in future .(a) The vaccant post should be filled immeditely .(b) Our doctors and nurse need more tranning om IMCI .(c) Number of community clinic and bed capacity of the health complex should be increased .(d) All the repairable equipment`s should be repaired as soon as possible. (e) We need Female HA Who is CSBA trained. Finally I am very happy to write this health bulletin of 2013 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 improvment in future.