Sreepur Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Sreepur Upazila supported by MIS, DGHS, Mohakhali, Dhaka.
First of all, i would like to express my gratitude and honor to Prof.Dr.Abul Kalam Azad, ADG (Planning &development) and line Director MIS, DGHS, Mohakhali, Dhaka; who has been working hard relentlessly to develop the 'Health Information System' in a much more organized and effective way.
This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of Sreepur Upazila to other line department and 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 upazila. Government health depertment 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 upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. 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.
.
Sreepur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Sreepur
Name of UHFPO Dr. Shyamal Kumar Das
Telephone No. 00
FAX No. 0
Mobile No. 01775224981
Email sreepurm@uhfpo.dghs.gov.com
GPS location of UHFPO office Lati: 23.5919 And Long: 89.3941
No. of Unions in the Upazila 8
No. of Households in the Upazila 38,122
No. of Population in the Upazila 179,099
Area of Upazila in sq km 176.00
Sreepur 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
7
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
19
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
2
20
No. of NGO Clinics/Facilities
0
0
Sreepur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,433
Total No. of children treated under IMCI Program 11,195
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 21.85 per 1,000 live births.
Sreepur 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: 1550
Total Number of Deliveries: 3430
No. of Maternal Death: 3
Valid TT Coverage: 27.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
87.39 per 100,000 live births.
Sreepur 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
29,340
11,442
17,898
4,651
1,177
610
567
436
Union Sub-Centres
5,212
1,886
3,326
4,681
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
80,606
28,297
52,309
6,210
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
131,377
41,013
90,364
11,760
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
3,960
2,160
1,800
1,080
356
124
232
156
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
254,455
84,798
165,697
28,382
1,533
734
799
668
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
1,182
550
632
432
3
1
2
0
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
433
111
322
145
1
0
1
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
1,615
661
954
577
4
1
3
0
Sreepur 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
1614
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y04 Assault by bodily force
656
40.64
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
220
13.63
3
A010 Typhoid fever
175
10.84
4
T60 Toxic effect of pesticides
136
8.43
5
O839 Assisted single delivery, unspecified
117
7.25
6
K27 Peptic ulcer, site unspecified
101
6.26
7
J459 Asthma, unspecified
75
4.65
8
J189 Pneumonia, unspecified
56
3.47
9
I119 Hypertensive heart disease without (congestive) heart failure
47
2.91
10
J449 Chronic obstructive pulmonary disease, unspecified
31
1.92
Sreepur 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
3
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I21 Acute myocardial infarction
2
66.67
2
J189 Pneumonia, unspecified
1
33.33
3
0
0.00
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Sreepur Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
8,217
Bed Occupancy Rates (%)
72.62
Average Length of Hospital Stay (No. of days per patient)
5.09
Hospital Death Rate (%)
0.18
Sreepur Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
306
Sreepur 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
1
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
59
32
13
14
23.73
Class IV
19
6
4
9
47.37
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
2
0
5
71.43
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
5
2
0
0.00
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
1
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
20
9
10
1
5.00
Class IV
0
0
0
0
0.00
Sreepur 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
17
5
1
11
64.71
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
68
38
20
10
14.71
Class IV
20
7
4
9
45.00
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
Sreepur 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
8
2
9
4
0
0
0
0
Nurse
0
0
0
0
12
12
0
0
1
1
Medical Assistant
0
0
7
7
2
2
0
0
3
0
Medical Technologist
0
0
0
0
5
4
0
0
0
0
CHCP
20
19
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
5
0
0
0
0
HA
0
0
0
0
29
22
0
0
0
0
CSBA trained***
0
0
0
0
4
4
0
0
0
0
Sreepur 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
1
0
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
3
2
1
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
Sreepur 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
2
2
0
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
Sreepur 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
1
1
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)
5
1
4
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
Sreepur 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)
2
2
0
0
0
Refrigerator
2
2
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
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
Sreepur 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)
1
0
1
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)
8
8
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
4
1
0
0
Scanner
0
0
0
0
0
UPS
1
1
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
Sreepur 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
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
39
29
10
0
0
Sreepur Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Sreepur Upazila Health Complex |
Important information and necessary issues for Sreepur Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. Allocation /Sanction of 31 Beded Staff and Instruments Immediately 2. The vacant post of field level Should be filled 3.ECG Machine is Needed for CHD pt 4. USG machine is needed for critical patient and pregnant mothers. Finally I am very happy to edit this 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 improvement in future and to achieve MDG 4 & 5 by 2015. Our UHC is a 50 Beded Hospital Working is going on . But we Have Allocation of diet Medicine and Manpower for 31 Beds,Most Important is Insufficient Manpower for 31 Beded Hospital as Well as Field service.