Fulbari Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Fulbari upazila. This bulletin contains all the health related information of 2013. this bulletin is published to disseminate the information of Fulbari 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 office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results 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 of 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 to this isssue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
DR. Abdul Hye
UH&FPO
Fulbari Upazila Health Complex
Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Fulbari
Name of UHFPO DR. Abdul Hye
Telephone No. 0582556010
FAX No. 0
Mobile No. 01712524328
Email fulbari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 94.0000
No. of Unions in the Upazila 6
No. of Households in the Upazila 36,096
No. of Population in the Upazila 167,912
Area of Upazila in sq km 164.00
Fulbari 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
6
0
No. of Union Health and Family Welfare Centres
5
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
23
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
Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,954
Total No. of children treated under IMCI Program 18,486
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 27.08 per 1,000 live births.
Fulbari 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: 2720
Total Number of Deliveries: 3056
No. of Maternal Death: 4
Valid TT Coverage: 52.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
135.41 per 100,000 live births.
Fulbari 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
28,269
11,645
16,624
6,220
1,090
669
421
282
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
29,477
4,836
24,641
6,898
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
83,198
17,925
65,273
139,887
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
140,944
34,406
106,538
153,005
1,090
669
421
282
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
2,922
1,376
1,546
443
5
4
1
1
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
2,922
1,376
1,546
443
5
4
1
1
Fulbari 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
2923
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y00 Assault by blunt object
756
25.86
2
D50 Iron deficiency anaemia
544
18.61
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
336
11.50
4
K27 Peptic ulcer, site unspecified
141
4.82
5
A010 Typhoid fever
125
4.28
6
V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified
121
4.14
7
J15 Bacterial pneumonia, NEC
111
3.80
8
I13 Hypertensive heart and renal disease
73
2.50
9
J45 Asthma
43
1.47
10
T44 Poisoning by drugs primarily affecting the autonomic nervous system
38
1.30
Fulbari 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
6
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J45 Asthma
2
33.33
2
A010 Typhoid fever
1
16.67
3
I15 Secondary hypertension
1
16.67
4
J15 Bacterial pneumonia, NEC
1
16.67
5
K27 Peptic ulcer, site unspecified
1
16.67
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Fulbari 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 (%)
93.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,378
Bed Occupancy Rates (%)
100.61
Average Length of Hospital Stay (No. of days per patient)
3.87
Hospital Death Rate (%)
0.20
Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
145
Fulbari 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
10
2
0
8
80.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
52
33
5
14
26.92
Class IV
19
12
4
3
15.79
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
11
1
5
5
45.45
Class IV
10
5
5
0
0.00
Rural Dispensaries
Class I
Doctor
6
0
0
6
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
1
0
5
83.33
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
23
11
12
0
0.00
Class IV
0
0
0
0
0.00
Fulbari 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
15
2
0
13
86.67
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
59
37
6
16
27.12
Class IV
19
12
4
3
15.79
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
Fulbari 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
6
0
10
2
0
0
0
0
Nurse
0
0
0
0
10
10
0
0
2
0
Medical Assistant
0
0
6
1
2
2
0
0
3
0
Medical Technologist
0
0
0
0
8
3
0
0
0
0
CHCP
23
23
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
AHI
0
0
0
0
5
5
0
0
0
0
HA
0
0
0
0
25
20
0
0
20
0
CSBA trained***
0
0
11
11
2
2
0
0
0
0
Fulbari 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
0
1
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
2
2
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
4
2
1
1
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
2
2
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Fulbari 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
1
1
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
1
1
0
Pulse oximeter
0
0
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
Fulbari 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)
2
1
1
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)
3
2
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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Fulbari 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
1
1
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
Fulbari 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
3
0
0
0
Generator
Generator (diesel/petrol)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
2
2
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
2
2
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
Fulbari 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)
1
0
1
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
47
37
8
2
0
Fulbari Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Fulbari 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 achoeve 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 clinic and the bed capacity of the health complex should be increased. (4) All the repairable equipments should be repaired as soon as possible. (5) We need USG machine to improve maternal and child health service. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document will help the public to understand health services and to provide us the useful advice for improvement in future.