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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

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
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 UpazilaFulbari
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 Upazila6
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.