Savar Upazila Health Complex | Health Bulletin 2015 |
Preface
This is the 3rd Local Health Bulletin of Savar Upazila. We are very happy to publish this Local Health Bulletin. Because this is the document of our work. By this Local Health Bulletin we can compare our achievement with all other upazila in Bangladesh. We can published this Local Health Bulletin-2013 by the direction of Prof. Dr. Abul Kalam Azad, who is the ADG (planning) and director of MIC. So it is the most important decision to make & publish this Local Health Bulletin. Every one should recorded his/her work. Local Health Bulletin is the record of the work in our upazila. To followw this Local Health Bulletin-2013, we explain our fed-back, we can modify our work plane for which we can achieve more to reach the goal. I hope by this bulletin all the 15,00,000 people of savar upazila know about health services of this Upazila Health Complex.
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Savar
Organization Code
10000083
Name of UHFPO Dr. Shefalika Das
Land Phone No. 1
-07754764
Land Phone No. 2
FAX No.
Mobile No.
01711709955
Email savar@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0818 And
Long:
90.0100
No. of Unions in the Upazila 12
No. of Households in the Upazila 366,592
Population in the Upazila 1,284,525
Area of Upazila in sq km 282.00
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex
1
50
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
2
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
8
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
31
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
0
0
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
82
1250
No. of NGO Clinics/Facilities
5
400
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 27,578
Under 5 Mortality Rate: 11.422 (Per 1,000 live births)
Infant Mortality Rate: 9.537 (Per 1,000 live births)
Neonatal Mortality Rate: 7.107 (Per 1,000 live births)
Still Birth Rate: 3.300 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 62,134
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
R.P.W.: Registered Pregnant Women;
1st ANC: No. of 1st ANC recipients;
4th ANC: No. of 4th ANC recipients;
C. Preg.: No. of complicated pregnancy;
N.V. deli.: No. of normal deliveries;
C. deli.: No. of cesarean deliveries;
O. deli.: No. of other deliveries;
PNC: No. of PNC services provided to the mothers;
No. of Maternal Deaths:
51
Total No. of Recipients Who Took at least one ANC:
6,033
Total Number of Deliveries:
27,578
Valid TT Coverage: 80.00 %
Maternal Mortality Ratio (MMR) is:
184.93 per 100,000 live births.
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 5
No. of OPD & Emergency visits at Upazila
Health Facility
OPD
Emergency
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
Upazila Health Complex
37,102
52,244
89,346
11,698
11,502
23,200
112,546
4,213
2,288
6,501
430
273
703
7,204
Union Sub-Centres
9,909
14,581
24,490
2,613
2,503
5,116
29,606
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
0
52,132
52132
4,321
4,582
8,903
61,035
0
0
0
0
0
0
8,903
Community Clinics
89,448
186,220
275,668
12,393
23,549
35,942
311,610
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
MCWCs (belongs to DGFP)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Private Clinics/Facilities
98,243
104,211
202,454
25,164
26,128
51,292
253,746
30,215
35,278
65,493
8,314
7,124
15,438
80,931
NGO Clinics/Facilities
21,270
25,312
46,582
2,120
2,843
4,963
51,545
7,215
8,147
15,362
724
864
1,588
16,950
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 6
No. of Admissions & Deaths at Upazila
Health Facility
Admission
Death
Above 5 Yr
Below 5 Yr
Above 5 Yr
Below 5 Yr
.
M
F
T (M+F)
M
F
T (M+F)
Grand Total
M
F
T (M+F)
M
F
T (M+F)
Grand Total
Upazila Health Complex
1,580
2,533
4,113
229
167
396
4,509
3
3
6
1
0
1
7
Trauma Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
MCWCs (belongs to DGFP)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB Clinics)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Private Clinics/Facilities
54,315
67,214
121,529
4,151
4,215
8,366
129,895
0
0
0
0
0
0
0
NGO Clinics/Facilities
4,241
5,214
9,455
1,278
1,542
2,820
12,275
0
0
0
0
0
0
0
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 7
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
4,509
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
531
11.78
2
A93 Other arthropod-borne viral fevers, NEC
I: Certain infectious and parasitic diseases
429
9.51
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
390
8.65
4
K255 Gastric ulcer, chronic or unspecified with perforation
XI: Diseases of the digestive system
383
8.49
5
J459 Asthma, unspecified
X: Diseases of the respiratory system
299
6.63
6
D649 Anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
235
5.21
7
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
173
3.84
8
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
128
2.84
9
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
123
2.73
10
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
91
2.02
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 8
Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period
7
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J45 Asthma
X: Diseases of the respiratory system
2
28.57
2
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
1
14.29
3
T600 Organophosphate and carbamate insecticides
X: Diseases of the respiratory system
1
14.29
4
D075 Prostate
II: Neoplasms
1
14.29
5
N19 Unspecified renal failure
XIV: Diseases of the genitourinary system
1
14.29
6
F445 Dissociative convulsions
V: Mental and behavioural disorders
1
14.29
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
99.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
15,867
Bed Occupancy Rates (%)
86.94
Average Length of Hospital Stay (No. of days per patient)
3.52
Hospital Death Rate (%)
0.16
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
164
Minor Surgeries
429
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
21
10
11
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
17
1
16
0
0.00
Class III
108
58
43
7
6.48
Class IV
23
11
9
3
13.04
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
11
4
7
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
13
9
4
0
0.00
Class IV
2
1
1
0
0.00
Rural Dispensaries
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
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
39
13
23
3
7.69
Class IV
0
0
0
0
0.00
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 12
Status of Human Resources (Class wise)
Class
Sanctioned (No.)
Filled-up (No.)
Vacant (No.)
Vacancy %
M
F
Upazila Total
Class I
Doctor
32
14
18
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
17
1
16
0
0.00
Class III
160
80
70
10
6.25
Class IV
25
13
11
1
4.00
Other Hospitals & Clinics
Class I
Doctor
6
2
4
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
6
0
6
0
0.00
Class III
3
0
1
2
66.67
Class IV
1
0
1
0
0.00
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 13
Status of Human Resources (No.) (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
CSBA trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
11
11
21
21
0
0
3
5
0
Nurse
0
0
0
0
17
17
0
0
5
5
0
Medical Assistant
0
0
11
11
2
2
0
0
0
0
0
Medical Technologist
0
0
0
0
7
7
0
0
0
0
0
CHCP
39
36
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
3
0
0
0
0
0
AHI
0
0
0
0
12
12
0
0
0
0
0
HA
0
0
0
0
59
55
0
0
0
0
0
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 14
Existing equipment 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
1
0
0
0
X-ray machine (300 mA)
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
2
1
0
1
0
Autoclave
1
1
0
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
0
1
0
0
Portable OT Light
1
0
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
0
2
0
0
Sterilizer
1
0
1
0
0
Sucker machine (electric)
1
0
1
0
0
Ventilator
1
0
0
1
0
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 15
Existing equipment at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
ECG machine
1
1
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
8
2
0
6
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
2
0
0
0
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 16
Existing equipment 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
0
1
0
Colorimeter
2
1
0
1
0
Electrolyte analyzer
1
1
0
0
0
Microscope (binocular)
2
1
0
1
0
Pediatric equipment
Baby incubator
2
1
0
1
0
Phototherapy unit
0
0
0
0
0
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 17
Existing equipment at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
1
1
0
0
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
3
1
1
1
0
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 18
Existing equipment 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)
8
7
0
0
1
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
4
1
1
2
Laptop
2
0
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
6
4
1
0
1
Scanner
1
1
0
0
0
UPS
6
4
0
0
2
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
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 19
Existing equipment at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
OHP
1
0
0
1
0
PA system (Sound)
0
0
0
0
0
Land phone
2
2
0
0
0
Mobile phone
1
1
0
0
0
Total
74
41
12
15
6
Savar Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Savar Upazila Health Complex