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Charbhadrason Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of my upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of charbhadrasan upazila to others 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. 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 fulfill MDG targets.. Finally I would like to congratulate the initiator of the health bulletin software by MIS DGHS. Dr. Md. Afzal Hosen UH&FPO Charbhadrason Upazila Health Complex
Dr. Md. Afzal Hossain
UH&FPO
Charbhadrason Upazila Health Complex

Charbhadrason Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Charbhadrason
Organization Code 10000098
Name of UHFPO Dr. Md. Afzal Hossain
Land Phone No. 1 -0632556026
Land Phone No. 2
FAX No.
Mobile No. 01715399285
Email charbhadrasan@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila4
No. of Households in the Upazila 15,691
Population in the Upazila 72,031
Area of Upazila in sq km 181.75

Charbhadrason 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 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 3 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) 0 0
No. of Rural/Urban/Thana Health Centers 1 0
No. of Community Clinics 9 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 2 0
No. of NGO Clinics/Facilities 0 0

Charbhadrason Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,671


Under 5 Mortality Rate: 37.702 (Per 1,000 live births)
Infant Mortality Rate: 20.946 (Per 1,000 live births)
Neonatal Mortality Rate: 16.756 (Per 1,000 live births)
Still Birth Rate: 29.324 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 2,793
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%

Charbhadrason 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: 2
Total No. of Recipients Who Took at least one ANC: 1,846
Total Number of Deliveries: 1,671
Valid TT Coverage: 98.00 %
Maternal Mortality Ratio (MMR) is: 119.69 per 100,000 live births.

Charbhadrason 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 10,656 15,756 26,412 1,864 2,336 4,200 30,612 942 847 1,789 267 0 267 2,056
Union Sub-Centres 3,624 7,656 11,280 48 96 144 11,424 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 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 36,936 35,316 72,252 2,268 2,484 4,752 77,004 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Charbhadrason 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 854 1,127 1,981 643 528 1,171 3,152 4 4 8 0 0 0 8
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 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Charbhadrason 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 2,624
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 169 6.44
2 Y092 Assault by unspecified means, school, other institution and public administrative area XX: External causes of morbidity and mortality 98 3.73
3 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 122 4.65
4 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 92 3.51
5 J459 Asthma, unspecified X: Diseases of the respiratory system 121 4.61
6 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 98 3.73
7 K35 Acute appendicitis XI: Diseases of the digestive system 85 3.24
8 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 88 3.35
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 106 4.04
10 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 84 3.20

Charbhadrason 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 0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2 0.00
2 J459 Asthma, unspecified X: Diseases of the respiratory system 2 0.00
3 K270 Peptic ulcer, site unspecified, acute with haemorrhage I: Certain infectious and parasitic diseases 1 0.00
4 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 2 0.00
5 K913 Postoperative intestinal obstruction XI: Diseases of the digestive system 1 0.00
6 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 1 0.00
7 T21 Burn and corrosion of trunk XIX: Injury, poisoning and certain other consequences of external causes 1 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Charbhadrason Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 2,284
Bed Occupancy Rates (%) 20.19
Average Length of Hospital Stay (No. of days per patient) 0.87
Hospital Death Rate (%) 0.00


Charbhadrason Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 212

 

Charbhadrason 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 9 3 3 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 43 20 11 12 27.91
Class IV 19 7 3 9 47.37
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 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 0 1 3 75.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 1 0 0.00
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 10 5 5 0 0.00
Class IV 0 0 0 0 0.00

 

Charbhadrason 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 13 4 3 6 46.15
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 47 31 0 16 34.04
Class IV 0 0 0 0 0.00
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

 

Charbhadrason 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 4 1 9 6 0 0 6 0 0
Nurse 0 0 0 0 10 10 0 0 5 0 0
Medical Assistant 0 0 4 4 2 2 0 0 1 0 0
Medical Technologist 0 0 0 0 5 3 0 0 0 0 0
CHCP 10 10 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 1 1 0 0 0 0 0
AHI 0 0 0 0 4 4 0 0 0 0 3
HA 0 0 0 0 20 11 0 0 0 0 6

Charbhadrason 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 0 1 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 0 0 0 0 0
Autoclave 2 1 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 3 1 2 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) 3 1 2 0 0
Ventilator 0 0 0 0 0


Charbhadrason 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 2 1 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Charbhadrason 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 1 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Charbhadrason 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 2 1 1 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Charbhadrason 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 1 1 0 0
ICT equipment
Computer (desktop) 8 2 2 0 4
Laptop 2 0 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 6 4 2 0 0
Scanner 3 2 1 0 0
UPS 6 4 2 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 2 1 0 0 1


Charbhadrason 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 0 0 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 58 29 23 0 6

Charbhadrason Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Charbhadrason Upazila Health Complex