Islampur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Islampur Upazila. This bulletin contains all the health related information of 2014,published to disseminate the information of Islampur Upazila health related activities to other department and development partners of health.I hope all the information of this bulletin will help for planning and bridging in health services of Upazila.This bulletin will help us to find constraints and also to see the results and achievement of service in 2014.This bulletin contains the states 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, no. of Emergency visits & death,no. of admission & death, top ten diseases according to the number of patients admitted in the UHC, Surgeries and intervention done in the upazila Hospital, status of human resources of upazila. We could not give our maximum efforts in the last year because of lack of Specialist Doctors & Nurses.So it is very necessary to fulfill the vacant post of Jr.consultants & Nurses immediately.
Finally I am very happy to publish this health bulletin of 2015, because this document will help us to compare our progress in upcoming years and will help public to understand health services. Thanks to all.
Islampur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Islampur
Organization Code
10000196
Name of UHFPO Dr. Md. Hafizur Rahman
Land Phone No. 1
09824-0982474002
Land Phone No. 2
FAX No.
Mobile No.
01711260040
Email islampur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.0787 And
Long:
89.7993
No. of Unions in the Upazila 12
No. of Households in the Upazila 70,481
Population in the Upazila 341,287
Area of Upazila in sq km 353.25
Islampur 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
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)
6
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
47
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
0
0
No. of NGO Clinics/Facilities
2
0
Islampur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,551
Under 5 Mortality Rate: 27.950 (Per 1,000 live births)
Infant Mortality Rate: 26.664 (Per 1,000 live births)
Neonatal Mortality Rate: 24.325 (Per 1,000 live births)
Still Birth Rate: 23.740 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 27,537
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%
Islampur 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:
11
Total No. of Recipients Who Took at least one ANC:
10,156
Total Number of Deliveries:
8,343
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR) is:
128.64 per 100,000 live births.
Islampur 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
30,060
36,738
66,798
5,305
6,483
11,788
78,586
7,130
5,635
12,765
823
674
1,497
14,262
Union Sub-Centres
36,642
24,593
61,235
3,633
3,353
6,986
68,221
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
18,946
20,424
39,370
18,946
20,424
39,370
78,740
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
Islampur 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
1,884
1,573
3,457
781
522
1,303
4,760
8
6
14
2
2
4
18
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
Islampur 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
4,344
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
716
16.48
2
X99 Assault by sharp object
XX: External causes of morbidity and mortality
630
14.50
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
595
13.70
4
O80 Single spontaneous delivery
XV: Pregnancy, childbirth and the puerperium
373
8.59
5
A04 Other bacterial intestinal infections
I: Certain infectious and parasitic diseases
316
7.27
6
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
233
5.36
7
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
194
4.47
8
J45 Asthma
X: Diseases of the respiratory system
156
3.59
9
E46 Unspecified protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
124
2.85
10
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
59
1.36
Islampur 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
18
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
6
33.33
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
4
22.22
3
A419 Septicaemia, unspecified
IX: Diseases of the circulatory system
2
11.11
4
J459 Asthma, unspecified
X: Diseases of the respiratory system
2
11.11
5
A010 Typhoid fever
I: Certain infectious and parasitic diseases
2
11.11
6
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
1
5.56
7
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
1
5.56
8
0
0.00
9
0
0.00
10
0
0.00
Islampur Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
87.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
9,860
Bed Occupancy Rates (%)
54.03
Average Length of Hospital Stay (No. of days per patient)
2.27
Hospital Death Rate (%)
0.41
Islampur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
23
Minor Surgeries
2,243
Islampur 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
22
9
3
10
45.45
Non Doctor
0
0
0
0
0.00
Class II
15
1
8
6
40.00
Class III
103
61
28
14
13.59
Class IV
22
11
5
6
27.27
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
12
6
3
3
25.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
15
13
2
0
0.00
Class IV
3
3
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
45
21
18
6
13.33
Class IV
0
0
0
0
0.00
Islampur 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
34
15
6
13
38.24
Non Doctor
0
0
0
0
0.00
Class II
15
1
8
6
40.00
Class III
158
94
50
14
8.86
Class IV
25
12
4
9
36.00
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
Islampur 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
12
8
22
12
0
0
2
0
0
Nurse
0
0
0
0
15
9
0
0
5
1
0
Medical Assistant
0
0
12
12
2
2
0
0
11
0
0
Medical Technologist
0
0
0
0
9
8
0
0
0
0
0
CHCP
47
39
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
6
AHI
0
0
0
0
12
12
0
0
0
0
0
HA
0
0
0
0
60
59
0
0
0
0
0
Islampur 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
1
0
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
2
2
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
2
0
0
0
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
2
1
0
0
1
Portable OT Light
3
2
0
0
1
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
5
5
0
0
0
Ventilator
0
0
0
0
0
Islampur 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
2
1
0
0
1
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
1
1
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Islampur 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)
1
1
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
0
0
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Islampur 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
1
1
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Islampur 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)
4
4
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
6
6
0
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
1
0
1
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
3
0
0
0
Scanner
0
0
0
0
0
UPS
6
6
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
Islampur 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
1
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
59
51
5
0
3
Islampur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Islampur Upazila Health Complex
Still Birth, Neonatal & Maternul death is very high in this Upazilla.IMCI patients are mostly increasing in this Upazilla. So IMCI refresher training should be done for all doctor & paramedics.Vacant post of Doctors & Nurses should be fulfill immediately due to lack of Speicialist Doctors & Nurses adequate health services facing many difficulties. It is a matter of pleasure that with these limited resources. Many operation like Cesarian (22 in number) section,circumcision & many minor oparetion has done successfully.