Sarisabari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin Sharishabari Upazila. This Bulletin Contains all the health related information of 2015. I hope all the information of this bulletin will help for planning & bridging the gaps in health service of this Upazila.
Sarisabari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Sarisabari
Organization Code
10000220
Name of UHFPO Dr. Abul Basher Md. Asaduzzaman
Land Phone No. 1
-0982756029
Land Phone No. 2
FAX No.
Mobile No.
01712426929
Email sharishabari@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
90.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 74,600
Population in the Upazila 345,913
Area of Upazila in sq km 262.50
Sarisabari 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)
6
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
41
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
0
0
Sarisabari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,712
Under 5 Mortality Rate: 39.333 (Per 1,000 live births)
Infant Mortality Rate: 28.903 (Per 1,000 live births)
Neonatal Mortality Rate: 22.646 (Per 1,000 live births)
Still Birth Rate: 16.985 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 24,118
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98%
Sarisabari 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:
7
Total No. of Recipients Who Took at least one ANC:
7,291
Total Number of Deliveries:
6,794
Valid TT Coverage: 60.00 %
Maternal Mortality Ratio (MMR) is:
104.29 per 100,000 live births.
Sarisabari 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
10,766
17,212
27,978
3,782
3,037
6,819
34,797
3,248
1,801
5,049
864
343
1,207
6,256
Union Sub-Centres
28,348
30,376
58,724
2,066
2,757
4,823
63,547
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
37,245
41,126
78,371
3,162
3,953
7,115
85,486
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
130,632
141,279
271,911
7,886
9,799
17,685
289,596
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
Sarisabari 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
3,188
6,576
9,764
501
203
704
10,468
15
6
21
1
1
2
23
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
Sarisabari 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
10,468
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R10 Abdominal and pelvic pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
2015
19.25
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1734
16.56
3
E46 Unspecified protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
1030
9.84
4
J14 Pneumonia due to Haemophilus influenzae
X: Diseases of the respiratory system
897
8.57
5
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
765
7.31
6
L08 Other local infections of skin and subcutaneous tissue
XII: Diseases of the skin and subcutaneous tissue
653
6.24
7
J22 Unspecified acute lower respiratory infection
X: Diseases of the respiratory system
604
5.77
8
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
502
4.80
9
H15 Disorders of sclera
VII: Diseases of the eye and adnexa
486
4.64
10
H60 Otitis externa
VIII: Diseases of the ear and mastoid process
390
3.73
Sarisabari 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
23
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J99 Respiratory disorders in diseases classified elsewhere
X: Diseases of the respiratory system
9
39.13
2
J22 Unspecified acute lower respiratory infection
X: Diseases of the respiratory system
4
17.39
3
J45 Asthma
X: Diseases of the respiratory system
3
13.04
4
V40 Car occupant injured in collision with pedestrian or animal
XX: External causes of morbidity and mortality
2
8.70
5
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
2
8.70
6
T40 Poisoning by narcotics and psychodysleptics [hallucinogens]
XIX: Injury, poisoning and certain other consequences of external causes
1
4.35
7
J16 Pneumonia due to other infectious organisms, NEC
X: Diseases of the respiratory system
1
4.35
8
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
4.35
9
0
0.00
10
0
0.00
Sarisabari Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
82.00
Coverage of households having access to sanitary latrines (%)
78.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
17,641
Bed Occupancy Rates (%)
96.66
Average Length of Hospital Stay (No. of days per patient)
1.69
Hospital Death Rate (%)
0.22
Sarisabari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
3
Minor Surgeries
1,985
Sarisabari 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
20
10
1
9
45.00
Non Doctor
0
0
0
0
0.00
Class II
16
2
14
0
0.00
Class III
22
17
3
2
9.09
Class IV
21
15
4
2
9.52
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
6
4
2
0
0.00
Class III
12
8
4
0
0.00
Class IV
6
6
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
1
1
1
33.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
6
0
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
41
14
27
0
0.00
Class IV
0
0
0
0
0.00
Sarisabari 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
28
13
5
10
35.71
Non Doctor
0
0
0
0
0.00
Class II
16
2
14
0
0.00
Class III
154
82
66
6
3.90
Class IV
24
18
4
2
8.33
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
Sarisabari 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
0
0
20
11
0
0
2
1
0
Nurse
0
0
0
0
16
16
0
0
4
3
0
Medical Assistant
0
0
8
8
2
2
0
0
10
0
0
Medical Technologist
0
0
0
0
7
7
0
0
0
0
0
CHCP
41
41
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
4
4
0
0
0
AHI
0
0
0
0
0
0
12
12
0
0
0
HA
0
0
0
0
0
0
60
57
0
0
6
Sarisabari 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)
0
0
0
0
0
X-ray machine (300 mA)
1
0
1
0
0
Ultrasonogram machine
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
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
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
2
2
0
0
0
Sarisabari 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
Sarisabari 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)
0
0
0
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
6
3
3
0
0
Pediatric equipment
Baby incubator
2
1
1
0
0
Phototherapy unit
0
0
0
0
0
Sarisabari 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
0
0
0
0
0
Refrigerator
1
1
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Sarisabari 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)
1
1
0
0
0
Generator
Generator (diesel/petrol)
2
1
1
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
5
1
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
3
2
1
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
0
0
0
0
0
Sarisabari 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
1
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
54
43
11
0
0
Sarisabari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Sarisabari Upazila Health Complex
Sharishabari UHC has been upgraded from 50 Bed Hospital., To deliver services to the patients as 50 Bed hospital following essential measures should be taken immediately- A. posting of:- 1. consultant/specialists (Medicine, Anaesthesia). 2. Vaccan M.O. . B:- 1. Well equiped Operation theatre. 2. Essential instruments for performing operations. 3. Anesthesia machine and necessary drugs related with anesthesia. C:- 1. A New AMBULANCE. D:- 1. Medical equipments and logistic support should be continued in a timely fashion. 2. Repairable instruments should be repaired immediately (e.g- X-ray machine, Sucker machine, Microscope etc.) E:- Doctor and nurses need more training on IMCI, EOC, communicable and non-communicable diseases. Finally, I am very happy to write this health Bulletin 2015, because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advices for our improvement
