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Tarail Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very much glad to publish the health bulletin of Upazila health complex , Tarail, Kishoreganj for the year 2015.This health bulletin contains all the health related issues and data of 2014. Through this bulletin, People can know about the services of different health facilities . We also come to know the achievements of different health issus, eg . neonatal, infant and maternal mortality , communicable and non-communicable diseases and access to safe drinking water and sanitation etc. Through this bulletin we can also find out the contraints and problems of health services which helps us to correct in coming year. so that the service providers can give better attention to the clients.The health bulletin is a storehouse of information and data of different health issues which is essential for implementation of future planning of different programe of health issues.I would like to congratulate MIS(DGHS) under MOHFW for continuing to publish local health bulletin to progress us one step ahead to establish digital Bangladesh. I am grateful to all office staff and other staffs of this health complex, specially to the statistician who worked hard to complete this health bulletin. I also convey my gratitude to all field staffs, spicially to Nurse (incharge), health inspecter (incharge) and sanitary inspector who helped to enrich the health bulletin by providing diffrent information and data related to health issues. I will be grateful to all concerned to help us to find out the mistake of health bulletin which will be corrected in future.
Dr. Mohd.Ahsanul Haque
UH&FPO
Tarail Upazila Health Complex

Tarail Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Tarail
Organization Code 10000253
Name of UHFPO Dr. Mohd.Ahsanul Haque
Land Phone No. 1 -0943475014
Land Phone No. 2 -0943475013
FAX No.
Mobile No. 01820067488
Email tarail@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.5491 And Long: 90.8908
No. of Unions in the Upazila7
No. of Households in the Upazila 35,318
Population in the Upazila 183,719
Area of Upazila in sq km 139.75

Tarail 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 1 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) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 21 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 1 0

Tarail Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,980


Under 5 Mortality Rate: 17.068 (Per 1,000 live births)
Infant Mortality Rate: 9.438 (Per 1,000 live births)
Neonatal Mortality Rate: 4.418 (Per 1,000 live births)
Still Birth Rate: 3.012 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 47,610
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Tarail 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: 5
Total No. of Recipients Who Took at least one ANC: 3,185
Total Number of Deliveries: 4,455
Valid TT Coverage: 51.00 %
Maternal Mortality Ratio (MMR) is: 100.40 per 100,000 live births.

Tarail 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 29,955 30,944 60,899 8,508 4,441 12,949 73,848 1,489 1,337 2,826 204 212 416 3,242
Union Sub-Centres 3,024 5,144 8,168 2,691 2,107 4,798 12,966 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 62,434 114,460 176,894 14,074 15,451 29,525 206,419 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 97,094 24,273 121,367 12,325 12,251 24,576 145,943 0 0 0 0 0 0 0

Tarail 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 1,922 1,876 3,798 969 596 1,565 5,363 9 8 17 7 6 13 30
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

Tarail 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 5,028
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 934 18.58
2 T07 Unspecified multiple injuries XIX: Injury, poisoning and certain other consequences of external causes 885 17.60
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 686 13.64
4 J46 Status asthmaticus X: Diseases of the respiratory system 183 3.64
5 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 145 2.88
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 106 2.11
7 T049 Multiple crushing injuries, unspecified XIX: Injury, poisoning and certain other consequences of external causes 101 2.01
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 83 1.65
9 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 77 1.53
10 T509 Other and unspecified drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 60 1.19

Tarail 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 30
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 6 20.00
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 5 16.67
3 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 3 10.00
4 J41 Simple and mucopurulent chronic bronchitis X: Diseases of the respiratory system 2 6.67
5 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 3.33
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 3.33
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 3.33
8 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 3.33
9 R042 Haemoptysis XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 3.33
10 R560 Febrile convulsions XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 3.33

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 91.00
Coverage of households having access to sanitary latrines (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,295
Bed Occupancy Rates (%) 72.85
Average Length of Hospital Stay (No. of days per patient) 2.64
Hospital Death Rate (%) 0.60


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 9
Minor Surgeries 3,438

 

Tarail 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 5 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 21 0 12 9 42.86
Class III 63 29 21 13 20.63
Class IV 27 16 6 5 18.52
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 3 2 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
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 21 12 5 4 19.05
Class IV 0 0 0 0 0.00

 

Tarail 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 7 8 28.57
Non Doctor 0 0 0 0 0.00
Class II 21 0 12 9 42.86
Class III 70 34 23 13 18.57
Class IV 28 17 6 5 17.86
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

 

Tarail 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 7 5 21 15 0 0 0 2 0
Nurse 0 0 0 0 21 12 0 0 1 1 0
Medical Assistant 0 0 7 7 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 7 4 0 0 0 0 0
CHCP 21 17 0 0 0 0 0 0 0 0 1
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 27 0 0 0 0 13

Tarail 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) 1 1 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 4 4 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 1 1 0 0 0


Tarail 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 4 2 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Tarail 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 1 1 0 0 0
Centrifuge machine (electric) 0 0 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Tarail 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 1 1 0 0 0


Tarail 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 0 0 0 0 0
ICT equipment
Computer (desktop) 6 5 1 0 0
Laptop 23 23 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 5 3 2 0 0
Scanner 1 1 0 0 0
UPS 7 7 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 22 22 0 0 0
Multimedia 1 1 0 0 0


Tarail 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 2 2 0 0 0
Mobile phone 1 1 0 0 0
Total 104 97 7 0 0

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

Important information and necessary issues for Tarail Upazila Health Complex
Here I like to mention some important factors which should be solved as early as possible for achieving better results in health service in future. 1) Manpowere issue:-This Health complex is a 50 beded hospital. Most of the posts are still now vacant . in addition to this upazila , a large number of people come here to get health services from surrounding upazila eg , Itna, Madan, Kendua, Nandail, Karimganj etc. Due to shortage of man power of some important posts it is very difficult to provide better services to the people. So the vacant posts should be filled up immediately , specially Nurses. Due to shortage of nurses we can not give proper attention to the admitted patients . Other improtant vacant posts are MT (Lab) , Nursing supervisior etc. Necessary action should be taken to initate OT service by posting junior consultant Anesthesia . As this health complex is under DSF Maternal Health Voucher Scheme, it is very urgent to fill up the posts of junior consultant Anesthesia for performing cesarean operation according to need.