Shibchar Upazila Health Complex | Health Bulletin 2015 |
Preface
I welcome everybody to this health bulletin.This bulletin contains Health Service information of 2014.This bulletin is published to diserminate the information of Health Service of Shibchar Upzilla I hope all the information of this bulletin will help for local planning & bridging the gaps in health service of this Upzilla..This health bulletin will help us to find constrains of the status of MDG4 and MDG 5 which will help to localize the MDG target. All vacant posts are published in this bulletin of 2014.I like to take attention of the higher authority to look into to this issue.finally I would like to pay my heart felt gratitude to the Honble. Prime Minister & to the leadership of MIS section of our Health Directorate for whom this effort has eventually come to a reality .
Shibchar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Shibchar
Organization Code
10000274
Name of UHFPO Dr.Abdul Motaleb Miah
Land Phone No. 1
06624-056118
Land Phone No. 2
FAX No.
Mobile No.
01715399038
Email shibchar@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
N/A And
Long:
N/A
No. of Unions in the Upazila 19
No. of Households in the Upazila 60,474
Population in the Upazila 360,149
Area of Upazila in sq km 338.50
Shibchar 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)
15
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
37
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
7
65
No. of NGO Clinics/Facilities
1
0
Shibchar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,042
Under 5 Mortality Rate: 22.509 (Per 1,000 live births)
Infant Mortality Rate: 21.020 (Per 1,000 live births)
Neonatal Mortality Rate: 17.213 (Per 1,000 live births)
Still Birth Rate: 26.978 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,050
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%
Shibchar 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:
9
Total No. of Recipients Who Took at least one ANC:
5,443
Total Number of Deliveries:
6,636
Valid TT Coverage: 42.00 %
Maternal Mortality Ratio (MMR) is:
148.96 per 100,000 live births.
Shibchar 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
10,298
24,570
34,868
7,671
5,329
13,000
47,868
2,441
2,858
5,299
691
281
972
6,271
Union Sub-Centres
6,382
9,271
15,653
5,311
8,558
13,869
29,522
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
81,468
113,525
194,993
70,296
97,674
167,970
362,963
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
10,532
13,549
24,081
2,754
0
2,754
26,835
0
0
0
0
0
0
0
NGO Clinics/Facilities
6,749
8,953
15,702
2,387
0
2,387
18,089
0
0
0
0
0
0
0
Shibchar 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
1,791
1,895
3,686
492
172
664
4,350
6
3
9
0
2
2
11
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
4,853
6,639
11,492
1,329
271
1,600
13,092
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Shibchar 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
3,283
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
1030
31.37
2
J110 Influenza with pneumonia, virus not identified
X: Diseases of the respiratory system
164
5.00
3
R456 Physical violence
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1369
41.70
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
3
0.09
5
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
165
5.03
6
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
142
4.33
7
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
278
8.47
8
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
86
2.62
9
J46 Status asthmaticus
X: Diseases of the respiratory system
56
1.71
10
X48 Accidental poisoning by and exposure to pesticides
XX: External causes of morbidity and mortality
86
2.62
Shibchar 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
4
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
142
3,550.00
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
86
2,150.00
3
J46 Status asthmaticus
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
56
1,400.00
4
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
86
2,150.00
5
A19 Miliary tuberculosis
I: Certain infectious and parasitic diseases
232
5,800.00
6
E10 Insulin-dependent diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
31
775.00
7
T20 Burn and corrosion of head and neck
XIX: Injury, poisoning and certain other consequences of external causes
49
1,225.00
8
J06 Acute upper respiratory infections of multiple and unspecified sites
X: Diseases of the respiratory system
78
1,950.00
9
O84 Multiple delivery
XV: Pregnancy, childbirth and the puerperium
385
9,625.00
10
O08 Complications following abortion and ectopic and molar pregnancy
XV: Pregnancy, childbirth and the puerperium
87
2,175.00
Shibchar Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
4,043
Bed Occupancy Rates (%)
22.15
Average Length of Hospital Stay (No. of days per patient)
1.23
Hospital Death Rate (%)
0.12
Shibchar Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
134
Minor Surgeries
387
Shibchar 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
16
3
2
9.52
Non Doctor
0
0
0
0
0.00
Class II
15
3
12
0
0.00
Class III
152
75
42
35
23.03
Class IV
25
12
7
6
24.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
15
6
7
2
13.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
26
10
16
0
0.00
Class IV
33
8
9
16
48.48
Rural Dispensaries
Class I
Doctor
3
2
0
1
33.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
4
0
2
33.33
Class IV
3
1
0
2
66.67
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
18
19
4
9.76
Class IV
0
0
0
0
0.00
Shibchar 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
39
22
11
6
15.38
Non Doctor
0
0
0
0
0.00
Class II
15
3
12
0
0.00
Class III
152
75
42
35
23.03
Class IV
25
12
7
6
24.00
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
Shibchar 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
18
16
21
15
0
0
0
0
0
Nurse
0
0
0
0
15
15
0
0
2
2
0
Medical Assistant
0
0
18
10
2
2
0
0
5
0
0
Medical Technologist
0
0
3
1
10
6
0
0
0
0
0
CHCP
41
37
41
37
0
0
0
0
0
0
0
HI
6
4
0
0
6
4
0
0
0
0
0
AHI
16
16
0
0
16
16
0
0
0
0
0
HA
80
68
0
0
80
68
0
0
0
0
0
Shibchar 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
0
1
0
Ultrasonogram machine
0
0
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
0
0
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Shibchar 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
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Shibchar 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)
3
1
1
1
0
Colorimeter
1
0
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
1
1
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Shibchar 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
2
0
0
0
Blood bank refrigerator
1
0
1
0
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
3
1
1
1
0
Shibchar 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
0
1
0
0
Generator
Generator (diesel/petrol)
3
1
1
1
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
9
6
2
1
0
Laptop
41
41
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
2
0
0
0
Printer (laser)
0
0
0
0
0
Scanner
1
1
0
0
0
UPS
0
0
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Shibchar 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
87
73
9
5
0
Shibchar Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Shibchar Upazila Health Complex
Last year we could not give our maximum efforts improve the health status of Shibchar upazilla due to many reasons. Here I would like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctors need more training on IMCI & EOC 3. Our need an ultra sound machine , ECG machine and a new X-Ray machine for better health services. 4. also Instruments and furniture are not sufficient in Community clinics which should be increased. Finally I am very happy to write this e-health bulletin of 2014 because this documents will help us to compair 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 advice for improvement in future.
