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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 .
Dr.Abdul Motaleb Miah
UH&FPO
Shibchar Upazila Health Complex

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 Upazila19
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.