Harirampur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Harirampur upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Harirampur upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status 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 of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. DR. JADAV CHANDRA MANDAL UH&FPO Upazila Health Complex Harirampur,Manikgonj.
Harirampur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Harirampur
Organization Code
10000288
Name of UHFPO Dr. Jadav Chandra Mandal
Land Phone No. 1
-027728010
Land Phone No. 2
FAX No.
Mobile No.
01731541486
Email harirampur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 13
No. of Households in the Upazila 34,082
Population in the Upazila 149,821
Area of Upazila in sq km 235.00
Harirampur 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
31
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
5
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)
8
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
17
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
3
0
No. of NGO Clinics/Facilities
1
0
Harirampur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,199
Under 5 Mortality Rate: 18.756 (Per 1,000 live births)
Infant Mortality Rate: 10.628 (Per 1,000 live births)
Neonatal Mortality Rate: 3.751 (Per 1,000 live births)
Still Birth Rate: 4.376 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,638
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%
Harirampur 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:
1
Total No. of Recipients Who Took at least one ANC:
3,048
Total Number of Deliveries:
3,054
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR) is:
31.26 per 100,000 live births.
Harirampur 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
14,351
28,774
43,125
10,544
0
10,544
53,669
1,190
1,720
2,910
540
0
540
3,450
Union Sub-Centres
13,854
21,811
35,665
6,321
0
6,321
41,986
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
2,150
8,560
10,710
680
0
680
11,390
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
42,904
98,455
141,359
7,868
9,259
17,127
158,486
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
Harirampur 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
801
1,302
2,103
329
0
329
2,432
8
8
16
0
1
1
17
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
Harirampur 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
2,375
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
260
10.95
2
X99 Assault by sharp object
XX: External causes of morbidity and mortality
240
10.11
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
173
7.28
4
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
167
7.03
5
A04 Other bacterial intestinal infections
I: Certain infectious and parasitic diseases
158
6.65
6
J45 Asthma
X: Diseases of the respiratory system
145
6.11
7
J17 Pneumonia in diseases classified elsewhere
X: Diseases of the respiratory system
102
4.29
8
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
97
4.08
9
J11 Influenza, virus not identified
X: Diseases of the respiratory system
60
2.53
10
V09 Pedestrian injured in other and unspecified transport accidents
XX: External causes of morbidity and mortality
45
1.89
Harirampur 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
17
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
G463 Brain stem stroke syndrome
VI: Diseases of the nervous system
8
47.06
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
5
29.41
3
J44 Other chronic obstructive pulmonary disease
VI: Diseases of the nervous system
2
11.76
4
J45 Asthma
X: Diseases of the respiratory system
1
5.88
5
A403 Septicaemia due to Streptococcus pneumoniae
I: Certain infectious and parasitic diseases
1
5.88
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Harirampur Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
96.00
Coverage of households having access to sanitary latrines (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
6,630
Bed Occupancy Rates (%)
58.59
Average Length of Hospital Stay (No. of days per patient)
2.79
Hospital Death Rate (%)
0.72
Harirampur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
46
Harirampur 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
9
3
5
1
11.11
Non Doctor
0
0
0
0
0.00
Class II
10
0
6
4
40.00
Class III
71
44
20
7
9.86
Class IV
19
8
8
3
15.79
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
4
3
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
6
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
5
4
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
9
1
0
0.00
Class IV
5
5
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
28
6
11
11
39.29
Class IV
0
0
0
0
0.00
Harirampur 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
21
11
9
1
4.76
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
116
65
33
18
15.52
Class IV
24
15
6
3
12.50
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
Harirampur 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
5
5
2
2
0
0
2
0
0
Nurse
0
0
0
0
10
5
0
0
5
1
0
Medical Assistant
0
0
12
12
2
2
0
0
147
0
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
0
CHCP
28
28
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
3
3
0
0
0
AHI
0
0
0
0
0
0
8
6
0
0
0
HA
0
0
0
0
0
0
39
35
0
0
29
Harirampur 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
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
1
1
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
1
2
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
3
2
1
0
0
Operating microscope
2
1
1
0
0
Ceiling mounting OT Light
0
0
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
5
4
1
0
0
Sucker machine (electric)
4
2
2
0
0
Ventilator
0
0
0
0
0
Harirampur 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
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Harirampur 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
0
1
0
0
Colorimeter
1
1
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
Harirampur 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
2
1
1
0
0
Vehicles
Ambulance
2
1
0
1
0
Harirampur 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)
0
0
0
0
0
Generator
Generator (diesel/petrol)
0
0
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)
7
6
0
1
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
2
1
0
1
0
UPS
0
0
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Harirampur 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
50
35
12
3
0
Harirampur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Harirampur Upazila Health Complex
