Shibalaya Upazila Health Complex | Health Bulletin 2015 |
Preface
This Health Bulletin is published containing reports & information of performances of Health sector during 2015 of Shibalaya Upazilla, Manikganj.
We have tried to improve services in every sectors considering the reports in Health Bulletin published of the last year 2014. We tried to improve and strengthen the surveillance activities. All C.C activities are strengthened by regular services provided by CHCP (Community Health Care Provider) as their basic training has been completed in 2014. They are providing services continuously throughout the week except holidays.
I think, considering any less performances, deficiencies and ineffectiveness published in this Health Bulletin we will be able to plan for further improvement of health services in future and higher authority may also extend their co-operation by full-filling the vacant posts along with solving other relevant problems.
Shibalaya Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Shibalaya
Organization Code
10000307
Name of UHFPO DR. K. M. TARIK
Land Phone No. 1
-027716051
Land Phone No. 2
FAX No.
Mobile No.
01716813324
Email shibalaya@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 7
No. of Households in the Upazila 38,640
Population in the Upazila 176,772
Area of Upazila in sq km 192.57
Shibalaya 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
3
0
No. of Union Sub-Centres
4
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
4
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
21
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
0
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
0
0
No. of NGO Clinics/Facilities
1
0
Shibalaya Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,355
Under 5 Mortality Rate: 6.889 (Per 1,000 live births)
Infant Mortality Rate: 3.444 (Per 1,000 live births)
Neonatal Mortality Rate: 1.837 (Per 1,000 live births)
Still Birth Rate: 1.607 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,930
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):
Shibalaya 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:
4,365
Total Number of Deliveries:
4,365
Valid TT Coverage: 99.00 %
Maternal Mortality Ratio (MMR) is:
160.73 per 100,000 live births.
Shibalaya 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
28,262
41,421
69,683
3,547
4,899
8,446
78,129
4,674
6,147
10,821
2,681
0
2,681
13,502
Union Sub-Centres
14,844
22,421
37,265
1,970
2,210
4,180
41,445
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
37,436
62,227
99,663
7,521
9,481
17,002
116,665
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)
5,241
4,987
10,228
3,571
0
3,571
13,799
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
Shibalaya 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
2,811
3,469
6,280
531
0
531
6,811
4
5
9
0
0
0
9
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
Shibalaya 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
0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
822
0.00
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
644
0.00
3
Y76 Obstetric and gynaecological devices associated with adverse incidents
XX: External causes of morbidity and mortality
631
0.00
4
X99 Assault by sharp object
XX: External causes of morbidity and mortality
348
0.00
5
J11 Influenza, virus not identified
X: Diseases of the respiratory system
326
0.00
6
T14 Injury of unspecified body region
XIX: Injury, poisoning and certain other consequences of external causes
218
0.00
7
J17 Pneumonia in diseases classified elsewhere
X: Diseases of the respiratory system
196
0.00
8
Y18 Poisoning by and exposure to pesticides, undetermined intent
XX: External causes of morbidity and mortality
134
0.00
9
J45 Asthma
X: Diseases of the respiratory system
131
0.00
10
F32 Depressive episode
V: Mental and behavioural disorders
85
0.00
Shibalaya 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
0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J45 Asthma
X: Diseases of the respiratory system
3
0.00
2
N18 Chronic renal failure
XIV: Diseases of the genitourinary system
3
0.00
3
I95 Hypotension
X: Diseases of the respiratory system
2
0.00
4
J17 Pneumonia in diseases classified elsewhere
X: Diseases of the respiratory system
2
0.00
5
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1
0.00
6
T14 Injury of unspecified body region
XIX: Injury, poisoning and certain other consequences of external causes
1
0.00
7
I68 Cerebrovascular disorders in diseases classified elsewhere
IX: Diseases of the circulatory system
1
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Shibalaya Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
92.00
Coverage of households having access to sanitary latrines (%)
80.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
13,505
Bed Occupancy Rates (%)
119.35
Average Length of Hospital Stay (No. of days per patient)
0.00
Hospital Death Rate (%)
0.00
Shibalaya Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
127
Minor Surgeries
242
Shibalaya 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
15
7
8
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
68
44
13
11
16.18
Class IV
24
9
7
8
33.33
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
2
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
3
5
0
0.00
Class IV
8
4
4
0
0.00
Rural Dispensaries
Class I
Doctor
4
2
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
6
2
0
0.00
Class IV
4
1
1
2
50.00
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
5
16
0
0.00
Class IV
0
0
0
0
0.00
Shibalaya 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
22
11
11
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
68
44
13
11
16.18
Class IV
24
12
11
1
4.17
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
Shibalaya 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
7
9
9
0
0
1
1
0
Nurse
0
0
0
0
11
10
0
0
2
6
0
Medical Assistant
0
0
7
7
2
2
0
0
9
0
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
0
CHCP
21
21
0
0
0
0
0
0
0
0
8
HI
0
0
0
0
2
2
0
0
0
0
6
AHI
0
0
0
0
6
3
0
0
0
0
0
HA
0
0
0
0
30
27
0
0
0
0
0
Shibalaya 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)
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
1
0
0
1
0
Autoclave
2
2
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
1
1
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
2
2
0
0
0
Shibalaya 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
3
1
2
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Shibalaya 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)
2
1
1
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
2
0
2
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Shibalaya 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
0
0
0
0
0
Vehicles
Ambulance
2
0
0
2
0
Shibalaya 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
0
0
1
Generator
Generator (diesel/petrol)
1
0
0
1
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
4
2
1
0
Laptop
18
18
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
3
2
0
1
0
Printer (laser)
1
0
1
0
0
Scanner
0
0
0
0
0
UPS
6
4
0
2
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
0
0
0
0
0
Shibalaya 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
69
49
9
10
1
Shibalaya Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Shibalaya Upazila Health Complex
Last year we could not give our maximum efforts improve the health statues due to many reasons. Here I like mention some important factors which will help us to achieve good result in future. a) The vacant post should be filled up immediately. b) Number of CC and the bed capacity of the health complex should increased. c) All the reparable equipments should be repaired as soon as possible.d) We want new Ambulance. e) We want new X-ray and ECG Machine.