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Louhajang Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this e-health bulletin of Lauhajang Upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Lauhajang Upazila to other line department and development partners of health.On this special occasion, I express my thanks to all concerned, directly or indirectly remained with us to publish this bulletin. 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 e-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. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Hope we will be able to serve a better Bulletin in the next Time.
Dr. Khalilur Rahaman
UH&FPO
Louhajang Upazila Health Complex

Louhajang Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Louhajang
Organization Code 10000323
Name of UHFPO Dr. Khalilur Rahaman
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01712169590
Email lauhajang@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.2862 And Long: 90.2053
No. of Unions in the Upazila10
No. of Households in the Upazila 30,503
Population in the Upazila 155,338
Area of Upazila in sq km 129.00

Louhajang 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 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 6 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 16 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 1 5
No. of NGO Clinics/Facilities 0 0

Louhajang Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,888


Under 5 Mortality Rate: 36.523 (Per 1,000 live births)
Infant Mortality Rate: 28.292 (Per 1,000 live births)
Neonatal Mortality Rate: 18.261 (Per 1,000 live births)
Still Birth Rate: 3.858 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 3,730
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Louhajang 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: 3,888
Total Number of Deliveries: 3,888
Valid TT Coverage: 45.00 %
Maternal Mortality Ratio (MMR) is: 128.60 per 100,000 live births.

Louhajang 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 11,587 24,166 35,753 3,214 31,234 34,448 70,201 2,993 2,251 5,244 1,234 1,876 3,110 8,354
Union Sub-Centres 12,738 22,679 35,417 5,432 4,321 9,753 45,170 351 245 596 125 123 248 844
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 38,480 79,601 118,081 8,765 9,876 18,641 136,722 258 561 819 321 453 774 1,593
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 1,590 2,567 4,157 1,298 1,234 2,532 6,689 115 251 366 95 123 218 584
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Louhajang 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 969 1,781 2,750 785 876 1,661 4,411 2 2 4 1 1 2 6
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 105 200 305 95 78 173 478 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Louhajang 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 2,977
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y00 Assault by blunt object XX: External causes of morbidity and mortality 654 21.97
2 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 610 20.49
3 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 321 10.78
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 311 10.45
5
Ao1 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
299 10.04
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 251 8.43
7 J45 Asthma X: Diseases of the respiratory system 221 7.42
8 J21 Acute bronchiolitis X: Diseases of the respiratory system 115 3.86
9 K25 Gastric ulcer XI: Diseases of the digestive system 109 3.66
10 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 101 3.39

Louhajang 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 6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 2 33.33
2 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 2 33.33
3 I50 Heart failure XX: External causes of morbidity and mortality 1 16.67
4 J45 Asthma X: Diseases of the respiratory system 1 16.67
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
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.) 12,337
Bed Occupancy Rates (%) 67.60
Average Length of Hospital Stay (No. of days per patient) 4.14
Hospital Death Rate (%) 0.20


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 250

 

Louhajang 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 12 9 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 15 2 6 7 46.67
Class III 100 51 39 10 10.00
Class IV 25 14 7 4 16.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 4 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 3 3 0 0.00
Class IV 0 0 0 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 5 3 0 0.00
Class IV 4 2 1 1 25.00
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 23 6 19 -2 -8.70
Class IV 0 0 0 0 0.00

 

Louhajang 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 31 18 13 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 15 1 9 5 33.33
Class III 114 59 45 10 8.77
Class IV 29 16 8 5 17.24
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

 

Louhajang 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 10 10 21 20 0 0 2 0 20
Nurse 0 0 0 0 15 10 0 0 4 0 4
Medical Assistant 0 0 10 10 2 2 0 0 2 0 0
Medical Technologist 0 0 4 4 8 8 0 0 0 0 0
CHCP 23 19 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 3 2 0 0 0 0 4
AHI 0 0 0 0 9 7 0 0 0 0 0
HA 0 0 0 0 45 38 0 0 0 0 0

Louhajang 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) 2 1 1 0 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 0 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 1 0 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 0 1 0 0
Ventilator 0 0 0 0 0


Louhajang 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Louhajang 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) 0 0 0 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 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Louhajang 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 1 1 0 0


Louhajang 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) 2 0 1 1 0
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) 8 8 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 0 0 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 0 0 0 0 0
Multimedia 2 1 1 0 0


Louhajang 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 41 32 7 2 0

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

Important information and necessary issues for Louhajang Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. Our doctor and nurse need more training on IMCI 2. Number of community clinics and the bed occupancy rate of the health complex should be increased 3. All the repairable equipments should be repaired as soon as possible 4. All deputation order of officers and staffs to other organizations should be cancelled. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare 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.