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Serajdikhan Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very happy to publish this Health bulletin of serajdikhan upazilla. This bulletin contains all the health related information of this upazila of 2014. This bulletin is published to disseminate the information of serajdikhan 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. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. This 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 on one step ahead towards Digital Bangladesh.
Dr. Ulfat Begum
UH&FPO
Serajdikhan Upazila Health Complex

Serajdikhan Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Serajdikhan
Organization Code 10000333
Name of UHFPO Dr. Ulfat Begum
Land Phone No. 1 -0692463103
Land Phone No. 2
FAX No.
Mobile No. 01712544683
Email serajdikhan@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 90.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 51,514
Population in the Upazila 260,231
Area of Upazila in sq km 180.19

Serajdikhan 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 8 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 13 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 30 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 6 0
No. of NGO Clinics/Facilities 0 0

Serajdikhan Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,905


Under 5 Mortality Rate: 48.434 (Per 1,000 live births)
Infant Mortality Rate: 40.305 (Per 1,000 live births)
Neonatal Mortality Rate: 24.555 (Per 1,000 live births)
Still Birth Rate: 3.387 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 46,128
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Serajdikhan 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: 8
Total No. of Recipients Who Took at least one ANC: 5,694
Total Number of Deliveries: 5,903
Valid TT Coverage: 71.00 %
Maternal Mortality Ratio (MMR) is: 135.48 per 100,000 live births.

Serajdikhan 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 23,667 48,585 72,252 1,895 1,641 3,536 75,788 4,824 4,647 9,471 820 876 1,696 11,167
Union Sub-Centres 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 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 9,152 13,125 22,277 4,130 5,225 9,355 31,632 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Serajdikhan 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 1,263 2,080 3,343 203 199 402 3,745 6 2 8 0 0 0 8
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 1,922 2,045 3,967 1,032 0 1,032 4,999 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Serajdikhan 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 3,816
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K529 Noninfective gastroenteritis and colitis, unspecified XI: Diseases of the digestive system 814 21.33
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 327 8.57
3 T009 Multiple superficial injuries, unspecified XIX: Injury, poisoning and certain other consequences of external causes 299 7.84
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 288 7.55
5 J45 Asthma X: Diseases of the respiratory system 160 4.19
6 O66 Other obstructed labour XV: Pregnancy, childbirth and the puerperium 90 2.36
7 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 66 1.73
8 T36 Poisoning by systemic antibiotics XIX: Injury, poisoning and certain other consequences of external causes 64 1.68
9 I15 Secondary hypertension IX: Diseases of the circulatory system 52 1.36
10 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 38 1.00

Serajdikhan 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 13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I213 Acute transmural myocardial infarction of unspecified site IX: Diseases of the circulatory system 3 23.08
2 E118 Non-insulin-dependent diabetes mellitus with unspecified complications IV: Endocrine, nutritional and metabolic diseases 2 15.38
3 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 2 15.38
4 J068 Other acute upper respiratory infections of multiple sites X: Diseases of the respiratory system 1 7.69
5 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 1 7.69
6 K928 Other specified diseases of digestive system XI: Diseases of the digestive system 1 7.69
7 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 1 7.69
8 R030 Elevated blood-pressure reading, without diagnosis of hypertension XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 7.69
9 R068 Other and unspecified abnormalities of breathing XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 7.69
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 93.00
Coverage of households having access to sanitary latrines (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,250
Bed Occupancy Rates (%) 67.12
Average Length of Hospital Stay (No. of days per patient) 3.21
Hospital Death Rate (%) 0.34


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 9
Minor Surgeries 345

 

Serajdikhan 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 6 3 14.29
Non Doctor 0 0 0 0 0.00
Class II 14 1 6 7 50.00
Class III 99 48 30 21 21.21
Class IV 33 6 5 22 66.67
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 17 10 5 2 11.76
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 25 15 8 2 8.00
Class IV 8 2 0 6 75.00
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 34 7 21 6 17.65
Class IV 0 0 0 0 0.00

 

Serajdikhan 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 38 21 11 6 15.79
Non Doctor 0 0 0 0 0.00
Class II 14 1 6 7 50.00
Class III 125 63 38 24 19.20
Class IV 33 6 5 22 66.67
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

 

Serajdikhan 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 17 15 21 18 0 0 0 0 0
Nurse 0 0 0 0 14 7 0 0 1 2 0
Medical Assistant 0 0 17 17 2 2 0 0 7 0 0
Medical Technologist 0 0 8 8 10 10 0 0 0 0 0
CHCP 34 28 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 1
AHI 0 0 0 0 11 10 0 0 0 0 0
HA 0 0 0 0 55 44 0 0 0 0 0

Serajdikhan 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 1 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 3 3 0 0 0
Autoclave 3 2 1 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 3 3 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 2 0 0 1
Sterilizer 0 0 0 0 0
Sucker machine (electric) 5 2 3 0 0
Ventilator 0 0 0 0 0


Serajdikhan 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 7 2 1 0 4
Pulse oximeter 1 0 1 0 0
Dental equipment
Dental unit 1 0 1 0 0


Serajdikhan 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 1 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


Serajdikhan 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 2 2 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Serajdikhan 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 2 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) 9 6 1 1 1
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 6 5 1 0 0
Scanner 0 0 0 0 0
UPS 2 2 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 2 2 0 0 0
Multimedia 1 1 0 0 0


Serajdikhan 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 68 50 11 1 6

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

Important information and necessary issues for Serajdikhan Upazila Health Complex
Important information and necessary issues for Serajdikhan Upazila Health Complex : Important information and necessary issues for Serajdikhan Upazila Health complex Last year we could not give our maximum efforts improves the Health status due to many reasons. Here I 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. Pair doctor should be available to provide EmOC services properly. 3. Post of junior mechanics should be filled very immediate to run and maintain the generator. 4. Our doctor and nurse need more training on IMCI. 5.All the repairable equipment should be repair as soon as possible. Finally I am very glad 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 it will help the pubic to understand health service and to provide us the useful advice for improvement in future.