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Sreenagar Upazila Health Complex | Health Bulletin 2015 |
Preface
This is the Second time the health bulletin is published in this Upazila.It is a great pleasure for me to publish this health bulletin of Sreenagar Upazila. to publish it in time am grateful to Almighty Allah This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Sreenagar Upazila to other departments and development partners of health. I hope all the information of this bulletin will help for planning the health services of this Upazila. DR. MD. Sayeduzzaman Upazila Health Complex Sreenagar, Munshiganj
DR. MD. Sayeduzzaman
UH&FPO
Sreenagar Upazila Health Complex

Sreenagar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Sreenagar
Organization Code 10000341
Name of UHFPO DR. MD. Sayeduzzaman
Land Phone No. 1 -027627026
Land Phone No. 2
FAX No.
Mobile No. 01712259646
Email Sreenagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5539 And Long: 90.5434
No. of Unions in the Upazila14
No. of Households in the Upazila 54,391
Population in the Upazila 263,210
Area of Upazila in sq km 155.00

Sreenagar 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) 11 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 25 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 10
No. of NGO Clinics/Facilities 0 0

Sreenagar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,452


Under 5 Mortality Rate: 41.269 (Per 1,000 live births)
Infant Mortality Rate: 29.347 (Per 1,000 live births)
Neonatal Mortality Rate: 24.762 (Per 1,000 live births)
Still Birth Rate: 2.751 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,471
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Sreenagar 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: 4,970
Total Number of Deliveries: 5,451
Valid TT Coverage: 44.00 %
Maternal Mortality Ratio (MMR) is: 128.39 per 100,000 live births.

Sreenagar 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 15,921 34,102 50,023 25,655 0 25,655 75,678 4,106 6,793 10,899 2,936 0 2,936 13,835
Union Sub-Centres 17,950 25,044 42,994 14,986 0 14,986 57,980 250 195 445 125 0 125 570
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 48,081 96,716 144,797 30,339 0 30,339 175,136 340 231 571 135 0 135 706
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 2,050 3,540 5,590 1,580 0 1,580 7,170 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sreenagar 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 1,850 2,125 3,975 502 0 502 4,477 6 5 11 4 0 4 15
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 359 542 901 230 0 230 1,131 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sreenagar 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 4,335
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 545 12.57
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 541 12.48
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 490 11.30
4 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 345 7.96
5 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 321 7.40
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 320 7.38
7 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 300 6.92
8 J45 Asthma X: Diseases of the respiratory system 299 6.90
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 196 4.52
10 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 199 4.59

Sreenagar 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 15
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 5 33.33
2 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 4 26.67
3 T629 Noxious substance eaten as food, unspecified X: Diseases of the respiratory system 3 20.00
4 N90 Other noninflammatory disorders of vulva and perineum XIV: Diseases of the genitourinary system 3 20.00
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 13.33
6 I50 Heart failure IX: Diseases of the circulatory system 1 6.67
7 B19 Unspecified viral hepatitis I: Certain infectious and parasitic diseases 1 6.67
8 0 0.00
9 0 0.00
10 0 0.00

Sreenagar 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 (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,640
Bed Occupancy Rates (%) 91.18
Average Length of Hospital Stay (No. of days per patient) 3.84
Hospital Death Rate (%) 0.35


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

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

 

Sreenagar 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 9 4 26.67
Class III 100 53 40 7 7.00
Class IV 25 15 8 2 8.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 7 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 7 4 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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 6 3 3 0 0.00
Class IV 3 2 1 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 8 20 0 0.00
Class IV 0 0 0 0 0.00

 

Sreenagar 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 35 20 15 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 15 2 11 2 13.33
Class III 117 63 47 7 5.98
Class IV 28 17 9 2 7.14
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

 

Sreenagar 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 14 14 21 21 0 0 4 2 4
Nurse 0 0 0 0 14 11 0 0 4 4 4
Medical Assistant 0 0 14 14 2 2 0 0 2 0 0
Medical Technologist 0 0 3 3 10 10 0 0 0 0 0
CHCP 28 28 0 0 0 0 0 0 0 0 4
HI 4 4 0 0 0 0 0 0 0 0 4
AHI 11 11 0 0 0 0 0 0 0 0 0
HA 55 45 0 0 0 0 0 0 0 0 0

Sreenagar 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 0 1 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 2 1 1 0 0
Autoclave 2 1 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 2 1 1 0
Operating microscope 2 1 1 0 0
Ceiling mounting OT Light 2 1 1 0 0
Portable OT Light 4 2 1 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 6 3 2 1 0
Ventilator 0 0 0 0 0


Sreenagar 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 3 1 1 1 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0


Sreenagar 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 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Sreenagar 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 2 1 1 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Sreenagar 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) 6 3 3 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) 12 6 5 1 0
Laptop 4 2 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 1 1 3 0
Scanner 0 0 0 0 0
UPS 12 6 6 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 1 1 0 0
Multimedia 0 0 0 0 0


Sreenagar 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 2 1 1 0 0
Mobile phone 2 1 1 0 0
Total 82 40 33 9 0

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

Important information and necessary issues for Sreenagar Upazila Health Complex
We tried our level best to give a better health care service to the people of this Upazila. In spite of our tremendous effort, sometimes we could not give the optimum service to our clients. We have limitations also. Here I like to mention some important factors which will help us to achieve good result in future. 1. Our doctors, nurses and field workers need more training to meet the incoming threats like Bird flu etc. 2. We need a modern X-ray machine because our existing one is very old and regular supply of X-ray film and ECG papers should be ensured. 3. As RTA cases are increasing, we need another ambulance and ambulance driver. 4. Due to power failure, vaccines stored in the refrigerator come under threat. For this, immunization program is hampered in the field level. We need a generator immediately for EPI room to maintain optimum temperature for vaccines. Finally I am very happy to write this health bulletin of 2013 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the people of this Upazila to understand health services given by the health providers and it will provide us the useful advice for improvement in future.