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Tungibari Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a pleasure for us in publishing this health bulletin Tongibari 2015 which contain different health related data/ information about health service system in Tongibari Upazila of the year 2014. Data collection, compilation, analysis & publication is a complex process.It is the indicator of health delivery system and guideline for future planning. Report from health assistant,union subcentre,community clinic,FWC, Upazila Health complex& NGOs supplies report data about the health system of rural people of Tongibari.Doctors, Sisters, statistician contributes their suggestions about this bulletin. If any body contribute any valuable information or report we will cordially accept it.I would like to thanks my colleague for supporting me in publishing this health bulletin
Dr. Fowzia Yasmin
UH&FPO
Tungibari Upazila Health Complex

Tungibari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Tungibari
Organization Code 10000347
Name of UHFPO Dr. Fowzia Yasmin
Land Phone No. 1 -027618144
Land Phone No. 2
FAX No.
Mobile No. 01819142467
Email tangibari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 41,156
Population in the Upazila 207,248
Area of Upazila in sq km 151.96

Tungibari 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) 2 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 10 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 9 40
No. of NGO Clinics/Facilities 1 0

Tungibari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,285


Under 5 Mortality Rate: 54.872 (Per 1,000 live births)
Infant Mortality Rate: 29.518 (Per 1,000 live births)
Neonatal Mortality Rate: 23.463 (Per 1,000 live births)
Still Birth Rate: 2.460 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 24,164
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Tungibari 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: 6
Total No. of Recipients Who Took at least one ANC: 7,169
Total Number of Deliveries: 6,285
Valid TT Coverage: 53.00 %
Maternal Mortality Ratio (MMR) is: 113.53 per 100,000 live births.

Tungibari 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 26,134 48,152 74,286 11,750 12,414 24,164 98,450 3,173 2,185 5,358 2,257 1,096 3,353 8,711
Union Sub-Centres 12,472 23,281 35,753 9,642 10,723 20,365 56,118 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 8,032 17,504 25,536 7,583 8,937 16,520 42,056 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 25,683 87,945 113,628 19,641 21,538 41,179 154,807 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 1,712 2,983 4,695 1,594 1,948 3,542 8,237 227 201 428 135 142 277 705
NGO Clinics/Facilities 482 792 1,274 371 492 863 2,137 0 0 0 0 0 0 0

Tungibari 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 1,652 2,971 4,623 1,192 1,275 2,467 7,090 2 1 3 0 0 0 3
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 421 1,173 1,594 217 215 432 2,026 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tungibari 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 7,090
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 821 11.58
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 796 11.23
3 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 724 10.21
4 J45 Asthma X: Diseases of the respiratory system 612 8.63
5 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 547 7.72
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 455 6.42
7 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 436 6.15
8 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 378 5.33
9 R52 Pain, NEC XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 218 3.07
10 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 124 1.75

Tungibari 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 3
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 33.33
2 C34 Malignant neoplasm of bronchus and lung II: Neoplasms 1 33.33
3 J46 Status asthmaticus X: Diseases of the respiratory system 1 33.33
4 0 0.00
5 0 0.00
6
Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
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.) 11,994
Bed Occupancy Rates (%) 65.72
Average Length of Hospital Stay (No. of days per patient) 1.69
Hospital Death Rate (%) 0.04


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 3,654

 

Tungibari 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 33 24 6 3 9.09
Non Doctor 0 0 0 0 0.00
Class II 17 0 12 5 29.41
Class III 128 78 35 15 11.72
Class IV 28 10 0 18 64.29
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 8 1 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 2 0 0 2 100.00
Rural Dispensaries
Class I Doctor 3 3 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 6 0 0 0.00
Class IV 3 0 1 2 66.67
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 24 5 15 4 16.67
Class IV 0 0 0 0 0.00

 

Tungibari 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 33 24 6 3 9.09
Non Doctor 0 0 0 0 0.00
Class II 17 0 12 5 29.41
Class III 128 86 28 14 10.94
Class IV 28 9 6 13 46.43
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

 

Tungibari 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 21 14 7 7 1 1 0
Nurse 0 0 0 0 17 11 0 0 0 5 0
Medical Assistant 0 0 5 5 2 2 7 7 6 0 0
Medical Technologist 0 0 0 0 8 7 0 0 0 0 0
CHCP 0 20 0 0 0 0 0 0 0 1 0
HI 0 0 3 3 0 0 0 0 0 0 4
AHI 0 0 10 8 0 0 0 0 0 0 0
HA 0 0 50 33 0 0 0 0 0 0 0

Tungibari 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 0 0 1 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 0 0 0 0 0
Anesthesia machine without ventilator 2 2 0 0 0
Autoclave 1 1 0 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 8 6 2 0 0
Ventilator 0 0 0 0 0


Tungibari 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 6 2 4 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


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


Tungibari 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 4 4 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Tungibari 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 1 1 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 7 6 1 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 0 0 0 0 0


Tungibari 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) 1 1 0 0 0
Land phone 2 2 0 0 0
Mobile phone 1 1 0 0 0
Total 67 53 12 2 0

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

Important information and necessary issues for Tungibari Upazila Health Complex
For ensuring better management of the emergency department at least 4 EMO posts should be created.OT selective staffs are needed to run the operation theater properly. Number of class 4 employees needed to be increased.Category wise frequent training needed.Financial power to handle local needs should be increased.For better surveillance,field visit and monitoring,a four- wheeler vehicle is needed. Promotion scope should be increased after definite time and duration.New furniture is needed to solve accommodation problem in the office building.To face frequent load shedding high power IPS is needed. One (1) new ambulance highly needed to carry the seriously ill patient to higher hospital.