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Fulbaria Upazila Health Complex | Health Bulletin 2015 |
Preface
Fulbaria Upazilla Situiated at the South West region of Mymensingh District . Total population is 468489 . In this Upazilla one UHC , 04 (*four) USC and 46 CC.are situiated from Health side .From Family Planning side 09 FWC are present .This Hospital is for 50beds.Fulbaria Upazilla was Kala-azar endimic area. but now it is not endimic for Kala-azar. Sporodically Kala-azar are present now. The perform of this Upazilla is gradually going up in all sector . Thanks to authority give me the opportunity to publish this health bulletin.
Dr.A.K.M. Siddiqur Rahman
UH&FPO
Fulbaria Upazila Health Complex

Fulbaria Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Fulbaria
Organization Code 10000358
Name of UHFPO Dr.A.K.M. Siddiqur Rahman
Land Phone No. 1 -0902373032
Land Phone No. 2
FAX No.
Mobile No. 01711322312
Email fulbaria@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.3735 And Long: 90.1645
No. of Unions in the Upazila13
No. of Households in the Upazila 102,820
Population in the Upazila 468,489
Area of Upazila in sq km 399.00

Fulbaria 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 1 0
No. of Union Sub-Centres 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 9 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 46 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 0
No. of NGO Clinics/Facilities 1 0

Fulbaria Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 11,207


Under 5 Mortality Rate: 30.249 (Per 1,000 live births)
Infant Mortality Rate: 27.215 (Per 1,000 live births)
Neonatal Mortality Rate: 21.951 (Per 1,000 live births)
Still Birth Rate: 29.624 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,967
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 94%

Fulbaria 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: 24
Total No. of Recipients Who Took at least one ANC: 10,280
Total Number of Deliveries: 8,343
Valid TT Coverage: 13.00 %
Maternal Mortality Ratio (MMR) is: 214.15 per 100,000 live births.

Fulbaria 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 5,947 9,028 14,975 3,590 3,005 6,595 21,570 1,504 985 2,489 404 380 784 3,273
Union Sub-Centres 20,889 29,686 50,575 3,520 3,203 6,723 57,298 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 76,206 185,750 261,956 20,805 19,004 39,809 301,765 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 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

Fulbaria 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 1,606 1,807 3,413 607 470 1,077 4,490 4 2 6 1 0 1 7
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

Fulbaria 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 4,490
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 848 18.89
2 Y850 Sequelae of motor-vehicle accident XX: External causes of morbidity and mortality 735 16.37
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 467 10.40
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 422 9.40
5 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 128 2.85
6 J458 Mixed asthma X: Diseases of the respiratory system 86 1.92
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 63 1.40
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 34 0.76
9 A08 Viral and other specified intestinal infections I: Certain infectious and parasitic diseases 27 0.60
10 O03 Spontaneous abortion XV: Pregnancy, childbirth and the puerperium 15 0.33

Fulbaria 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 7
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J40 Bronchitis, not specified as acute or chronic X: Diseases of the respiratory system 2 28.57
2 E10 Insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 1 14.29
3 C50 Malignant neoplasm of breast X: Diseases of the respiratory system 1 14.29
4 J47 Bronchiectasis X: Diseases of the respiratory system 1 14.29
5 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 1 14.29
6 T36 Poisoning by systemic antibiotics XIX: Injury, poisoning and certain other consequences of external causes 1 14.29
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Fulbaria 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 (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,621
Bed Occupancy Rates (%) 69.16
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.10


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

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

 

Fulbaria 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 26 9 5 12 46.15
Non Doctor 0 0 0 0 0.00
Class II 17 2 9 6 35.29
Class III 136 85 34 17 12.50
Class IV 26 9 2 15 57.69
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 6 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 7 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 3 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 6 1 1 12.50
Class IV 4 4 0 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 54 19 23 12 22.22
Class IV 0 0 0 0 0.00

 

Fulbaria 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 39 18 10 11 28.21
Non Doctor 0 0 0 0 0.00
Class II 17 2 9 6 35.29
Class III 207 118 60 29 14.01
Class IV 30 13 2 15 50.00
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

 

Fulbaria 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 13 13 26 15 0 0 12 0 0
Nurse 0 0 0 0 16 10 0 0 10 1 0
Medical Assistant 0 0 13 13 2 2 0 0 15 0 0
Medical Technologist 0 0 4 3 8 8 0 0 11 0 0
CHCP 54 42 0 0 0 0 0 0 42 0 0
HI 0 0 0 0 6 6 0 0 6 0 0
AHI 0 0 0 0 17 17 0 0 17 0 0
HA 0 0 0 0 85 74 0 0 74 0 10

Fulbaria 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 0 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 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 1 0 1 0 0
Hydrolic OT Table 1 0 1 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Fulbaria 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Fulbaria 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 0 1 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 1 0 1 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


Fulbaria 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 1 1 0 0 0


Fulbaria 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) 1 1 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) 8 7 1 0 0
Laptop 48 47 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 1 2 0 0
Printer (laser) 6 5 1 0 0
Scanner 0 0 0 0 0
UPS 6 4 2 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 47 47 0 0 0
Multimedia 1 1 0 0 0


Fulbaria 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 0 1 0 0
Total 140 122 18 0 0

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

Important information and necessary issues for Fulbaria Upazila Health Complex
Fulbaria Upazila is situated southern site of Mymensingh city. It is a large upazila contain 13 union & about 5 lac people. within the upazila communication is not so good. There is no allocated vehicle for UH&FPO. A car may be alloted against his name for better field side management.There are 1- UHC,4- USC, 9 H&FWC & 46 Community Clinic in Fulbaria Upazila. Other Importent Information are bellow :- IMR- 27%, NMR- 21%,SBR- 29% UMR- 30% (Per thousand live births) and MMR is 258% per 100000 live births this Upazila.