Fulpur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to Published this health Bulletin of Fulpur Upazila Health Complex, Mymensingh with great blessings of almighty Allah.It is published to disseminate the Health Status of mother and child of this Upazila to other line and development partners of health with a hope that this will help for planning and bridging the existing gaps in health services.The bulletin will also help us to see the result and achievement of 2014 in Health sector.The bulletin contains all the information of health status of this upazila. Fulpur is the largest upazila in Mymensingh district. It is about 30kms to the north of Mymensingh sador. There are 20 unions and 377 villages. About 6,57,654 people live in this upazila. Most of them have low socioeconomic condition. People living in this upazila depends mostly on agriculture, Their homes are made up of wood,bamboo & tins. Sanitary condition of is not up to the level. Almost all use tube well water for drinking & household purpose.A few of the tube wells are contaminated with arsenic.These tube wells are marked and people are alerted not to drink water from them.There are still some people who are using impure drinking water due to lack of knowledge and difficulties to access tube wells. The main river passing beside the health complex is Khoria.This health complex is situated in such a suitable place that communication with the unions as well as other upazilas is easily accessible.Above all Dhaka-Sherpur highway is passing beside the health complex. All sanctioned & vacant posts are published here to bring attention of the higher authority. I think this health bulletin software is a great step in digitailsation of our health sector, with a view to achieve a digital Bangladesh.
Fulpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Fulpur
Organization Code
10000362
Name of UHFPO Dr Raisul Huda Bhuiyan
Land Phone No. 1
-0903356009
Land Phone No. 2
FAX No.
Mobile No.
01711676393
Email fulpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.5652 And
Long:
90.2153
No. of Unions in the Upazila 20
No. of Households in the Upazila 132,782
Population in the Upazila 657,654
Area of Upazila in sq km 633.25
Fulpur 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)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
17
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
65
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
2
20
No. of NGO Clinics/Facilities
2
0
Fulpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 15,033
Under 5 Mortality Rate: 38.582 (Per 1,000 live births)
Infant Mortality Rate: 33.992 (Per 1,000 live births)
Neonatal Mortality Rate: 27.273 (Per 1,000 live births)
Still Birth Rate: 27.207 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 16,136
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 94%
Fulpur 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:
26
Total No. of Recipients Who Took at least one ANC:
12,901
Total Number of Deliveries:
13,642
Valid TT Coverage: 26.00 %
Maternal Mortality Ratio (MMR) is:
172.95 per 100,000 live births.
Fulpur 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
15,010
20,328
35,338
10,305
8,150
18,455
53,793
4,633
4,526
9,159
807
679
1,486
10,645
Union Sub-Centres
14,196
20,107
34,303
2,374
3,414
5,788
40,091
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
82,911
153,933
236,844
21,205
23,651
44,856
281,700
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
397
539
936
191
107
298
1,234
397
207
604
79
63
142
746
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Fulpur 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
2,695
4,193
6,888
1,289
1,063
2,352
9,240
6
3
9
2
1
3
12
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
137
97
234
43
36
79
313
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Fulpur 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
9,240
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
1467
15.88
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
1049
11.35
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
1043
11.29
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1022
11.06
5
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
393
4.25
6
J45 Asthma
X: Diseases of the respiratory system
275
2.98
7
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
262
2.84
8
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
183
1.98
9
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
169
1.83
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
104
1.13
Fulpur 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
12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
4
33.33
2
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
4
33.33
3
J46 Status asthmaticus
IX: Diseases of the circulatory system
3
25.00
4
J188 Other pneumonia, organism unspecified
X: Diseases of the respiratory system
1
8.33
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Fulpur Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
87.00
Coverage of households having access to sanitary latrines (%)
89.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
16,014
Bed Occupancy Rates (%)
87.75
Average Length of Hospital Stay (No. of days per patient)
1.73
Hospital Death Rate (%)
0.13
Fulpur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
830
Fulpur 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
10
9
2
9.52
Non Doctor
0
0
0
0
0.00
Class II
15
2
12
1
6.67
Class III
134
70
39
25
18.66
Class IV
22
13
1
8
36.36
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
17
5
12
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
17
12
5
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
4
0
2
33.33
Class IV
3
2
0
1
33.33
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
71
26
35
10
14.08
Class IV
0
0
0
0
0.00
Fulpur 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
41
17
22
2
4.88
Non Doctor
0
0
0
0
0.00
Class II
15
2
12
1
6.67
Class III
157
86
44
27
17.20
Class IV
25
15
1
9
36.00
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
Fulpur 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
20
20
21
19
0
0
2
0
0
Nurse
0
0
0
0
15
14
0
0
4
2
0
Medical Assistant
0
0
20
20
2
2
0
0
4
0
0
Medical Technologist
0
0
0
0
9
8
0
0
0
0
0
CHCP
71
61
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
6
6
0
0
0
0
0
AHI
0
0
0
0
17
17
0
0
0
0
0
HA
0
0
0
0
85
64
0
0
0
0
0
Fulpur 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
1
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
1
1
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
2
1
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
0
0
1
Sterilizer
1
1
0
0
0
Sucker machine (electric)
2
1
1
0
0
Ventilator
2
1
1
0
0
Fulpur 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
5
2
3
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Fulpur 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)
3
1
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
1
1
0
0
0
Fulpur 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
1
1
0
0
0
Vehicles
Ambulance
3
1
1
1
0
Fulpur 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)
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)
6
5
1
0
0
Laptop
65
64
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
0
2
0
0
Printer (laser)
5
3
2
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
1
1
0
0
0
Fulpur 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
125
106
17
1
1
Fulpur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Fulpur Upazila Health Complex
Important information and necessary issues for Fulpur Upazila Health Complex | Fulpur upazila is one of the largest upazila in Bangladesh.It has a fifty (50) bed health complex and three (03) union sub centres(RD).Out of 75 proposed community clnics, 65 are functioning and 03 are under construction. CHCPs,health assistants & FWAs are providing services at community clinics. There are 14 Union Health and Family Welfare Centers (UH & FWC) in our upazilla, which are run by the FWVs and SACMOs. Two (02) private clinics are providing service in this upazilla and some diagnostic centers are also present here. In spite of having all these health care facilities in this upazila there is a lack of a trauma center here.As I have mentioned earlier in the preface that Dhaka-Sherpur highway is beside the health complex,injury cases have to be dealt by the physicians & other health staffs frequently,Therefore,we need a trauma center immediately to save the lives & impairments of the victims of RTA.We also need some more union sub centers to render services at the doorstep of the villagers. I feel proud that my staffs are delivering good service to the poor villagers with so many limitations.I like to mention some important factors which will help us to improve our service in future.Theses are: 1. The vacant posts should be filled up immediately. 2. Our doctors and nurses need more training on IMCI. 3. Number of community clinics should be increased. 4. All the repairable equipments should be repaired as early as possible. Finally I am very happy to publish this health bulletin of 2015, because this document will help us to compare our progress in upcoming years.
