Haluaghat Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad & my pleasure that we are going to publish this health bulletin of haluaghat upazila health complex ,Mymensingh with great blessing of almighty Allah.It is published to disseminate the information of our Upazila to other line departments 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 . Haluaghat has 12 unions and 312417 population. most of them are law socioeconomic condition.People living in this Upazila depends mainly on agriculture.one land part is present in this Upazila to connect the Meghalaya province of India from where coals are imported.Their houses are made of wood,bamboo and tins . Sanitary condition of is not up to the level.A few of the tube wells are contaminated with arsenic.These tube wells are red marked and people are alerted not to drink water from this tube well.All sanctioned & vacant posts are published here to bring attention of the higher authority.I think& hope that this health bulletin software is a great step in digitalization of our health sector, with a view to achieve a digital Bangladesh.
Haluaghat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Haluaghat
Organization Code
10000379
Name of UHFPO Dr.Md.Liaquat Ali Khan
Land Phone No. 1
-0902656003
Land Phone No. 2
FAX No.
Mobile No.
01716312512
Email haluaghat@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0705 And
Long:
90.2018
No. of Unions in the Upazila 12
No. of Households in the Upazila 67,561
Population in the Upazila 312,417
Area of Upazila in sq km 349.91
Haluaghat 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)
8
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
20
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
50
No. of NGO Clinics/Facilities
2
10
Haluaghat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,973
Under 5 Mortality Rate: 35.853 (Per 1,000 live births)
Infant Mortality Rate: 31.550 (Per 1,000 live births)
Neonatal Mortality Rate: 23.232 (Per 1,000 live births)
Still Birth Rate: 28.395 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 6,563
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months):
Haluaghat 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:
7,214
Total Number of Deliveries:
7,159
Valid TT Coverage: 33.00 %
Maternal Mortality Ratio (MMR) is:
86.05 per 100,000 live births.
Haluaghat 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
10,782
19,679
30,461
1,336
1,248
2,584
33,045
4,262
4,202
8,464
386
342
728
9,192
Union Sub-Centres
9,283
22,631
31,914
2,021
2,111
4,132
36,046
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
43,972
108,029
152,001
21,928
23,885
45,813
197,814
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
8,250
18,216
26,466
1,118
1,162
2,280
28,746
2,280
3,320
5,600
760
790
1,550
7,150
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Haluaghat 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
8,001
8,906
16,907
715
743
1,458
18,365
11
5
16
1
2
3
19
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
5,083
20,994
26,077
1,659
1,725
3,384
29,461
22
54
76
8
10
18
94
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Haluaghat 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
18,365
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
D559 Anaemia due to enzyme disorder, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1721
9.37
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1030
5.61
3
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
998
5.43
4
A010 Typhoid fever
I: Certain infectious and parasitic diseases
470
2.56
5
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
361
1.97
6
J459 Asthma, unspecified
X: Diseases of the respiratory system
308
1.68
7
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
295
1.61
8
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
172
0.94
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
129
0.70
10
T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
XIX: Injury, poisoning and certain other consequences of external causes
124
0.68
Haluaghat 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
19
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
5
26.32
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
3
15.79
3
I132 Hypertensive heart and renal disease with both (congestive) heart failure and renal failure
X: Diseases of the respiratory system
2
10.53
4
T406 Other and unspecified narcotics
XIX: Injury, poisoning and certain other consequences of external causes
1
5.26
5
J459 Asthma, unspecified
X: Diseases of the respiratory system
1
5.26
6
Y546 Electrolytic, caloric and water-balance agents
XX: External causes of morbidity and mortality
1
5.26
7
I519 Heart disease, unspecified
IX: Diseases of the circulatory system
1
5.26
8
D690 Allergic purpura
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1
5.26
9
K709 Alcoholic liver disease, unspecified
XI: Diseases of the digestive system
1
5.26
10
J989 Respiratory disorder, unspecified
X: Diseases of the respiratory system
1
5.26
Haluaghat Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
80.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
18,325
Bed Occupancy Rates (%)
100.41
Average Length of Hospital Stay (No. of days per patient)
1.00
Hospital Death Rate (%)
0.10
Haluaghat Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,121
Haluaghat 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
9
4
4
1
11.11
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
84
46
26
12
14.29
Class IV
19
8
3
8
42.11
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
12
8
3
1
8.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
15
13
1
1
6.67
Class IV
3
0
0
3
100.00
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
13
13
8
23.53
Class IV
0
0
0
0
0.00
Haluaghat 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
21
13
6
2
9.52
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
134
71
41
22
16.42
Class IV
22
8
3
11
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
Haluaghat 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
12
11
9
8
0
0
8
1
0
Nurse
0
0
0
0
16
16
0
0
5
4
0
Medical Assistant
0
0
12
12
2
2
0
0
14
0
0
Medical Technologist
0
0
0
0
8
8
0
0
0
0
0
CHCP
34
26
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
3
AHI
0
0
0
0
9
8
0
0
0
0
0
HA
0
0
0
0
51
41
0
0
0
0
0
Haluaghat 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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
1
0
0
2
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
0
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
0
0
1
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
12
6
6
0
0
Ventilator
0
0
0
0
0
Haluaghat 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
3
4
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Haluaghat 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)
1
1
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Haluaghat 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
2
1
0
1
0
Haluaghat 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)
1
1
0
0
0
Generator
Generator (diesel/petrol)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
0
2
0
0
ICT equipment
Computer (desktop)
6
6
0
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
0
0
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Haluaghat 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
59
38
17
2
2
Haluaghat Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Haluaghat Upazila Health Complex
Haluaghat upazila is a boarder once upazila adjacent to the Megalaya province of India .It is a 50 bed health complex and it has 3 union sub centers (RD).Out of 34 proposed community clinics 20 are functioning.There are 8 union Health and family welfare centres (UH &F WC) in this Upazila, which are run by the FWVs and SACMOs. One Private Hospital are servicing here.There are several diagnostic Center are Providing services. DSF activities are present in this Upazila But Lack of anesthesiologist we can't provide the Caesarean services. If we get one anesthesiologist then cesarean & DSF service will be incresed .We need all the proposed Community Clinics to render services at the doorstep of the villagers. I feel proud that my staff are delivering good services to the poor villagers with so many limitation. I like to mention some important factors which will help us to improve our services in future . These are:- 1.Vacant post should be filled up immediately. 2.Deputation should be cancelled so that they can provide services in this Upazila . 3. Number of community clinics should be increased. 4. 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 with thanks.