Trisal Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of trishal Upazila. This bulletin contains all the health related information of 2014. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG4 and MDG5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the Upazila. All the sactionet and vacant posts are publlished in this bulletin of 2014. I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Trisal Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Trisal
Organization Code
10000409
Name of UHFPO Dr. Md. Mashihur Rahman
Land Phone No. 1
-0903256003
Land Phone No. 2
FAX No.
Mobile No.
01718796021
Email trishal@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.3434 And
Long:
90.2340
No. of Unions in the Upazila 12
No. of Households in the Upazila 95,341
Population in the Upazila 445,935
Area of Upazila in sq km 339.00
Trisal 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
4
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
12
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
41
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
0
0
No. of NGO Clinics/Facilities
0
0
Trisal Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,502
Under 5 Mortality Rate: 35.887 (Per 1,000 live births)
Infant Mortality Rate: 32.730 (Per 1,000 live births)
Neonatal Mortality Rate: 27.468 (Per 1,000 live births)
Still Birth Rate: 36.413 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 39,432
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 97%
Trisal 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:
18
Total No. of Recipients Who Took at least one ANC:
10,441
Total Number of Deliveries:
7,237
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR) is:
189.43 per 100,000 live births.
Trisal 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
32,491
35,231
67,722
6,345
6,543
12,888
80,610
9,743
8,651
18,394
813
795
1,608
20,002
Union Sub-Centres
10,495
11,891
22,386
845
983
1,828
24,214
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
8,435
13,152
21,587
865
1,067
1,932
23,519
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
44,869
99,735
144,604
10,179
11,432
21,611
166,215
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
Trisal 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
1,921
3,115
5,036
153
172
325
5,361
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
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
Trisal 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
0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
F912 Socialized conduct disorder
V: Mental and behavioural disorders
2698
0.00
2
R27 Other lack of coordination
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1645
0.00
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
548
0.00
4
Z63 Other problems related to primary support group, including family circumstances
XXI: External causes of morbidity and mortality
514
0.00
5
A010 Typhoid fever
I: Certain infectious and parasitic diseases
291
0.00
6
J12 Viral pneumonia, NEC
X: Diseases of the respiratory system
91
0.00
7
A010 Typhoid fever
I: Certain infectious and parasitic diseases
82
0.00
8
T14 Injury of unspecified body region
XIX: Injury, poisoning and certain other consequences of external causes
68
0.00
9
B550 Visceral leishmaniasis
I: Certain infectious and parasitic diseases
57
0.00
10
Y18 Poisoning by and exposure to pesticides, undetermined intent
XX: External causes of morbidity and mortality
10
0.00
Trisal 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
4
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J45 Asthma
X: Diseases of the respiratory system
1
25.00
2
J111 Influenza with other respiratory manifestations, virus not identified
X: Diseases of the respiratory system
1
25.00
3
K25 Gastric ulcer
X: Diseases of the respiratory system
1
25.00
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Trisal Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
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.)
13,233
Bed Occupancy Rates (%)
72.51
Average Length of Hospital Stay (No. of days per patient)
3.00
Hospital Death Rate (%)
0.00
Trisal Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
3,124
Trisal 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
15
5
1
4.76
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
28
18
8
2
7.14
Class IV
22
15
3
4
18.18
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
32
16
15
1
3.13
Class IV
21
9
8
4
19.05
Rural Dispensaries
Class I
Doctor
4
2
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
6
2
0
0.00
Class IV
4
2
0
2
50.00
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
44
19
22
3
6.82
Class IV
0
0
0
0
0.00
Trisal 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
20
12
1
3.03
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
163
77
62
24
14.72
Class IV
26
15
3
8
30.77
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
Trisal 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
10
21
20
0
0
2
0
0
Nurse
0
0
0
0
16
16
0
0
5
1
0
Medical Assistant
0
0
12
12
2
2
0
0
3
0
0
Medical Technologist
0
0
0
0
8
8
0
0
0
0
0
CHCP
44
41
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
1
AHI
0
0
0
0
12
12
0
0
0
0
0
HA
0
0
0
0
59
40
0
0
0
0
0
Trisal 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)
0
0
0
0
0
Ultrasonogram machine
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
1
1
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
4
2
2
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
4
1
3
0
0
Trisal 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
4
3
1
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
2
0
2
0
0
Trisal 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
2
2
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
Trisal 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
2
2
0
0
0
Trisal 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)
2
1
1
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
7
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
5
1
4
0
0
Scanner
0
0
0
0
0
UPS
6
6
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
0
0
0
0
0
Trisal 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
1
0
1
0
0
PA system (Sound)
0
0
0
0
0
Land phone
1
0
1
0
0
Mobile phone
1
1
0
0
0
Total
60
44
16
0
0
Trisal Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Trisal Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I Like to mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctor and nurse need more training . 3. All the repairable equipments should be repaired as soon as possible. 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 public and policy makers to understand health services, It also provide us laps and gaps improvement in future.
