Atpara Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Atpara upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Atpara upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. government health office has many data stored in the fine. 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 MDG 4 and MDG 5 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 sanctioned and vacant posts are published in this bulletin of 2014. I would like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr.Md Abdur Rahman Mia UH&FPO, Atpara Upazila Health Complex
Atpara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Atpara
Organization Code
10000466
Name of UHFPO Dr.Md Abdur Rahman Mia
Land Phone No. 1
-095174005
Land Phone No. 2
FAX No.
Mobile No.
01744239318
Email atpara@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
28.0000 And
Long:
87.0000
No. of Unions in the Upazila 7
No. of Households in the Upazila 30,226
Population in the Upazila 153,675
Area of Upazila in sq km 194.88
Atpara 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
0
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)
3
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
16
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
2
0
Atpara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,955
Under 5 Mortality Rate: 36.157 (Per 1,000 live births)
Infant Mortality Rate: 32.870 (Per 1,000 live births)
Neonatal Mortality Rate: 29.077 (Per 1,000 live births)
Still Birth Rate: 18.458 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 6,982
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%
Atpara 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:
9
Total No. of Recipients Who Took at least one ANC:
4,407
Total Number of Deliveries:
3,955
Valid TT Coverage: 67.00 %
Maternal Mortality Ratio (MMR) is:
227.56 per 100,000 live births.
Atpara 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
32,514
37,968
70,482
7,450
5,248
12,698
83,180
6,990
5,092
12,082
1,020
1,027
2,047
14,129
Union Sub-Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
4,478
6,529
11,007
449
302
751
11,758
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
2,995
13,998
16993
390
551
941
17,934
0
0
0
0
0
0
941
Community Clinics
29,430
60,583
90,013
6,849
7,484
14,333
104,346
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)
113
53
166
1
4
5
171
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
Atpara 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
1,005
1,158
2,163
20
17
37
2,200
3
2
5
0
0
0
5
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
Atpara 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
2,200
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
X86 Assault by corrosive substance
XX: External causes of morbidity and mortality
495
22.50
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
373
16.95
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
307
13.95
4
A048 Other specified bacterial intestinal infections
I: Certain infectious and parasitic diseases
270
12.27
5
B769 Hookworm disease, unspecified
I: Certain infectious and parasitic diseases
224
10.18
6
A083 Other viral enteritis
I: Certain infectious and parasitic diseases
100
4.55
7
A403 Septicaemia due to Streptococcus pneumoniae
I: Certain infectious and parasitic diseases
80
3.64
8
J458 Mixed asthma
X: Diseases of the respiratory system
77
3.50
9
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
47
2.14
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
29
1.32
Atpara 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
5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J46 Status asthmaticus
X: Diseases of the respiratory system
2
40.00
2
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
20.00
3
R100 Acute abdomen
X: Diseases of the respiratory system
1
20.00
4
C519 Vulva, unspecified
II: Neoplasms
1
20.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Atpara Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
Coverage of households having access to sanitary latrines (%)
60.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
7,580
Bed Occupancy Rates (%)
41.53
Average Length of Hospital Stay (No. of days per patient)
4.00
Hospital Death Rate (%)
0.24
Atpara Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
403
Atpara 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
10
3
3
4
40.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
6
4
40.00
Class III
58
23
23
12
20.69
Class IV
21
11
4
6
28.57
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
2
1
0
1
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
0
3
75.00
Class IV
2
1
0
1
50.00
Rural Dispensaries
Class I
Doctor
5
2
1
2
40.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
2
0
3
60.00
Class IV
0
0
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
16
5
11
0
0.00
Class IV
0
0
0
0
0.00
Atpara 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
17
6
4
7
41.18
Non Doctor
0
0
0
0
0.00
Class II
10
0
6
4
40.00
Class III
83
31
34
18
21.69
Class IV
23
12
4
7
30.43
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
Atpara 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
7
4
10
6
0
0
0
0
0
Nurse
0
0
0
0
11
6
0
0
1
0
0
Medical Assistant
0
0
7
3
2
1
0
0
2
0
0
Medical Technologist
0
0
2
1
8
6
0
0
0
0
0
CHCP
16
16
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
0
HA
0
0
0
0
30
25
0
0
0
0
8
Atpara 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
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
0
0
0
0
0
Sterilizer
1
0
1
0
0
Sucker machine (electric)
2
0
2
0
0
Ventilator
0
0
0
0
0
Atpara 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
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Atpara 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
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
0
0
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Atpara 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
5
2
1
2
0
Vehicles
Ambulance
1
0
1
0
0
Atpara 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)
3
0
1
0
2
Generator
Generator (diesel/petrol)
1
0
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
2
1
0
4
Laptop
21
13
8
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
6
2
3
0
1
Scanner
1
1
0
0
0
UPS
6
1
0
5
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
Atpara 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
63
26
22
8
7
Atpara Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Atpara Upazila Health Complex
Important information and necessary issues of Atpara Upazila Health Complex:- Last year we could not give our maximum efforts which might improve the health status of the Health Complex. Here I would like to mention some important factors which will help us to achieve good results in future. 1. The vacant posts should be filled immediately. 2. Our doctors and nurses need more training on IMCI 3. Number of community clinics and the bed capacity of the health complex should be increased 4. All the repairable equipments should be repaired as soon as possible 5. We have 17female HAs.Among them 8 received CSBA Training.More Female HAs Need CSBA training to improve quality. .Finally I am very glad to make this health bulletin of 2014 and this document will help us to compare our progress in upcoming years. This is a very useful document and it will help the public to understand health services and to provide us with the useful advice for improving our Services in future. ]
