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Purbadhala Upazila Health Complex | Health Bulletin 2015 |
Preface
With best regard to our father of the nation Bangabandhu Sheik Mujibur Rahaman whose inspiration makes our health service available up to upazila level. Hence I would like to thanks his efficient daughter Honourable prime minister Sheik Hasina for extension of health service up to village level even up to house to house through community clinic establishment. I am Dr.Md.Rezaul Ahsan Muslimi , UH&FPO , Purbadhala , Netrakona hence presenting all necessary documents & datas of 2014 with great pleasure & happiness. I hope all this information will help us for planning and bridging the laps & gaps in health services of this upazila. This health bulletin will help us to find constrains and achievements of 2014. The bulletin contains the status of MDG-4 and MDG-5 , Which further promotes us to reach towards Vision 2021. Dr. Md.Rezaul Ahsan Muslimi UH&FPO Purbadhala , Netrakona.
Dr. Md Rezaul Ahsan Muslimi
UH&FPO
Purbadhala Upazila Health Complex

Purbadhala Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Purbadhala
Organization Code 10000500
Name of UHFPO Dr. Md Rezaul Ahsan Muslimi
Land Phone No. 1 09532-056018
Land Phone No. 2
FAX No.
Mobile No. 01818948644
Email purbadhala@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.5600 And Long: 90.3600
No. of Unions in the Upazila11
No. of Households in the Upazila 66,754
Population in the Upazila 321,831
Area of Upazila in sq km 309.67

Purbadhala 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) 1 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 33 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 2 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 5 0

Purbadhala Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,494


Under 5 Mortality Rate: 30.492 (Per 1,000 live births)
Infant Mortality Rate: 27.313 (Per 1,000 live births)
Neonatal Mortality Rate: 25.077 (Per 1,000 live births)
Still Birth Rate: 23.899 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,562
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%

Purbadhala 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: 16
Total No. of Recipients Who Took at least one ANC: 7,773
Total Number of Deliveries: 1,105
Valid TT Coverage: 77.00 %
Maternal Mortality Ratio (MMR) is: 188.37 per 100,000 live births.

Purbadhala 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 5,389 7,953 13,342 2,540 2,765 5,305 18,647 2,256 864 3,120 263 121 384 3,504
Union Sub-Centres 13,134 25,492 38,626 5,101 5,639 10,740 49,366 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 3,218 6,280 9,498 1,223 1,081 2,304 11,802 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 12,478 54,929 67407 7,806 7,462 15,268 82,675 0 0 0 0 0 0 15,268
Community Clinics 63,119 130,355 193,474 13,404 16,192 29,596 223,070 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) 224 128 352 3 1 4 356 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

Purbadhala 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 2,426 3,089 5,515 977 1,090 2,067 7,582 11 3 14 0 4 4 18
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

Purbadhala 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 7,582
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1170 15.43
2 Y079 By unspecified person XX: External causes of morbidity and mortality 829 10.93
3 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 694 9.15
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 625 8.24
5 A929 Mosquito-borne viral fever, unspecified I: Certain infectious and parasitic diseases 455 6.00
6 J459 Asthma, unspecified X: Diseases of the respiratory system 137 1.81
7 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 124 1.64
8 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 110 1.45
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 105 1.38
10 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 39 0.51

Purbadhala 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 18
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2 11.11
2 J459 Asthma, unspecified X: Diseases of the respiratory system 2 11.11
3 R100 Acute abdomen X: Diseases of the respiratory system 2 11.11
4 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 1 5.56
5 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1 5.56
6 R571 Hypovolaemic shock XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.56
7 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 1 5.56
8 K265 Duodenal ulcer, chronic or unspecified with perforation XI: Diseases of the digestive system 1 5.56
9 K729 Hepatic failure, unspecified XI: Diseases of the digestive system 1 5.56
10 C229 Liver, unspecified II: Neoplasms 1 5.56

Purbadhala Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
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.) 23,789
Bed Occupancy Rates (%) 130.35
Average Length of Hospital Stay (No. of days per patient) 3.14
Hospital Death Rate (%) 0.24


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 828

 

Purbadhala 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 22 11 5 6 27.27
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 100 46 44 10 10.00
Class IV 22 13 5 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 0 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 0 0 1 100.00
Rural Dispensaries
Class I Doctor 9 4 3 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 9 2 1 8.33
Class IV 3 1 0 2 66.67
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 33 16 15 2 6.06
Class IV 0 0 0 0 0.00

 

Purbadhala 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 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
Other Hospitals & Clinics
Class I Doctor 32 15 9 8 25.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 147 72 61 14 9.52
Class IV 26 14 6 6 23.08

 

Purbadhala 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 10 8 22 16 0 0 2 0 0
Nurse 0 0 0 0 16 13 0 0 2 0 0
Medical Assistant 0 0 10 10 2 2 0 0 9 0 0
Medical Technologist 0 0 4 2 10 6 0 0 0 0 0
CHCP 33 31 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 11 9 0 0 0 0 0
HA 0 0 0 0 57 57 0 0 0 0 9

Purbadhala 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 1 0 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 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 2 0 0 0 2
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 0 2 0 0
Sterilizer 4 3 1 0 0
Sucker machine (electric) 3 1 0 0 2
Ventilator 0 0 0 0 0


Purbadhala 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 1 0 0 1
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 3 2 1 0 0


Purbadhala 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 1 1 0 0 0
Centrifuge machine (electric) 0 0 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 2 1 0 0 1
Phototherapy unit 1 1 0 0 0


Purbadhala 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 1 1 0 0 0
Refrigerator 2 2 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Purbadhala 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 3 0 0 0
Generator
Generator (diesel/petrol) 0 0 0 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 0 0 5
Laptop 38 38 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 5 0 0 0 5
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 38 38 0 0 0
Multimedia 1 1 0 0 0


Purbadhala 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 132 112 4 0 16

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

Important information and necessary issues for Purbadhala Upazila Health Complex
Here I like to mention some important factors which will help us to achieve good results in future.People should be motivated further to create hospital friendly environment through BCC & political assurance & national procedures. So that the health service provider & health service client activities will run effectively & smoothly. 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. 4. Comprehensive EOC should be started immediately. 5. Community Clinic program should be geared up. Accountabilities of the CHCP's should be improved through Govt. & social guideline. They should be committed also to serve the illiterate, poor & distress people of the society. 6. Improvement of the existing facilities for the staffs and other should be increase as we just started this procedure. So this may not be the final one.Gradually we will improve day by day.