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Akhaura Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of akhaura Upazilla, district Brahmanbaria. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Akhaura Upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridgoing the gaps in health services of this Upazilla. This health bulletin to help us to implement all health facilities at Upazilla. Government health office has many data stored in the file.This health bulletin will help us to find contains and also to see the results status service and achivements of 2014.The bulletin contains the status of MDG- 4 and MDG- 5 which will help to localize the the MDG target. We are trying heart & soul for achive MDG-5. !st step of primary health service provided in CC by newly appointed doctors at Akhaura,Brahmanbaria.This health bulletin has also the information on safe drinking water and sanitation status of the Upazila.All the sanction and vacant posts are published in this bulletin of 2014.I like to take attention of the higher authority to look into to this issue.finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.We have successfully achieved MDG-4 and on the way to achieve MDG-5.
Dr. Md .Shah Alam
UH&FPO
Akhaura Upazila Health Complex

Akhaura Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Akhaura
Organization Code 10000663
Name of UHFPO Dr. Md .Shah Alam
Land Phone No. 1 8522560-0852256036
Land Phone No. 2
FAX No.
Mobile No. 01711162488
Email akhaura@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.8617 And Long: 91.2189
No. of Unions in the Upazila5
No. of Households in the Upazila 26,653
Population in the Upazila 171,124
Area of Upazila in sq km 92.84

Akhaura 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 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 2 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) 0 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 0 0

Akhaura Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,067


Under 5 Mortality Rate: 13.223 (Per 1,000 live births)
Infant Mortality Rate: 9.670 (Per 1,000 live births)
Neonatal Mortality Rate: 6.710 (Per 1,000 live births)
Still Birth Rate: 0.789 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 25,523
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 5%

Akhaura 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: 2
Total No. of Recipients Who Took at least one ANC: 4,164
Total Number of Deliveries: 5,078
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR) is: 39.47 per 100,000 live births.

Akhaura 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 16,467 23,097 39,564 7,440 11,043 18,483 58,047 2,937 1,966 4,903 760 205 965 5,868
Union Sub-Centres 9,438 12,203 21,641 3,252 4,084 7,336 28,977 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 3,141 6,605 9,746 870 1,696 2,566 12,312 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 33,406 70,747 104,153 10,427 12,643 23,070 127,223 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

Akhaura 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 1,223 2,221 3,444 370 287 657 4,101 13 7 20 5 0 5 25
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

Akhaura 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 3,814
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A099 Gastroenteritis and colitis of unspecified origin I: Certain infectious and parasitic diseases 1620 42.48
2 Y078 By other specified persons XX: External causes of morbidity and mortality 867 22.73
3 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 327 8.57
4 T365 Aminoglycosides XIX: Injury, poisoning and certain other consequences of external causes 176 4.61
5 O750 Maternal distress during labour and delivery XV: Pregnancy, childbirth and the puerperium 124 3.25
6 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 123 3.22
7 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 52 1.36
8 J459 Asthma, unspecified X: Diseases of the respiratory system 49 1.28
9 I500 Congestive heart failure IX: Diseases of the circulatory system 31 0.81
10 0 0.00

Akhaura 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 69
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I213 Acute transmural myocardial infarction of unspecified site IX: Diseases of the circulatory system 15 21.74
2 I607 Subarachnoid haemorrhage from intracranial artery, unspecified IX: Diseases of the circulatory system 12 17.39
3 W690 Drowning and submersion while in natural water, home IX: Diseases of the circulatory system 9 13.04
4 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 9 13.04
5 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 7 10.14
6 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 5 7.25
7 J22 Unspecified acute lower respiratory infection X: Diseases of the respiratory system 5 7.25
8 J459 Asthma, unspecified X: Diseases of the respiratory system 4 5.80
9 Y140 Poisoning by and exposure to other and unspecified drugs, medicaments and biological substances, undetermined intent, home XX: External causes of morbidity and mortality 2 2.90
10 W850 Exposure to electric transmission lines, home XX: External causes of morbidity and mortality 1 1.45

Akhaura 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 (%) 99.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,117
Bed Occupancy Rates (%) 80.57
Average Length of Hospital Stay (No. of days per patient) 2.39
Hospital Death Rate (%) 1.81


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 460

 

Akhaura 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 3 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 58 41 12 5 8.62
Class IV 21 15 6 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 2 0 2 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 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 2 1 1 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 9 7 0 0.00
Class IV 0 0 0 0 0.00

 

Akhaura 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 13 6 5 2 15.38
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 80 53 19 8 10.00
Class IV 23 16 6 1 4.35
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

 

Akhaura 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 4 3 9 7 0 0 2 0 0
Nurse 0 0 0 0 10 7 0 0 3 0 0
Medical Assistant 0 0 4 2 2 2 0 0 5 0 0
Medical Technologist 0 0 0 0 6 4 0 0 4 0 0
CHCP 16 16 0 0 0 0 0 0 0 0 7
HI 0 0 0 0 2 2 0 0 0 0 7
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 28 0 0 0 0 0

Akhaura 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 0 0 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 0 0 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Akhaura 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Akhaura 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) 0 0 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 1 3 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Akhaura 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 3 3 0 0 0


Akhaura 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) 0 0 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 7 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 3 3 0 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Akhaura 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 0 1 0 0
Mobile phone 1 1 0 0 0
Total 32 27 5 0 0

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

Important information and necessary issues for Akhaura Upazila Health Complex
Last year we could not give our maximum efforts improve the health status due to many reasons.Here I like mention some important factors which will help us to achieve good results in future.1. The vacant post should be field immediately 2. All the repairable equipments should be repaired as soon as possible 3. Digital X-ray machine should be supply as early as possible. Finally I am very happy to write this health bulletin of 2014.Because this document will help us to compare our progress in upcoming years.This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future. UHC Akhaura brahmanbaria up-grade construction already completed on 30/10/2014. This construction started on October 2012.UHC Akhaura needs as f0llows 1.New doctors quarters construction 2. Administrative order for 50 beds hospital 3. provide manpower 4. Provide logistic support 5. Provide new furniture. I wrote several times to higher authority for above mention subject. I hope & pray all thing approve as early as possible.