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Haimchar Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Haimchar Upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Haimchar 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 to fine constrains and also
Dr. Abdul Haque
UH&FPO
Haimchar Upazila Health Complex

Haimchar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Haimchar
Organization Code 10000708
Name of UHFPO Dr. Abdul Haque
Land Phone No. 1 -0842352011
Land Phone No. 2
FAX No.
Mobile No. 01712188960
Email haimchar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 91.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 19,857
Population in the Upazila 104,057
Area of Upazila in sq km 17,448.00

Haimchar 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 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 6 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 7 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

Haimchar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,165


Under 5 Mortality Rate: 21.801 (Per 1,000 live births)
Infant Mortality Rate: 17.694 (Per 1,000 live births)
Neonatal Mortality Rate: 11.690 (Per 1,000 live births)
Still Birth Rate: 10.427 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 14,928
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 94%

Haimchar 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: 3
Total No. of Recipients Who Took at least one ANC: 3,772
Total Number of Deliveries: 3,165
Valid TT Coverage: 80.00 %
Maternal Mortality Ratio (MMR) is: 94.79 per 100,000 live births.

Haimchar 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 21,110 28,678 49,788 1,792 3,099 4,891 54,679 1,740 2,345 4,085 257 426 683 4,768
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) 2,126 10,463 12,589 2,563 3,003 5,566 18,155 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 16,440 39,779 56,219 3,444 4,377 7,821 64,040 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

Haimchar 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 1,125 1,066 2,191 433 657 1,090 3,281 6 0 6 0 0 0 6
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

Haimchar 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 3,281
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 639 19.48
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 631 19.23
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 431 13.14
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 393 11.98
5 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 331 10.09
6 J45 Asthma X: Diseases of the respiratory system 91 2.77
7 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 52 1.58
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 49 1.49
9 T36 Poisoning by systemic antibiotics XIX: Injury, poisoning and certain other consequences of external causes 30 0.91
10 B159 Hepatitis A without hepatic coma I: Certain infectious and parasitic diseases 5 0.15

Haimchar 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 6
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 2 33.33
2 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 16.67
3 J45 Asthma X: Diseases of the respiratory system 1 16.67
4 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 1 16.67
5 D02 Carcinoma in situ of middle ear and respiratory system II: Neoplasms 1 16.67
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 70.00
Coverage of households having access to sanitary latrines (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,451
Bed Occupancy Rates (%) 92.36
Average Length of Hospital Stay (No. of days per patient) 3.19
Hospital Death Rate (%) 0.18


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 78

 

Haimchar 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 16 6 7 3 18.75
Non Doctor 0 0 0 0 0.00
Class II 9 0 4 5 55.56
Class III 77 31 23 23 29.87
Class IV 19 12 5 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 2 3 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 1 1 4 66.67
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 12 4 5 3 25.00
Class IV 0 0 0 0 0.00

 

Haimchar 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 16 6 7 3 18.75
Non Doctor 0 0 0 0 0.00
Class II 9 0 4 5 55.56
Class III 77 31 23 23 29.87
Class IV 19 17 2 0 0.00
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

 

Haimchar 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 6 5 16 13 0 0 0 0 0
Nurse 0 0 0 0 9 4 0 0 1 0 0
Medical Assistant 0 0 6 2 8 4 0 0 3 0 0
Medical Technologist 0 0 0 0 5 4 0 0 0 0 0
CHCP 12 9 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 2
HA 0 0 0 0 29 19 0 0 0 0 7

Haimchar 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 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 0 0 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 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Haimchar 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Haimchar 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) 3 3 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 5 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Haimchar 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 1 1 0 0 0


Haimchar 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) 1 1 0 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) 6 6 0 0 0
Laptop 2 2 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 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Haimchar 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 1 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 41 41 0 0 0

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

Important information and necessary issues for Haimchar 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. The vacant post should be filled immediately. Our doctor and nurse need training on IMCI. All the repairable equipments should be repaired as soon as possible. Finally, I am very happy to write this health bulletin of 2014 because this document will help to compare our progress in upcoming year. This is very useful document and will help the public to understand health service and to provide us the useful advice for improvement in future.