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Saharasthi Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Shahrasti Upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Shahrasti Upazila to other line department and development partners 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 like to take attention of the higher authority to look into to this issue. It is pleasure to knowledge you that Shahrasti Health Complex are National Awarded on EmOC good performance-2011. This hospital's Doctor-23, Nurse- 8, Medical Technologist -9, SACMO- 10, Office Staff- 5, Field Staff- 44, CHCP- 19 & Other Staff 48 working heard to achieve the target. All the rood level 2 union sub center 2 MO,2 SACMO, 2 Pharmacist & 2 MLSS, 6 UHFWC's 6 AS, 6 SACMO & 23 Community Clinic 17 CHCP are functioning with working hardly and all reports send online system. Dr. Manil Lal Majumdar, UH&FPO Upazila Health Complex, Shahrasti, Chandpur. Mobile No- 01711200195
Dr. Manik Lal Majumdar.
UH&FPO
Saharasthi Upazila Health Complex

Saharasthi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Saharasthi
Organization Code 10000727
Name of UHFPO Dr. Manik Lal Majumdar.
Land Phone No. 1 -0842756003
Land Phone No. 2
FAX No.
Mobile No. 01711200195
Email shahrasti@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.2229 And Long: 90.6524
No. of Unions in the Upazila10
No. of Households in the Upazila 45,533
Population in the Upazila 259,874
Area of Upazila in sq km 153.00

Saharasthi 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 2 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) 3 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 22 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 6
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 2 30
No. of NGO Clinics/Facilities 0 0

Saharasthi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,688


Under 5 Mortality Rate: 34.986 (Per 1,000 live births)
Infant Mortality Rate: 25.141 (Per 1,000 live births)
Neonatal Mortality Rate: 19.866 (Per 1,000 live births)
Still Birth Rate: 9.318 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 36,218
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months): 0%

Saharasthi 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: 4
Total No. of Recipients Who Took at least one ANC: 5,873
Total Number of Deliveries: 5,726
Valid TT Coverage: 83.00 %
Maternal Mortality Ratio (MMR) is: 70.32 per 100,000 live births.

Saharasthi 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 12,006 24,235 36,241 3,638 2,985 6,623 42,864 3,472 4,255 7,727 850 751 1,601 9,328
Union Sub-Centres 6,006 8,702 14,708 424 495 919 15,627 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 5,350 19,998 25,348 2,928 5,373 8,301 33,649 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 420 1,911 2331 303 595 898 3,229 0 0 0 0 0 0 898
Community Clinics 39,919 112,099 152,018 8,774 10,829 19,603 171,621 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) 92 482 574 61 79 140 714 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

Saharasthi 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 1,978 3,048 5,026 494 762 1,256 6,282 8 7 15 3 3 6 21
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

Saharasthi 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 6,282
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 711 11.32
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 669 10.65
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 661 10.52
4 J45 Asthma X: Diseases of the respiratory system 173 2.75
5 D56 Thalassaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 129 2.05
6 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 96 1.53
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 90 1.43
8 N39 Other disorders of urinary system XIV: Diseases of the genitourinary system 78 1.24
9 T44 Poisoning by drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 73 1.16
10 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 68 1.08

Saharasthi 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 21
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 4 19.05
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 3 14.29
3 A419 Septicaemia, unspecified X: Diseases of the respiratory system 2 9.52
4 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 9.52
5 D64 Other anaemias III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 4.76
6 I51 Complications and ill-defined descriptions of heart disease IX: Diseases of the circulatory system 1 4.76
7 I45 Other conduction disorders IX: Diseases of the circulatory system 1 4.76
8 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 4.76
9 K14 Diseases of tongue XI: Diseases of the digestive system 1 4.76
10 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 1 4.76

Saharasthi 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 (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 15,636
Bed Occupancy Rates (%) 85.68
Average Length of Hospital Stay (No. of days per patient) 2.49
Hospital Death Rate (%) 0.33


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 270
Minor Surgeries 1,399

 

Saharasthi 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 1 8 1 10.00
Class III 22 17 0 5 22.73
Class IV 19 12 5 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 3 1 2 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 8 2 2 16.67
Class IV 6 2 4 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 4 0 0 0.00
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 26 7 10 9 34.62
Class IV 0 0 0 0 0.00

 

Saharasthi 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 9 4 4 23.53
Non Doctor 0 0 0 0 0.00
Class II 10 1 8 1 10.00
Class III 0 0 0 0 0.00
Class IV 0 0 0 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

 

Saharasthi 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 8 6 9 7 0 0 0 2 0
Nurse 0 0 0 0 10 9 0 0 0 6 0
Medical Assistant 0 0 8 8 2 2 0 0 6 0 0
Medical Technologist 0 0 2 2 8 7 0 0 0 0 0
CHCP 26 17 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 0 0 3 3 0 0 0
AHI 0 0 0 0 0 0 9 9 0 0 1
HA 0 0 0 0 0 0 44 32 0 0 5

Saharasthi 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 1 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 3 2 0 0 1
Autoclave 2 0 2 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 1 0 0
Operating microscope 1 0 1 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 6 3 1 2 0
Ventilator 0 0 0 0 0


Saharasthi 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 5 2 3 0 0
Pulse oximeter 2 0 2 0 0
Dental equipment
Dental unit 1 1 0 0 0


Saharasthi 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) 4 1 3 0 0
Colorimeter 3 3 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 1 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Saharasthi 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 1 1 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Saharasthi 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) 2 1 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 6 1 0 0
Laptop 23 20 3 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 0 0 0
Scanner 0 0 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


Saharasthi 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 0 0 0 0 0
Mobile phone 0 0 0 0 0
Total 73 49 21 2 1

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

Important information and necessary issues for Saharasthi Upazila Health Complex