Anwara Upazila Health Complex | Health Bulletin 2015 |
Preface
It gives me much pleasure to publish this Health Bulletin of Anowara upazila. This Bulletin contains all the health related information of the year 2014.It serves to disseminate the information of Anowara upazila among the other departments and development partners of health. The health bulletin will help us to find the constrains and also to see the achievements of 2014, thus bridging the gaps in health services of this upazila. Subjects and information like safe drinking water and sanitation status of the upazila is also narrated here. All the sanctioned and vacant posts are published in this Bulletin,2015. In short, the Bulletin contains the status of MDG-4 and MDG-5 which will helps to focus MDG targets. Finally, I would like to thank this initiative of Health bulletin and technical supports along with this set up which will enable us to look forward for digital Bangladesh.
Dr.Bidhu Bhushan Bowmik
UH&FPO
Anwara Upazila Health Complex.Chittagong.
Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Anwara
Organization Code
10000729
Name of UHFPO Dr.Bidhu Bhushan Bhowmik
Land Phone No. 1
-0302956023
Land Phone No. 2
FAX No.
Mobile No.
01717804269
Email anwara@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.2240 And
Long:
91.8891
No. of Unions in the Upazila 11
No. of Households in the Upazila 52,600
Population in the Upazila 310,458
Area of Upazila in sq km 164.13
Anwara 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)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
9
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
27
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
1
0
Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,268
Under 5 Mortality Rate: 3.027 (Per 1,000 live births)
Infant Mortality Rate: 1.789 (Per 1,000 live births)
Neonatal Mortality Rate: 0.550 (Per 1,000 live births)
Still Birth Rate: 2.339 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 59,753
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 99%
Anwara 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:
0
Total No. of Recipients Who Took at least one ANC:
8,795
Total Number of Deliveries:
8,682
Valid TT Coverage: 28.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Anwara 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
16,106
14,459
30,565
15,884
18,214
34,098
64,663
10,390
8,622
19,012
2,643
2,024
4,667
23,679
Union Sub-Centres
7,204
9,248
16,452
698
725
1,423
17,875
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
12,656
34,213
46869
4,003
4,535
8,538
55,407
0
0
0
0
0
0
8,538
Community Clinics
54,421
122,757
177,178
16,326
18,386
34,712
211,890
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
Anwara 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
2,607
4,023
6,630
2,576
1,554
4,130
10,760
10
1
11
0
0
0
11
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
Anwara 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
10,760
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
4988
46.36
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1578
14.67
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1254
11.65
4
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
335
3.11
5
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
134
1.25
6
B15 Acute hepatitis A
I: Certain infectious and parasitic diseases
119
1.11
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
67
0.62
8
J459 Asthma, unspecified
X: Diseases of the respiratory system
62
0.58
9
A010 Typhoid fever
I: Certain infectious and parasitic diseases
61
0.57
10
T50 Poisoning by diuretics and other and unspecified drugs, medicaments and biological substances
XIX: Injury, poisoning and certain other consequences of external causes
12
0.11
Anwara 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
11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
X: Diseases of the respiratory system
5
45.45
2
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
1
9.09
3
I612 Intracerebral haemorrhage in hemisphere, unspecified
X: Diseases of the respiratory system
1
9.09
4
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
9.09
5
E43 Unspecified severe protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
1
9.09
6
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
1
9.09
7
N18 Chronic renal failure
XIV: Diseases of the genitourinary system
1
9.09
8
0
0.00
9
0
0.00
10
0
0.00
Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
96.00
Coverage of households having access to sanitary latrines (%)
89.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
19,103
Bed Occupancy Rates (%)
104.67
Average Length of Hospital Stay (No. of days per patient)
1.78
Hospital Death Rate (%)
0.10
Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,297
Anwara 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
21
12
9
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
17
1
8
8
47.06
Class III
84
48
16
20
23.81
Class IV
23
16
6
1
4.35
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
9
5
4
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
2
2
5
55.56
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
1
1
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
2
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
33
10
18
5
15.15
Class IV
0
0
0
0
0.00
Anwara 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
32
19
13
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
17
1
8
8
47.06
Class III
130
62
38
30
23.08
Class IV
25
18
6
1
4.00
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
Anwara 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
11
11
21
21
0
0
1
2
0
Nurse
0
0
0
0
17
9
0
0
4
1
0
Medical Assistant
0
0
11
6
2
2
0
0
8
0
0
Medical Technologist
0
0
0
0
6
5
0
0
0
0
0
CHCP
33
28
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
9
9
0
0
0
0
0
HA
0
0
0
0
45
31
0
0
0
0
0
Anwara 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
1
1
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
1
1
0
0
0
Operating microscope
2
2
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
4
4
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Anwara 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
4
3
1
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Anwara 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)
3
2
1
0
0
Colorimeter
4
2
2
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
2
0
0
0
Pediatric equipment
Baby incubator
2
1
1
0
0
Phototherapy unit
0
0
0
0
0
Anwara 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
2
2
0
0
0
Blood bank refrigerator
1
1
0
0
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Anwara 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
1
1
0
0
0
IPS
3
1
2
0
0
ICT equipment
Computer (desktop)
9
7
2
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
1
1
0
0
0
UPS
0
0
0
0
0
Fax
0
0
0
0
0
Intercom
1
1
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
1
1
0
0
0
Anwara 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
64
52
12
0
0
Anwara Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Anwara Upazila Health Complex
It is a matter of great that we are going to publish the local health Bulletin 2015 in the web .We are opening the window of information and charter in the citizen about each of the health facilities geographical, demography, disaster and climatic condition, socioeconomic status, population and family welfare and above all the basic community health care. This Health Bulletin clear that a total health care delivery system of the Govt. and NGO sectors and all other related developments. We sincerely & greatly hope and give our effort to put forward step by step and achieve the goal of vision 2021 of Digital Bangladesh.
Dr.Bidhu Bhushan Bhowmik
UH&FPO
Anwara Upazila Health Complex.Chittagong.