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Chandanaish Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of this upazila. This bulletin contains all the necessary health related information of 2014. This bulletin is published to disseminate the information to others concerned. I hope, all the information of this bulletin will help in planning,budget and bridging the gaps in health services of this upazila.This health bulletin will help us to find constraints and also to see the results and achievements. The bulletin contains the status of MDG 4 and MDG 5 which will help us 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 draw the attention of the higher authority to look into to these issues. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Thanks to all.
DR.MOHAMMAD BAKHTIAR ALAM.
UH&FPO
Chandanaish Upazila Health Complex

Chandanaish Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Chandanaish
Organization Code 10000748
Name of UHFPO DR.MOHAMMAD BAKHTIAR ALAM.
Land Phone No. 1 -0303356004
Land Phone No. 2
FAX No.
Mobile No. 01819351015
Email chandanaish@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.2400 And Long: 92.0100
No. of Unions in the Upazila10
No. of Households in the Upazila 43,876
Population in the Upazila 257,654
Area of Upazila in sq km 56.00

Chandanaish 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 5 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 5 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 23 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 2 0
No. of NGO Clinics/Facilities 0 0

Chandanaish Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,090


Under 5 Mortality Rate: 2.463 (Per 1,000 live births)
Infant Mortality Rate: 1.970 (Per 1,000 live births)
Neonatal Mortality Rate: 0.164 (Per 1,000 live births)
Still Birth Rate: 0.164 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 36,785
Fully Vaccinated Children (<= 12 months): 89.00 %
Fully Vaccinated Children (<= 23 months): 89%

Chandanaish 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: 1
Total No. of Recipients Who Took at least one ANC: 1,919
Total Number of Deliveries: 4,327
Valid TT Coverage: 35.00 %
Maternal Mortality Ratio (MMR) is: 16.42 per 100,000 live births.

Chandanaish 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 23,453 17,654 41,107 2,765 2,342 5,107 46,214 4,897 4,765 9,662 2,980 1,098 4,078 13,740
Union Sub-Centres 9,574 16,765 26,339 1,342 876 2,218 28,557 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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 43,876 54,631 98,507 2,091 3,432 5,523 104,030 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

Chandanaish 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 1,987 2,431 4,418 1,098 932 2,030 6,448 3 2 5 1 1 2 7
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

Chandanaish 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 6,448
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 2876 44.60
2 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 1892 29.34
3 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 943 14.62
4 Y099 Assault by unspecified means, unspecified place XX: External causes of morbidity and mortality 876 13.59
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 809 12.55
6 T469 Other and unspecified agents primarily affecting the cardiovascular system XIX: Injury, poisoning and certain other consequences of external causes 409 6.34
7 J459 Asthma, unspecified X: Diseases of the respiratory system 154 2.39
8 J118 Influenza with other manifestations, virus not identified X: Diseases of the respiratory system 102 1.58
9 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 76 1.18
10 V010 Pedestrian injured in collision with pedal cycle, nontraffic accident XX: External causes of morbidity and mortality 67 1.04

Chandanaish 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 10
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J961 Chronic respiratory failure X: Diseases of the respiratory system 4 40.00
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2 20.00
3 J459 Asthma, unspecified X: Diseases of the respiratory system 1 10.00
4 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 1 10.00
5 N009 Acute nephritic syndrome, unspecified XIV: Diseases of the genitourinary system 1 10.00
6 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 1 10.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 82.00
Coverage of households having access to sanitary latrines (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,350
Bed Occupancy Rates (%) 67.67
Average Length of Hospital Stay (No. of days per patient) 1.92
Hospital Death Rate (%) 0.16


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 453

 

Chandanaish 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 5 4 19.05
Non Doctor 0 0 0 0 0.00
Class II 17 1 12 4 23.53
Class III 82 43 15 24 29.27
Class IV 22 18 4 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 3 2 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
Rural Dispensaries
Class I Doctor 5 3 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 3 1 1 20.00
Class IV 5 4 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 21 9 12 0 0.00
Class IV 0 0 0 0 0.00

 

Chandanaish 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 31 19 8 4 12.90
Non Doctor 0 0 0 0 0.00
Class II 17 1 12 4 23.53
Class III 92 44 12 36 39.13
Class IV 40 27 13 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

 

Chandanaish 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 10 21 17 0 0 10 3 0
Nurse 0 0 0 0 15 12 0 0 9 14 0
Medical Assistant 0 0 10 9 2 2 0 0 5 5 0
Medical Technologist 0 0 0 0 15 4 0 0 0 0 0
CHCP 21 21 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 8 8 0 0 0 0 0
HA 0 0 0 0 40 26 0 0 0 0 0

Chandanaish 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 1 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 0 0 0 1
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 0 0 0 1
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 5 0 2 1 2
Ceiling mounting OT Light 2 0 1 0 1
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 5 0 3 1 1
Sucker machine (electric) 3 0 2 1 0
Ventilator 0 0 0 0 0


Chandanaish 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 3 0 1 1 1
Pulse oximeter 1 0 0 0 1
Dental equipment
Dental unit 1 1 0 0 0


Chandanaish 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) 2 0 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Chandanaish 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 0 0 0 1
Refrigerator 1 0 0 0 1
Vehicles
Ambulance 1 1 0 0 0


Chandanaish 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) 1 1 0 0 0
Generator
Generator (diesel/petrol) 1 0 0 1 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 5 0 0 3
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 0 1 2 0
Printer (laser) 5 2 0 0 3
Scanner 1 1 0 0 0
UPS 7 5 2 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 1 1 0 0 0


Chandanaish 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 65 25 16 7 17

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

Important information and necessary issues for Chandanaish Upazila Health Complex
In comparison to 2014, we have tried our best to improve the health status in all parameters. I like to mention some requisites which will help us to achieve better results in future. These are- 1) the vacant positions are to be filled as soon as possible, 2) doctors and nurses are to to be trained and oriented periodically on IMCI,EMOC,Anesthesia,OBS and other subjects, 3) repairable equipments are to be repaired as early as possible. Finally I like to express my joy for publishing this bulletin because this will help us to compare our achievements in upcoming years. The document will help the public to understand the health services and to provide us the useful advice for the improvement in future. Supper Emergence 1.Water pump Machine 5 HP, 2.Furniture's. 3. Patients beds.4. Night guards posting.5.Health assistant.