Patiya Upazila Health Complex | Health Bulletin 2015 |
Preface
Patiya is one of the largest Upazila in Bangladesh. Total area of this upazila is 372 sq. km. There are a Municipality & 22 Union councils in this Upazila. The total population of this Upazila of about 5,50000. There are a one 50 beded hospital, seven union sub-centers, sixteen Health & family welfare centers and 52 community clinics in this Upazila. The Basic EmOC program are functioning in the 50 beded hospital. This 50 beded hospital is also a women friendly hospital. Average Bed occupancy rate in this hospital 109% . There is central Water supply System. In absence of electricity, Generator is well functioning. There are UH&FPO, Six Consultant, 26 MOs Working in this Hospital. In absence of Anesthetist comprehensive EmOC Service is hampered. Due to absence of MT-Radiographer & Some accessories X-Ray Service is not available. Four Consultants, Two MT-Lab., one Pharmacist, RMO, three Medical Officers, Four HA, TLCA Post is Vacant, three medical officers are unauthorized for long time. Ambulance in this is 12 Years old new Ambulance is needed.
Patiya Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Patiya
Organization Code
10000802
Name of UHFPO Dr. Shishir Kumar Roy
Land Phone No. 1
-0303556410
Land Phone No. 2
FAX No.
Mobile No.
01711724037
Email patiya@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.2996 And
Long:
91.9707
No. of Unions in the Upazila 22
No. of Households in the Upazila 84,921
Population in the Upazila 550,000
Area of Upazila in sq km 372.00
Patiya 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
7
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
16
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
52
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
10
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
0
0
No. of NGO Clinics/Facilities
1
10
Patiya Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 12,493
Under 5 Mortality Rate: 7.684 (Per 1,000 live births)
Infant Mortality Rate: 4.082 (Per 1,000 live births)
Neonatal Mortality Rate: 1.921 (Per 1,000 live births)
Still Birth Rate: 5.203 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 32,465
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months): 90%
Patiya 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:
5
Total No. of Recipients Who Took at least one ANC:
13,022
Total Number of Deliveries:
12,723
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR) is:
40.02 per 100,000 live births.
Patiya 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
15,682
15,543
31,225
4,368
5,221
9,589
40,814
13,116
10,102
23,218
2,456
2,881
5,337
28,555
Union Sub-Centres
22,686
36,839
59,525
5,973
8,066
14,039
73,564
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)
22,358
35,236
57594
10,825
13,101
23,926
81,520
0
0
0
0
0
0
23,926
Community Clinics
97,816
224,582
322,398
18,570
19,856
38,426
360,824
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)
520
4,590
5,110
765
873
1,638
6,748
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
3,245
6,789
10,034
6,547
7,895
14,442
24,476
0
0
0
0
0
0
0
Patiya 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
1,006
5,385
6,391
1,135
2,345
3,480
9,871
7
7
14
3
2
5
19
Trauma Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
MCWCs (belongs to DGFP)
0
512
512
0
0
0
512
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
Patiya 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
10,321
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
2985
28.92
2
O80 Single spontaneous delivery
XV: Pregnancy, childbirth and the puerperium
1189
11.52
3
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1109
10.75
4
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
567
5.49
5
J459 Asthma, unspecified
X: Diseases of the respiratory system
296
2.87
6
B820 Intestinal helminthiasis, unspecified
I: Certain infectious and parasitic diseases
234
2.27
7
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
145
1.40
8
K270 Peptic ulcer, site unspecified, acute with haemorrhage
XI: Diseases of the digestive system
135
1.31
9
O610 Failed medical induction of labour
XV: Pregnancy, childbirth and the puerperium
134
1.30
10
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
93
0.90
Patiya 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
19
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
5
26.32
2
J459 Asthma, unspecified
X: Diseases of the respiratory system
3
15.79
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
X: Diseases of the respiratory system
3
15.79
4
B500 Plasmodium falciparum malaria with cerebral complications
I: Certain infectious and parasitic diseases
2
10.53
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
1
5.26
6
R104 Other and unspecified abdominal pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
5.26
7
I501 Left ventricular failure
IX: Diseases of the circulatory system
1
5.26
8
G934 Encephalopathy, unspecified
VI: Diseases of the nervous system
1
5.26
9
A41 Other septicaemia
I: Certain infectious and parasitic diseases
1
5.26
10
J182 Hypostatic pneumonia, unspecified
X: Diseases of the respiratory system
1
5.26
Patiya Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
94.00
Coverage of households having access to sanitary latrines (%)
66.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
19,905
Bed Occupancy Rates (%)
109.07
Average Length of Hospital Stay (No. of days per patient)
1.94
Hospital Death Rate (%)
0.20
Patiya Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
72
Minor Surgeries
3,587
Patiya 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
11
4
6
28.57
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
108
55
41
12
11.11
Class IV
23
15
8
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
16
4
10
2
12.50
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
16
1
3
12
75.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
7
4
2
1
14.29
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
14
8
0
6
42.86
Class IV
7
6
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
66
15
32
19
28.79
Class IV
0
0
0
0
0.00
Patiya 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
44
19
17
8
18.18
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
205
77
70
58
28.29
Class IV
30
21
9
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
Patiya 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
23
20
21
15
0
0
2
1
0
Nurse
0
0
0
0
16
16
0
0
5
6
0
Medical Assistant
0
0
23
10
2
2
0
0
12
0
0
Medical Technologist
0
0
7
0
11
8
0
0
0
0
0
CHCP
66
47
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
0
AHI
0
0
0
0
13
13
0
0
0
0
0
HA
0
0
0
0
65
62
0
0
0
0
0
Patiya 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)
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
2
2
0
0
0
Autoclave
3
3
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
3
2
1
0
0
Fracture table
2
2
0
0
0
Hydrolic OT Table
3
3
0
0
0
Sterilizer
5
5
0
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Patiya 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
3
3
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
17
7
2
8
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Patiya 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
3
0
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
3
0
1
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Patiya 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
4
4
0
0
0
Blood bank refrigerator
1
0
0
0
1
Refrigerator
2
1
1
0
0
Vehicles
Ambulance
1
1
0
0
0
Patiya 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)
8
6
2
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
1
0
1
0
ICT equipment
Computer (desktop)
9
9
0
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
1
0
0
1
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
8
7
1
0
0
Fax
0
0
0
0
0
Intercom
1
0
1
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
1
1
0
0
0
Patiya 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
2
1
1
0
0
Mobile phone
1
1
0
0
0
Total
112
90
10
11
1
Patiya Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Patiya Upazila Health Complex
In this moment to improve health service in Patiya Upazila the urgent need is to fill-up the vacant post of Anesthetist & others mentioned post in preface. New Ambulance is needed. If everybody become honest, sincere & patriot in our own profession it is possible to make a healthy nation very soon. আমরা প্রত্যেকে যদি মনে রাখি :- ‘‘জীবে প্রেম করে যেই জন, সেই জন সেবিছে ঈশ্বর’’ এবং Service to mankind, service to god. This should be our slogan to achieve the MDG.
