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Chaddagram Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very much glad to publish health bulletin of Chauddagram Upzilla Health Complex.It contains all health related information in this upazilla of 2014.The publishing purpose of this bulletin to disseminate the information of this UHC to other line department & development organization of health.I think presenting information will help for planning and recovery the lacking in health service of this upazilla. It also help us to see the result & achievement at a glance of this UHC. The bulletin contains the stutas of MDG 4 & MDG 5,which will help to localize MDG targets.It has also the information on safe drinking water and sanitation status of this upazilla.More over it presents vacant posts.I hope respective higher authority evaluate the information. Finally I would like to congratulate the initiator of the health bulletin software which set us one step ahead towards digital Bangladesh. Dr.Md.Mozibul Hoque UH&FPO Chowddagram,Comilla.
Dr.Md.Mozibul Hoque
UH&FPO
Chaddagram Upazila Health Complex

Chaddagram Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Chaddagram
Organization Code 10000852
Name of UHFPO Dr.Md.Mozibul Hoque
Land Phone No. 1 0802-056120
Land Phone No. 2
FAX No.
Mobile No. 01718463819
Email chowddagram@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila14
No. of Households in the Upazila 85,930
Population in the Upazila 488,898
Area of Upazila in sq km 271.70

Chaddagram 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 8 0
No. of Rural/Urban/Thana Health Centers 1 10
No. of Community Clinics 42 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 15 0
No. of NGO Clinics/Facilities 2 0

Chaddagram Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 12,909


Under 5 Mortality Rate: 2.246 (Per 1,000 live births)
Infant Mortality Rate: 1.704 (Per 1,000 live births)
Neonatal Mortality Rate: 0.775 (Per 1,000 live births)
Still Birth Rate: 3.951 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 3,469
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Chaddagram 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: 3,049
Total Number of Deliveries: 12,449
Valid TT Coverage: 83.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Chaddagram 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 32,786 55,294 88,080 22,254 23,255 45,509 133,589 2,295 2,177 4,472 1,131 945 2,076 6,548
Union Sub-Centres 7,919 15,401 23,320 3,819 5,220 9,039 32,359 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 2,696 5,021 7,717 1,722 2,013 3,735 11,452 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 2,590 5,260 7850 1,906 3,050 4,956 12,806 0 0 0 0 0 0 4,956
Community Clinics 66,231 142,281 208,512 15,253 15,887 31,140 239,652 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

Chaddagram 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 3,054 3,481 6,535 1,226 2,001 3,227 9,762 4 3 7 0 0 0 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 150 345 495 68 72 140 635 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Chaddagram 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 9,762
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 597 6.12
2 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 496 5.08
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 447 4.58
4 T609 Pesticide, unspecified XIX: Injury, poisoning and certain other consequences of external causes 208 2.13
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 159 1.63
6 B33 Other viral diseases, NEC I: Certain infectious and parasitic diseases 118 1.21
7 V03 Pedestrian injured in collision with car, pick-up truck or van XX: External causes of morbidity and mortality 115 1.18
8 R39 Other symptoms and signs involving the urinary system XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 114 1.17
9 K35 Acute appendicitis XI: Diseases of the digestive system 47 0.48
10 T29 Burns and corrosions of multiple body regions XIX: Injury, poisoning and certain other consequences of external causes 13 0.13

Chaddagram 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 7
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2 28.57
2 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 2 28.57
3 A419 Septicaemia, unspecified X: Diseases of the respiratory system 2 28.57
4 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 14.29
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,829
Bed Occupancy Rates (%) 92.21
Average Length of Hospital Stay (No. of days per patient) 1.72
Hospital Death Rate (%) 0.07


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 46
Minor Surgeries 1,270

 

Chaddagram 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 15 2 4 19.05
Non Doctor 0 0 0 0 0.00
Class II 16 1 12 3 18.75
Class III 167 87 33 47 28.14
Class IV 29 21 3 5 17.24
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 4 4 1 11.11
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 8 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 5 3 1 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 5 1 4 40.00
Class IV 5 4 0 1 20.00
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 39 17 21 1 2.56
Class IV 0 0 0 0 0.00

 

Chaddagram 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 35 19 10 6 17.14
Non Doctor 0 0 0 0 0.00
Class II 16 1 12 3 18.75
Class III 155 81 25 49 31.61
Class IV 27 18 3 6 22.22
Other Hospitals & Clinics
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 4 0 1 3 75.00
Class III 6 3 1 2 33.33
Class IV 10 7 1 2 20.00

 

Chaddagram 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 14 13 21 16 0 0 2 2 4
Nurse 0 0 0 0 16 13 0 0 3 3 0
Medical Assistant 0 0 14 14 2 2 0 0 10 1 0
Medical Technologist 0 0 0 0 7 6 0 0 0 0 0
CHCP 39 36 0 0 0 0 0 0 0 0 5
HI 0 0 0 0 6 3 0 0 0 0 5
AHI 0 0 0 0 17 16 0 0 0 0 0
HA 0 0 0 0 84 51 0 0 0 0 0

Chaddagram 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 1 1 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 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 1 1 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Chaddagram 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 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 5 5 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Chaddagram 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


Chaddagram 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 1 0 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) 5 5 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) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 3 3 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 1 1 0 0 0


Chaddagram 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 46 46 0 0 0

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

Important information and necessary issues for Chaddagram Upazila Health Complex
Chowddagram UHC is a 50 beded hospital .But most of the time near about hundred patients admit here.So it is very tough to manage those patients. This UHC's OT is ready for EOC operation. Recently on (24/4/2014) EOC started with help of respected Directeor Chittagong Division & C/S Comilla.proper OT temperature is not mantained due to in sufficient A/C . So we need anther A/C. .For uninterrupted electric supply we need a high power I P S and seperate Transformer for UHC Chowddagram. Our Ambulance was active on 2014 but now it is inactive .Patient ratio Female Doctor is insufficient. So vacant post should be filled by more female doctors. Dr.Md.Mozibul Hoque UH&FPO.Chowddagram.Comilla.