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Homna Upazila Health Complex | Health Bulletin 2015 |
Preface
Homna Upazila is the remotest Upazila of Comilla district. It is 60 km north west from Comilla.It has 10 Union with 350 villages with 36273 households. All the union is accessible through roads.The population is around 205977. The Upazila health complex is located at the middle of the Upazila. The socio -economic condition is well. Titas is the main river which passes beside the middle of the Upazila. Most of the people in this Upazila depend on agriculture, fishing,business and foreing currency .
Dr. Harun Ar Rashid
UH&FPO
Homna Upazila Health Complex

Homna Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Homna
Organization Code 10000887
Name of UHFPO Dr. Harun Ar Rashid
Land Phone No. 1 -0802554037
Land Phone No. 2
FAX No.
Mobile No. 01712187537
Email homna@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.6811 And Long: 90.7820
No. of Unions in the Upazila10
No. of Households in the Upazila 36,490
Population in the Upazila 212,891
Area of Upazila in sq km 132.79

Homna 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) 8 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 24 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 3 0
No. of NGO Clinics/Facilities 0 0

Homna Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,960


Under 5 Mortality Rate: 3.691 (Per 1,000 live births)
Infant Mortality Rate: 3.020 (Per 1,000 live births)
Neonatal Mortality Rate: 2.852 (Per 1,000 live births)
Still Birth Rate: 2.852 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 7,598
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Homna 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: 2
Total No. of Recipients Who Took at least one ANC: 4,800
Total Number of Deliveries: 5,690
Valid TT Coverage: 62.00 %
Maternal Mortality Ratio (MMR) is: 33.56 per 100,000 live births.

Homna 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 9,478 17,643 27,121 15,394 0 15,394 42,515 3,587 4,177 7,764 608 0 608 8,372
Union Sub-Centres 1,478 2,295 3,773 2,458 0 2,458 6,231 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 34,965 81,273 116,238 6,740 7,371 14,111 130,349 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

Homna 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 1,771 2,555 4,326 1,606 0 1,606 5,932 11 14 25 9 13 22 47
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 505 1,592 2,097 689 0 689 2,786 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Homna 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 5,932
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 1198 20.20
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 893 15.05
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 721 12.15
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 595 10.03
5 O75 Other complications of labour and delivery, NEC XV: Pregnancy, childbirth and the puerperium 432 7.28
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 419 7.06
7 X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances XX: External causes of morbidity and mortality 191 3.22
8 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 189 3.19
9 V44 Car occupant injured in collision with heavy transport vehicle or bus XX: External causes of morbidity and mortality 140 2.36
10 J45 Asthma X: Diseases of the respiratory system 105 1.77

Homna 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 25
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 5 20.00
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 3 12.00
3 I64 Stroke, not specified as haemorrhage or infarction X: Diseases of the respiratory system 3 12.00
4 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 3 12.00
5 J45 Asthma X: Diseases of the respiratory system 2 8.00
6 C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs II: Neoplasms 2 8.00
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 8.00
8 X49 Accidental poisoning by and exposure to other and unspecified chemicals and noxious substances XX: External causes of morbidity and mortality 2 8.00
9 X09 Exposure to unspecified smoke, fire and flames XX: External causes of morbidity and mortality 2 8.00
10 1 4.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 59.00
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.) 12,959
Bed Occupancy Rates (%) 71.01
Average Length of Hospital Stay (No. of days per patient) 2.16
Hospital Death Rate (%) 0.20


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 375

 

Homna 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 7 2 9.52
Non Doctor 0 0 0 0 0.00
Class II 15 1 11 3 20.00
Class III 71 29 15 27 38.03
Class IV 24 14 3 7 29.17
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 3 5 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 6 2 0 0.00
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 4 0 0 0.00
Class IV 2 1 0 1 50.00
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 22 4 18 0 0.00
Class IV 0 0 0 0 0.00

 

Homna 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 16 13 2 6.45
Non Doctor 0 0 0 0 0.00
Class II 15 1 11 3 20.00
Class III 105 43 35 27 25.71
Class IV 26 15 3 8 30.77
Other Hospitals & Clinics
Class I Doctor 6 2 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 6 4 0 0.00
Class IV 8 4 4 0 0.00

 

Homna 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 19 0 0 3 1 0
Nurse 0 0 0 0 15 12 0 0 4 0 0
Medical Assistant 0 0 10 10 2 2 0 0 2 0 0
Medical Technologist 0 0 2 2 10 8 0 0 0 0 0
CHCP 26 22 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0 2
AHI 0 0 0 0 7 4 0 0 0 0 0
HA 0 0 0 0 36 20 0 0 0 0 0

Homna 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) 2 1 1 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 0 0 0 0 0
Autoclave 0 0 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 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 2 0 1 1 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Homna 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 2 0 0 2 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 0 1 1 0


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


Homna 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 2 2 0 0 0
Vehicles
Ambulance 0 0 0 0 0


Homna 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) 4 4 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 9 8 1 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 4 4 0 0 0
Scanner 0 0 0 0 0
UPS 2 0 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Homna 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 55 38 13 4 0

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

Important information and necessary issues for Homna Upazila Health Complex
It is the matter of great satisfaction and immense value that we are going to publish the local health bulletin in the web. and thus opening the window of information about each of the health facilities, its geographical situation, demography, climatic condition, socioeconomic status, population and family welfare care, community health care, delivery system and all related Govt . and NGO sectors . we sincerely hope this effort will create one step ahead to achieve the goal of Digital Bangladesh .