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Pekua Upazila Health Complex | Health Bulletin 2015 |
Preface
Welcome to health bulletin 2015.I am very glad to publish this health bulletin of Pekua upazila.Pekua is situated in the north west of Coxsbazar near the Bay of Bengal in between Chakaria and Banskhali upazila.It is a new upazila formed about 17 years ago.This bulletin contain all the health related information of 2014.The bulletin contains the status of MDG4 and MDG5,information of safe drinking water and sanitation,sanctioned and vacant posts of health complex of 2014.I like to take attention of the higher authority to look in this issue and congratulate the Director MIS for setting the health bulletin software.This bulletin sheds light on different public health aspects of the upazila.
Dr Md Mujibur Rahman(inc)
UH&FPO
Pekua Upazila Health Complex

Pekua Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Pakua
Organization Code 10000928
Name of UHFPO Dr Md Mujibur Rahman(inc)
Land Phone No. 1 -0342856199
Land Phone No. 2
FAX No.
Mobile No. 01713615707
Email Pekua@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 27,941
Population in the Upazila 164,169
Area of Upazila in sq km 141.68

Pekua 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 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 6 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 14 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 2 0

Pekua Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,762


Under 5 Mortality Rate: 36.151 (Per 1,000 live births)
Infant Mortality Rate: 18.075 (Per 1,000 live births)
Neonatal Mortality Rate: 15.683 (Per 1,000 live births)
Still Birth Rate: 20.468 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,231
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months):

Pekua 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: 7
Total No. of Recipients Who Took at least one ANC: 3,652
Total Number of Deliveries: 3,652
Valid TT Coverage: 0.00 %
Maternal Mortality Ratio (MMR) is: 186.07 per 100,000 live births.

Pekua 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 19,265 15,298 34,563 4,730 0 4,730 39,293 1,280 1,123 2,403 480 0 480 2,883
Union Sub-Centres 9,652 17,209 26,861 3,120 0 3,120 29,981 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 32,123 23,079 55,202 55,202 5,878 61,080 116,282 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

Pekua 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 981 512 1,493 1,493 76 1,569 3,062 2 1 3 0 0 0 3
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

Pekua 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 908
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y099 Assault by unspecified means, unspecified place XX: External causes of morbidity and mortality 271 29.85
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 209 23.02
3 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 114 12.56
4 B97 Viral agents as the cause of diseases classified to other chapters I: Certain infectious and parasitic diseases 71 7.82
5 E46 Unspecified protein-energy malnutrition IV: Endocrine, nutritional and metabolic diseases 59 6.50
6 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 55 6.06
7 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 43 4.74
8 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 32 3.52
9 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 33 3.63
10 A039 Shigellosis, unspecified I: Certain infectious and parasitic diseases 21 2.31

Pekua 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 2
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J439 Emphysema, unspecified X: Diseases of the respiratory system 1 50.00
2 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 1 50.00
3 X: Diseases of the respiratory system 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 45.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,231
Bed Occupancy Rates (%) 55.07
Average Length of Hospital Stay (No. of days per patient) 1.72
Hospital Death Rate (%) 0.14


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 702

 

Pekua 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 10 5 2 3 30.00
Non Doctor 0 0 0 0 0.00
Class II 7 0 3 4 57.14
Class III 13 9 0 4 30.77
Class IV 18 10 1 7 38.89
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 5 0 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 1 0 5 83.33
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 1 0 0 1 100.00
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 17 5 9 3 17.65
Class IV 0 0 0 0 0.00

 

Pekua 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 17 11 2 4 23.53
Non Doctor 0 0 0 0 0.00
Class II 7 0 3 4 57.14
Class III 35 16 9 10 28.57
Class IV 18 7 1 10 55.56
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 28 24 2 2 7.14
Class IV 0 0 0 0 0.00

 

Pekua 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 7 6 10 7 0 0 0 0 0
Nurse 0 0 0 0 7 3 0 0 0 0 0
Medical Assistant 0 0 7 2 1 1 0 0 1 0 0
Medical Technologist 0 0 0 0 4 3 0 0 0 0 0
CHCP 17 14 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 2 0 0 0
AHI 0 0 0 0 0 0 3 3 0 0 0
HA 0 0 0 0 0 0 23 21 0 0 2

Pekua 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) 2 1 0 1 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 2 1 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 1 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 0 0 1
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 0 0 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 0 0 0 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Pekua 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 2 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 0 1 0


Pekua 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 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Pekua 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 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 0 0 0 0 0


Pekua 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) 5 5 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 2 1 0 0 1
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 12 6 1 1 4
Laptop 4 2 1 1 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 8 4 0 2 2
Scanner 1 1 0 0 0
UPS 1 1 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


Pekua 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 59 37 7 6 9

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

Important information and necessary issues for Pekua Upazila Health Complex
Last year we could not give our maximum efforts improve the Health status due to many reasons.Here I like mention some important factors which will help us to achieve good result in future. (1) Our Doctors,Nurse, Statistician and Medical Assistant need more training on IMCI (2) I am very happy to write this Health Bulletin of 2014 because this document will help us to compare our progress in upcoming year. This is very useful document and will help the public to understand Health service and to provide us the useful advice for improvement in future.