Teknaf Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Teknaf Upazila. This health bulletin covers almost all health related information of Teknaf Upazila.I think this publication will help to disseminate health related activities & information to all organizations and other departments as well as general people. I also hope this health bulletin will help to develop awareness among the people of this Upazila about frequently occurring diseases and health hazards. This health bulletin will help to flourish our achievements. I think all information of this health bulletin will help us to fulfill gaps in health related services and to make plan for future activities. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards Digital Bangladesh.
Teknaf Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Teknaf
Organization Code
10000934
Name of UHFPO DR.MOHAMMAD BAKHTIAR ALAM
Land Phone No. 1
-0342675011
Land Phone No. 2
FAX No.
Mobile No.
01819351015
Email teknaf@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.5200 And
Long:
92.1700
No. of Unions in the Upazila 6
No. of Households in the Upazila 48,531
Population in the Upazila 256,319
Area of Upazila in sq km 381.75
Teknaf 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)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
3
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
12
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
1
0
Teknaf Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 11,702
Under 5 Mortality Rate: 8.631 (Per 1,000 live births)
Infant Mortality Rate: 4.102 (Per 1,000 live births)
Neonatal Mortality Rate: 2.991 (Per 1,000 live births)
Still Birth Rate: 8.375 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 31,308
Fully Vaccinated Children (<= 12 months): 93.00 %
Fully Vaccinated Children (<= 23 months):
Teknaf 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:
11
Total No. of Recipients Who Took at least one ANC:
19,558
Total Number of Deliveries:
2,043
Valid TT Coverage: 24.00 %
Maternal Mortality Ratio (MMR) is:
94.00 per 100,000 live births.
Teknaf 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
12,951
26,337
39,288
7,995
6,540
14,535
53,823
3,761
5,364
9,125
1,698
1,042
2,740
11,865
Union Sub-Centres
7,034
18,987
26,021
1,620
1,629
3,249
29,270
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)
557
1,422
1979
790
793
1,583
3,562
0
0
0
0
0
0
1,583
Community Clinics
16,533
54,168
70,701
6,655
7,801
14,456
85,157
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
7,730
12,680
20,410
890
560
1,450
21,860
0
0
0
0
0
0
0
Teknaf 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
1,016
2,177
3,193
1,720
898
2,618
5,811
3
1
4
0
0
0
4
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
Teknaf 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
5,811
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
2048
35.24
2
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1057
18.19
3
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
381
6.56
4
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
257
4.42
5
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
251
4.32
6
E46 Unspecified protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
215
3.70
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
138
2.37
8
A029 Salmonella infection, unspecified
I: Certain infectious and parasitic diseases
136
2.34
9
B349 Viral infection, unspecified
I: Certain infectious and parasitic diseases
127
2.19
10
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
79
1.36
Teknaf 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
4
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
2
50.00
2
K565 Intestinal adhesions [bands] with obstruction
XI: Diseases of the digestive system
1
25.00
3
E872 Acidosis
X: Diseases of the respiratory system
1
25.00
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
Teknaf Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
78.00
Coverage of households having access to sanitary latrines (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
6,858
Bed Occupancy Rates (%)
37.58
Average Length of Hospital Stay (No. of days per patient)
1.00
Hospital Death Rate (%)
0.05
Teknaf Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
134
Teknaf 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
10
3
8
38.10
Non Doctor
0
0
0
0
0.00
Class II
17
0
3
14
82.35
Class III
79
49
5
25
31.65
Class IV
22
4
3
15
68.18
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
2
1
1
25.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
2
1
1
25.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
2
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
0
3
75.00
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
29
8
3
18
62.07
Class IV
0
0
0
0
0.00
Teknaf 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
29
15
4
10
34.48
Non Doctor
0
0
0
0
0.00
Class II
17
0
3
14
82.35
Class III
87
44
5
38
43.68
Class IV
24
5
3
16
66.67
Other Hospitals & Clinics
Class I
Doctor
2
1
0
1
50.00
Non Doctor
0
0
0
0
0.00
Class II
1
0
0
1
100.00
Class III
7
0
0
7
100.00
Class IV
6
0
0
6
100.00
Teknaf 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
6
5
21
13
2
1
5
0
0
Nurse
0
0
0
0
17
3
4
0
2
0
0
Medical Assistant
0
0
6
4
2
1
0
0
4
0
0
Medical Technologist
0
0
2
0
9
3
0
0
0
0
0
CHCP
29
11
0
0
0
0
0
0
11
0
0
HI
0
0
0
0
0
0
3
0
0
0
0
AHI
0
0
0
0
0
0
8
7
0
0
0
HA
0
0
0
0
0
0
40
31
0
0
4
Teknaf 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)
0
0
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
3
1
1
0
1
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
3
3
0
0
0
Portable OT Light
2
0
2
0
0
Fracture table
2
2
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
3
1
2
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
0
0
0
0
0
Teknaf 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
1
0
0
1
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
2
2
0
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Teknaf 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)
4
2
0
2
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
5
1
0
4
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
1
1
0
0
0
Teknaf 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
Teknaf 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)
3
3
0
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
2
0
2
0
0
ICT equipment
Computer (desktop)
4
3
1
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
3
0
3
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
Teknaf 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
1
1
0
0
0
PA system (Sound)
1
1
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
73
52
13
6
2
Teknaf Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Teknaf Upazila Health Complex
In spite of various obstacles specially insufficient manpower, we are sincerely trying to fulfill the expected services in the hospital with limited resources. Due to lack of proper manpower, it creates problem to provide services accurately. We hope that by filling the vacant posts, our collective effort will help to achieve the govt. MDG goals in coming days.