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Sonagazi Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very gald to publish this health bulletin of Sonagazi upazila. This bulletin contains all the health related information of the year 2014. This bulletin is published to disseminate the information of this upazila to other line department and development partners of health service.The dissemination of the data will help us to realize the status and achievement of the upazila in 2014 . The bulletin also help us to achieve MDG terget by close supervision of MDG 4 and MDG 5 status.This health bulletin also contains information of safe drinking water and sanitation status of upazila. All sanctioned and vacant position are mentioned in the bulletin. I would like to draw attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us up one step ahead towards Digital Bangladesh. Dr.Md. Sarwar Jahan . UH&FPO. Sonagazi upazila Health Complex.
Dr.Md. Sarwar Jahan
UH&FPO
Sonagazi Upazila Health Complex

Sonagazi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Sonagazi
Organization Code 10000969
Name of UHFPO Dr.Md. Sarwar Jahan
Land Phone No. 1 -0332576013
Land Phone No. 2
FAX No.
Mobile No. 01711812214
Email sonagazi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.9897 And Long: 91.3513
No. of Unions in the Upazila9
No. of Households in the Upazila 48,910
Population in the Upazila 286,090
Area of Upazila in sq km 285.00

Sonagazi 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 5 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 32 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 0 0

Sonagazi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,933


Under 5 Mortality Rate: 34.761 (Per 1,000 live births)
Infant Mortality Rate: 20.770 (Per 1,000 live births)
Neonatal Mortality Rate: 16.010 (Per 1,000 live births)
Still Birth Rate: 3.606 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 32,979
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):

Sonagazi 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: 4
Total No. of Recipients Who Took at least one ANC: 6,144
Total Number of Deliveries: 6,952
Valid TT Coverage: 21.00 %
Maternal Mortality Ratio (MMR) is: 57.70 per 100,000 live births.

Sonagazi 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 25,327 30,270 55,597 13,268 11,470 24,738 80,335 2,337 1,585 3,922 413 491 904 4,826
Union Sub-Centres 27,002 35,698 62,700 6,927 8,350 15,277 77,977 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 46 41 87 9 12 21 108 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 12,092 40,875 52967 3,596 4,226 7,822 60,789 0 0 0 0 0 0 7,822
Community Clinics 70,674 136,226 206,900 12,251 13,894 26,145 233,045 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

Sonagazi 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 1,692 4,602 6,294 1,047 1,113 2,160 8,454 13 4 17 3 2 5 22
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

Sonagazi 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 8,454
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 2322 27.47
2 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 986 11.66
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 748 8.85
4 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 521 6.16
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 397 4.70
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 333 3.94
7 J45 Asthma X: Diseases of the respiratory system 254 3.00
8 B76 Hookworm diseases I: Certain infectious and parasitic diseases 244 2.89
9 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 236 2.79
10 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 199 2.35

Sonagazi 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 22
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 7 31.82
2 I68 Cerebrovascular disorders in diseases classified elsewhere IX: Diseases of the circulatory system 3 13.64
3 J45 Asthma X: Diseases of the respiratory system 3 13.64
4 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 2 9.09
5 A40 Streptococcal septicaemia I: Certain infectious and parasitic diseases 2 9.09
6 P070 Extremely low birth weight XVI: Certain conditions originating in the perinatal period 2 9.09
7 J21 Acute bronchiolitis X: Diseases of the respiratory system 1 4.55
8 G04 Encephalitis, myelitis and encephalomyelitis VI: Diseases of the nervous system 1 4.55
9 K721 Chronic hepatic failure XI: Diseases of the digestive system 1 4.55
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 83.00
Coverage of households having access to sanitary latrines (%) 81.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 18,383
Bed Occupancy Rates (%) 162.47
Average Length of Hospital Stay (No. of days per patient) 2.18
Hospital Death Rate (%) 0.26


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 208

 

Sonagazi 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 9 4 2 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 11 0 6 5 45.45
Class III 78 45 6 27 34.62
Class IV 19 6 3 10 52.63
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 3 0 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 1 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 5 4 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 5 0 5 50.00
Class IV 5 2 0 3 60.00
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 32 23 8 1 3.13
Class IV 0 0 0 0 0.00

 

Sonagazi 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 18 11 3 4 22.22
Non Doctor 0 0 0 0 0.00
Class II 11 0 6 5 45.45
Class III 124 74 17 33 26.61
Class IV 24 8 3 13 54.17
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

 

Sonagazi 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 9 8 9 5 0 0 0 1 0
Nurse 0 0 0 0 11 6 0 0 0 2 0
Medical Assistant 0 0 9 9 2 2 0 0 2 0 0
Medical Technologist 0 0 0 0 5 2 0 0 0 0 0
CHCP 32 31 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0 0
HA 0 0 0 0 44 27 0 0 0 0 4

Sonagazi 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 0 1 0
X-ray machine (300 mA) 1 0 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 1 0 0 1 0
Autoclave 1 1 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 1 0 0 1 0
Portable OT Light 0 0 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) 4 2 2 0 0
Ventilator 0 0 0 0 0


Sonagazi 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 4 4 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Sonagazi 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) 1 1 0 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Sonagazi 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 2 1 0 1 0


Sonagazi 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 0 0 1 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) 8 1 1 1 5
Laptop 2 1 0 0 1
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 1 2 0 0
Scanner 1 0 0 0 1
UPS 2 2 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Sonagazi 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 2 0 0 0
Mobile phone 1 1 0 0 0
Total 44 23 8 6 7

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

Important information and necessary issues for Sonagazi Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reason. Here I like mention some improtant factors which will help us to achieve good result in future . 1) The vacant post should be filled immediately. 2) Our health staff in all level need more training on IMCI . 3) All the repairable equipments should be repaired or replaced as soon as possible . I am very happay to write this health bulletin of 2014.