Lakshmichari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very please to publish 5th Local health bulletin-2016 of laxmichari upazila, Khagrachari. It is a mirror of overview document for upazila health service where we find out our weakness and strength for taken plan next year. This bulletin contains all the health related information of 2015.This bulletin is published to disseminate the information of laxmichari upazila to other line department and development partners of Health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. This health bulletin will help us to find constrains and also to see the results and achievements of 2015 and compare data the previous year. The bulleting contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software and specially thank all stakeholders to supply their data and statistician also, for editing LHB-2016 successfully published. It is necessary document to find out our strength, weakness, risks and assumption for next year, and we mentally prepared to receive all good consult for better publishing and developing e Health system through making Digital Bangladesh.
Lakshmichari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Lakshmichari
Organization Code
10000978
Name of UHFPO Md. Mijanur Rahman
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01842224176
Email laksmichari@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.4821 And
Long:
91.5444
No. of Unions in the Upazila 3
No. of Households in the Upazila 5,265
Population in the Upazila 29,351
Area of Upazila in sq km 220.00
Lakshmichari 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)
2
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
2
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
3
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
3
0
Lakshmichari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,616
Under 5 Mortality Rate: 3.094 (Per 1,000 live births)
Infant Mortality Rate: 1.856 (Per 1,000 live births)
Neonatal Mortality Rate: 0.000 (Per 1,000 live births)
Still Birth Rate: 0.000 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,147
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):
Lakshmichari 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:
1,644
Total Number of Deliveries:
1,616
Valid TT Coverage: 100.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Lakshmichari 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
3,908
4,966
8,874
2,757
2,494
5,251
14,125
427
275
702
80
64
144
846
Union Sub-Centres
1,763
2,329
4,092
776
692
1,468
5,560
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)
1,225
6,535
7760
435
1,327
1,762
9,522
0
0
0
0
0
0
1,762
Community Clinics
6,991
8,573
15,564
1,134
1,250
2,384
17,948
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
7,208
7,695
14,903
2,090
2,428
4,518
19,421
0
0
0
0
0
0
0
Lakshmichari 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
409
343
752
127
128
255
1,007
2
1
3
1
1
2
5
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
Lakshmichari 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
1,007
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
164
16.29
2
B50 Plasmodium falciparum malaria
I: Certain infectious and parasitic diseases
131
13.01
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
88
8.74
4
J45 Asthma
X: Diseases of the respiratory system
36
3.57
5
S09 Other and unspecified injuries of head
XIX: Injury, poisoning and certain other consequences of external causes
32
3.18
6
Y05 Sexual assault by bodily force
XX: External causes of morbidity and mortality
31
3.08
7
K92 Other diseases of digestive system
XI: Diseases of the digestive system
19
1.89
8
T36 Poisoning by systemic antibiotics
XIX: Injury, poisoning and certain other consequences of external causes
11
1.09
9
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
5
0.50
10
J300 Vasomotor rhinitis
X: Diseases of the respiratory system
3
0.30
Lakshmichari 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
5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
2
40.00
2
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
2
40.00
3
B99 Other and unspecified infectious diseases
X: Diseases of the respiratory system
1
20.00
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
Lakshmichari Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
72.00
Coverage of households having access to sanitary latrines (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
3,493
Bed Occupancy Rates (%)
30.87
Average Length of Hospital Stay (No. of days per patient)
3.47
Hospital Death Rate (%)
0.50
Lakshmichari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
131
Lakshmichari 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
5
1
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
9
0
4
5
55.56
Class III
43
33
5
5
11.63
Class IV
21
12
8
1
4.76
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
3
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
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
1
0
0
0.00
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
3
3
0
0
0.00
Class IV
0
0
0
0
0.00
Lakshmichari 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
12
9
1
2
16.67
Non Doctor
0
0
0
0
0.00
Class II
9
0
4
5
55.56
Class III
47
36
5
6
12.77
Class IV
22
13
8
1
4.55
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
Lakshmichari 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
1
1
9
6
0
0
4
4
0
Nurse
0
0
0
0
9
4
0
0
3
3
2
Medical Assistant
0
0
1
1
2
2
0
0
0
0
0
Medical Technologist
0
0
0
0
2
2
0
0
0
0
0
CHCP
6
5
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
1
0
0
0
0
0
0
AHI
0
0
0
0
4
3
0
0
0
0
0
HA
0
0
0
0
20
19
0
0
0
0
0
Lakshmichari 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
0
0
0
1
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
0
0
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
1
0
1
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Lakshmichari 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
1
0
1
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Lakshmichari 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
1
0
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
2
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Lakshmichari 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
1
0
0
0
1
Blood bank refrigerator
0
0
0
0
0
Refrigerator
4
3
1
0
0
Vehicles
Ambulance
1
1
0
0
0
Lakshmichari 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
0
0
0
1
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
3
2
1
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
3
1
0
0
Scanner
0
0
0
0
0
UPS
0
0
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
2
1
1
0
0
Lakshmichari 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
0
0
0
0
0
Mobile phone
1
1
0
0
0
Total
31
20
8
0
3
Lakshmichari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Lakshmichari Upazila Health Complex
Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future.
1. The vacant post should be filled up immediately;
2. Our doctor and nurse need more training on Emoc and increase awareness on beneficiaries level ;
3. Another 06 community clinic should be established and recruited staff as soon as possible;
4. All the repairable equipment’s should be repaired as soon as possible;
5.We have two female HA who need CSBA training for better servicing;
6.We implement activities in hilly area but TA/DA is insufficient for more staff ; to be attentive budget allotment section for increasing.
7.Trained up for better reporting system;who involved regular reporting system.
Further recommendation for improving health service/2014
1. For smoothly running for Dental Unit to deliver the dental instrument as soon as possible.
2. Very closely or regularly follow up field activities to achieved target plan/ hundred percent achieved (100%)
3. Increasing Monitoring site especial from top official or assign personnel for improving EPI activities.
4. Regular communicate or increase coordination level with national or local line department for smoothly health service.
5. Build up environment with women friendly hospital in all service level.
6. Budgeting for Implementing of tribal health program.
Further implementation of the last year:
We also get some materials such as Computer, Printer,S caner from CMSD.
Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
