Manikchari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Manikchari upazila ,Khagrachari. This bulletin contains all the health related information of 2014. This bulletin is published to disserminate the information of manikchari 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 2014. The bulletin 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 2014.I like to take attention of the higher authority to look in to this issue . Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward a Health system through making Digital Bangladesh .
* URGENT INCREASE HOSPITAL BED FROM 10 - 50 .
* TO CONSTRUCT HOSPITAL BUILDING URGENTLY .
( Dr.Md.Didarul Islam .)
UH&FPO
Code-38020
01819326172
dr.didarul@yahoo.com
Manikchari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Manikchari
Organization Code
10000979
Name of UHFPO Dr.Md.Didarul Islam .
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01730324851
Email manikchari@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.4560 And
Long:
87.0000
No. of Unions in the Upazila 4
No. of Households in the Upazila 13,353
Population in the Upazila 66,768
Area of Upazila in sq km 171.28
Manikchari 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
10
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
0
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)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
10
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
0
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
1
0
No. of NGO Clinics/Facilities
5
0
Manikchari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,966
Under 5 Mortality Rate: 40.692 (Per 1,000 live births)
Infant Mortality Rate: 35.097 (Per 1,000 live births)
Neonatal Mortality Rate: 27.976 (Per 1,000 live births)
Still Birth Rate: 5.595 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,679
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 99%
Manikchari 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:
2,350
Total Number of Deliveries:
1,966
Valid TT Coverage: 53.00 %
Maternal Mortality Ratio (MMR) is:
203.46 per 100,000 live births.
Manikchari 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
9,971
24,816
34,787
6,532
11,313
17,845
52,632
1,031
1,237
2,268
499
620
1,119
3,387
Union Sub-Centres
0
0
0
0
0
0
0
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
9,733
19,616
29,349
8,543
10,778
19,321
48,670
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)
482
4,739
5,221
0
0
0
5,221
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
86
6,992
7,078
0
0
0
7,078
0
0
0
0
0
0
0
Manikchari 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
838
1,455
2,293
269
280
549
2,842
11
10
21
7
2
9
30
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
Manikchari 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
2,842
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
423
14.88
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
361
12.70
3
J15 Bacterial pneumonia, NEC
X: Diseases of the respiratory system
277
9.75
4
B50 Plasmodium falciparum malaria
I: Certain infectious and parasitic diseases
146
5.14
5
J45 Asthma
X: Diseases of the respiratory system
90
3.17
6
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
63
2.22
7
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
12
0.42
8
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
6
0.21
9
F064 Organic anxiety disorder
V: Mental and behavioural disorders
5
0.18
10
J03 Acute tonsillitis
X: Diseases of the respiratory system
2
0.07
Manikchari 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
30
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J15 Bacterial pneumonia, NEC
X: Diseases of the respiratory system
6
20.00
2
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
5
16.67
3
D50 Iron deficiency anaemia
X: Diseases of the respiratory system
4
13.33
4
B50 Plasmodium falciparum malaria
I: Certain infectious and parasitic diseases
3
10.00
5
J45 Asthma
X: Diseases of the respiratory system
3
10.00
6
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
10.00
7
G00 Bacterial meningitis, NEC
VI: Diseases of the nervous system
1
3.33
8
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
3.33
9
K565 Intestinal adhesions [bands] with obstruction
XI: Diseases of the digestive system
1
3.33
10
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
1
3.33
Manikchari Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
91.00
Coverage of households having access to sanitary latrines (%)
79.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
5,602
Bed Occupancy Rates (%)
153.48
Average Length of Hospital Stay (No. of days per patient)
1.97
Hospital Death Rate (%)
1.06
Manikchari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
580
Manikchari 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
12
4
1
7
58.33
Non Doctor
0
0
0
0
0.00
Class II
9
0
9
0
0.00
Class III
39
31
2
6
15.38
Class IV
21
13
8
0
0.00
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
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
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
6
4
2
0
0.00
Class IV
0
0
0
0
0.00
Manikchari 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
4
1
7
58.33
Non Doctor
0
0
0
0
0.00
Class II
9
0
9
0
0.00
Class III
39
31
2
6
15.38
Class IV
21
13
8
0
0.00
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
Manikchari 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
0
0
12
5
0
0
0
5
2
Nurse
0
0
0
0
9
9
0
0
9
2
2
Medical Assistant
0
0
0
0
4
3
0
0
3
0
0
Medical Technologist
0
0
0
0
6
5
0
0
0
0
0
CHCP
6
6
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
1
1
0
0
0
0
0
AHI
0
0
0
0
3
2
0
0
0
0
1
HA
0
0
0
0
15
15
0
0
0
0
1
Manikchari 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
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
0
0
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
1
1
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
4
3
1
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
0
0
0
0
0
Manikchari 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
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Manikchari 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
3
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
2
0
1
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Manikchari 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
1
1
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Manikchari 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
1
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
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)
10
8
2
0
0
Laptop
4
4
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
7
6
0
0
1
Scanner
1
1
0
0
0
UPS
3
3
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
2
2
0
0
0
Multimedia
1
0
1
0
0
Manikchari 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
56
49
5
1
1
Manikchari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Manikchari Upazila Health Complex
TO INCRESE HOSPITAL BED FROM 10 TO 50. TO CONSTRUCT HOSPITAL BUILDING URGENTLY. POSTING OF DOCTORS URGENTLY. LAN SETUP URGENTLY.
