Matiranga Upazila Health Complex | Health Bulletin 2015 |
Preface
Health Bulletin in an area is the mirror of the health status of that region. It gives me great pleasure to publish the Health Bulletin of Matiranga Upazila 2nd time. It includes health related informations of the year 2014 of different govt. Health centers, sub centers, of Matiranga Upazila & share those information to the other dept. of local govt. local leaders and alite persons so that they can give suggestion to improve the quality of health survice.
The Health Bulletin also contains sanction & vacant post of diff. health centers so that higher authorities can take necessary steps in posting of vacant post for smooth running of health dept. of Matiranga Upazila.
By publising Health Bulletin one can compare the health status and activities with the other Upazila of any District. of the country. It is an one step ahead towards the govt. commitment of establising ``Digital Bangladesh".
In Matiranga Upazila there is a 10 beded (non sanctioned) hospital named RHC located at Tabolchari Union. Stuff position and activities was not included in the Health Bulletin because of lack of such named praforma in Health Bulletin for this hospital. But there where posting of both health & Family Planing stuff and they give Health & Family Planing survices in OPD regularly.
In publishing 3rd Health Bulletin of Matiranga Upazila I tried my level best to minimize the deffects and faults that was done in the 3rdd Health Bulletin unconsciously. A great deal of effort has been taken to ensure that this edition reflects the actual situation of health status of Matiranga.
Finally I should like to acknowldge my debt to Mr. Purnendu Bikash Dewan, statistician, UHC, Matiranga whose Meticulus work on 4th edition was an Inspiration to me.
(Dr. Md. Khayrul Alam)
UHFPO
Matiranga, Khagrachari.
Matiranga Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Matiranga
Organization Code
10000983
Name of UHFPO Dr. Md. Khayrul Alam
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01553600902
Email matiranga@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0221 And
Long:
91.5231
No. of Unions in the Upazila 8
No. of Households in the Upazila 24,820
Population in the Upazila 129,952
Area of Upazila in sq km 495.00
Matiranga 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
1
0
No. of Union Sub-Centres
3
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)
4
0
No. of Rural/Urban/Thana Health Centers
1
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
0
0
No. of NGO Clinics/Facilities
4
0
Matiranga Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,706
Under 5 Mortality Rate: 10.523 (Per 1,000 live births)
Infant Mortality Rate: 5.397 (Per 1,000 live births)
Neonatal Mortality Rate: 4.317 (Per 1,000 live births)
Still Birth Rate: 0.270 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,898
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%
Matiranga 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:
5
Total No. of Recipients Who Took at least one ANC:
11,042
Total Number of Deliveries:
3,706
Valid TT Coverage: 45.00 %
Maternal Mortality Ratio (MMR) is:
134.92 per 100,000 live births.
Matiranga 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
41,934
31,826
73,760
21,534
25,301
46,835
120,595
1,132
1,358
2,490
621
543
1,164
3,654
Union Sub-Centres
3,016
9,387
12,403
1,942
2,185
4,127
16,530
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)
4,102
11,087
15189
1,920
3,425
5,345
20,534
0
0
0
0
0
0
5,345
Community Clinics
23,909
50,005
73,914
3,205
4,576
7,781
81,695
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)
1,656
4,908
6,564
1,948
2,089
4,037
10,601
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
1,182
1,290
2,472
592
679
1,271
3,743
0
0
0
0
0
0
0
Matiranga 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
929
1,036
1,965
325
503
828
2,793
11
8
19
4
2
6
25
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
Matiranga 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
2,457
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
277
11.27
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
304
12.37
3
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
207
8.42
4
J45 Asthma
X: Diseases of the respiratory system
93
3.79
5
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
46
1.87
6
S099 Unspecified injury of head
XIX: Injury, poisoning and certain other consequences of external causes
131
5.33
7
B530 Plasmodium ovale malaria
I: Certain infectious and parasitic diseases
222
9.04
8
I95 Hypotension
IX: Diseases of the circulatory system
39
1.59
9
T619 Toxic effect of unspecified seafood
XIX: Injury, poisoning and certain other consequences of external causes
96
3.91
10
B88 Other infestations
I: Certain infectious and parasitic diseases
1042
42.41
Matiranga 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
25
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J45 Asthma
X: Diseases of the respiratory system
2
8.00
2
B88 Other infestations
I: Certain infectious and parasitic diseases
7
28.00
3
T619 Toxic effect of unspecified seafood
X: Diseases of the respiratory system
5
20.00
4
T29 Burns and corrosions of multiple body regions
XIX: Injury, poisoning and certain other consequences of external causes
3
12.00
5
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
4
16.00
6
S09 Other and unspecified injuries of head
XIX: Injury, poisoning and certain other consequences of external causes
1
4.00
7
D55 Anaemia due to enzyme disorders
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1
4.00
8
B530 Plasmodium ovale malaria
I: Certain infectious and parasitic diseases
2
8.00
9
0
0.00
10
0
0.00
Matiranga Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
54.00
Coverage of households having access to sanitary latrines (%)
32.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
6,664
Bed Occupancy Rates (%)
58.90
Average Length of Hospital Stay (No. of days per patient)
2.71
Hospital Death Rate (%)
1.02
Matiranga Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
76
Matiranga 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
2
2
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
9
1
8
0
0.00
Class III
44
33
10
1
2.27
Class IV
22
15
6
1
4.55
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
3
3
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
4
1
1
16.67
Class IV
3
3
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
12
4
7
1
8.33
Class IV
0
0
0
0
0.00
Matiranga 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
19
11
2
6
31.58
Non Doctor
0
0
0
0
0.00
Class II
12
1
10
1
8.33
Class III
74
41
17
16
21.62
Class IV
33
22
10
1
3.03
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
Matiranga 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
3
9
4
0
0
1
0
0
Nurse
0
0
0
0
9
9
0
0
2
1
2
Medical Assistant
0
0
7
2
2
2
0
0
2
0
0
Medical Technologist
0
0
7
3
7
6
0
0
0
0
0
CHCP
12
11
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
4
3
0
0
0
0
2
HA
0
0
0
0
20
17
0
0
0
0
0
Matiranga 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
0
1
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
4
1
3
0
0
Ceiling mounting OT Light
0
0
0
0
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
2
1
1
0
0
Sucker machine (electric)
9
4
5
0
0
Ventilator
0
0
0
0
0
Matiranga 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
10
3
7
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Matiranga 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
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
1
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Matiranga 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
2
2
0
0
0
Vehicles
Ambulance
2
0
1
1
0
Matiranga 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
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
0
0
0
1
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
5
1
0
1
Laptop
14
14
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
2
2
0
2
Scanner
1
1
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
1
1
0
0
0
Multimedia
2
0
2
0
0
Matiranga 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)
1
1
0
0
0
Land phone
1
0
0
1
0
Mobile phone
1
1
0
0
0
Total
74
42
25
2
5
Matiranga Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Matiranga Upazila Health Complex
