Panchari Upazila Health Complex | Health Bulletin 2015 |
Preface
I greatly appreciate the publication of Local Health Bulletin 2015 from Panchari Hospital that reflects recent improvement in our Health programme.
Panchari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Panchari
Organization Code
10000988
Name of UHFPO Dr. Md: ZAHIDUL ISLAM
Land Phone No. 1
-037176044
Land Phone No. 2
FAX No.
Mobile No.
01720232033
Email panchari@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0000 And
Long:
92.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 15,935
Population in the Upazila 76,500
Area of Upazila in sq km 333.50
Panchari 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
1
0
No. of Union Sub-Centres
1
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)
2
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
5
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
Panchari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 1,893
Under 5 Mortality Rate: 2.641 (Per 1,000 live births)
Infant Mortality Rate: 0.528 (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 7,356
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%
Panchari 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:
8,309
Total Number of Deliveries:
1,893
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Panchari 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
8,633
21,196
29,829
3,220
4,832
8,052
37,881
888
732
1,620
486
0
486
2,106
Union Sub-Centres
3,903
5,663
9,566
608
912
1,520
11,086
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
13,542
13,165
26,707
995
1,197
2,192
28,899
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
Panchari 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
943
1,086
2,029
443
0
443
2,472
5
2
7
1
0
1
8
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
Panchari 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
3,341
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
311
9.31
2
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
177
5.30
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
169
5.06
4
S09 Other and unspecified injuries of head
XIX: Injury, poisoning and certain other consequences of external causes
70
2.10
5
J45 Asthma
X: Diseases of the respiratory system
64
1.92
6
B530 Plasmodium ovale malaria
I: Certain infectious and parasitic diseases
44
1.32
7
I139 Hypertensive heart and renal disease, unspecified
IX: Diseases of the circulatory system
43
1.29
8
T619 Toxic effect of unspecified seafood
XIX: Injury, poisoning and certain other consequences of external causes
36
1.08
9
P393 Neonatal urinary tract infection
XVI: Certain conditions originating in the perinatal period
23
0.69
10
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
17
0.51
Panchari 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
8
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J46 Status asthmaticus
X: Diseases of the respiratory system
3
37.50
2
T619 Toxic effect of unspecified seafood
XIX: Injury, poisoning and certain other consequences of external causes
2
25.00
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
X: Diseases of the respiratory system
1
12.50
4
J45 Asthma
X: Diseases of the respiratory system
1
12.50
5
N179 Acute renal failure, unspecified
XIV: Diseases of the genitourinary system
1
12.50
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Panchari Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
55.00
Coverage of households having access to sanitary latrines (%)
78.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
3,341
Bed Occupancy Rates (%)
91.53
Average Length of Hospital Stay (No. of days per patient)
1.00
Hospital Death Rate (%)
0.24
Panchari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
844
Panchari 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
3
1
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
50
37
10
3
6.00
Class IV
21
11
10
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
1
0
0
1
100.00
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
8
3
5
0
0.00
Class IV
0
0
0
0
0.00
Panchari 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
13
5
2
6
46.15
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
64
43
15
6
9.38
Class IV
21
11
10
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
Panchari 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
9
4
4
3
1
0
0
Nurse
0
0
0
0
10
10
0
0
1
4
0
Medical Assistant
0
0
0
0
2
2
3
0
2
0
0
Medical Technologist
0
0
0
0
5
5
1
1
0
0
0
CHCP
8
8
0
0
0
0
0
0
0
0
5
HI
0
0
0
0
2
1
0
0
0
0
0
AHI
0
0
0
0
5
5
0
0
0
0
0
HA
0
0
0
0
25
25
0
0
0
0
2
Panchari 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
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
1
1
0
0
0
Panchari 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
1
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Panchari 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
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
2
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Panchari 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
0
0
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Panchari 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
0
1
0
0
ICT equipment
Computer (desktop)
8
3
0
0
5
Laptop
3
1
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
8
3
1
0
4
Scanner
2
2
0
0
0
UPS
9
3
1
0
5
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
Panchari 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
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
54
34
6
0
14
Panchari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Panchari Upazila Health Complex
It is much pleasurre for me ferther chance to write something at the conclusion of the health bulletin of Panchari upazilla.This is a small upazilla consisting of one ten bed health complex.One union health subcentere and five community clinics.Our population is 76,500 all most farther extension of structures of subcentere completion of there more community clinics would give better services to the people.We have many problems-Electricity and water supply are causing much sufferring to the patients of residents of the complex.Manpower shortage particularly of consultants of medicines ,surgery and Gynae-obs,is a serious short coming .X-ray machine,OT,Ac is not working due to load shading of electricity .Blood bank and other lab,facilities are also mentionable,in this respect.Ambulance service is not able able for a long time due to huge outstanding of bill.Making a bulletin covering all aspects of upazila is hart job.Many thanks and gratitude to all for their heartiest conception for completing the health bulletin.