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Hatiya Upazila Health Complex | Health Bulletin 2015 |
Preface
Hatiya Upazilla health Complex. Health Bulletin-2014 Hatiya Upazilla is a remote Upazilla of Noakhali District. It is an Island. 60 Km South from Noakhali Sadar. It has 11 Unions with 88,884 Households. The population is about 4,96,865. 2 Unions of this Upazilla is attached e mainland of noakhali district. Upazilla health Complex is located about 10 km South from Nolchira Sea-truck ghat. The Socio-Ecomomic condition is very poor. This upazilla is Surrounded by the Bay – of – bangle except at its north pole which was by Meghna river . Most of the people in this upazilla depends on agriculture, Fishing and small enterprise business.
Dr.Md.Abdul kadir
UH&FPO
Hatiya Upazila Health Complex

Hatiya Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Hatiya
Organization Code 10001037
Name of UHFPO Dr.Md.Abdul kadir
Land Phone No. 1 -0322456014
Land Phone No. 2
FAX No.
Mobile No. 01711179054
Email hatiya@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 94.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 88,884
Population in the Upazila 496,865
Area of Upazila in sq km 2,100.00

Hatiya 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 50
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) 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 34 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

Hatiya Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 14,777


Under 5 Mortality Rate: 6.497 (Per 1,000 live births)
Infant Mortality Rate: 4.602 (Per 1,000 live births)
Neonatal Mortality Rate: 2.504 (Per 1,000 live births)
Still Birth Rate: 1.963 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 52,793
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Hatiya 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: 14
Total No. of Recipients Who Took at least one ANC: 10,996
Total Number of Deliveries: 14,777
Valid TT Coverage: 58.00 %
Maternal Mortality Ratio (MMR) is: 94.74 per 100,000 live births.

Hatiya 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 10,216 14,882 25,098 5,720 5,495 11,215 36,313 2,482 2,407 4,889 1,359 774 2,133 7,022
Union Sub-Centres 13,723 22,931 36,654 7,106 7,709 14,815 51,469 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) 3,208 12,763 15971 2,395 2,592 4,987 20,958 0 0 0 0 0 0 4,987
Community Clinics 70,827 146,493 217,320 19,198 21,469 40,667 257,987 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

Hatiya 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 1,776 1,630 3,406 1,476 743 2,219 5,625 29 19 48 47 23 70 118
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

Hatiya 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 5,625
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1494 26.56
2 T741 Physical abuse XIX: Injury, poisoning and certain other consequences of external causes 919 16.34
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 693 12.32
4 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 471 8.37
5 V149 Pedal cyclist injured in collision with heavy transport vehicle or bus, unspecified pedal cyclist, traffic accident XX: External causes of morbidity and mortality 192 3.41
6 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 185 3.29
7 X68 Intentional self-poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 124 2.20
8 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 119 2.12
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 78 1.39
10 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 47 0.84

Hatiya 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 118
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 33 27.97
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 15 12.71
3 I679 Cerebrovascular disease, unspecified X: Diseases of the respiratory system 8 6.78
4 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 7 5.93
5 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 5 4.24
6 I509 Heart failure, unspecified IX: Diseases of the circulatory system 5 4.24
7 P229 Respiratory distress of newborn, unspecified XVI: Certain conditions originating in the perinatal period 4 3.39
8 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 3 2.54
9 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 2 1.69
10 V149 Pedal cyclist injured in collision with heavy transport vehicle or bus, unspecified pedal cyclist, traffic accident XX: External causes of morbidity and mortality 2 1.69

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 89.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,960
Bed Occupancy Rates (%) 76.49
Average Length of Hospital Stay (No. of days per patient) 2.48
Hospital Death Rate (%) 2.10


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 448

 

Hatiya 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 21 12 4 5 23.81
Non Doctor 1 0 0 1 100.00
Class II 16 2 1 13 81.25
Class III 120 64 15 41 34.17
Class IV 29 10 2 17 58.62
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 10 0 0 10 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 16 9 1 6 37.50
Class IV 6 3 0 3 50.00
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 41 19 17 5 12.20
Class IV 0 0 0 0 0.00

 

Hatiya 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 31 12 4 15 48.39
Non Doctor 1 0 0 1 100.00
Class II 16 2 1 13 81.25
Class III 177 92 33 52 29.38
Class IV 35 13 2 20 57.14
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

 

Hatiya 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 10 0 21 16 0 0 1 0 0
Nurse 0 0 0 0 16 3 0 0 0 0 0
Medical Assistant 0 0 10 10 2 2 0 0 11 0 0
Medical Technologist 0 0 6 2 9 4 0 0 0 0 0
CHCP 41 36 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 4 2 0 0 0 0 0
AHI 0 0 0 0 13 9 0 0 0 0 2
HA 0 0 0 0 65 50 0 0 0 0 7

Hatiya 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 1 0 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 1 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 0 1 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 0 0 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Hatiya 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 1 0 1 0 0


Hatiya 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 1 1 0 0 0
Centrifuge machine (electric) 2 2 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 4 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 0 1 0 0


Hatiya 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 2 2 0 0 0
Refrigerator 1 0 1 0 0
Vehicles
Ambulance 2 1 0 1 0


Hatiya 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 3 3 0 0 0
IPS 1 0 0 1 0
ICT equipment
Computer (desktop) 1 0 0 1 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 0 0 0 0 0
UPS 5 2 1 0 2
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 0 0 0 0 0


Hatiya 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 0 2 0 0
Mobile phone 1 1 0 0 0
Total 57 42 9 4 2

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

Important information and necessary issues for Hatiya Upazila Health Complex
Here ilike to mention some important factors which will help us to achive good result in future : 1, vacant post of Doctors / Consultant shuld be filled Immediately , 2, Vacant post of nurse and other staff shuld be filled Immediately with priority. 3, Number of CC Shuld be increased , 4, All the Repairable Equipments Should be Repair As Soon As possible,