Subarnachar Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Subarnachar Upazila .This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of subarnachar Upazila to other line department and development partners of health.I would like to again congratulate the initators of health bulletin software for setting us one step ahead to ``Digital Bangladesh''
Dr.S,M.Abu Musa
UH&FPO
Subarnachar,Noakhali.
Subarnachar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Subarnachar
Organization Code
10001064
Name of UHFPO Dr.S.M.Abu Musa
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01711267748
Email subarnachar@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
28.0000 And
Long:
87.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 51,461
Population in the Upazila 323,096
Area of Upazila in sq km 578.00
Subarnachar 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)
3
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
16
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
5
0
No. of NGO Clinics/Facilities
0
0
Subarnachar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,864
Under 5 Mortality Rate: 1.918 (Per 1,000 live births)
Infant Mortality Rate: 1.579 (Per 1,000 live births)
Neonatal Mortality Rate: 0.000 (Per 1,000 live births)
Still Birth Rate: 1.918 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 36,486
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 91%
Subarnachar 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:
1
Total No. of Recipients Who Took at least one ANC:
11,530
Total Number of Deliveries:
8,957
Valid TT Coverage: 86.00 %
Maternal Mortality Ratio (MMR) is:
11.28 per 100,000 live births.
Subarnachar 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
3,580
6,125
9,705
2,943
2,773
5,716
15,421
1,015
972
1,987
613
284
897
2,884
Union Sub-Centres
5,745
8,680
14,425
3,624
3,216
6,840
21,265
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)
6,407
7,802
14209
1,967
1,765
3,732
17,941
0
0
0
0
0
0
3,732
Community Clinics
29,593
61,094
90,687
7,953
9,577
17,530
108,217
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
Subarnachar 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
3,874
3,654
7,528
455
382
837
8,365
0
0
0
1
1
2
2
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
Subarnachar 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
8,365
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y042 Assault by bodily force, school, other institution and public administrative area
XX: External causes of morbidity and mortality
757
9.05
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
832
9.95
3
J20 Acute bronchitis
X: Diseases of the respiratory system
299
3.57
4
R10 Abdominal and pelvic pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
252
3.01
5
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
190
2.27
6
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
120
1.43
7
J47 Bronchiectasis
X: Diseases of the respiratory system
134
1.60
8
B77 Ascariasis
I: Certain infectious and parasitic diseases
60
0.72
9
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
50
0.60
10
X68 Intentional self-poisoning by and exposure to pesticides
XX: External causes of morbidity and mortality
79
0.94
Subarnachar 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
2
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J12 Viral pneumonia, NEC
X: Diseases of the respiratory system
1
50.00
2
R402 Coma, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
50.00
3
X: Diseases of the respiratory system
0
0.00
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
Subarnachar Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
96.00
Coverage of households having access to sanitary latrines (%)
97.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
26,670
Bed Occupancy Rates (%)
235.70
Average Length of Hospital Stay (No. of days per patient)
3.19
Hospital Death Rate (%)
0.02
Subarnachar Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
720
Subarnachar 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
20
9
2
9
45.00
Non Doctor
0
0
0
0
0.00
Class II
15
0
3
12
80.00
Class III
23
13
2
8
34.78
Class IV
22
9
2
11
50.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
2
3
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
1
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
0
0
1
100.00
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
15
9
6
0
0.00
Class IV
0
0
0
0
0.00
Subarnachar 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
26
11
6
9
34.62
Non Doctor
0
0
0
0
0.00
Class II
15
0
3
12
80.00
Class III
64
49
9
6
9.38
Class IV
23
9
2
12
52.17
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
Subarnachar 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
26
17
0
0
5
1
0
Nurse
0
0
0
0
15
3
0
0
0
3
0
Medical Assistant
0
0
6
6
2
2
0
0
4
0
0
Medical Technologist
0
0
0
0
7
3
0
0
0
0
0
CHCP
26
15
0
0
0
0
0
0
0
0
1
HI
0
0
0
0
1
1
2
2
0
0
2
AHI
0
0
0
0
0
0
6
6
0
0
1
HA
0
0
0
0
0
0
26
19
0
0
2
Subarnachar 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
2
1
0
1
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
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
1
0
0
1
0
Ventilator
0
0
0
0
0
Subarnachar 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
1
1
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Subarnachar 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)
1
1
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Subarnachar 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
0
0
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Subarnachar 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
1
0
1
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
0
0
0
0
0
ICT equipment
Computer (desktop)
6
5
1
0
0
Laptop
19
18
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
0
0
0
0
0
Subarnachar 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
52
46
3
3
0
Subarnachar Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Subarnachar Upazila Health Complex