Shajahanpur Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a matter of great pleasure that by the grace of Almighty Allah We are going to publish our Upazila Health Bulletin of Shajahanpur Health Complex,Bogra(fourth addition).Supported by MIS,DGHS,Mohakhali Dhaka. I would like to express my gratitude to prof.Dr.Abul Kalam Azad,ADG(Planing and Development)and Line director,MIS,DGHS,Mohakhali Dhaka. Every person can observe the Verious activities,performance and achievement of different programmee of Shajahanpur Upazila Health Complex at a glance by this bulletin.All the Doctors and staff are very happy to know about this bulletin. I hope that the natural out come of these bulletin will create an opportunity of getting information of the activities health sector of shajahanpur upazila Bogra. This bulletin will serve the information with statistical data. It is a matter of our pleasure that in this year 2015.We successfully started the new Vaccine PVC and IPV.We also started successfully Deworming week from that April 2015.without any hazard. Deworming target at this upazila is (6-12yrs) 55000, PCV target is 460,IPV target is 480, Vitamin A"target is (1-5 year) 45,000. we also performed Vitamin A+ campaigning on the 5th April saturday our total target was 44,233 and our achievement was 44,123 which was 99% in percentage
All Doctors and stuff helped me cordially to prepare this bulletin.I am greatfull to them all.Infuture we shall try our level best for the improvement of our bulletin with more details information.
Shajahanpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Shajahanpur
Organization Code
10001143
Name of UHFPO Dr.Sharifur Rashid
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01715011656
Email Shajahanpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.7720 And
Long:
89.3695
No. of Unions in the Upazila 10
No. of Households in the Upazila 69,689
Population in the Upazila 294,740
Area of Upazila in sq km 221.33
Shajahanpur 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
8
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
2
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
10
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
25
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
4
40
No. of NGO Clinics/Facilities
0
0
Shajahanpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,514
Under 5 Mortality Rate: 6.710 (Per 1,000 live births)
Infant Mortality Rate: 4.534 (Per 1,000 live births)
Neonatal Mortality Rate: 3.083 (Per 1,000 live births)
Still Birth Rate: 0.544 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 27,391
Fully Vaccinated Children (<= 12 months): 92.00 %
Fully Vaccinated Children (<= 23 months): 84%
Shajahanpur 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:
3,050
Total Number of Deliveries:
5,517
Valid TT Coverage: 20.00 %
Maternal Mortality Ratio (MMR) is:
18.14 per 100,000 live births.
Shajahanpur 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
9,893
26,404
36,297
2,765
3,604
6,369
42,666
652
1,185
1,837
249
366
615
2,452
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)
4,565
23,668
28,233
1,789
1,917
3,706
31,939
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
70,795
158,024
228,819
9,120
11,507
20,627
249,446
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
Shajahanpur 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
734
889
1,623
52
33
85
1,708
2
1
3
0
0
0
3
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
Shajahanpur 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
1,708
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A060 Acute amoebic dysentery
I: Certain infectious and parasitic diseases
609
35.66
2
J11 Influenza, virus not identified
X: Diseases of the respiratory system
328
19.20
3
J45 Asthma
X: Diseases of the respiratory system
63
3.69
4
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
37
2.17
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
32
1.87
6
J06 Acute upper respiratory infections of multiple and unspecified sites
X: Diseases of the respiratory system
27
1.58
7
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
25
1.46
8
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
24
1.41
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
19
1.11
10
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
14
0.82
Shajahanpur 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
3
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
G46 Vascular syndromes of brain in cerebrovascular diseases
VI: Diseases of the nervous system
1
33.33
2
J96 Respiratory failure, NEC
X: Diseases of the respiratory system
1
33.33
3
K270 Peptic ulcer, site unspecified, acute with haemorrhage
VI: Diseases of the nervous system
1
33.33
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
Shajahanpur 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 (%)
99.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
8,040
Bed Occupancy Rates (%)
71.06
Average Length of Hospital Stay (No. of days per patient)
4.71
Hospital Death Rate (%)
0.18
Shajahanpur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
475
Shajahanpur 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
10
5
4
1
10.00
Non Doctor
0
0
0
0
0.00
Class II
9
0
9
0
0.00
Class III
79
53
23
3
3.80
Class IV
17
6
6
5
29.41
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
4
6
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
12
4
8
0
0.00
Class IV
2
0
1
1
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
25
9
16
0
0.00
Class IV
0
0
0
0
0.00
Shajahanpur 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
20
9
10
1
5.00
Non Doctor
0
0
0
0
0.00
Class II
9
0
9
0
0.00
Class III
79
53
23
3
3.80
Class IV
17
6
6
5
29.41
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
Shajahanpur 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
10
10
9
0
0
0
19
0
Nurse
0
0
0
0
9
9
0
0
0
9
0
Medical Assistant
0
0
10
10
1
1
0
0
3
0
0
Medical Technologist
0
0
0
0
4
4
0
0
0
0
0
CHCP
25
25
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
2
2
0
0
0
AHI
0
0
0
0
0
0
9
9
0
0
0
HA
0
0
0
0
0
0
43
40
0
0
6
Shajahanpur 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
1
0
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
1
1
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
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
0
0
0
0
0
Shajahanpur 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
3
3
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Shajahanpur 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
Shajahanpur 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
0
0
0
0
0
Shajahanpur 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)
5
5
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
0
0
0
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
8
5
0
0
3
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
1
1
0
0
0
Shajahanpur 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
41
38
0
0
3
Shajahanpur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Shajahanpur Upazila Health Complex
Shajahanpur is a newly created Upazila in Bogra District,Which is declared as upazila in 2002 and started its function from 2006.Shajahanpur Upazila health complex is a newly constructed health complex. Many of the facilities of a health complex is yet not established and many machinaries and other necessary equipments is yet not supplied like: (1) Ultra sonogram machine (2)ECG machine and for the transportation of the emergency patients to the higher facilities center like Ambulance which is urgently needed. But still not supplied.Many important post like:(1) Sanitary inspector (2) Nursing supervisor (3)Tuberculosis & Leprosy Control Assistant (TLCA) is not created .All the health complex is running with two pharmacist but in Shajahanpur health complex the created post of pharmacist is only one.So normal activities of the health complex is hammering due to want of necessary equipment, vehicle and manpower. So the above mentioned problem should be solved urgently for the proper treatment and for the well management of health services in the health complex as well as in the field level.