Fulchari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of fulchari. This bulletin contains all the health related information of 2014.hope all the information of this bulletin will help for planing,implementation & bridging the gaps in health service of this upazila. This bulletin is published to disseminate the information of fulchari upazila to other departments. All health related data are stored properly in the office of health department. This health bulletin will help us to find constrains for implantation of planing strategy. It also helps to find out different health related data, information & the results & achievements of previous time period. This bulletin contains the status of MDG-4,MDG-5, morbidity & mortality profile which will help to localize the limitation, achievement,strategy 7 targets for MDG. This health bulletin also contains the information about safe drinking water staff profile & sanitation status of the upazila . Finally i would like to congratulate the initiator of the health bulletin software which is definitely an innovative idea & i hope it will open a new era in health services of Bangladesh & it will help us to move one step ahead toward Digital Bangladesh.
Name of the Upazila ; Fulchari. Name of UHFPO; Dr. Amal Chandra Shaha. Telephone No;0542256086. MobileNo;01712647621.Email; fulchari@uhfpo.dghs.gov.bd.
(Dr. Amal Chandra Shaha)
UHFPO
UHC. Fulchari.Gaibandha..
Fulchari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Fulchari
Organization Code
10001244
Name of UHFPO Dr.Amal Chandra Shaha.
Land Phone No. 1
-0542256086
Land Phone No. 2
FAX No.
Mobile No.
01712647621
Email fulchari@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.2850 And
Long:
89.5670
No. of Unions in the Upazila 7
No. of Households in the Upazila 33,490
Population in the Upazila 180,994
Area of Upazila in sq km 306.03
Fulchari 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)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
5
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
14
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
1
0
Fulchari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,130
Under 5 Mortality Rate: 50.363 (Per 1,000 live births)
Infant Mortality Rate: 44.068 (Per 1,000 live births)
Neonatal Mortality Rate: 31.719 (Per 1,000 live births)
Still Birth Rate: 26.150 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 41,273
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months):
Fulchari 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:
7
Total No. of Recipients Who Took at least one ANC:
4,671
Total Number of Deliveries:
4,260
Valid TT Coverage: 53.00 %
Maternal Mortality Ratio (MMR) is:
169.49 per 100,000 live births.
Fulchari 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
15,550
20,981
36,531
2,525
3,089
5,614
42,145
1,150
1,313
2,463
650
1,050
1,700
4,163
Union Sub-Centres
1,320
7,320
8,640
1,068
936
2,004
10,644
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
62,064
92,678
154,742
12,198
13,943
26,141
180,883
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
6,872
17,110
23,982
2,398
5,998
8,396
32,378
0
0
0
0
0
0
0
Fulchari 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
5,362
4,314
9,676
76
54
130
9,806
2
0
2
0
0
0
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
Fulchari 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
9,806
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
1890
19.27
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1532
15.62
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
107
1.09
4
J14 Pneumonia due to Haemophilus influenzae
X: Diseases of the respiratory system
88
0.90
5
Z33 Pregnant state, incidental
XXI: External causes of morbidity and mortality
74
0.75
6
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
63
0.64
7
J43 Emphysema
X: Diseases of the respiratory system
41
0.42
8
Y18 Poisoning by and exposure to pesticides, undetermined intent
XX: External causes of morbidity and mortality
39
0.40
9
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
12
0.12
10
B15 Acute hepatitis A
I: Certain infectious and parasitic diseases
9
0.09
Fulchari 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
9,806
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R073 Other chest pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
0.01
2
A162 Tuberculosis of lung, without mention of bacteriological or histological confirmation
I: Certain infectious and parasitic diseases
1
0.01
3
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
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
Fulchari Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
70.00
Coverage of households having access to sanitary latrines (%)
65.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
9,806
Bed Occupancy Rates (%)
86.66
Average Length of Hospital Stay (No. of days per patient)
1.00
Hospital Death Rate (%)
100.00
Fulchari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
875
Fulchari 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
4
1
4
44.44
Non Doctor
0
0
0
0
0.00
Class II
10
0
3
7
70.00
Class III
66
56
10
0
0.00
Class IV
19
13
6
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
6
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
5
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
1
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
1
0
1
50.00
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
18
7
8
3
16.67
Class IV
0
0
0
0
0.00
Fulchari 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
16
11
1
4
25.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
3
7
70.00
Class III
92
62
19
11
11.96
Class IV
19
14
6
-1
-5.26
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
Fulchari 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
7
9
5
0
0
1
1
0
Nurse
0
0
0
0
11
3
0
0
2
1
0
Medical Assistant
0
0
7
7
2
2
0
0
4
0
0
Medical Technologist
0
0
1
0
7
6
0
0
0
0
0
CHCP
18
15
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
7
7
0
0
0
0
0
HA
0
0
0
0
35
32
0
0
0
0
4
Fulchari 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
2
2
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
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
3
1
0
0
2
Ventilator
0
0
0
0
0
Fulchari 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
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Fulchari 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)
3
1
0
0
2
Colorimeter
2
1
0
0
1
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
Fulchari 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
Fulchari 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)
2
1
0
0
1
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
4
0
0
2
Laptop
16
16
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
3
0
3
0
Scanner
1
1
0
0
0
UPS
6
4
0
1
1
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
Fulchari 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
62
49
0
4
9
Fulchari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Fulchari Upazila Health Complex
Important information and necessary issues for Fulchari Upazila Health Complex
Though we are trying our best to provide optimum services to people, we cannot provide this due to some important factors which are already mentioned previous session.First of all there is configaration of 50 bed hospital but we cannot serve like that because of lack of proper manpower. I would like to summarize some important factors which will help us to provide optimum health services to the people: 1. The vacant positions including consultant, MOs, nurses should be filled immediately. 2. Our doctors and nurses need more training on IMCI, EmOC and other fields. 3. As our UHC was approved for 30 bed it should be immediately functioning with required manpower and logistics. 4. All the repairable equipment’s should be repaired and other important instruments like ECG, incubator, colorimeter, phototherapy machine should be supplied as soon as possible. 5. We have more 5 female HA who need CSBA training Finally I am very glad to publish this health bulletin of 2014 because this document will help us to compare our progress in upcoming years and I think it will provide some important issues for the concern authority to take proper action to improve our services and facilities which will ensure improved health care to the people of our area. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.
