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Sundarganj Upazila Health Complex | Health Bulletin 2015 |
Preface
Now a days information is the vital factor in completing the journey towards the digitalization of Bangladesh. So Health bulletin-2014 of Sundarganj UHC has been published. This bulletin contains some health related vital data and informations. This bulletin has been published to disseminate the informations of Sundarganj UHC to all the stakeholders involved in the development of health system. I hope every body can get an idea about our health services by going through this health bulletin as it is our 4th publication.. Special thanks to MIS-DGHS for helping us to publish this health bulletin. Dr.A.B.M.Abu Hanif UH&FPO Upazila Health Complex, Sundarganj, Gaibandha.
Dr. A B M Abu Hanif
UH&FPO
Sundarganj Upazila Health Complex

Sundarganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Sundarganj
Organization Code 10001286
Name of UHFPO Dr. A B M Abu Hanif
Land Phone No. 1 -0542764024
Land Phone No. 2
FAX No.
Mobile No. 01711077729
Email sundarganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 89.0000
No. of Unions in the Upazila15
No. of Households in the Upazila 107,569
Population in the Upazila 501,974
Area of Upazila in sq km 428.50

Sundarganj 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 7 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 8 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 6 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 59 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

Sundarganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 11,176


Under 5 Mortality Rate: 45.902 (Per 1,000 live births)
Infant Mortality Rate: 27.559 (Per 1,000 live births)
Neonatal Mortality Rate: 18.343 (Per 1,000 live births)
Still Birth Rate: 30.243 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 14,101
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Sundarganj 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: 23
Total No. of Recipients Who Took at least one ANC: 4,087
Total Number of Deliveries: 12,160
Valid TT Coverage: 35.00 %
Maternal Mortality Ratio (MMR) is: 205.80 per 100,000 live births.

Sundarganj 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 9,997 4,698 14,695 587 412 999 15,694 732 665 1,397 454 564 1,018 2,415
Union Sub-Centres 62,374 67,812 130,186 6,041 7,061 13,102 143,288 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 188,956 364,113 553,069 29,264 32,988 62,252 615,321 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

Sundarganj 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 5,328 4,089 9,417 312 268 580 9,997 6 5 11 6 0 6 17
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

Sundarganj 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 3,914
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 848 21.67
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 580 14.82
3 K319 Disease of stomach and duodenum, unspecified XI: Diseases of the digestive system 268 6.85
4 J219 Acute bronchiolitis, unspecified X: Diseases of the respiratory system 148 3.78
5 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 92 2.35
6 V870 Person injured in collision between car and two- or three-wheeled motor vehicle (traffic) XX: External causes of morbidity and mortality 129 3.30
7 T980 Sequelae of effects of foreign body entering through natural orifice XIX: Injury, poisoning and certain other consequences of external causes 83 2.12
8 O021 Missed abortion XV: Pregnancy, childbirth and the puerperium 42 1.07
9 J450 Predominantly allergic asthma X: Diseases of the respiratory system 97 2.48
10 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 42 1.07

Sundarganj 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 15
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J219 Acute bronchiolitis, unspecified X: Diseases of the respiratory system 5 33.33
2 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 2 13.33
3 T980 Sequelae of effects of foreign body entering through natural orifice X: Diseases of the respiratory system 2 13.33
4 J450 Predominantly allergic asthma X: Diseases of the respiratory system 2 13.33
5 T200 Burn of unspecified degree of head and neck XIX: Injury, poisoning and certain other consequences of external causes 1 6.67
6 S090 Injury of blood vessels of head, NEC XIX: Injury, poisoning and certain other consequences of external causes 1 6.67
7 R104 Other and unspecified abdominal pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 13.33
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 75.00
Coverage of households having access to sanitary latrines (%) 62.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,997
Bed Occupancy Rates (%) 88.35
Average Length of Hospital Stay (No. of days per patient) 2.80
Hospital Death Rate (%) 0.35


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 75

 

Sundarganj 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 2 1 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 129 80 29 20 15.50
Class IV 19 10 5 4 21.05
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 6 0 2 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 2 2 4 50.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 7 3 3 1 14.29
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 11 0 3 21.43
Class IV 7 7 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 58 32 26 0 0.00
Class IV 0 0 0 0 0.00

 

Sundarganj 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 24 3 2 19 79.17
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 151 89 37 25 16.56
Class IV 26 12 5 9 34.62
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

 

Sundarganj 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 15 13 9 3 0 0 0 0 0
Nurse 0 0 0 0 10 10 0 0 7 4 3
Medical Assistant 0 0 15 12 2 1 0 0 4 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 59 57 0 0 0 0 0 0 0 0 1
HI 0 0 0 0 6 4 0 0 0 0 0
AHI 0 0 0 0 17 16 0 0 0 0 0
HA 0 0 0 0 85 78 0 0 0 0 16

Sundarganj 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 1 0 0 0
X-ray machine (300 mA) 1 1 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 3 3 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 2 2 0 0 0
Portable OT Light 6 3 3 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 3 2 1 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Sundarganj 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 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 9 6 3 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Sundarganj 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 2 2 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 3 1 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Sundarganj 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 1 1 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 3 2 0 1 0


Sundarganj 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) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 5 5 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 8 2 0 1 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


Sundarganj 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 81 65 9 2 5

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

Important information and necessary issues for Sundarganj Upazila Health Complex
Many positions of 31 bed hospital are vacant.Infrastructure for 50 bed has been constructed but HR has not yet been posted.Which is interfering quality service,Hence this vacant posts should be fulfilled as an immediate measure.Mo"s Nurses and other support staff need training on EmOC,NCD,IMCI,Computer etc. Inadiquate wast and sewerage disposal is a big constrain for our all cleanliness of the hospital campus.If would be good for proper functioning of cc"s if one cleaner/support staff is posted there.Many of the cc"s need immediate maintenance and repairing. The UHFPO is one of the senior officers working at upzilla level.So it is desired that one four wheeler vehicle should be allotted against his post for proper supervision of health activities in upzilla level.