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Patgram Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to Publish this health bulletin of Patgram upazila.This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of patgram upazila to other line department and development partners of health.I hope all the information of this bulletin will help for planing and bridging the gaps in health services of this upazila.Government health office has many data stored in the fine . This health bulletin will help us to find contains and also to see the results and achievments of 2014.The bulletin contains the status of MDG-5 which will help to localize the MDG targets .This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctiond and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.Golam Mohammad
UH&FPO
Patgram Upazila Health Complex

Patgram Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Patgram
Organization Code 10001355
Name of UHFPO Dr.Golam Mohammad
Land Phone No. 1 -0592556244
Land Phone No. 2
FAX No.
Mobile No. 01730324667
Email patgram@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.3486 And Long: 89.0164
No. of Unions in the Upazila8
No. of Households in the Upazila 46,304
Population in the Upazila 235,372
Area of Upazila in sq km 247.00

Patgram 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) 1 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 28 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

Patgram Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,130


Under 5 Mortality Rate: 50.292 (Per 1,000 live births)
Infant Mortality Rate: 31.969 (Per 1,000 live births)
Neonatal Mortality Rate: 25.926 (Per 1,000 live births)
Still Birth Rate: 24.172 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 15,592
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Patgram 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: 9
Total No. of Recipients Who Took at least one ANC: 5,648
Total Number of Deliveries: 5,212
Valid TT Coverage: 44.00 %
Maternal Mortality Ratio (MMR) is: 175.44 per 100,000 live births.

Patgram 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 12,550 16,925 29,475 4,591 5,235 9,826 39,301 3,954 4,163 8,117 804 1,026 1,830 9,947
Union Sub-Centres 3,221 4,125 7,346 629 711 1,340 8,686 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 5,506 6,447 11,953 1,378 1,622 3,000 14,953 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 77,063 107,030 184,093 9,781 12,795 22,576 206,669 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

Patgram 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 1,263 2,283 3,546 304 401 705 4,251 4 3 7 3 1 4 11
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

Patgram 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 4,251
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 1363 32.06
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 953 22.42
3 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 95 2.23
4 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation XI: Diseases of the digestive system 86 2.02
5 O021 Missed abortion XV: Pregnancy, childbirth and the puerperium 74 1.74
6 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 65 1.53
7 V395 Passenger injured in collision with other and unspecified motor vehicles in traffic accident XX: External causes of morbidity and mortality 18 0.42
8 K402 Bilateral inguinal hernia, without obstruction or gangrene XI: Diseases of the digestive system 14 0.33
9 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 12 0.28
10 J459 Asthma, unspecified X: Diseases of the respiratory system 9 0.21

Patgram 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 3 27.27
2 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 2 18.18
3 G009 Bacterial meningitis, unspecified X: Diseases of the respiratory system 2 18.18
4 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 2 18.18
5 O72 Postpartum haemorrhage XV: Pregnancy, childbirth and the puerperium 1 9.09
6 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 1 9.09
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,159
Bed Occupancy Rates (%) 98.62
Average Length of Hospital Stay (No. of days per patient) 2.63
Hospital Death Rate (%) 0.26


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 653

 

Patgram 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 5 2 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 0 5 5 50.00
Class III 63 27 12 24 38.10
Class IV 20 10 6 4 20.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 5 0 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 4 1 2 28.57
Class IV 1 1 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 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 28 15 13 0 0.00
Class IV 0 0 0 0 0.00

 

Patgram 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 12 0 8 40.00
Non Doctor 0 0 0 0 0.00
Class II 14 0 5 9 64.29
Class III 104 55 25 24 23.08
Class IV 32 15 9 8 25.00
Other Hospitals & Clinics
Class I Doctor 4 4 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 4 0 0 4 100.00
Class III 7 1 0 6 85.71
Class IV 10 5 4 1 10.00

 

Patgram 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 6 9 5 4 4 4 1 0
Nurse 0 0 0 0 11 5 8 0 0 0 0
Medical Assistant 0 0 7 6 2 0 0 0 5 0 0
Medical Technologist 0 0 0 0 5 4 1 1 0 0 0
CHCP 28 28 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 35 30 0 0 0 0 2

Patgram 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) 2 1 1 0 0
Ultrasonogram machine 2 1 1 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 3 1 2 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 2 2 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 0 0
Operating microscope 2 1 1 0 0
Ceiling mounting OT Light 2 1 1 0 0
Portable OT Light 2 0 2 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 1 2 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Patgram 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 4 3 1 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Patgram 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 1 1 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 1 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Patgram 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 1 1 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Patgram 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) 8 6 2 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 3 0 0 0
ICT equipment
Computer (desktop) 10 9 1 0 0
Laptop 32 31 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 2 1 0 0
Printer (laser) 3 2 1 0 0
Scanner 0 0 0 0 0
UPS 2 1 0 1 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 32 30 2 0 0
Multimedia 1 1 0 0 0


Patgram 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 0 1 0 0
Mobile phone 1 1 0 0 0
Total 139 110 28 1 0

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

Important information and necessary issues for Patgram Upazila Health Complex
Flowing Items are supplied for Upazila health Complex, Patgram, Lalmonirhat within 1st January/14 ----December/2014. Name of the Items: Laptop --- 28. for CHCP`s, Laptop --- 02. for Usc`s, Laptop --- 02. for Statistician, PDA ---- 01. for UH&FPO, PDA ---- 02.for HI, PDA ---- 07.for AHI, PDA ---- 23. for HA, Desktop --- 09.for UHC, Modem ---- 28. for CHCP`s Modem ---- 02. for Usc`s & Modem 1 for Statistician. In the northen point of the country this Hospital is well equiped and ready for giving Health Service this area. But due to shortage of manpower. Mainly due to shortage of Doctors and nurses service is hampered. We are very much happy to Publish this health Bulletin by MIS. We are trying our lebel best for updating the data timely. Thanks toall.