Atrai Upazila Health Complex | Health Bulletin 2015 |
Preface
I am glad to publish this health bulletin of Atrai Upazila. This bulletin contains all the health related information of 2014. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Upazila. This health bulletin will help us to find constrains and also to see the results and achievements of 2014.All the sanctioned and vacant post are published in this bulletin of 2014.I like to take attention of the higher authority to look in to 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. Md. Abdus Salam
UH&FPO
Upazila Health Complex
Atrai, Naogaon.
Atrai Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Atrai
Organization Code
10001363
Name of UHFPO Dr. Md. Abdus Salam
Land Phone No. 1
-0742271014
Land Phone No. 2
FAX No.
Mobile No.
01711440018
Email atrai@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.6113 And
Long:
88.9779
No. of Unions in the Upazila 8
No. of Households in the Upazila 46,544
Population in the Upazila 207,546
Area of Upazila in sq km 261.75
Atrai 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
50
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
0
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
6
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
0
0
No. of Rural/Urban/Thana Health Centers
3
0
No. of Community Clinics
26
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
Atrai Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,038
Under 5 Mortality Rate: 53.987 (Per 1,000 live births)
Infant Mortality Rate: 41.357 (Per 1,000 live births)
Neonatal Mortality Rate: 32.442 (Per 1,000 live births)
Still Birth Rate: 7.182 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 32,543
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):
Atrai 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:
2
Total No. of Recipients Who Took at least one ANC:
2,955
Total Number of Deliveries:
4,052
Valid TT Coverage: 47.00 %
Maternal Mortality Ratio (MMR) is:
49.53 per 100,000 live births.
Atrai 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
31,757
42,493
74,250
6,427
7,856
14,283
88,533
750
403
1,153
77
96
173
1,326
Union Sub-Centres
22,126
33,262
55,388
5,173
3,596
8,769
64,157
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
38,172
81,963
120,135
8,718
8,551
17,269
137,404
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
Atrai 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
1,163
3,186
4,349
281
344
625
4,974
7
7
14
0
1
1
15
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
Atrai 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
4,974
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
618
12.42
2
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
541
10.88
3
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
478
9.61
4
T46 Poisoning by agents primarily affecting the cardiovascular system
XIX: Injury, poisoning and certain other consequences of external causes
152
3.06
5
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
138
2.77
6
T14 Injury of unspecified body region
XIX: Injury, poisoning and certain other consequences of external causes
135
2.71
7
J06 Acute upper respiratory infections of multiple and unspecified sites
X: Diseases of the respiratory system
111
2.23
8
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
104
2.09
9
J45 Asthma
X: Diseases of the respiratory system
98
1.97
10
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
24
0.48
Atrai 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
T46 Poisoning by agents primarily affecting the cardiovascular system
XIX: Injury, poisoning and certain other consequences of external causes
6
40.00
2
R10 Abdominal and pelvic pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
3
20.00
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
XIX: Injury, poisoning and certain other consequences of external causes
3
20.00
4
J45 Asthma
X: Diseases of the respiratory system
1
6.67
5
I50 Heart failure
IX: Diseases of the circulatory system
1
6.67
6
I501 Left ventricular failure
IX: Diseases of the circulatory system
1
6.67
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Atrai Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
81.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
9,987
Bed Occupancy Rates (%)
54.72
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
0.30
Atrai Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
492
Minor Surgeries
1,057
Atrai 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
4
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
13
0
8
5
38.46
Class III
65
37
14
14
21.54
Class IV
19
10
5
4
21.05
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
2
0
1
33.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
5
0
1
16.67
Class IV
3
2
1
0
0.00
Rural Dispensaries
Class I
Doctor
3
2
0
1
33.33
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
3
3
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
26
16
10
0
0.00
Class IV
0
0
0
0
0.00
Atrai 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
19
6
4
9
47.37
Non Doctor
0
0
0
0
0.00
Class II
13
0
8
5
38.46
Class III
103
63
25
15
14.56
Class IV
28
15
6
7
25.00
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
Atrai 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
9
4
9
6
0
0
0
2
0
Nurse
0
0
0
0
13
8
0
0
4
0
0
Medical Assistant
0
0
9
9
2
2
0
0
4
0
0
Medical Technologist
0
0
0
0
4
4
0
0
0
0
0
CHCP
26
26
0
0
0
0
0
0
0
0
10
HI
0
0
0
0
2
1
0
0
0
0
10
AHI
0
0
0
0
7
6
0
0
0
0
0
HA
0
0
0
0
35
25
0
0
0
0
0
Atrai 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)
0
0
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
2
2
0
0
0
Autoclave
2
2
0
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
2
2
0
0
0
Atrai 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
1
1
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Atrai 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)
2
2
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
1
3
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Atrai 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
1
1
0
0
0
Vehicles
Ambulance
3
1
0
1
1
Atrai 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
2
3
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
6
0
1
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
5
5
0
0
0
Printer (laser)
1
0
0
1
0
Scanner
2
2
0
0
0
UPS
8
6
0
2
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
Atrai 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
67
55
6
5
1
Atrai Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Atrai Upazila Health Complex
Last year we could not give our maximum ti improve the health status due to many reasons. 1. The Vacant posts of Doctores and nurses to be filledup immediately. Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. 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.
