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Lalpur Upazila Health Complex | Health Bulletin 2015 |
Preface
It is an immense pleasure to publish a health bulletin showing the health scenario of upazila health complex, lalpur for year 2014. This bulletin will help us and also our authorities to evaluate health services and to take further steps for its improvement. Finally I am grateful and thanks to all who are involved in publishing the health bulletin.
Dr. Azmiri Begum
UH&FPO
Lalpur Upazila Health Complex

Lalpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Lalpur
Organization Code 10001426
Name of UHFPO Dr. Azmiri Begum
Land Phone No. 1 07725-0772575003
Land Phone No. 2
FAX No.
Mobile No. 01703878489
Email lalpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 89.0000
No. of Unions in the Upazila10
No. of Households in the Upazila 66,324
Population in the Upazila 277,209
Area of Upazila in sq km 329.00

Lalpur 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 2 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) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 32 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 3 40
No. of NGO Clinics/Facilities 0 0

Lalpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,639


Under 5 Mortality Rate: 35.822 (Per 1,000 live births)
Infant Mortality Rate: 28.019 (Per 1,000 live births)
Neonatal Mortality Rate: 20.748 (Per 1,000 live births)
Still Birth Rate: 8.512 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 73,312
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):

Lalpur 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: 3
Total No. of Recipients Who Took at least one ANC: 6,451
Total Number of Deliveries: 5,686
Valid TT Coverage: 31.00 %
Maternal Mortality Ratio (MMR) is: 53.20 per 100,000 live births.

Lalpur 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 16,331 33,364 49,695 4,876 4,615 9,491 59,186 3,433 4,165 7,598 451 345 796 8,394
Union Sub-Centres 13,326 30,296 43,622 1,875 2,110 3,985 47,607 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) 9,313 35,600 44913 7,518 8,148 15,666 60,579 0 0 0 0 0 0 15,666
Community Clinics 104,298 210,769 315,067 19,454 23,367 42,821 357,888 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) 381 4,207 4,588 252 301 553 5,141 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 1,720 2,752 4,472 913 977 1,890 6,362 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Lalpur 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 3,097 3,938 7,035 405 309 714 7,749 23 5 28 2 0 2 30
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 263 1,603 1,866 34 49 83 1,949 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Lalpur 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 7,749
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 1091 14.08
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 974 12.57
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 697 8.99
4 B33 Other viral diseases, NEC I: Certain infectious and parasitic diseases 339 4.37
5 V87 Traffic accident of specified type but victim's mode of transport unknown XX: External causes of morbidity and mortality 244 3.15
6 J12 Viral pneumonia, NEC X: Diseases of the respiratory system 227 2.93
7 S09 Other and unspecified injuries of head XIX: Injury, poisoning and certain other consequences of external causes 199 2.57
8 D64 Other anaemias III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 190 2.45
9 F09 Unspecified organic or symptomatic mental disorder V: Mental and behavioural disorders 182 2.35
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 174 2.25

Lalpur 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 30
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I21 Acute myocardial infarction IX: Diseases of the circulatory system 11 36.67
2 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 3 10.00
3 J80 Adult respiratory distress syndrome IX: Diseases of the circulatory system 2 6.67
4 V99 Unspecified transport accident XX: External causes of morbidity and mortality 2 6.67
5 J47 Bronchiectasis X: Diseases of the respiratory system 2 6.67
6 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 6.67
7 T30 Burn and corrosion, body region unspecified XIX: Injury, poisoning and certain other consequences of external causes 1 3.33
8 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1 3.33
9 O72 Postpartum haemorrhage XV: Pregnancy, childbirth and the puerperium 1 3.33
10 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 1 3.33

Lalpur 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 (%) 99.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 14,847
Bed Occupancy Rates (%) 81.35
Average Length of Hospital Stay (No. of days per patient) 1.92
Hospital Death Rate (%) 0.39


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 1
Minor Surgeries 2,085

 

Lalpur 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 22 8 4 10 45.45
Non Doctor 0 0 0 0 0.00
Class II 17 1 16 0 0.00
Class III 78 53 16 9 11.54
Class IV 25 10 7 8 32.00
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 11 7 3 1 9.09
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 13 7 6 0 0.00
Class IV 2 2 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 36 14 17 5 13.89
Class IV 0 0 0 0 0.00

 

Lalpur 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 33 15 7 11 33.33
Non Doctor 0 0 0 0 0.00
Class II 17 1 16 0 0.00
Class III 91 60 22 9 9.89
Class IV 27 12 7 8 29.63
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

 

Lalpur 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 11 10 22 12 0 0 3 1 0
Nurse 0 0 0 0 17 17 0 0 6 8 0
Medical Assistant 0 0 11 11 2 2 0 0 12 0 0
Medical Technologist 0 0 2 2 10 10 0 0 0 0 0
CHCP 36 31 0 0 0 0 0 0 0 0 6
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0 0
HA 0 0 0 0 40 37 0 0 0 0 5

Lalpur 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 0 0 1 0
X-ray machine (300 mA) 1 0 1 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 4 3 0 1 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 1 1 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 3 0 0 0
Sterilizer 4 4 0 0 0
Sucker machine (electric) 5 5 0 0 0
Ventilator 0 0 0 0 0


Lalpur 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 3 3 0 0 0
Pulse oximeter 2 0 0 2 0
Dental equipment
Dental unit 1 0 1 0 0


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


Lalpur 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 3 2 0 1 0


Lalpur 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) 4 3 1 0 0
Generator
Generator (diesel/petrol) 2 0 2 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 7 6 1 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


Lalpur 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 78 62 10 5 1

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

Important information and necessary issues for Lalpur Upazila Health Complex
Lalpur upazilla health complex is a 50 bedded hospital but there is shortage of Consultant doctors . The women of Lalpur are deprived of emergency obstratic care (EOC) services. To improve our maternal health we need Gynae consultant immediately. The Nutritional status of our people also not satisfactory. We hope that the Concern Authority will give emphasis in these particular aspects, So that we can improve our health services, especialy maternal health and Nutritional status of the people.