Chatmohar Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure for me to know that Chatmohar Upazila health complex is going to publish a health bulletin for the 4th time. This bulletin contains all the health related information of 2014The bulletin is published to disseminate the information of planning and bridging the gaps in the health services of this Upazila & other government health office . Many data is stored in this bulletin . The health bulletin will help us to find out constrains and also to see the achievement of 2015 of this upazilla health complex .The bulletin contains the status of MDG-4 and MDG-5 which will to localize the MDG Target.This health bulletin also has the information on safe drinking water and sanitation status of this upazila.All sanction & vacant post are published in the bulletin of 2014.I would like to draw attention of the higher authority to take necessary step to inaugurate the 50 bedded hospital & allocate the appropriate fund within shortest possible time . So that the people of this locality can get the desired benefit. I would like to thank all who are involved in developing and editing this health bulletin and special thanks to DGHS for providing technical and financial support for setting us one step ahead toward digital Bangladesh.
(Dr,Manzura Rahman)
Upazila health & Family planning officer
Chatmohar,Pabna.
Chatmohar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Chatmohar
Organization Code
10001479
Name of UHFPO Dr.Manzura Rahman
Land Phone No. 1
07324-0732456125
Land Phone No. 2
FAX No.
Mobile No.
01711101493
Email chatmohar@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.1357 And
Long:
89.1712
No. of Unions in the Upazila 11
No. of Households in the Upazila 67,691
Population in the Upazila 304,728
Area of Upazila in sq km 313.00
Chatmohar 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)
9
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
9
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
29
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
2
20
No. of NGO Clinics/Facilities
0
0
Chatmohar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,589
Under 5 Mortality Rate: 1.845 (Per 1,000 live births)
Infant Mortality Rate: 1.581 (Per 1,000 live births)
Neonatal Mortality Rate: 1.449 (Per 1,000 live births)
Still Birth Rate: 1.977 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 53,049
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):
Chatmohar 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:
13,262
Total Number of Deliveries:
7,604
Valid TT Coverage: 14.00 %
Maternal Mortality Ratio (MMR) is:
26.35 per 100,000 live births.
Chatmohar 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
17,332
35,379
52,711
12,201
16,785
28,986
81,697
5,264
5,346
10,610
1,520
1,910
3,430
14,040
Union Sub-Centres
18,767
27,669
46,436
2,507
4,379
6,886
53,322
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)
15,500
72,223
87723
5,663
20,671
26,334
114,057
0
0
0
0
0
0
26,334
Community Clinics
170,933
212,498
383,431
21,380
24,495
45,875
429,306
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
Chatmohar 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
2,965
4,546
7,511
820
1,471
2,291
9,802
18
18
36
6
8
14
50
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
150
240
390
10
8
18
408
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Chatmohar 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
9,782
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R100 Acute abdomen
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1453
14.85
2
J180 Bronchopneumonia, unspecified
X: Diseases of the respiratory system
1252
12.80
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
1129
11.54
4
Y090 Assault by unspecified means, home
XX: External causes of morbidity and mortality
972
9.94
5
O809 Single spontaneous delivery, unspecified
XV: Pregnancy, childbirth and the puerperium
659
6.74
6
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
352
3.60
7
V115 Pedal cyclist injured in collision with other pedal cycle, passenger, traffic accident
XX: External causes of morbidity and mortality
277
2.83
8
J450 Predominantly allergic asthma
X: Diseases of the respiratory system
223
2.28
9
T480 Oxytocic drugs
XIX: Injury, poisoning and certain other consequences of external causes
211
2.16
10
F449 Dissociative [conversion] disorder, unspecified
V: Mental and behavioural disorders
173
1.77
Chatmohar 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
50
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
9
18.00
2
J180 Bronchopneumonia, unspecified
X: Diseases of the respiratory system
8
16.00
3
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
6
12.00
4
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
X: Diseases of the respiratory system
4
8.00
5
P368 Other bacterial sepsis of newborn
XVI: Certain conditions originating in the perinatal period
4
8.00
6
V115 Pedal cyclist injured in collision with other pedal cycle, passenger, traffic accident
XX: External causes of morbidity and mortality
3
6.00
7
P239 Congenital pneumonia, unspecified
XVI: Certain conditions originating in the perinatal period
3
6.00
8
J450 Predominantly allergic asthma
X: Diseases of the respiratory system
2
4.00
9
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
2
4.00
10
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
1
2.00
Chatmohar 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 (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
20,570
Bed Occupancy Rates (%)
112.71
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
1.00
Chatmohar Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,872
Chatmohar 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
21
7
7
7
33.33
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
80
56
9
15
18.75
Class IV
22
12
9
1
4.55
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
9
4
4
1
11.11
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
13
9
4
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
1
0
1
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
4
0
0
0.00
Class IV
2
1
0
1
50.00
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
37
13
16
8
21.62
Class IV
0
0
0
0
0.00
Chatmohar 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
32
13
11
8
25.00
Non Doctor
0
0
0
0
0.00
Class II
15
0
15
0
0.00
Class III
84
60
13
11
13.10
Class IV
24
12
9
3
12.50
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
Chatmohar 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
21
14
0
0
1
0
0
Nurse
0
0
0
0
16
16
0
0
4
2
0
Medical Assistant
0
0
0
0
0
0
0
0
12
0
0
Medical Technologist
0
0
2
2
7
7
0
0
0
0
0
CHCP
37
29
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
2
2
0
0
0
AHI
0
0
0
0
0
0
7
7
0
0
23
HA
0
0
0
0
0
0
34
26
0
0
9
Chatmohar 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
1
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
0
0
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
2
2
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
5
5
0
0
0
Sucker machine (electric)
8
5
1
1
1
Ventilator
0
0
0
0
0
Chatmohar 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
8
3
2
3
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
1
0
0
1
0
Chatmohar 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
2
0
0
2
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
3
1
0
0
Pediatric equipment
Baby incubator
1
0
0
0
1
Phototherapy unit
1
1
0
0
0
Chatmohar 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
3
3
0
0
0
Vehicles
Ambulance
3
1
0
1
1
Chatmohar 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)
1
0
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)
11
10
0
1
0
Laptop
29
29
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
4
2
2
0
0
Printer (laser)
5
2
3
0
0
Scanner
1
1
0
0
0
UPS
1
1
0
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
30
30
0
0
0
Multimedia
1
1
0
0
0
Chatmohar 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
141
117
10
10
4
Chatmohar Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Chatmohar Upazila Health Complex
Important information and necessary issues for Chatmohar Upazila health complex-Last year we could not give maximum efforts to improve the status due to many reason. Here I like to mention some important factors which will help us to achieve good result in future. 1.The vacant post should be filled up immidiatly .2.Our Doctors,Nurses & Other related stuffs need more training on health service.All the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this Health bulletin-2014.Because this document will help us to compare our progress in years.This is very useful document and will help the public to understand health services and to provide us the useful advice for important
in future.