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Tetulia Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of Tetulia upazila like last year. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Tetulia upazila to other sactors/departments and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps of the health services of this upazila. Government health office has many data stored in file only. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets.The health bulletin has also the information on safe drinking water ,sanitation and vaccination status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014.I would like to take attention of the higher authority to look after this crucial issue and take necessary measures accordingly . I like to congratulate all the local community leaders, stake holders,GOB,Develomment partners,NGOS,Private sector organisations for keeping role for community awareness and participation. I am optimist that we can achieve our vision and mission by the year 2021, through different OPs going to be implemented by HPNSDP , initiating by the MOHFW , Government of Bangladesh.
Dr. Pitambar Roy.
UH&FPO
Tetulia Upazila Health Complex

Tetulia Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Tetulia
Organization Code 10001518
Name of UHFPO Dr. Pitambar Roy.
Land Phone No. 1 -075003
Land Phone No. 2
FAX No.
Mobile No. 01715123230
Email tetulia@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 24,246
Population in the Upazila 128,348
Area of Upazila in sq km 189.12

Tetulia 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 1 0
No. of Union Sub-Centres 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 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 10 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 1 0

Tetulia Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,034


Under 5 Mortality Rate: 46.473 (Per 1,000 live births)
Infant Mortality Rate: 30.323 (Per 1,000 live births)
Neonatal Mortality Rate: 20.765 (Per 1,000 live births)
Still Birth Rate: 19.117 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,534
Fully Vaccinated Children (<= 12 months): 88.00 %
Fully Vaccinated Children (<= 23 months):

Tetulia 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: 2,701
Total Number of Deliveries: 3,101
Valid TT Coverage: 30.00 %
Maternal Mortality Ratio (MMR) is: 65.92 per 100,000 live births.

Tetulia 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 24,425 24,814 49,239 8,000 8,010 16,010 65,249 1,467 701 2,168 100 74 174 2,342
Union Sub-Centres 14,955 19,953 34,908 3,014 4,780 7,794 42,702 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 19,399 47,954 67,353 3,665 4,098 7,763 75,116 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

Tetulia 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 1,292 2,543 3,835 148 200 348 4,183 14 7 21 3 1 4 25
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

Tetulia 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 4,183
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 574 13.72
2 Y003 Assault by blunt object, sports and athletics area XX: External causes of morbidity and mortality 409 9.78
3 A93 Other arthropod-borne viral fevers, NEC I: Certain infectious and parasitic diseases 356 8.51
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 350 8.37
5 A060 Acute amoebic dysentery I: Certain infectious and parasitic diseases 308 7.36
6 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 172 4.11
7 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 169 4.04
8 V447 Car occupant injured in collision with heavy transport vehicle or bus, person on outside of vehicle, traffic accident XX: External causes of morbidity and mortality 167 3.99
9 J458 Mixed asthma X: Diseases of the respiratory system 123 2.94
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 120 2.87

Tetulia 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 25
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 N18 Chronic renal failure XIV: Diseases of the genitourinary system 4 16.00
2 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 3 12.00
3 J18 Pneumonia, organism unspecified XIV: Diseases of the genitourinary system 1 4.00
4 I11 Hypertensive heart disease IX: Diseases of the circulatory system 1 4.00
5 I50 Heart failure IX: Diseases of the circulatory system 1 4.00
6 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 4.00
7 T46 Poisoning by agents primarily affecting the cardiovascular system XIX: Injury, poisoning and certain other consequences of external causes 1 4.00
8 J40 Bronchitis, not specified as acute or chronic X: Diseases of the respiratory system 1 4.00
9 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 1 4.00
10 R57 Shock, NEC XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 4.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,235
Bed Occupancy Rates (%) 67.04
Average Length of Hospital Stay (No. of days per patient) 2.92
Hospital Death Rate (%) 0.60


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 366

 

Tetulia 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 2 12 57.14
Non Doctor 0 0 0 0 0.00
Class II 15 1 7 7 46.67
Class III 46 29 12 5 10.87
Class IV 22 14 7 1 4.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 3 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 0 1 3 75.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 1 0 2 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 6 0 0 0.00
Class IV 3 2 1 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 16 8 5 3 18.75
Class IV 0 0 0 0 0.00

 

Tetulia 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 28 11 3 14 50.00
Non Doctor 0 0 0 0 0.00
Class II 15 1 7 7 46.67
Class III 72 37 18 17 23.61
Class IV 25 17 8 0 0.00
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

 

Tetulia 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 3 1 21 9 4 4 1 1 0
Nurse 0 0 0 0 15 8 0 0 4 3 0
Medical Assistant 0 0 3 3 2 2 4 1 3 0 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0 0
CHCP 16 13 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 0 0 0 0 0
AHI 0 0 0 0 3 3 0 0 0 0 0
HA 0 0 0 0 15 14 0 0 0 0 0

Tetulia 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) 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 4 3 1 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 1 1 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 2 1 0 0 1
Ventilator 0 0 0 0 0


Tetulia 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 5 2 1 0 2
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Tetulia 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 0 1 0 0
Refrigerator 2 2 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Tetulia 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 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 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 5 5 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 1 1 0 0 0
Multimedia 2 1 1 0 0


Tetulia 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 62 49 10 0 3

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

Important information and necessary issues for Tetulia Upazila Health Complex
Last year 2014 , we could not give our maximum efforts to improve the health status due to many reasons . Here I like to mention some important factors which will help us to achieve good results in future. 1. The vacant posts should be fulfilled immediately. 2. All the repairable infrastructure, equipments should be repaired as soon as possible. 3. The supply of furniture, logistic and drugs should be ensured. 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 us to start our endless journey for improvement in H&FP services through TQM and also help the people to understand health services and to provide us the usefull advice for improvement in future.