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Tanore Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of upazila heath Complex,Tanore,Rajshahi. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of tanore upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila.Government health office has many data stored in the file. 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. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authority to look into 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.Shahana Alam UH&FPO, Tanore,Rajshahi.
Dr.Shahana Alam
UH&FPO
Tanore Upazila Health Complex

Tanore Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Tanore
Organization Code 10001571
Name of UHFPO Dr.Shahana Alam
Land Phone No. 1 -0722956013
Land Phone No. 2
FAX No.
Mobile No. 01711972293
Email tanore@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 39,712
Population in the Upazila 190,725
Area of Upazila in sq km 182.00

Tanore 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 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 5 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 2 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 19 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 5 0
No. of NGO Clinics/Facilities 0 0

Tanore Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,305


Under 5 Mortality Rate: 4.878 (Per 1,000 live births)
Infant Mortality Rate: 1.626 (Per 1,000 live births)
Neonatal Mortality Rate: 0.697 (Per 1,000 live births)
Still Birth Rate: 0.000 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 9,680
Fully Vaccinated Children (<= 12 months): 93.00 %
Fully Vaccinated Children (<= 23 months): 0%

Tanore 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: 0
Total No. of Recipients Who Took at least one ANC: 4,318
Total Number of Deliveries: 4,305
Valid TT Coverage: 21.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Tanore 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 26,960 45,574 72,534 6,360 11,003 17,363 89,897 557 1,121 1,678 122 160 282 1,960
Union Sub-Centres 1,203 3,550 4,753 635 1,125 1,760 6,513 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 28,330 36,627 64,957 6,573 8,909 15,482 80,439 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 1,532 5,567 7099 845 1,203 2,048 9,147 0 0 0 0 0 0 2,048
Community Clinics 51,155 97,876 149,031 5,680 13,420 19,100 168,131 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 540 1,287 1,827 248 470 718 2,545 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanore 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 1,089 2,345 3,434 214 316 530 3,964 4 6 10 1 0 1 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 450 950 1,400 65 135 200 1,600 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Tanore 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 3,964
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 1030 25.98
2 Y080 Assault by other specified means, home XX: External causes of morbidity and mortality 521 13.14
3 J101 Influenza with other respiratory manifestations, influenza virus identified X: Diseases of the respiratory system 236 5.95
4 K270 Peptic ulcer, site unspecified, acute with haemorrhage XI: Diseases of the digestive system 196 4.94
5 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 188 4.74
6 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 148 3.73
7 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 127 3.20
8 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 118 2.98
9 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 105 2.65
10 E46 Unspecified protein-energy malnutrition IV: Endocrine, nutritional and metabolic diseases 101 2.55

Tanore 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 I412 Myocarditis in other infectious and parasitic diseases classified elsewhere IX: Diseases of the circulatory system 3 27.27
2 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 2 18.18
3 T629 Noxious substance eaten as food, unspecified IX: Diseases of the circulatory system 1 9.09
4 K929 Disease of digestive system, unspecified XI: Diseases of the digestive system 1 9.09
5 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 1 9.09
6 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1 9.09
7 J219 Acute bronchiolitis, unspecified X: Diseases of the respiratory system 1 9.09
8 J450 Predominantly allergic asthma X: Diseases of the respiratory system 1 9.09
9 0 0.00
10 0 0.00

Tanore 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 (%) 86.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,822
Bed Occupancy Rates (%) 64.78
Average Length of Hospital Stay (No. of days per patient) 2.98
Hospital Death Rate (%) 0.28


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 728

 

Tanore 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 5 7 9 42.86
Non Doctor 0 0 0 0 0.00
Class II 15 3 11 1 6.67
Class III 60 29 15 16 26.67
Class IV 25 14 5 6 24.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 1 1 3 60.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 7 3 0 0.00
Class IV 5 1 1 3 60.00
Rural Dispensaries
Class I Doctor 3 3 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 3 0 0 0.00
Class IV 0 0 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 19 8 11 0 0.00
Class IV 0 0 0 0 0.00

 

Tanore 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 29 9 8 12 41.38
Non Doctor 0 0 0 0 0.00
Class II 15 3 11 1 6.67
Class III 92 47 29 16 17.39
Class IV 30 15 6 9 30.00
Other Hospitals & Clinics
Class I Doctor 6 0 1 5 83.33
Non Doctor 1 0 1 0 0.00
Class II 2 0 0 2 100.00
Class III 62 18 38 6 9.68
Class IV 18 6 5 7 38.89

 

Tanore 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 8 5 21 12 6 1 2 0 0
Nurse 0 0 0 0 15 14 0 0 2 4 0
Medical Assistant 0 0 8 8 2 2 5 3 3 0 0
Medical Technologist 0 0 5 5 10 10 5 3 0 0 0
CHCP 19 19 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 5 5 0 0 0 0 0
HA 0 0 0 0 25 17 0 0 0 0 2

Tanore 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 0 0 0 0 0
Autoclave 1 1 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 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Tanore 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 1 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Tanore 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 1 1 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Tanore 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) 0 0 0 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 5 2 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 2 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 7 5 2 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Tanore 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 55 39 12 4 0

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

Important information and necessary issues for Tanore Upazila Health Complex
Important information and necessary issues for Tanore Upazila Health Complex Last year we tried to give our maximum efforts to improve the health status as much as possible. Here I like mention some important factors which will help us to achieve good results in future. 1.This hospital is 50 beaded hospital but construction of buildings works are going on now.2 The vacant post should be filled immediately. 3. Our doctor, nurse,SACMO Pharmacist and field staff need more training on IMCI and other diseases 4. Number of community clinic should be increased and the building repair works should be completed with in short time 4. Only one Ambulance of this hospital Is none functioning now,This ambulance should be repaired immediately and all the repairable equipment’s should be repaired as soon as possible. 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.