Chowhali Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish health bulletin of Chowhali Upazila. 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. All the sanctioned and vacant posts are published in this bulletin of 2013. I like to draw attention of the higher authority to look into this issue.
Thanking everybody.
Dr. Gopal Chandra Sen
UH&FPO
Chowhali, Sirajganj
Chowhali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Chowhali
Organization Code
10001629
Name of UHFPO Dr.Gopal Chandra Sen
Land Phone No. 1
-075163845
Land Phone No. 2
FAX No.
Mobile No.
01712980436
Email chowhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
87.4800
No. of Unions in the Upazila 7
No. of Households in the Upazila 23,497
Population in the Upazila 115,105
Area of Upazila in sq km 232.00
Chowhali 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
31
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)
4
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
14
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
0
No. of NGO Clinics/Facilities
0
0
Chowhali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,185
Under 5 Mortality Rate: 24.612 (Per 1,000 live births)
Infant Mortality Rate: 21.983 (Per 1,000 live births)
Neonatal Mortality Rate: 17.204 (Per 1,000 live births)
Still Birth Rate: 12.664 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,123
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 00%
Chowhali 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:
7
Total No. of Recipients Who Took at least one ANC:
893
Total Number of Deliveries:
4,238
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR) is:
167.26 per 100,000 live births.
Chowhali 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
10,440
13,013
23,453
3,586
3,553
7,139
30,592
984
686
1,670
124
114
238
1,908
Union Sub-Centres
0
0
0
0
0
0
0
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
30,952
63,701
94,653
7,740
7,523
15,263
109,916
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
Chowhali 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
421
453
874
92
81
173
1,047
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
Chowhali 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
1,047
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
119
11.37
2
Y042 Assault by bodily force, school, other institution and public administrative area
XX: External causes of morbidity and mortality
97
9.26
3
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
51
4.87
4
R10 Abdominal and pelvic pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
43
4.11
5
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
38
3.63
6
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
28
2.67
7
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
19
1.81
8
O04 Medical abortion
XV: Pregnancy, childbirth and the puerperium
9
0.86
9
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
8
0.76
10
A00 Cholera
I: Certain infectious and parasitic diseases
4
0.38
Chowhali 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
2
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
1
50.00
2
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1
50.00
3
J44 Other chronic obstructive pulmonary disease
I: Certain infectious and parasitic diseases
0
0.00
4
R10 Abdominal and pelvic pain
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
0
0.00
5
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
0
0.00
6
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
0
0.00
7
O15 Eclampsia
XV: Pregnancy, childbirth and the puerperium
0
0.00
8
O04 Medical abortion
XV: Pregnancy, childbirth and the puerperium
0
0.00
9
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
0
0.00
10
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
0
0.00
Chowhali 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 (%)
67.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
3,114
Bed Occupancy Rates (%)
27.52
Average Length of Hospital Stay (No. of days per patient)
3.00
Hospital Death Rate (%)
2.00
Chowhali Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
187
Chowhali 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
4
1
4
44.44
Non Doctor
0
0
0
0
0.00
Class II
11
0
6
5
45.45
Class III
68
50
14
4
5.88
Class IV
21
15
3
3
14.29
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
8
4
4
0
0.00
Class IV
4
2
2
0
0.00
Rural Dispensaries
Class I
Doctor
2
0
2
0
0.00
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
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
18
10
4
4
22.22
Class IV
0
0
0
0
0.00
Chowhali 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
16
5
4
7
43.75
Non Doctor
0
0
0
0
0.00
Class II
11
0
6
5
45.45
Class III
68
50
14
4
5.88
Class IV
21
15
3
3
14.29
Other Hospitals & Clinics
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
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Chowhali 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
2
2
9
5
0
0
0
0
0
Nurse
0
0
0
0
12
6
0
0
0
2
0
Medical Assistant
0
0
11
11
2
2
0
0
3
0
0
Medical Technologist
0
0
0
0
4
4
0
0
0
0
0
CHCP
18
14
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
6
5
0
0
0
0
0
HA
0
0
0
0
29
27
0
0
0
0
0
Chowhali 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
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
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
0
0
0
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)
1
1
0
0
0
Ventilator
0
0
0
0
0
Chowhali 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
1
1
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Chowhali 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)
0
0
0
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
2
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Chowhali 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
2
1
0
1
0
Chowhali 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)
2
0
2
0
0
Generator
Generator (diesel/petrol)
1
0
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
4
2
2
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)
4
2
2
0
0
Scanner
1
1
0
0
0
UPS
0
0
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
0
0
0
0
0
Multimedia
0
0
0
0
0
Chowhali 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
0
0
0
0
0
Mobile phone
1
1
0
0
0
Total
28
17
10
1
0
Chowhali Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Chowhali Upazila Health Complex
May Allah blees you & your family.