Haripur Upazila Health Complex | Health Bulletin 2015 |
Preface
Thanks to Almighty Allah. By the grace of Him we have completed the local health bulletin 2015 of Haripur Upazila. This health bulletin reflects all the health related aspects of Haripur Upazila for the year 2014. This local health bulletin is published to disseminate the information of health sector of this Upazila to other line departments and development partners of health. The bulletin contains the status of MDG4 and MDG5, which will help to localize the MDG targets. All the sanctioned and vacant posts are published in this bulletin. Specially extreme shortage of doctors, Nurses, Word boy / Aya and sweepers are the main obstacles to maintain standard health care. Hope the higher authority will look in to this issue.
Although our ambulance is out of order, we are providing ambulance service by getting an ambulance on loan from Pirgonj Upazila Health complex by the kind effort of Civil Surgeon, Thakurgaon, but it is also in a very vulnerable condition.
Another important issue : Haripur Upazila Health Complex has the Administrative sanction of 50 bed but no financial sanction yet. For this reason we are getting Diet and other budgets as per 31 bed hospital.
Finally I must congratulate the initiator of the health bulletin program and software, for setting us one step ahead towards Digital Bangladesh.
Haripur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Haripur
Organization Code
10001673
Name of UHFPO Dr. Md. Abdus Samad Chowdhury
Land Phone No. 1
-0562356009
Land Phone No. 2
FAX No.
Mobile No.
01712931579
Email haripur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
26.0000 And
Long:
88.1325
No. of Unions in the Upazila 6
No. of Households in the Upazila 29,890
Population in the Upazila 148,530
Area of Upazila in sq km 199.43
Haripur 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
1
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
6
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
0
0
No. of NGO Clinics/Facilities
0
0
Haripur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,327
Under 5 Mortality Rate: 38.473 (Per 1,000 live births)
Infant Mortality Rate: 36.670 (Per 1,000 live births)
Neonatal Mortality Rate: 29.155 (Per 1,000 live births)
Still Birth Rate: 24.046 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 11,321
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 99%
Haripur 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:
5
Total No. of Recipients Who Took at least one ANC:
4,809
Total Number of Deliveries:
3,739
Valid TT Coverage: 32.00 %
Maternal Mortality Ratio (MMR) is:
150.29 per 100,000 live births.
Haripur 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
11,267
18,556
29,823
3,030
3,835
6,865
36,688
1,794
2,102
3,896
489
523
1,012
4,908
Union Sub-Centres
5,725
5,603
11,328
655
712
1,367
12,695
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
51,271
63,256
114,527
8,321
9,165
17,486
132,013
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
Haripur 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
1,033
1,863
2,896
161
136
297
3,193
7
0
7
0
0
0
7
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
Haripur 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
1,452
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
1000
68.87
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
151
10.40
3
V346 Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus, passenger, traffic accident
XX: External causes of morbidity and mortality
84
5.79
4
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
77
5.30
5
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
32
2.20
6
J45 Asthma
X: Diseases of the respiratory system
31
2.13
7
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
28
1.93
8
D56 Thalassaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
22
1.52
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
16
1.10
10
J118 Influenza with other manifestations, virus not identified
X: Diseases of the respiratory system
11
0.76
Haripur 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
7
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
V600 Occupant of heavy transport vehicle injured in collision with pedestrian or animal, driver, nontraffic accident
XX: External causes of morbidity and mortality
2
28.57
2
J45 Asthma
X: Diseases of the respiratory system
2
28.57
3
I11 Hypertensive heart disease
XX: External causes of morbidity and mortality
1
14.29
4
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
1
14.29
5
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
14.29
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Haripur 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 (%)
94.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
7,822
Bed Occupancy Rates (%)
42.86
Average Length of Hospital Stay (No. of days per patient)
5.39
Hospital Death Rate (%)
0.48
Haripur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
81
Minor Surgeries
612
Haripur 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
9
1
11
52.38
Non Doctor
0
0
0
0
0.00
Class II
14
1
7
6
42.86
Class III
49
29
9
11
22.45
Class IV
24
14
7
3
12.50
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
5
4
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
1
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
1
0
1
50.00
Class IV
1
0
0
1
100.00
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
14
8
5
1
7.14
Class IV
0
0
0
0
0.00
Haripur 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
27
11
2
14
51.85
Non Doctor
0
0
0
0
0.00
Class II
14
1
7
6
42.86
Class III
70
42
15
13
18.57
Class IV
25
14
7
4
16.00
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
Haripur 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
6
3
21
10
0
0
1
1
0
Nurse
0
0
0
0
14
8
0
0
2
2
0
Medical Assistant
0
0
6
6
2
1
0
0
2
0
0
Medical Technologist
0
0
0
0
8
6
0
0
0
0
0
CHCP
14
13
0
0
0
0
0
0
0
0
4
HI
0
0
0
0
1
0
0
0
0
0
0
AHI
0
0
0
0
4
4
0
0
0
0
0
HA
0
0
0
0
20
19
0
0
0
0
3
Haripur 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
1
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
2
0
2
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
1
0
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
4
4
0
0
0
Portable OT Light
3
3
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
3
3
0
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
3
1
2
0
0
Ventilator
0
0
0
0
0
Haripur 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
4
4
0
0
0
Pulse oximeter
3
3
0
0
0
Dental equipment
Dental unit
2
1
1
0
0
Haripur 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
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
1
0
1
0
0
Pediatric equipment
Baby incubator
2
2
0
0
0
Phototherapy unit
0
0
0
0
0
Haripur 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
0
0
0
0
0
Vehicles
Ambulance
1
0
1
0
0
Haripur 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)
5
3
2
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
2
0
2
0
0
ICT equipment
Computer (desktop)
6
5
1
0
0
Laptop
16
11
5
0
0
Printer (dot matrix)
3
3
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
6
5
1
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
2
2
0
0
0
Multimedia
0
0
0
0
0
Haripur 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
92
69
23
0
0
Haripur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Haripur Upazila Health Complex
We are trying our best to deliver standard health care to the people of haripur upazila of Thakurgaon District, with our very limited manpower. The following issues are the main obstacle to maintain optimum services. 1.In this upazila out of 27 doctors, only 12 doctors are posted but 02 of them are unauthorized absent since long. 2. Only 4 sweeper is posted here.8. Out of 14 posts of nurses, there is 6 vacant post's, in addition we have 2 nurses here under MNH programmer. Out of 8 SACMO (Former Medical Assistant), Only 07 are posted here. 4. Electrical and sanitary lines are in a very poor condition. 5. There were no renovation or maintenance work done of the hospital and residential buildings. 6. All the repairable equipment should be repaired as soon as possible. 7. A new ambulance and spare parts, specially tires for the running ambulance (on Loan from Pirganj UHC) is needed urgently. Hope this bulletin will be Avery helpfully document for us to compare our activities and progress in the future and help understand the other departments in the people, what we are doing and in what condition to provide health care. Thank you all