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Chitalmari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am highly glad to publish the 4th health bulletin of chitalmari upazila. This health bulletin contains the health related information of chitalmari upazila of 2013. I hope all the information of this health bulletin will be helpful for planning and bridging the gaps in the health services of this upazila.Government health office has many data stored in this file.This health bulletin will help us to see the results and achievements of 2013.The bulletin also contains the safe drinking water and sanitation condition of this upazila. All the sanctioned and vacant posts are published in the health bulletin . I Like to convey my regards to the civil surgeon,Bagerhat Dr Md Bakir Hossain,the upazila chairman Molla Mujibar Rahaman Shamim,chitalmari , the upazila nirbahi officer, chitalmari,vice chairman Md Rashed Pukul, Upazila parishad, chitalmari and Runa Gazi, Femal vice chairman, upazila parishad, chitalmari,Bagerhat.Finaly I would like to convay my congratulation professor Dr. Abul kalam Azad,Director ,MIS,DGHS,Mohakhali,Dhaka with all the initiator of health bulletin software for setting us one step a head toward Digital Bangladesh.
Dr.Ratan Kumar Shaha
UH&FPO
Chitalmari Upazila Health Complex

Chitalmari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Chitalmari
Organization Code 10001696
Name of UHFPO Dr.Ratan Kumar Shaha
Land Phone No. 1 -0465256007
Land Phone No. 2
FAX No.
Mobile No. 01731141152
Email chitalmari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.7956 And Long: 89.8726
No. of Unions in the Upazila7
No. of Households in the Upazila 29,098
Population in the Upazila 142,153
Area of Upazila in sq km 192.00

Chitalmari 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 0 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 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 3 30
No. of NGO Clinics/Facilities 1 0

Chitalmari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,340


Under 5 Mortality Rate: 26.496 (Per 1,000 live births)
Infant Mortality Rate: 23.932 (Per 1,000 live births)
Neonatal Mortality Rate: 17.949 (Per 1,000 live births)
Still Birth Rate: 25.214 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 3,577
Fully Vaccinated Children (<= 12 months): 93.00 %
Fully Vaccinated Children (<= 23 months): 0/07%%

Chitalmari 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: 2,368
Total Number of Deliveries: 2,398
Valid TT Coverage: 82.00 %
Maternal Mortality Ratio (MMR) is: 213.68 per 100,000 live births.

Chitalmari 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 10,731 16,738 27,469 4,038 4,204 8,242 35,711 2,136 2,270 4,406 342 375 717 5,123
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 31,408 72,619 104,027 5,906 6,704 12,610 116,637 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

Chitalmari 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 1,697 1,638 3,335 276 266 542 3,877 13 12 25 1 1 2 27
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

Chitalmari 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 3,877
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 631 16.28
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 288 7.43
3 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 279 7.20
4 J459 Asthma, unspecified X: Diseases of the respiratory system 161 4.15
5 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 131 3.38
6 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 57 1.47
7 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation XI: Diseases of the digestive system 53 1.37
8 J189 Pneumonia, unspecified X: Diseases of the respiratory system 44 1.13
9 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 37 0.95
10 A039 Shigellosis, unspecified I: Certain infectious and parasitic diseases 33 0.85

Chitalmari 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 27
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 7 25.93
2 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 6 22.22
3 P219 Birth asphyxia, unspecified IX: Diseases of the circulatory system 4 14.81
4 I50 Heart failure IX: Diseases of the circulatory system 3 11.11
5 J459 Asthma, unspecified X: Diseases of the respiratory system 2 7.41
6 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 1 3.70
7 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 1 3.70
8 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 3.70
9 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1 3.70
10 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation XI: Diseases of the digestive system 1 3.70

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 88.00
Coverage of households having access to sanitary latrines (%) 96.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,890
Bed Occupancy Rates (%) 87.41
Average Length of Hospital Stay (No. of days per patient) 2.56
Hospital Death Rate (%) 0.08


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 651

 

Chitalmari 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 10 6 0 4 40.00
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 60 30 15 15 25.00
Class IV 19 13 5 1 5.26
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 3 1 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 1 4 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 7 12 0 0.00
Class IV 0 0 0 0 0.00

 

Chitalmari 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 15 9 1 5 33.33
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 84 38 31 15 17.86
Class IV 19 13 5 1 5.26
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

 

Chitalmari 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 5 4 10 6 0 0 1 0 0
Nurse 0 0 0 0 10 10 0 0 7 3 0
Medical Assistant 0 0 5 5 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0 0
CHCP 19 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 0 0 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0 7
HA 0 0 0 0 28 21 0 0 0 0 5

Chitalmari 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) 2 1 0 1 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 5 1 4 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 8 5 3 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Chitalmari 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Chitalmari 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 1 1 0 0 0


Chitalmari 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) 8 5 3 0 0
Laptop 22 12 10 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 2 0 0
Printer (laser) 6 2 4 0 0
Scanner 0 0 0 0 0
UPS 3 2 1 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 20 20 0 0 0
Multimedia 0 0 0 0 0


Chitalmari 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 88 57 30 1 0

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

Important information and necessary issues for Chitalmari Upazila Health Complex
I am very happy to write the health bulletin of 2014. This document will help us to compare our progress in coming year.This is very useful document to provide us the useful advice for improvement in future. Here I like to mention some important subject for improve our health services in this upazila. Firstly the vacant post of should be fill up urgently for functioning the fifty bedded hospital. Out of seven union three union have no contraction of UH&FWC. So people of those union suffer mostly.Two union have no doctors& SACMO post created till and there is no doctor posted there now .No doctors should be transferred after posting minimum three years ago.Our doctors and nurse need IMCI training .Hospital delivery must be improved if we can give the better services to the client. I want to tell all of you that we do not see any more child or any more mother die in future. Last of all I convey my regards to all of you .Thank you so much all of you. Dr. Ratan Kumar Shaha UH&FPO Chitalmari,Bagerhat.