Fakirhat Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of UHC, Fakirhat, Bagerhat, This health bulletin contains all the health related information of 2014. This bulletin published to desiminate the informaion of Fakirhat Upazila to other line department and developent partners of health, I hope all the information of this bulletin will help for planning and bridging the gaps in health service in this upazila government health office as many data stored in the file, The bulletin contains the status of MDG-4 and MDG-5 which will help to achieve MDG target. The health bulletin has also the information of safe drinking water and station condition of the upazila. All the sanctioned and vacant post are published in this bulletin. I like to attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us forward digital health service of Bangladesh.
Fakirhat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Fakirhat
Organization Code
10001701
Name of UHFPO Dr Krishna pada lasker
Land Phone No. 1
-0465356244
Land Phone No. 2
FAX No.
Mobile No.
01819054428
Email fakirhat@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.7776 And
Long:
89.7010
No. of Unions in the Upazila 8
No. of Households in the Upazila 33,725
Population in the Upazila 142,970
Area of Upazila in sq km 158.50
Fakirhat 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
1
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
8
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
15
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
0
0
Fakirhat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,220
Under 5 Mortality Rate: 18.468 (Per 1,000 live births)
Infant Mortality Rate: 15.766 (Per 1,000 live births)
Neonatal Mortality Rate: 12.162 (Per 1,000 live births)
Still Birth Rate: 16.216 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 24,176
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):
Fakirhat 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:
4
Total No. of Recipients Who Took at least one ANC:
2,622
Total Number of Deliveries:
2,220
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR) is:
180.18 per 100,000 live births.
Fakirhat 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
15,448
30,524
45,972
4,995
5,818
10,813
56,785
4,737
3,640
8,377
712
619
1,331
9,708
Union Sub-Centres
2,366
9,852
12,218
960
915
1,875
14,093
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
23,460
60,170
83,630
4,165
4,823
8,988
92,618
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
Fakirhat 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
3,397
4,953
8,350
412
488
900
9,250
16
25
41
1
2
3
44
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
Fakirhat 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
9,250
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
1543
16.68
2
J121 Respiratory syncytial virus pneumonia
X: Diseases of the respiratory system
515
5.57
3
X999 Assault by sharp object, unspecified place
XX: External causes of morbidity and mortality
487
5.26
4
T47 Poisoning by agents primarily affecting the gastrointestinal system
XIX: Injury, poisoning and certain other consequences of external causes
318
3.44
5
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
234
2.53
6
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
189
2.04
7
K35 Acute appendicitis
XI: Diseases of the digestive system
149
1.61
8
J45 Asthma
X: Diseases of the respiratory system
206
2.23
9
D508 Other iron deficiency anaemias
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
142
1.54
10
C68 Malignant neoplasm of other and unspecified urinary organs
II: Neoplasms
86
0.93
Fakirhat 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
44
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
11
25.00
2
I50 Heart failure
IX: Diseases of the circulatory system
6
13.64
3
T47 Poisoning by agents primarily affecting the gastrointestinal system
IX: Diseases of the circulatory system
4
9.09
4
J45 Asthma
X: Diseases of the respiratory system
4
9.09
5
J969 Respiratory failure, unspecified
X: Diseases of the respiratory system
4
9.09
6
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
3
6.82
7
I501 Left ventricular failure
IX: Diseases of the circulatory system
2
4.55
8
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
2
4.55
9
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
1
2.27
10
J121 Respiratory syncytial virus pneumonia
X: Diseases of the respiratory system
1
2.27
Fakirhat Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
96.00
Coverage of households having access to sanitary latrines (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
22,698
Bed Occupancy Rates (%)
200.60
Average Length of Hospital Stay (No. of days per patient)
2.45
Hospital Death Rate (%)
0.48
Fakirhat Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
437
Minor Surgeries
2,040
Fakirhat 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
5
1
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
59
25
18
16
27.12
Class IV
20
14
5
1
5.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
1
3
3
42.86
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
2
5
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
1
0
0.00
Class IV
1
1
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
4
13
1
5.56
Class IV
0
0
0
0
0.00
Fakirhat 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
17
6
5
6
35.29
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
86
32
37
17
19.77
Class IV
20
14
5
1
5.00
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
Fakirhat 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
4
9
6
0
0
3
4
0
Nurse
0
0
0
0
11
10
0
0
0
4
1
Medical Assistant
0
0
8
8
2
2
0
0
5
0
0
Medical Technologist
0
0
1
1
6
6
0
0
0
0
0
CHCP
18
17
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
1
AHI
0
0
0
0
6
6
0
0
0
0
0
HA
0
0
0
0
29
15
0
0
0
0
0
Fakirhat 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
1
1
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
3
3
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
3
3
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Fakirhat 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
4
4
0
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Fakirhat 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)
4
1
3
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
3
0
1
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Fakirhat 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
0
0
1
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Fakirhat 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
5
0
0
0
Generator
Generator (diesel/petrol)
3
2
0
1
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
2
2
0
0
0
ICT equipment
Computer (desktop)
12
8
4
0
0
Laptop
25
18
7
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
0
1
1
0
Printer (laser)
4
3
0
0
1
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
17
17
0
0
0
Multimedia
1
1
0
0
0
Fakirhat 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
114
91
17
5
1
Fakirhat Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Fakirhat Upazila Health Complex
Fakirhat Upazila health complex is a very busy station in Bagerhat District.We are facing various problem to provide better service. Many post of the physician and other staff are vacant in this hospital.So it is difficult to run the health complex. Epi,health education and others health programmer are so difficult to run due to shortage of field worker .
So immediately posting doctors and other staff for raise good health services.