Mollahat Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of mollahat upazila. This bulletin contains all the health related information of mollahat upazila health situation of 2014.This bulletin is published to disseminate the information of mollahat upazila health facilities with other concern GOB department, NGO and other development partners(WHO, UK,UNDP). We are in wright way to achieved MDG goals except MDG-5 due to shortage of man power particularly doctors . Only Five doctors working at UHC including UH&FPO. I pay my regards to upazila chairman and UNO for their continuous support and take active participation in all programs. I am grateful to my colleague and upazila parishad members for their co-operative involvement in health related activities in field level. I am oblige to my civil surgeon of bagerhat for his kind cooperative guidance. We are proud and all credits belongs to Prof. Abul Kalam Azad, ADG and Director MIS;for his glorious innovation to spread health activities throughout and the nation also internationally. Thanks to every body who are related with publishing this health bulletin directly and indirectly . Sincerely yours...
Dr. Arun Kanti Biswas
UH&FPO
Mollahat, Bagerhat
Mollahat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Mollahat
Organization Code
10001706
Name of UHFPO Dr.Arun Kanti Biswas
Land Phone No. 1
04-0465556017
Land Phone No. 2
FAX No.
0465556221
Mobile No.
01711887401
Email mollarhat@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.9275 And
Long:
89.8023
No. of Unions in the Upazila 7
No. of Households in the Upazila 28,594
Population in the Upazila 146,826
Area of Upazila in sq km 188.00
Mollahat 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)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
6
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
2
20
No. of NGO Clinics/Facilities
1
0
Mollahat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,629
Under 5 Mortality Rate: 21.301 (Per 1,000 live births)
Infant Mortality Rate: 17.878 (Per 1,000 live births)
Neonatal Mortality Rate: 11.792 (Per 1,000 live births)
Still Birth Rate: 14.835 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 21,266
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 88%
Mollahat 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:
3
Total No. of Recipients Who Took at least one ANC:
2,767
Total Number of Deliveries:
2,658
Valid TT Coverage: 92.00 %
Maternal Mortality Ratio (MMR) is:
114.11 per 100,000 live births.
Mollahat 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
14,687
29,995
44,682
5,929
4,773
10,702
55,384
2,600
2,729
5,329
423
543
966
6,295
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
39,430
89,106
128,536
6,518
8,006
14,524
143,060
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
Mollahat 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
2,242
2,485
4,727
258
218
476
5,203
10
8
18
0
0
0
18
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
Mollahat 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
5,203
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
1021
19.62
2
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
636
12.22
3
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
382
7.34
4
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
279
5.36
5
J45 Asthma
X: Diseases of the respiratory system
270
5.19
6
Y18 Poisoning by and exposure to pesticides, undetermined intent
XX: External causes of morbidity and mortality
206
3.96
7
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
177
3.40
8
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
160
3.08
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
125
2.40
10
0
0.00
Mollahat 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
18
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I60 Subarachnoid haemorrhage
IX: Diseases of the circulatory system
6
33.33
2
J45 Asthma
X: Diseases of the respiratory system
5
27.78
3
I50 Heart failure
IX: Diseases of the circulatory system
2
11.11
4
Y18 Poisoning by and exposure to pesticides, undetermined intent
XX: External causes of morbidity and mortality
2
11.11
5
I20 Angina pectoris
IX: Diseases of the circulatory system
1
5.56
6
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1
5.56
7
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
1
5.56
8
0
0.00
9
0
0.00
10
0
0.00
Mollahat Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
92.00
Coverage of households having access to sanitary latrines (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
12,060
Bed Occupancy Rates (%)
106.58
Average Length of Hospital Stay (No. of days per patient)
2.32
Hospital Death Rate (%)
0.35
Mollahat Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
3,386
Mollahat 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
3
0
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
70
40
25
5
7.14
Class IV
19
11
6
2
10.53
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
2
0
5
71.43
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
3
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
8
9
2
10.53
Class IV
0
0
0
0
0.00
Mollahat 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
0
11
68.75
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
96
43
30
23
23.96
Class IV
19
11
6
2
10.53
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
Mollahat 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
7
2
9
3
0
0
1
1
4
Nurse
0
0
0
0
10
10
0
0
2
2
4
Medical Assistant
0
0
7
7
2
2
0
0
4
0
0
Medical Technologist
0
0
0
0
8
6
0
0
0
0
0
CHCP
19
17
0
0
0
0
0
0
0
0
4
HI
0
0
0
0
3
3
0
0
0
0
2
AHI
0
0
0
0
7
6
0
0
0
0
0
HA
0
0
0
0
38
24
0
0
0
0
0
Mollahat 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
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
0
0
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
1
1
0
0
0
Ventilator
0
0
0
0
0
Mollahat 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
1
0
1
0
0
Mollahat 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
1
0
2
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
1
0
3
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Mollahat 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
1
0
0
Mollahat 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)
4
4
0
0
0
Generator
Generator (diesel/petrol)
2
0
1
1
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
6
2
0
0
Laptop
19
18
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
5
1
4
0
0
Scanner
1
1
0
0
0
UPS
6
6
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
18
18
0
0
0
Multimedia
1
1
0
0
0
Mollahat 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
83
64
12
7
0
Mollahat Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Mollahat Upazila Health Complex
I conclude and like to say last year we could not give our maximum effort of improve the health status due to many reasons .Here I mention some important factors which will help us to achieve good result in future. (1). The vacant post should be filled immediately particularly doctors . (2) Our doctors and nurses need more training on Emoc and IMCI.(3) Number of community clinic and the bed capacity of the health complex should be increased (4) All the repairable equipment's should be repaired as soon as possible say x-ray machine .Though shortage of man power adequate logistics and instruments support. We treated 55384 OPD patient, 6295Emergency patient, 5203 Indoor patient and 128536 community clinic patient .(5) I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document will help the public to understand health services system and provide us useful advises for improving the future plan and need based necessary actions .Finally I like to thanks my civil surgeon Dr. Bakar Hossain, who always advised and supervised me to qualitiful creative Health Bulletin properly. I am very grateful to all concern who contribute something for publishing and to produce this Health Bulletin successfully.
Dr.Arun Kanti Biswas
UH&FPO
Mollahat Upazila Health Complex
