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Sarsa Upazila Health Complex | Health Bulletin 2015 |
Preface
we are pleased to publishing local health bulletin of Sharsha Upazila, Jessore for the year 2015.Here, we are highlighting our health related activities off field and hospital sides which are preventive and curative respectivly. We have lot of achievement in preventative sides like EPI ,diarrhoal disease control program, tuberclosis control program ,night blindnes prevention etc.But incurative sides we have many limitations .we have shortage of Manpower both in curative & preventive sides and scarcity of facilities and lack of freindly environment, There is also a gap between health personel and genaral people.With facing all these defficulties we are utmostly trying to serve the people with the aim to achive the MDG concerned to Health care system. I think that publishment of the Health bulletin in this years is able to acknowledge the local people about our activitis and limitation of our abilities. Thereby it will given up the distanc between health service provider and service acceptors. I would like to thank all concerned in publishing this bulletine especially my statistician.
Dr. Md. Nasir Uddin
UH&FPO
Sarsa Upazila Health Complex

Sarsa Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Sarsa
Organization Code 10001768
Name of UHFPO Dr. Md. Nasir Uddin
Land Phone No. 1 -0422875327
Land Phone No. 2
FAX No.
Mobile No. 01711183887
Email sharsha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0544 And Long: 88.9896
No. of Unions in the Upazila11
No. of Households in the Upazila 78,268
Population in the Upazila 330,414
Area of Upazila in sq km 431.25

Sarsa 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 1 0
No. of Union Sub-Centres 7 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 1 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 4 0
No. of Community Clinics 39 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 12 70
No. of NGO Clinics/Facilities 3 0

Sarsa Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,634


Under 5 Mortality Rate: 39.795 (Per 1,000 live births)
Infant Mortality Rate: 36.177 (Per 1,000 live births)
Neonatal Mortality Rate: 30.449 (Per 1,000 live births)
Still Birth Rate: 1.055 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 50,058
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 88.1%

Sarsa 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: 11
Total No. of Recipients Who Took at least one ANC: 5,033
Total Number of Deliveries: 5,685
Valid TT Coverage: 78.00 %
Maternal Mortality Ratio (MMR) is: 165.81 per 100,000 live births.

Sarsa 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 11,723 29,577 41,300 6,110 7,042 13,152 54,452 1,131 1,718 2,849 205 195 400 3,249
Union Sub-Centres 16,500 25,565 42,065 4,200 4,327 8,527 50,592 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 62,981 124,040 187,021 41,988 82,693 124,681 311,702 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 2,144 3,201 5,345 210 198 408 5,753 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sarsa 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 2,045 2,981 5,026 150 165 315 5,341 11 8 19 0 0 0 19
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 52 734 786 4 8 12 798 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Sarsa 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 5,341
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 768 14.38
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 743 13.91
3 P509 Fetal blood loss, unspecified XVI: Certain conditions originating in the perinatal period 330 6.18
4 V87 Traffic accident of specified type but victim's mode of transport unknown XX: External causes of morbidity and mortality 295 5.52
5 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 259 4.85
6 J459 Asthma, unspecified X: Diseases of the respiratory system 180 3.37
7 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 147 2.75
8 J189 Pneumonia, unspecified X: Diseases of the respiratory system 59 1.10
9 T31 Burns classified according to extent of body surface involved XIX: Injury, poisoning and certain other consequences of external causes 40 0.75
10 T31 Burns classified according to extent of body surface involved XIX: Injury, poisoning and certain other consequences of external causes 31 0.58

Sarsa 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 19
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 8 42.11
2 J459 Asthma, unspecified X: Diseases of the respiratory system 7 36.84
3 P509 Fetal blood loss, unspecified IX: Diseases of the circulatory system 1 5.26
4 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.26
5 G03 Meningitis due to other and unspecified causes VI: Diseases of the nervous system 1 5.26
6 Y11 Poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, NEC, undetermined intent XX: External causes of morbidity and mortality 1 5.26
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Sarsa 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 (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,757
Bed Occupancy Rates (%) 77.39
Average Length of Hospital Stay (No. of days per patient) 1.64
Hospital Death Rate (%) 0.36


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 2
Minor Surgeries 535

 

Sarsa 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 3 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 72 22 22 28 38.89
Class IV 19 9 1 9 47.37
Union Health & Family Welfare Center (under DGHS)
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 1 0 0 0.00
Rural Dispensaries
Class I Doctor 11 10 0 1 9.09
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 15 9 3 3 20.00
Class IV 4 3 1 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 39 26 13 0 0.00
Class IV 0 0 0 0 0.00

 

Sarsa 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 21 15 3 3 14.29
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 128 66 34 28 21.88
Class IV 24 16 2 6 25.00
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

 

Sarsa 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 12 11 9 7 0 0 0 0 0
Nurse 0 0 0 0 12 12 0 0 4 2 0
Medical Assistant 0 0 12 12 2 2 0 0 6 0 0
Medical Technologist 0 0 5 1 7 5 0 0 0 0 0
CHCP 39 39 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 3 1 0 0 0 0 0
AHI 0 0 0 0 8 1 0 0 0 0 0
HA 0 0 0 0 39 27 0 0 0 0 3

Sarsa 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 1 0 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 1 1 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 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 0 0 1 0
Sucker machine (electric) 6 6 0 0 0
Ventilator 0 0 0 0 0


Sarsa 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 0 1 0


Sarsa 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 0 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Sarsa 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


Sarsa 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) 3 3 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 2 0 1
Laptop 45 45 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 8 5 2 0 1
Scanner 1 1 0 0 0
UPS 5 2 0 3 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 45 45 0 0 0
Multimedia 1 1 0 0 0


Sarsa 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 1 1 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 142 128 4 8 2

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

Important information and necessary issues for Sarsa Upazila Health Complex
In Sharsha upazila we the health workers and physicians are working hard to make this Health Complex an ideal one. Our achievement in preveative side is remarkable. In curative side it is increasing. In the last year number of physicians is increased. but number of class III & class IV employees is reversely decreased. So maintainance of cleanliness is great problem in this health facilities. We have great need of well furnisded & well designed emergency department .We need of a reciptionist post for proper guidence of patient in health complex and Creation of emergency medical officers (EMOs) post is essential. This hospital is under the proposal of becoming 50 beded. Establishment works is completed. and new buildings are handed over about 6 months ago .But requisit farniturees and manpower are not given. Adminstrial approval is yet being on process. I expecet that this health bullting will help the local people to realise the real picture. limitetion & capabilities of our heath depertment and there by give away the distance between the health service providers and service acceptors. I thank all concered in publishing the health bulletin.