Harinakunda Upazila Health Complex | Health Bulletin 2015 |
Preface
I am pleased to publish this E-Health Bulletin-2015 from Harinakundu UHC,containing all necessary health informations and activities. It has important data and informations on Sanitation status, Safe drinking water, Manpower , Maternal and child health, Medical equipments and achivements of MDG 4 and MDG 5 etc.I think these information would be helpful to understand our present health care situation and to take necessary steps for preparing and publishing of this bulletin. I am pleased to note here that MIS health provided with guidelines and a database software and along with the help of the Civil Surgeon, Jhenidah. We have completed data entry successfully. I hope this E-Health Bulletin will play a vital role to make a bridge with local developing partners and other line helpmates to improve our strategy and work-plan for providing qualitative health services for the porest people. Let us work sincerely to make a real ~Digital Health for Digital Bangladesh". Thanks to all.
Harinakunda Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Harinakunda
Organization Code
10001771
Name of UHFPO Dr. Md. Rabiul Hasan
Land Phone No. 1
04522-074010
Land Phone No. 2
FAX No.
Mobile No.
01711011210
Email harinakunda@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 47,587
Population in the Upazila 197,375
Area of Upazila in sq km 229.25
Harinakunda 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
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)
7
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
23
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
4
40
No. of NGO Clinics/Facilities
0
0
Harinakunda Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,373
Under 5 Mortality Rate: 8.598 (Per 1,000 live births)
Infant Mortality Rate: 7.708 (Per 1,000 live births)
Neonatal Mortality Rate: 6.819 (Per 1,000 live births)
Still Birth Rate: 6.819 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 36,682
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):
Harinakunda 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:
2
Total No. of Recipients Who Took at least one ANC:
1,987
Total Number of Deliveries:
3,396
Valid TT Coverage: 67.00 %
Maternal Mortality Ratio (MMR) is:
59.29 per 100,000 live births.
Harinakunda 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
10,412
21,790
32,202
1,814
1,472
3,286
35,488
1,185
1,274
2,459
512
0
512
2,971
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
56,727
123,521
180,248
39,320
0
39,320
219,568
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
Harinakunda 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
1,967
4,167
6,134
1,687
0
1,687
7,821
25
8
33
2
2
4
37
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
Harinakunda 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
7,821
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
B820 Intestinal helminthiasis, unspecified
I: Certain infectious and parasitic diseases
2623
33.54
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
897
11.47
3
Y054 Sexual assault by bodily force, street and highway
XX: External causes of morbidity and mortality
453
5.79
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
427
5.46
5
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
424
5.42
6
A010 Typhoid fever
I: Certain infectious and parasitic diseases
406
5.19
7
D509 Iron deficiency anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
215
2.75
8
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
115
1.47
9
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
114
1.46
10
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
110
1.41
Harinakunda 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
37
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
7
18.92
2
J459 Asthma, unspecified
X: Diseases of the respiratory system
5
13.51
3
R074 Chest pain, unspecified
X: Diseases of the respiratory system
4
10.81
4
K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation
XI: Diseases of the digestive system
3
8.11
5
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
2
5.41
6
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
2
5.41
7
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
1
2.70
8
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1
2.70
9
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
2.70
10
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
1
2.70
Harinakunda 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 (%)
91.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
14,537
Bed Occupancy Rates (%)
79.65
Average Length of Hospital Stay (No. of days per patient)
1.80
Hospital Death Rate (%)
0.19
Harinakunda Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
336
Minor Surgeries
421
Harinakunda 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
11
1
9
42.86
Non Doctor
0
0
0
0
0.00
Class II
18
0
16
2
11.11
Class III
87
52
23
12
13.79
Class IV
22
12
3
7
31.82
Union Health & Family Welfare Center (under DGHS)
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
9
6
3
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
23
11
12
0
0.00
Class IV
0
0
0
0
0.00
Harinakunda 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
30
14
3
13
43.33
Non Doctor
0
0
0
0
0.00
Class II
18
0
16
2
11.11
Class III
119
69
38
12
10.08
Class IV
22
12
3
7
31.82
Other Hospitals & Clinics
Class I
Doctor
9
3
2
4
44.44
Non Doctor
9
6
3
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
Harinakunda 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
0
0
21
12
9
5
0
2
0
Nurse
0
0
0
0
18
16
0
0
0
0
0
Medical Assistant
0
0
0
0
2
2
9
9
7
0
0
Medical Technologist
0
0
0
0
8
5
0
0
0
0
0
CHCP
23
23
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
2
2
0
0
0
AHI
0
0
0
0
0
0
6
6
0
0
0
HA
0
0
0
0
0
0
29
23
0
0
5
Harinakunda 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
1
0
0
0
X-ray machine (300 mA)
0
0
0
0
0
Ultrasonogram machine
1
0
0
1
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
2
0
1
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
6
6
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)
5
3
0
2
0
Ventilator
0
0
0
0
0
Harinakunda 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
3
3
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
3
3
0
0
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
2
1
1
0
0
Harinakunda 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
1
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Harinakunda 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
1
0
0
0
Refrigerator
1
1
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Harinakunda 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)
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)
9
8
0
1
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
3
2
0
1
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
7
7
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
0
0
0
0
0
Multimedia
1
1
0
0
0
Harinakunda 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
77
69
1
7
0
Harinakunda Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Harinakunda Upazila Health Complex
1 . It is very difficult to serve these huge population with so insufficient number of staffs. 2. Though it is a comprehensive EOC centre ,but no USG machine is available here. USG machine supply will raise the quality of service . 3. Full time generator supply is needed for this institute. 4. Instruments and furniture are not sufficient in community clinic . Finally I feel very happy to publish this E-Health Bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is a very useful document and will help the people to understand health services and to provide us the useful advice for improvement in future.
