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Fultala Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of upazila. This bulletin contains all the health related information of 2014. I hope all the information of this bulletin will help for planning and bridging the gape in health services of this upazila. The bulletin contains the status of MDG-4 and MDG-5 which will help to locate the MDG targets and also to see the acheivement of 2014. This health bulletin also contains the information on safe drinking water and sanitation status of upazila.
Dr. A T M M Morshed
UH&FPO
Fultala Upazila Health Complex

Fultala Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Fultala
Organization Code 10001801
Name of UHFPO Dr. A T M M Morshed
Land Phone No. 1 -041701069
Land Phone No. 2
FAX No.
Mobile No. 01715468184
Email phultala@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.9570 And Long: 89.4808
No. of Unions in the Upazila4
No. of Households in the Upazila 31,140
Population in the Upazila 140,876
Area of Upazila in sq km 36.75

Fultala 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 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 3 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 3 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 9 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 5 10

Fultala Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,584


Under 5 Mortality Rate: 17.802 (Per 1,000 live births)
Infant Mortality Rate: 10.449 (Per 1,000 live births)
Neonatal Mortality Rate: 7.353 (Per 1,000 live births)
Still Birth Rate: 9.288 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 13,197
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 93%%

Fultala 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: 0
Total No. of Recipients Who Took at least one ANC: 2,775
Total Number of Deliveries: 2,487
Valid TT Coverage: 100.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Fultala 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 9,004 19,658 28,662 5,193 4,659 9,852 38,514 414 379 793 66 52 118 911
Union Sub-Centres 851 1,209 2,060 211 426 637 2,697 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) 2,954 5,203 8157 1,053 3,208 4,261 12,418 0 0 0 0 0 0 4,261
Community Clinics 5,021 8,203 13,224 1,532 3,456 4,988 18,212 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 1,947 3,206 5,153 1,281 1,623 2,904 8,057 437 709 1,146 213 163 376 1,522
NGO Clinics/Facilities 1,304 3,092 4,396 876 1,249 2,125 6,521 87 122 209 31 49 80 289

Fultala 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 2,521 2,895 5,416 284 311 595 6,011 33 27 60 0 0 0 60
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 1,143 2,457 3,600 381 423 804 4,404 0 0 0 2 3 5 5
NGO Clinics/Facilities 62 1,087 1,149 17 34 51 1,200 0 0 0 0 0 0 0

Fultala 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 6,648
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 961 14.46
2 R456 Physical violence XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 430 6.47
3 A084 Viral intestinal infection, unspecified I: Certain infectious and parasitic diseases 351 5.28
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 333 5.01
5 J45 Asthma X: Diseases of the respiratory system 298 4.48
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 257 3.87
7 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 242 3.64
8 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 226 3.40
9 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 110 1.65
10 1772 26.65

Fultala 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 61
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 18 29.51
2 I249 Acute ischaemic heart disease, unspecified IX: Diseases of the circulatory system 17 27.87
3 J96 Respiratory failure, NEC IX: Diseases of the circulatory system 8 13.11
4 J46 Status asthmaticus X: Diseases of the respiratory system 8 13.11
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 4 6.56
6 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 2 3.28
7 C229 Liver, unspecified II: Neoplasms 1 1.64
8 V866 Passenger of all-terrain or other off-road motor vehicle injured in nontraffic accident XX: External causes of morbidity and mortality 1 1.64
9 J121 Respiratory syncytial virus pneumonia X: Diseases of the respiratory system 1 1.64
10 E10 Insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 1 1.64

Fultala 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 (%) 81.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 18,736
Bed Occupancy Rates (%) 102.66
Average Length of Hospital Stay (No. of days per patient) 2.82
Hospital Death Rate (%) 0.92


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 291
Minor Surgeries 1,193

 

Fultala 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 4 12 5 23.81
Non Doctor 0 0 0 0 0.00
Class II 19 0 16 3 15.79
Class III 66 29 28 9 13.64
Class IV 23 9 3 11 47.83
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 1 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 0 3 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 0 2 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 9 4 5 0 0.00
Class IV 0 0 0 0 0.00

 

Fultala 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 25 7 13 5 20.00
Non Doctor 0 0 0 0 0.00
Class II 19 0 16 3 15.79
Class III 66 29 28 9 13.64
Class IV 23 9 3 11 47.83
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

 

Fultala 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 4 4 21 19 0 0 3 1 0
Nurse 0 0 0 0 17 17 0 0 3 1 0
Medical Assistant 0 0 4 4 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 7 6 0 0 0 0 0
CHCP 9 9 0 0 0 0 0 0 0 0 10
HI 0 0 0 0 1 0 0 0 0 0 8
AHI 0 0 0 0 4 4 0 0 0 0 0
HA 0 0 0 0 19 16 0 0 0 0 0

Fultala 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 0 1 0
X-ray machine (300 mA) 1 0 0 1 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 2 1 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 1 1 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Fultala 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 5 1 2 2 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Fultala 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 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 2 3 0 0
Pediatric equipment
Baby incubator 1 0 1 0 0
Phototherapy unit 1 1 0 0 0


Fultala 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 1 1 0 0 0
Blood bank refrigerator 1 0 1 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Fultala 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) 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) 9 7 2 0 0
Laptop 12 12 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 7 5 2 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 11 11 0 0 0
Multimedia 1 1 0 0 0


Fultala 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 94 74 16 4 0

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

Important information and necessary issues for Fultala Upazila Health Complex
I would like to mention some important issues for improvement of health services. 1. Our doctors and nurses especially the consultant posts are vacant. 2. All the repairable equipments should be repaired as soon as possible. Finally I am very glad to write this health bulletin of 2014 as the document will help us to compair our programme in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future. I am very sorry to say that our health dept. has no headache to filup the vacant post of sweapers,mlss,aya, and night guards. So it is very defficult to clean this hospital. After conversion of 31 bed hospital to 50 bed hospital, Many post of doctors and nurses has been created. But no new post of sweaper ,aya and guard has been created for 50 bed hospital. Inspite of above short coming we are providing better health services to the people of this area 24 hours.In the last year bulletin I mentioned the above problems and suggested to solve the problems to provide better health services. But even after one year of publishing last bulletin we get at all no result from higher authority.