Paikgacha Upazila Health Complex | Health Bulletin 2015 |
Preface
I am happy to have published the Health Bulletin of Paikgacha Upazila Health Complex, khulna. The statistics of different activities done in Health sector in 2014, here have been reported in this bulletin. Paikgacha is a hard to reach as well as a remote coastal upazila, around 70km away from khulna sadar. Yet, we are in a better position to achieve MDG 4 & 5 and our achievement in other indicators are also satisfactory. I also hope that the reports of health services in the Bulletin will level the gaps between the health officials and the common public in our society. so I personally thank all officials concerned to the health services for such a better achievement. At the same time.I heartily thank Honorable DG (Health), ADG (Planning & Development), Director (MIS) and every one associated with the publication of this Bulletin. who give me directives and technical supports in this assignment which will ultimately guide us to build up a effective digital Bangladesh which we are promised for.
Special Thanks to Dr. Safiqul Islam Sikder, MO (DC) & Md. Masuruzzaman, Statistician, UHC-Paikgacha for their nice cooperation to prepare Annual Health Bulletin.
Paikgacha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Paikgacha
Organization Code
10001824
Name of UHFPO Dr.Sheikh Sufian Rustom
Land Phone No. 1
04027-056011
Land Phone No. 2
FAX No.
Mobile No.
01750021404
Email paikgacha@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.5937 And
Long:
89.3182
No. of Unions in the Upazila 10
No. of Households in the Upazila 66,723
Population in the Upazila 291,497
Area of Upazila in sq km 384.17
Paikgacha 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
6
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
4
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
5
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
36
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
0
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
4
40
No. of NGO Clinics/Facilities
1
10
Paikgacha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,276
Under 5 Mortality Rate: 10.758 (Per 1,000 live births)
Infant Mortality Rate: 4.210 (Per 1,000 live births)
Neonatal Mortality Rate: 3.508 (Per 1,000 live births)
Still Birth Rate: 6.080 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 32,164
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 94%%
Paikgacha 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:
3,905
Total Number of Deliveries:
4,278
Valid TT Coverage: 80.00 %
Maternal Mortality Ratio (MMR) is:
70.16 per 100,000 live births.
Paikgacha 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
6,910
15,166
22,076
1,006
1,552
2,558
24,634
2,595
4,560
7,155
739
489
1,228
8,383
Union Sub-Centres
25,339
30,771
56,110
6,656
13,314
19,970
76,080
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)
980
1,879
2859
546
966
1,512
4,371
0
0
0
0
0
0
1,512
Community Clinics
83,888
159,301
243,189
10,555
11,693
22,248
265,437
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)
750
1,543
2,293
250
326
576
2,869
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
Paikgacha 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
1,971
5,663
7,634
498
872
1,370
9,004
31
22
53
6
7
13
66
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
Paikgacha 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
7,634
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
752
9.85
2
T00 Superficial injuries involving multiple body regions
XIX: Injury, poisoning and certain other consequences of external causes
702
9.20
3
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
406
5.32
4
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
174
2.28
5
V301 Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal, passenger, nontraffic accident
XX: External causes of morbidity and mortality
162
2.12
6
J458 Mixed asthma
X: Diseases of the respiratory system
160
2.10
7
D500 Iron deficiency anaemia secondary to blood loss (chronic)
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
152
1.99
8
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
142
1.86
9
K37 Unspecified appendicitis
XI: Diseases of the digestive system
128
1.68
10
I119 Hypertensive heart disease without (congestive) heart failure
IX: Diseases of the circulatory system
110
1.44
Paikgacha 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
66
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
14
21.21
2
I229 Subsequent myocardial infarction of unspecified site
IX: Diseases of the circulatory system
8
12.12
3
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
5
7.58
4
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
4
6.06
5
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
4
6.06
6
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
4
6.06
7
P039 Fetus and newborn affected by complication of labour and delivery, unspecified
XVI: Certain conditions originating in the perinatal period
4
6.06
8
K271 Peptic ulcer, site unspecified, acute with perforation
XI: Diseases of the digestive system
3
4.55
9
J458 Mixed asthma
X: Diseases of the respiratory system
2
3.03
10
V301 Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal, passenger, nontraffic accident
XX: External causes of morbidity and mortality
2
3.03
Paikgacha Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
75.00
Coverage of households having access to sanitary latrines (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
26,857
Bed Occupancy Rates (%)
147.16
Average Length of Hospital Stay (No. of days per patient)
3.50
Hospital Death Rate (%)
0.86
Paikgacha Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
1,063
Minor Surgeries
748
Paikgacha 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
3
1
17
80.95
Non Doctor
0
0
0
0
0.00
Class II
12
0
8
4
33.33
Class III
143
67
41
35
24.48
Class IV
19
8
2
9
47.37
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
1
1
2
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
0
3
75.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
6
3
1
2
33.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
3
3
2
25.00
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
39
21
15
3
7.69
Class IV
0
0
0
0
0.00
Paikgacha 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
8
3
10
47.62
Non Doctor
0
0
0
0
0.00
Class II
16
0
12
4
25.00
Class III
156
76
44
36
23.08
Class IV
32
9
6
17
53.13
Other Hospitals & Clinics
Class I
Doctor
2
1
0
1
50.00
Non Doctor
0
0
0
0
0.00
Class II
4
0
4
0
0.00
Class III
1
1
0
0
0.00
Class IV
5
1
4
0
0.00
Paikgacha 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
10
6
9
4
2
1
8
0
0
Nurse
0
0
0
0
12
8
4
4
8
0
0
Medical Assistant
0
0
10
10
2
1
0
0
0
0
0
Medical Technologist
0
0
0
0
5
3
0
0
0
0
0
CHCP
39
36
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
2
0
0
0
0
0
AHI
0
0
0
0
13
7
0
0
0
0
0
HA
0
0
0
0
65
53
0
0
0
0
0
Paikgacha 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
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
2
2
0
0
0
Autoclave
3
1
2
0
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
1
1
0
0
Portable OT Light
4
2
2
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
5
2
3
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
4
1
3
0
0
Ventilator
0
0
0
0
0
Paikgacha 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
6
6
0
0
0
Pulse oximeter
3
1
0
0
2
Dental equipment
Dental unit
1
0
1
0
0
Paikgacha 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)
0
0
0
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
5
3
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
1
1
0
0
0
Paikgacha 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
2
1
1
0
0
Refrigerator
4
4
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Paikgacha 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)
1
0
1
0
0
Generator
Generator (diesel/petrol)
2
1
1
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)
10
8
2
0
0
Laptop
38
28
10
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
7
7
0
0
0
Scanner
1
1
0
0
0
UPS
10
8
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Paikgacha 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
121
87
32
0
2
Paikgacha Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Paikgacha Upazila Health Complex
We are Providing optimum health services with our limited manpower. People also satisfy upon our services but it is not possible to maintain this condition for longer period. here I mention some important factors which will help us to achieve good result in future. 1. Vacant post of 31 bedded hospital should be fulfilled immediately. 2. Human resources of 50 bedded Hospital is to be created and fulfilled. 3. One deep tube-well is to be sinked. 4. USG machine. 5. Photo-copier Finally I am very happy to write this Health bulletin of 2015. 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 and to provide us useful advice for improvement in future.
