Salika 50 Beded Hospital | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Shalikha Upazila supported by MIS, DGHS, Mohakhali, Dhaka. This bulletin contain all the health related information of 2014. This Bulletin is published to disseminate information of shalikha upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health department has many data stored in the file. This health bulletin will us to find constrains and also to see the results and ahievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This Health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator or the health bulletin software for setting as one step ahead toward Digital Bangladesh.
.
Salika 50 Beded Hospital | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Salika
Organization Code
10001885
Name of UHFPO Dr. Munshi Md. Sadullah
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01712290488
Email shalikha@uhfpo.dghs.gov.com
GPS location of UHFPO office
Lati:
23.1815 And
Long:
89.2253
No. of Unions in the Upazila 7
No. of Households in the Upazila 34,749
Population in the Upazila 176,970
Area of Upazila in sq km 228.00
Salika 50 Beded Hospital | 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
2
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)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
18
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
0
0
No. of NGO Clinics/Facilities
0
0
Salika 50 Beded Hospital | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,519
Under 5 Mortality Rate: 35.806 (Per 1,000 live births)
Infant Mortality Rate: 32.396 (Per 1,000 live births)
Neonatal Mortality Rate: 24.723 (Per 1,000 live births)
Still Birth Rate: 26.144 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 18,250
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 99%
Salika 50 Beded Hospital | 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:
4
Total No. of Recipients Who Took at least one ANC:
3,731
Total Number of Deliveries:
3,203
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR) is:
113.67 per 100,000 live births.
Salika 50 Beded Hospital | 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
10,894
16,353
27,247
2,494
2,748
5,242
32,489
541
678
1,219
118
107
225
1,444
Union Sub-Centres
5,823
8,416
14,239
698
1,590
2,288
16,527
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)
8,209
11,418
19627
795
1,003
1,798
21,425
0
0
0
0
0
0
1,798
Community Clinics
44,320
90,754
135,074
10,609
16,560
27,169
162,243
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
Salika 50 Beded Hospital | 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
1,252
1,686
2,938
203
211
414
3,352
4
1
5
0
0
0
5
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
Salika 50 Beded Hospital | 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
3,352
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
K591 Functional diarrhoea
XI: Diseases of the digestive system
636
18.97
2
F064 Organic anxiety disorder
V: Mental and behavioural disorders
473
14.11
3
A759 Typhus fever, unspecified
I: Certain infectious and parasitic diseases
401
11.96
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
319
9.52
5
J45 Asthma
X: Diseases of the respiratory system
277
8.26
6
X86 Assault by corrosive substance
XX: External causes of morbidity and mortality
218
6.50
7
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
171
5.10
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
123
3.67
9
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
92
2.74
10
O600 Preterm labour without delivery
XV: Pregnancy, childbirth and the puerperium
73
2.18
Salika 50 Beded Hospital | 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
5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
4
80.00
2
T96 Sequelae of poisoning by drugs, medicaments and biological substances
XIX: Injury, poisoning and certain other consequences of external causes
1
20.00
3
IX: Diseases of the circulatory system
0
0.00
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Salika 50 Beded Hospital | 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 (%)
93.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
9,717
Bed Occupancy Rates (%)
85.88
Average Length of Hospital Stay (No. of days per patient)
2.90
Hospital Death Rate (%)
0.15
Salika 50 Beded Hospital | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,044
Salika 50 Beded Hospital | Health Bulletin 2015 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
10
7
2
1
10.00
Non Doctor
0
0
0
0
0.00
Class II
9
0
9
0
0.00
Class III
53
25
7
21
39.62
Class IV
19
3
4
12
63.16
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
2
0
3
60.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
5
0
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
2
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
2
0
2
50.00
Class IV
2
0
0
2
100.00
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
6
13
0
0.00
Class IV
0
0
0
0
0.00
Salika 50 Beded Hospital | 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
17
11
2
4
23.53
Non Doctor
0
0
0
0
0.00
Class II
9
0
9
0
0.00
Class III
81
38
20
23
28.40
Class IV
21
3
4
14
66.67
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
Salika 50 Beded Hospital | 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
2
2
10
9
5
2
2
0
0
Nurse
0
0
0
0
9
9
0
0
0
0
0
Medical Assistant
0
0
2
2
2
2
5
0
5
0
0
Medical Technologist
0
0
0
0
6
5
0
0
0
0
0
CHCP
19
19
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
0
0
0
0
0
0
AHI
0
0
0
0
5
3
0
0
0
0
0
HA
0
0
0
0
24
14
0
0
0
0
0
Salika 50 Beded Hospital | 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
2
2
0
0
0
Autoclave
3
2
1
0
0
Electric cautery machine
1
0
1
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
3
3
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
4
1
0
3
0
Ventilator
0
0
0
0
0
Salika 50 Beded Hospital | 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
0
1
0
0
Pulse oximeter
2
1
1
0
0
Dental equipment
Dental unit
1
0
1
0
0
Salika 50 Beded Hospital | 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)
4
0
0
4
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Salika 50 Beded Hospital | 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
0
0
0
0
0
Vehicles
Ambulance
1
0
0
1
0
Salika 50 Beded Hospital | 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
3
1
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
7
6
0
1
0
Laptop
23
23
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
6
5
0
1
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Salika 50 Beded Hospital | 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)
1
1
0
0
0
Land phone
0
0
0
0
0
Mobile phone
1
1
0
0
0
Total
89
72
6
11
0
Salika 50 Beded Hospital | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Salika 50 Beded Hospital
Important information and necessary issues for Sreepur Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. Allocation /Sanction of 31 Beded Staff and Instruments Immediately 2. The vacant post of field level Should be filled 3. USG machine is needed for critical patient and pregnant mothers. Finally I am very happy to edit this bulletin of 2014 because this document will help us to compare our progress 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 and to achieve MDG 4 & 5 by 2015. Construction of 50 Beded Hospital is going on and very soon can provide service in 50 beded hospital. . But we Have Allocation of diet, Medicine and Manpower for 31 Beds,Most Important is Insufficient Manpower for 31 Beded Hospital as Well as for field service.So we needed urgently extra 19 bed Allocation of diet Medicine and surgical allotment .