Assasuni Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health Bulletin of Assasuni Upazila.This bulletin contains all the health related information of 2014.This health bulletin will help us to find constraints and also to see the results and achievement of 2014.All the sanctioned and vacant posts are published in the bulletin of 2014.I hope the higher authority of health department will look into this issue and take necessary actions to step forward for MDG 4 & 5 goals.Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.Provash Chandra Sarder.
Upazila Health and Family Planning Officer,
Assasuni,Satkhira.
Assasuni Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Assasuni
Organization Code
10001914
Name of UHFPO Dr.Provash Chandra Sarder.
Land Phone No. 1
-0472256015
Land Phone No. 2
FAX No.
Mobile No.
01739841238
Email assasuni@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 11
No. of Households in the Upazila 62,662
Population in the Upazila 296,222
Area of Upazila in sq km 366.50
Assasuni 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
0
0
No. of Union Sub-Centres
11
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)
10
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
35
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
5
50
No. of NGO Clinics/Facilities
0
0
Assasuni Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,148
Under 5 Mortality Rate: 6.993 (Per 1,000 live births)
Infant Mortality Rate: 5.051 (Per 1,000 live births)
Neonatal Mortality Rate: 3.302 (Per 1,000 live births)
Still Birth Rate: 1.166 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 2,709
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%
Assasuni 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:
5,475
Total Number of Deliveries:
5,154
Valid TT Coverage: 20.00 %
Maternal Mortality Ratio (MMR) is:
58.28 per 100,000 live births.
Assasuni 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
15,147
24,756
39,903
2,414
2,614
5,028
44,931
2,672
2,477
5,149
180
194
374
5,523
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
13,923
16,217
30,140
88,903
156,783
245,686
275,826
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
Assasuni 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
967
1,653
2,620
169
175
344
2,964
5
0
5
1
0
1
6
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
150
150
0
0
0
150
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Assasuni 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
2,964
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
1512
51.01
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
936
31.58
3
I95 Hypotension
IX: Diseases of the circulatory system
132
4.45
4
J16 Pneumonia due to other infectious organisms, NEC
X: Diseases of the respiratory system
84
2.83
5
S09 Other and unspecified injuries of head
XIX: Injury, poisoning and certain other consequences of external causes
84
2.83
6
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
72
2.43
7
J45 Asthma
X: Diseases of the respiratory system
24
0.81
8
F32 Depressive episode
V: Mental and behavioural disorders
22
0.74
9
E11 Non-insulin-dependent diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
12
0.40
10
A03 Shigellosis
I: Certain infectious and parasitic diseases
11
0.37
Assasuni 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
6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I46 Cardiac arrest
IX: Diseases of the circulatory system
2
33.33
2
I24 Other acute ischaemic heart diseases
IX: Diseases of the circulatory system
1
16.67
3
Y16 Poisoning by and exposure to organic solvents and halogenated hydrocarbons and their vapours, undetermined intent
IX: Diseases of the circulatory system
1
16.67
4
I22 Subsequent myocardial infarction
IX: Diseases of the circulatory system
1
16.67
5
J16 Pneumonia due to other infectious organisms, NEC
X: Diseases of the respiratory system
1
16.67
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Assasuni Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
85.00
Coverage of households having access to sanitary latrines (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
9,094
Bed Occupancy Rates (%)
80.37
Average Length of Hospital Stay (No. of days per patient)
3.05
Hospital Death Rate (%)
0.20
Assasuni Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
83
Minor Surgeries
701
Assasuni 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
10
4
0
6
60.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
102
60
18
24
23.53
Class IV
19
8
6
5
26.32
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
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
11
4
3
4
36.36
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
11
9
2
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
35
23
12
0
0.00
Class IV
0
0
0
0
0.00
Assasuni 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
11
0
10
1
9.09
Class III
102
60
18
24
23.53
Class IV
19
8
6
5
26.32
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
Assasuni 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
11
7
10
4
0
0
0
0
0
Nurse
0
0
0
0
11
10
0
0
0
0
0
Medical Assistant
0
0
11
11
2
2
0
0
4
0
0
Medical Technologist
0
0
0
0
6
3
0
0
0
0
0
CHCP
38
35
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
3
0
0
0
0
8
AHI
0
0
0
0
11
11
0
0
0
0
0
HA
0
0
0
0
54
38
0
0
0
0
0
Assasuni 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
0
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
4
4
0
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
1
1
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
6
6
0
0
0
Ventilator
0
0
0
0
0
Assasuni 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
2
2
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Assasuni 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
2
0
1
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
1
1
0
0
0
Assasuni 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
0
0
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Assasuni 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)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
4
3
1
0
0
ICT equipment
Computer (desktop)
9
7
1
1
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
0
1
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
8
6
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
Assasuni 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
0
1
0
0
Total
75
63
8
4
0
Assasuni Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Assasuni Upazila Health Complex
Last Year we tried to improve the health Status.Here are some important recommendations
which will help us to achieve good results in future.
1. Vacant post particularly doctors should be field up immediately.
2. Nurses need Training on Eoc and midwifery .
3.Old Condemn Building and Ambulance should be removed immediately because it is hazardous.
I am very glad to write this health bulletin of 2014 because this will act as very useful document and will help us to give the people better health service in future.
