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Tala Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health blletin of upazila health complex,tala,satkhira. This bulletin contains all the health related information of 2014. The bulletin is published to disseminate the information of tala upazila to other department and development partners of health. I hope all the information of this bulletin will help for planning and budgetings. This bulletin contains the status of MDG 4&5 which will help to localize the MDG targets. The health bulletin has also the information ofn safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014 . I like to take attention of the higher authority to look into this issue Finally I would like to congratulate the initiator of the health bulletin software for setting us one step toward Digital Bangladesh. Dr. ASM Zahirul Hasan UH&FPO Tala Upazila Health Complex.
Dr. ASM Zahirul Hasan
UH&FPO
Tala Upazila Health Complex

Tala Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Tala
Organization Code 10001930
Name of UHFPO Dr. ASM Zahirul Hasan
Land Phone No. 1 -0472756105
Land Phone No. 2
FAX No.
Mobile No. 01711840533
Email tala@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 93.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 72,982
Population in the Upazila 327,328
Area of Upazila in sq km 344.15

Tala 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 12 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 9 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 37 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 10 49
No. of NGO Clinics/Facilities 1 5

Tala Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,214


Under 5 Mortality Rate: 12.275 (Per 1,000 live births)
Infant Mortality Rate: 3.260 (Per 1,000 live births)
Neonatal Mortality Rate: 1.726 (Per 1,000 live births)
Still Birth Rate: 0.192 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,189
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Tala 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: 5
Total No. of Recipients Who Took at least one ANC: 6,332
Total Number of Deliveries: 5,094
Valid TT Coverage: 82.00 %
Maternal Mortality Ratio (MMR) is: 95.90 per 100,000 live births.

Tala 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 13,887 11,784 25,671 3,579 3,612 7,191 32,862 2,495 2,416 4,911 473 464 937 5,848
Union Sub-Centres 3,470 5,612 9,082 848 864 1,712 10,794 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 127,355 246,911 374,266 16,276 16,316 32,592 406,858 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

Tala 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 1,206 2,884 4,090 457 324 781 4,871 28 17 45 0 0 0 45
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

Tala 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 4,871
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X87 Assault by pesticides XX: External causes of morbidity and mortality 670 13.75
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 516 10.59
3 I500 Congestive heart failure IX: Diseases of the circulatory system 240 4.93
4 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 227 4.66
5 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 194 3.98
6 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 181 3.72
7 I528 Other heart disorders in other diseases classified elsewhere IX: Diseases of the circulatory system 152 3.12
8 S00 Superficial injury of head XIX: Injury, poisoning and certain other consequences of external causes 144 2.96
9 J45 Asthma X: Diseases of the respiratory system 125 2.57
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 99 2.03

Tala 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 45
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 9 20.00
2 I249 Acute ischaemic heart disease, unspecified IX: Diseases of the circulatory system 5 11.11
3 I528 Other heart disorders in other diseases classified elsewhere IX: Diseases of the circulatory system 4 8.89
4 I21 Acute myocardial infarction IX: Diseases of the circulatory system 3 6.67
5 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 3 6.67
6 J45 Asthma X: Diseases of the respiratory system 2 4.44
7 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 4.44
8 J80 Adult respiratory distress syndrome X: Diseases of the respiratory system 2 4.44
9 I500 Congestive heart failure IX: Diseases of the circulatory system 2 4.44
10 E11 Non-insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 2 4.44

Tala Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 67,764
Bed Occupancy Rates (%) 371.31
Average Length of Hospital Stay (No. of days per patient) 0.99
Hospital Death Rate (%) 0.92


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 215
Minor Surgeries 874

 

Tala 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 22 8 2 12 54.55
Non Doctor 0 0 0 0 0.00
Class II 17 0 16 1 5.88
Class III 93 44 24 25 26.88
Class IV 25 9 4 12 48.00
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 12 6 0 6 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 7 6 1 7.14
Class IV 2 1 1 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 37 18 16 3 8.11
Class IV 0 0 0 0 0.00

 

Tala 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 34 13 2 19 55.88
Non Doctor 0 0 0 0 0.00
Class II 17 0 16 1 5.88
Class III 144 70 44 30 20.83
Class IV 27 10 5 12 44.44
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

 

Tala 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 12 6 22 9 0 0 0 0 0
Nurse 0 0 0 0 17 16 0 0 2 3 0
Medical Assistant 0 0 12 12 2 2 0 0 5 0 0
Medical Technologist 0 0 2 1 11 8 0 0 0 0 0
CHCP 37 34 0 0 0 0 0 0 0 0 15
HI 0 0 0 0 4 3 0 0 0 0 0
AHI 0 0 0 0 10 10 0 0 0 0 0
HA 0 0 0 0 50 35 0 0 0 0 17

Tala 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) 0 0 0 0 0
Ultrasonogram machine 1 1 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 2 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 2 2 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 3 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Tala 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 1 0 0 0


Tala 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 1 1 0 0 0
Centrifuge machine (electric) 4 3 1 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 2 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Tala 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 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Tala 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 2 2 0 0 0
ICT equipment
Computer (desktop) 7 5 2 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 0 0 0
Scanner 1 1 0 0 0
UPS 3 2 0 1 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Tala 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 54 46 6 2 0

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

Important information and necessary issues for Tala Upazila Health Complex
In upazila health complex, Tala, Satkhira. Here I like to mention some important factors which will help us to achieve good results in future. 1. The doctors vacant post should be filled immediately. 2. Number of community clinic and the bed capacity of the health complex should be increased. 3. All the repairable equipments should be repaired as soon as possible. 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 and will help the public to understand health services and to provide us the useful advice for improvement in future.