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Amtali Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very much delighted to publish-this Health bulletin of UHC Amtali, Barguna.This bulletin Contains all the health service and health related information of UHC,Union Sub Center,Community clinic in amtoli upazilla of 2014.The Bulletin also Contains maternal health &U5 child health status Which will help to achieve the MDG. This health bulletin has the information of uses of safe drinking water and sanitation status in this upazilla. The bulletin also contain information of OPD,indoor,Emergency,Maternal health including delivery, IMCI services,ANC &PNC services is available here and very recently we started VIA & CBE screening service for women. .The extension hospital building of 50 beds,nurses dormitory and a new community clinic in Behala , handed over on the February/2015 and it is running smoothly though CHCP not yet posted. I hope all the information of this Health bulletin will help for planning and improved the health service delivery of this Upazilla. Finally I would Like to congratulate MIS, DGHS for setting up on one step ahead towards digital Bangladesh. Dr.Mohammed Abdul Matin UH&FPO Amtali, Barguna. 01720-543495
Dr.MOHAMMED ABDUL MATIN
UH&FPO
Amtali Upazila Health Complex

Amtali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Amtali
Organization Code 10001933
Name of UHFPO Dr.MOHAMMED ABDUL MATIN
Land Phone No. 1 044-05256016
Land Phone No. 2
FAX No.
Mobile No. 01720543495
Email amtali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.1301 And Long: 90.2304
No. of Unions in the Upazila14
No. of Households in the Upazila 62,738
Population in the Upazila 282,682
Area of Upazila in sq km 719.26

Amtali 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 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 7 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 38 0
No of Trauma Centres 1 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 1 0
No. of NGO Clinics/Facilities 0 0

Amtali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,552


Under 5 Mortality Rate: 7.813 (Per 1,000 live births)
Infant Mortality Rate: 5.429 (Per 1,000 live births)
Neonatal Mortality Rate: 2.781 (Per 1,000 live births)
Still Birth Rate: 3.046 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 46,726
Fully Vaccinated Children (<= 12 months): 89.00 %
Fully Vaccinated Children (<= 23 months): 0%%

Amtali 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: 8
Total No. of Recipients Who Took at least one ANC: 7,797
Total Number of Deliveries: 7,552
Valid TT Coverage: 5.00 %
Maternal Mortality Ratio (MMR) is: 105.93 per 100,000 live births.

Amtali 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 9,330 14,559 23,889 2,227 1,982 4,209 28,098 3,103 3,021 6,124 732 626 1,358 7,482
Union Sub-Centres 14,494 18,488 32,982 3,620 5,297 8,917 41,899 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 70,188 154,731 224,919 11,637 13,978 25,615 250,534 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 55 160 215 12 0 12 227 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Amtali 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 1,737 2,428 4,165 837 558 1,395 5,560 7 4 11 2 1 3 14
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

Amtali 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 5,577
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 665 11.92
2 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 957 17.16
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 945 16.94
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 234 4.20
5 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 188 3.37
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 117 2.10
7 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 54 0.97
8 J45 Asthma X: Diseases of the respiratory system 65 1.17
9 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 71 1.27
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 119 2.13

Amtali 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 14
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 3 21.43
2 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 2 14.29
3 J96 Respiratory failure, NEC X: Diseases of the respiratory system 2 14.29
4 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1 7.14
5 I46 Cardiac arrest IX: Diseases of the circulatory system 1 7.14
6 S720 Fracture of neck of femur XIX: Injury, poisoning and certain other consequences of external causes 1 7.14
7 I13 Hypertensive heart and renal disease IX: Diseases of the circulatory system 1 7.14
8 D63 Anaemia in chronic diseases classified elsewhere III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 7.14
9 I509 Heart failure, unspecified IX: Diseases of the circulatory system 1 7.14
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1 7.14

Amtali 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 (%) 87.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,969
Bed Occupancy Rates (%) 76.54
Average Length of Hospital Stay (No. of days per patient) 2.50
Hospital Death Rate (%) 0.25


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 242

 

Amtali 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 2 15 71.43
Non Doctor 0 0 0 0 0.00
Class II 15 0 11 4 26.67
Class III 108 55 46 7 6.48
Class IV 22 19 2 1 4.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 0 1 6 85.71
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 4 1 2 28.57
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 2 0 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 0 4 66.67
Class IV 3 3 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 38 14 24 0 0.00
Class IV 0 0 0 0 0.00

 

Amtali 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 39 6 3 30 76.92
Non Doctor 0 0 0 0 0.00
Class II 24 0 18 6 25.00
Class III 131 62 47 22 16.79
Class IV 38 30 7 1 2.63
Other Hospitals & Clinics
Class I Doctor 8 3 2 3 37.50
Non Doctor 0 0 0 0 0.00
Class II 9 0 7 2 22.22
Class III 10 4 0 6 60.00
Class IV 16 8 5 3 18.75

 

Amtali 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 18 5 21 7 0 0 0 0 0
Nurse 0 0 9 7 14 11 0 0 10 2 0
Medical Assistant 0 0 10 8 2 2 0 0 9 0 0
Medical Technologist 0 0 7 0 9 7 0 0 0 0 0
CHCP 38 38 0 0 0 0 0 0 38 0 14
HI 0 0 0 0 5 4 0 0 4 0 0
AHI 0 0 0 0 13 13 0 0 13 0 3
HA 0 0 0 0 63 60 0 0 60 0 14

Amtali 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 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 1 1 0 0 0
Autoclave 3 0 1 2 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 8 2 2 4 0
Ventilator 0 0 0 0 0


Amtali 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 1 1 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 5 1 1 3 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Amtali 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 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Amtali 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 2 1 1 0 0
Vehicles
Ambulance 3 1 1 1 0


Amtali 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 9 9 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 9 9 0 0 0
Scanner 2 2 0 0 0
UPS 3 3 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


Amtali 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 64 46 8 10 0

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

Important information and necessary issues for Amtali Upazila Health Complex
Important information and necessary issues for Amtali Upazila Health Complex. Although we try to give maximum service but last year we could not give our best health service to improve the health status of the population of this upazila due to many reasons.I would like to mention some factors like vacant doctors, other staff of UHC and field staff and infra structure to open different corner but infrastructure will be solved within a short period which needs to serve best health service to the people.Doctors and nurses need more training to improve capacity.All the repairable equipments should be repair as early as possible and need some new modern equipments like Ultrasound Machine which will save the life. I am very hopeful to solve all the problems by writing health bulletin 2014 and peoples also understand our health service of UHC and others Sub Centers & CC as well as field service. Dr. Mohammed Abdul Matin UH&FPO Amtali, Barguna.