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Pathargatha Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Patharghata upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Patharghata 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 office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements 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 2014. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr.Ramesh Chandra UH&FPO Upazila Health Complex, Patharghata, Barguna.
Dr.Ramesh Chandra
UH&FPO
Pathargatha Upazila Health Complex

Pathargatha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Pathargatha
Organization Code 10001947
Name of UHFPO Dr.Ramesh Chandra
Land Phone No. 1 -0445575002
Land Phone No. 2
FAX No.
Mobile No. 01712261632
Email patharghata@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 38,339
Population in the Upazila 162,514
Area of Upazila in sq km 386.36

Pathargatha 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 1 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) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 19 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

Pathargatha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,399


Under 5 Mortality Rate: 11.594 (Per 1,000 live births)
Infant Mortality Rate: 7.047 (Per 1,000 live births)
Neonatal Mortality Rate: 3.637 (Per 1,000 live births)
Still Birth Rate: 0.227 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 21,876
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Pathargatha 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: 2
Total No. of Recipients Who Took at least one ANC: 4,435
Total Number of Deliveries: 4,134
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR) is: 45.46 per 100,000 live births.

Pathargatha 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 5,859 8,725 14,584 1,541 1,327 2,868 17,452 880 459 1,339 63 44 107 1,446
Union Sub-Centres 2,573 3,118 5,691 1,132 1,081 2,213 7,904 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 8,281 27,950 36,231 6,307 5,040 11,347 47,578 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 43,032 79,792 122,824 6,476 7,047 13,523 136,347 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

Pathargatha 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 1,780 2,090 3,870 560 328 888 4,758 15 6 21 4 0 4 25
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

Pathargatha 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 4,758
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 1153 24.23
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 676 14.21
3 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 230 4.83
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 230 4.83
5 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 208 4.37
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 192 4.04
7 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 148 3.11
8 J45 Asthma X: Diseases of the respiratory system 45 0.95
9 I95 Hypotension IX: Diseases of the circulatory system 38 0.80
10 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 27 0.57

Pathargatha 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 25
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I509 Heart failure, unspecified IX: Diseases of the circulatory system 6 24.00
2 J14 Pneumonia due to Haemophilus influenzae X: Diseases of the respiratory system 5 20.00
3 T629 Noxious substance eaten as food, unspecified IX: Diseases of the circulatory system 4 16.00
4 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 3 12.00
5 J45 Asthma X: Diseases of the respiratory system 3 12.00
6 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 2 8.00
7 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 1 4.00
8 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 1 4.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 65.00
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.) 11,115
Bed Occupancy Rates (%) 60.90
Average Length of Hospital Stay (No. of days per patient) 2.34
Hospital Death Rate (%) 0.53


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 61

 

Pathargatha 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 8 2 11 52.38
Non Doctor 0 0 0 0 0.00
Class II 16 0 11 5 31.25
Class III 83 33 34 16 19.28
Class IV 22 15 5 2 9.09
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 2 0 4 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 0 0 6 100.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 0 1 50.00
Class IV 1 1 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 21 8 13 0 0.00
Class IV 0 0 0 0 0.00

 

Pathargatha 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 28 10 2 16 57.14
Non Doctor 0 0 0 0 0.00
Class II 16 0 11 5 31.25
Class III 106 42 47 17 16.04
Class IV 23 16 5 2 8.70
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

 

Pathargatha 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 7 2 21 10 0 0 2 1 0
Nurse 0 0 0 0 16 11 0 0 4 4 0
Medical Assistant 0 0 7 1 2 2 0 0 2 0 0
Medical Technologist 0 0 1 0 10 4 0 0 0 0 0
CHCP 21 21 0 0 0 0 0 0 21 0 5
HI 0 0 0 0 3 3 0 0 3 0 0
AHI 0 0 0 0 8 8 0 0 8 0 0
HA 0 0 0 0 40 39 0 0 33 0 11

Pathargatha 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 0 0 1
Ultrasonogram machine 0 0 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 0 1 0 1
Electric cautery machine 1 1 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 3 2 0 0 1
Portable OT Light 1 0 0 0 1
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 1 0 0 1
Sucker machine (electric) 9 5 1 0 3
Ventilator 0 0 0 0 0


Pathargatha 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 7 1 5 0 1
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Pathargatha 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) 3 1 0 0 2
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 1 2 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Pathargatha 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 2 0 0 0
Refrigerator 3 3 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Pathargatha 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) 3 2 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) 8 4 3 0 1
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 5 2 0 0
Scanner 1 1 0 0 0
UPS 6 4 0 0 2
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Pathargatha 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 75 42 18 1 14

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

Important information and necessary issues for Pathargatha Upazila Health Complex
Important information and necessary issues for Patharghata Upazila Health Complex In the year 2014 we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctor and nurse need more training on IMCI. 3. All the repairable equipments should be repaired as soon as possible. Finally I am very happy to write this health 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.