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Agailjhara Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the e-health bulletin of 2015, Agailjhara upazila.This bulletin contains all health related information of this upazila,the status of MDG 4 & MDG 5,information of sanctioned & vacant posts, information on safe drinking water & sanitation status. this bulletin will help for planning & bridging the gaps in health services of this upazila.It will also lelp us to find constrains and to see the results and achoevenents . Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digiral Bangladesh. Thanks to MIS,DGHS & all our health workers for theirkind cooperation in printing this matter.
Dr.Md.Salim Mia
UH&FPO
Agailjhara Upazila Health Complex

Agailjhara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Agailjhara
Organization Code 10001948
Name of UHFPO Dr.Md.Salim Mia
Land Phone No. 1 -0432356106
Land Phone No. 2
FAX No.
Mobile No. 01716950311
Email agailjhara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.5390 And Long: 90.3463
No. of Unions in the Upazila5
No. of Households in the Upazila 33,050
Population in the Upazila 172,154
Area of Upazila in sq km 161.00

Agailjhara 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 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 2 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 2 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 21 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 2 20
No. of NGO Clinics/Facilities 5 15

Agailjhara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,092


Under 5 Mortality Rate: 22.962 (Per 1,000 live births)
Infant Mortality Rate: 16.818 (Per 1,000 live births)
Neonatal Mortality Rate: 12.290 (Per 1,000 live births)
Still Birth Rate: 6.468 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 26,427
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 00%

Agailjhara 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: 3,315
Total Number of Deliveries: 3,112
Valid TT Coverage: 61.00 %
Maternal Mortality Ratio (MMR) is: 97.02 per 100,000 live births.

Agailjhara 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 2,656 3,664 6,320 2,015 2,290 4,305 10,625 1,718 1,701 3,419 385 343 728 4,147
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) 4,946 7,855 12,801 1,486 1,680 3,166 15,967 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 2,141 8,582 10723 769 876 1,645 12,368 0 0 0 0 0 0 1,645
Community Clinics 46,381 95,521 141,902 9,920 11,647 21,567 163,469 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 2,112 5,120 7,232 852 1,121 1,973 9,205 0 0 0 0 0 0 0
NGO Clinics/Facilities 1,165 2,215 3,380 521 485 1,006 4,386 0 0 0 0 0 0 0

Agailjhara 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 1,643 1,600 3,243 374 337 711 3,954 7 9 16 1 1 2 18
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

Agailjhara 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 3,954
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 462 11.68
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 447 11.31
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 390 9.86
4 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 158 4.00
5 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 140 3.54
6 Y04 Assault by bodily force XX: External causes of morbidity and mortality 94 2.38
7 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 79 2.00
8 J45 Asthma X: Diseases of the respiratory system 56 1.42
9 J47 Bronchiectasis X: Diseases of the respiratory system 50 1.26
10 R32 Unspecified urinary incontinence XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 34 0.86

Agailjhara 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 18
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 7 38.89
2 I50 Heart failure IX: Diseases of the circulatory system 4 22.22
3 P75 Meconium ileus XX: External causes of morbidity and mortality 2 11.11
4 I68 Cerebrovascular disorders in diseases classified elsewhere IX: Diseases of the circulatory system 2 11.11
5 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2 11.11
6 J45 Asthma X: Diseases of the respiratory system 1 5.56
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Agailjhara 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 (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,959
Bed Occupancy Rates (%) 71.01
Average Length of Hospital Stay (No. of days per patient) 3.28
Hospital Death Rate (%) 0.46


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 87

 

Agailjhara 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 6 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 66 36 13 17 25.76
Class IV 26 13 4 9 34.62
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 2 0 1 1 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 0 0 3 100.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 1 1 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 2 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 25 8 11 6 24.00
Class IV 0 0 0 0 0.00

 

Agailjhara 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 26 9 8 9 34.62
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 73 38 13 22 30.14
Class IV 28 15 4 9 32.14
Other Hospitals & Clinics
Class I Doctor 5 3 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 6 8 0 0.00
Class IV 15 6 9 0 0.00

 

Agailjhara 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 5 4 21 13 5 5 0 0 0
Nurse 0 0 0 0 16 16 0 0 7 0 0
Medical Assistant 0 0 5 1 2 1 0 0 0 0 0
Medical Technologist 0 0 0 0 10 8 4 4 4 0 0
CHCP 25 19 0 0 0 0 0 0 0 0 5
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 19 0 0 0 0 0

Agailjhara 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) 1 1 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 2 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 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 0 0 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) 1 1 0 0 0
Ventilator 0 0 0 0 0


Agailjhara 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 2 3 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Agailjhara 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 3 0 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 1 4 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Agailjhara 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


Agailjhara 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 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 7 1 0 0
Laptop 22 22 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 4 1 0 0
Scanner 1 1 0 0 0
UPS 0 0 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Agailjhara 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 69 56 12 1 0

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

Important information and necessary issues for Agailjhara Upazila Health Complex
It is a great pleasure that I along with my colleges & subordinate staffs could complete the Health bulletin of Agailjhara Upazila for the year 2014 This bulletin contains more or less all the information of the Health Services of Agailjhara Upazila. It also contains the demographic picture, description of Health facilities, sanctioning & existing manpower. Finlay I congratulate my colleges & staffs who work day & nigth to complete the Health bulletin. Dr. Md. Salim Mia UH&FPO Agailjhara, Barisal