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Wazirpur Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure that I along with my collegues & subodinate staffs could complete the Health Buletin of wazirpur upazila for the year 2014.This Bulletin contins more or less all the informations of health services of Wazirpur. It also contains the demographic picture, description of health facilities , sanctioning & exesting manpower. finaly I congratulate my collegues & staffs who worked day & night to complete the health Bulletin.
Dr AkM Shamsuddin
UH&FPO
Wazirpur Upazila Health Complex

Wazirpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Wazirpur
Organization Code 10001997
Name of UHFPO Dr AkM Shamsuddin
Land Phone No. 1 -0432956010
Land Phone No. 2
FAX No.
Mobile No. 01720529163
Email wazirpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.9624 And Long: 90.2255
No. of Unions in the Upazila9
No. of Households in the Upazila 48,479
Population in the Upazila 254,908
Area of Upazila in sq km 249.00

Wazirpur 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) 5 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 33 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

Wazirpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,553


Under 5 Mortality Rate: 18.549 (Per 1,000 live births)
Infant Mortality Rate: 13.866 (Per 1,000 live births)
Neonatal Mortality Rate: 10.265 (Per 1,000 live births)
Still Birth Rate: 6.303 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 28,529
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Wazirpur 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: 6
Total No. of Recipients Who Took at least one ANC: 5,638
Total Number of Deliveries: 5,628
Valid TT Coverage: 31.00 %
Maternal Mortality Ratio (MMR) is: 108.05 per 100,000 live births.

Wazirpur 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 6,327 11,947 18,274 2,606 3,050 5,656 23,930 1,904 1,908 3,812 250 256 506 4,318
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) 13,720 2,660 16,380 3,180 3,326 6,506 22,886 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 4,201 9,495 13696 903 1,298 2,201 15,897 0 0 0 0 0 0 2,201
Community Clinics 67,591 141,144 208,735 12,686 14,356 27,042 235,777 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

Wazirpur 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 1,485 2,077 3,562 304 382 686 4,248 5 3 8 1 1 2 10
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

Wazirpur 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 4,248
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y04 Assault by bodily force XX: External causes of morbidity and mortality 882 20.76
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 798 18.79
3 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 682 16.05
4 J16 Pneumonia due to other infectious organisms, NEC X: Diseases of the respiratory system 216 5.08
5 X82 Intentional self-harm by crashing of motor vehicle XX: External causes of morbidity and mortality 196 4.61
6 J45 Asthma X: Diseases of the respiratory system 170 4.00
7 D63 Anaemia in chronic diseases classified elsewhere III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 120 2.82
8 J11 Influenza, virus not identified X: Diseases of the respiratory system 95 2.24
9 N30 Cystitis XIV: Diseases of the genitourinary system 82 1.93
10 J47 Bronchiectasis X: Diseases of the respiratory system 78 1.84

Wazirpur 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 10
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P29 Cardiovascular disorders originating in the perinatal period XVI: Certain conditions originating in the perinatal period 3 30.00
2 I46 Cardiac arrest IX: Diseases of the circulatory system 2 20.00
3 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 2 20.00
4 J45 Asthma X: Diseases of the respiratory system 1 10.00
5 G03 Meningitis due to other and unspecified causes VI: Diseases of the nervous system 1 10.00
6 F50 Eating disorders V: Mental and behavioural disorders 1 10.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
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.) 16,267
Bed Occupancy Rates (%) 89.13
Average Length of Hospital Stay (No. of days per patient) 3.83
Hospital Death Rate (%) 0.24


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 363

 

Wazirpur 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 9 5 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 9 2 18.18
Class III 119 70 38 11 9.24
Class IV 19 12 5 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 2 1 2 40.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 4 1 5 50.00
Class IV 5 3 1 1 20.00
Rural Dispensaries
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
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 0 20 11 -31 0.00
Class IV 0 0 0 0 0.00

 

Wazirpur 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 18 6 10 2 11.11
Non Doctor 0 0 0 0 0.00
Class II 11 0 9 2 18.18
Class III 162 94 50 18 11.11
Class IV 24 18 4 2 8.33
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

 

Wazirpur 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 9 7 9 9 0 0 3 0 0
Nurse 0 0 0 0 10 9 0 0 9 0 0
Medical Assistant 0 0 9 9 2 2 0 0 9 0 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0 0
CHCP 33 31 0 0 0 0 0 0 31 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 10 10 0 0 0 0 3
HA 0 0 0 0 50 43 0 0 0 0 13

Wazirpur 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) 2 1 1 0 0
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 4 1 3 0 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 1 1 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 5 2 3 0 0
Ventilator 0 0 0 0 0


Wazirpur 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 5 1 4 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Wazirpur 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) 2 1 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Wazirpur 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


Wazirpur 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) 2 2 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 0 0 0 0 0
ICT equipment
Computer (desktop) 10 9 1 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 0 0 0
Scanner 1 1 0 0 0
UPS 6 3 3 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


Wazirpur 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 59 40 19 0 0

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

Important information and necessary issues for Wazirpur Upazila Health Complex
Wazirpur upazila health complex was 31 bebed hospital science its establishment. But is upgrated to 50 bededhospital on 2010.But the manpower is not yet sanctioned & is running with 31 beded staff position.Imediate sanctioning of the manpower is required for the better service of this hospital. The vaccant post of the field workers &hospital staff should be provided imediately.On the job training for the doctors,nurse,paramadics &other staffis required. I am amember of nation innovation team.I am piloting with an idea "Simplifying hospital outdoor service"to minimise time,cost &visit of thepatients respect to TCV,by providing health cards.A new website is establised named wazirpuruhc.healthcard.bd.com for wazirpur upazila. Dr Akm shamsuddin UH&FPO Wazirpur,Barisal