Lalmohan Upazila Health Complex | Health Bulletin 2015 |
Preface
I am really glad to publish thiis Local Health Bulletin/2015 containing all the health ralated informations of Lalmohan Upazila/2014.I hope informations in this Bulletin will help us for planning and bridging the gaps in health services of the Upazila. The Bulletin contains the status of MDG4 and MDG5 which will help us to localize the MDG targets. Finally I would like to congratulate MIS,the initiator of the Health Bulletin software for setting us one step ahead toward digital Bangladesh.
Dr.Nittya Nanda Chowdhury
UHFPO
Lalmohan,Bhola.
Lalmohan Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Lalmohan
Organization Code
10002015
Name of UHFPO Dr.Nittya Nanda Chowdhury
Land Phone No. 1
-0492575665
Land Phone No. 2
FAX No.
Mobile No.
01712645252
Email lalmohan@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.0000 And
Long:
88.0000
No. of Unions in the Upazila 9
No. of Households in the Upazila 55,518
Population in the Upazila 303,602
Area of Upazila in sq km 395.25
Lalmohan 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)
3
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
34
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
1
15
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
0
0
No. of NGO Clinics/Facilities
0
0
Lalmohan Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,497
Under 5 Mortality Rate: 6.120 (Per 1,000 live births)
Infant Mortality Rate: 3.295 (Per 1,000 live births)
Neonatal Mortality Rate: 1.059 (Per 1,000 live births)
Still Birth Rate: 4.943 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 47,409
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%
Lalmohan 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:
1
Total No. of Recipients Who Took at least one ANC:
7,667
Total Number of Deliveries:
8,512
Valid TT Coverage: 60.00 %
Maternal Mortality Ratio (MMR) is:
11.77 per 100,000 live births.
Lalmohan 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
14,764
16,459
31,223
10,610
11,513
22,123
53,346
1,193
912
2,105
580
711
1,291
3,396
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)
11,297
12,340
23,637
8,060
10,381
18,441
42,078
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
75,723
160,620
236,343
70,002
112,009
182,011
418,354
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)
315
6,945
7,260
1,132
612
1,744
9,004
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
Lalmohan 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
4,367
3,350
7,717
1,413
1,031
2,444
10,161
15
18
33
3
2
5
38
Trauma Centres
0
0
0
0
0
0
0
0
0
0
0
0
0
0
MCWCs (belongs to DGFP)
0
1,075
1,075
0
0
0
1,075
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
Lalmohan 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
10,161
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y001 Assault by blunt object, residential institution
XX: External causes of morbidity and mortality
2304
22.67
2
A009 Cholera, unspecified
I: Certain infectious and parasitic diseases
1578
15.53
3
K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation
XI: Diseases of the digestive system
1355
13.34
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
1005
9.89
5
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
544
5.35
6
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
429
4.22
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
351
3.45
8
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
203
2.00
9
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
63
0.62
10
O063 Unspecified abortion, incomplete, with other and unspecified complications
XV: Pregnancy, childbirth and the puerperium
40
0.39
Lalmohan 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
38
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I509 Heart failure, unspecified
IX: Diseases of the circulatory system
10
26.32
2
J219 Acute bronchiolitis, unspecified
X: Diseases of the respiratory system
4
10.53
3
J459 Asthma, unspecified
IX: Diseases of the circulatory system
4
10.53
4
P219 Birth asphyxia, unspecified
XVI: Certain conditions originating in the perinatal period
4
10.53
5
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
3
7.89
6
I131 Hypertensive heart and renal disease with renal failure
IX: Diseases of the circulatory system
3
7.89
7
N179 Acute renal failure, unspecified
XIV: Diseases of the genitourinary system
2
5.26
8
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
1
2.63
9
G039 Meningitis, unspecified
VI: Diseases of the nervous system
1
2.63
10
I219 Acute myocardial infarction, unspecified
IX: Diseases of the circulatory system
1
2.63
Lalmohan Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
97.00
Coverage of households having access to sanitary latrines (%)
70.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
20,227
Bed Occupancy Rates (%)
110.83
Average Length of Hospital Stay (No. of days per patient)
2.00
Hospital Death Rate (%)
1.00
Lalmohan Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
41
Minor Surgeries
68
Lalmohan 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
10
1
10
47.62
Non Doctor
0
0
0
0
0.00
Class II
16
1
8
7
43.75
Class III
108
67
26
15
13.89
Class IV
22
14
5
3
13.64
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
9
3
1
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
13
4
2
7
53.85
Class IV
4
4
0
0
0.00
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
34
24
10
0
0.00
Class IV
0
0
0
0
0.00
Lalmohan 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
30
13
2
15
50.00
Non Doctor
0
0
0
0
0.00
Class II
16
1
8
7
43.75
Class III
155
95
38
22
14.19
Class IV
26
18
5
3
11.54
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
Lalmohan 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
4
21
11
0
0
7
2
0
Nurse
0
0
0
0
14
8
0
0
4
2
0
Medical Assistant
0
0
9
6
2
2
0
0
8
0
0
Medical Technologist
0
0
4
0
10
4
0
0
0
0
0
CHCP
34
34
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
0
AHI
0
0
0
0
13
13
0
0
0
0
0
HA
0
0
0
0
65
58
0
0
0
0
0
Lalmohan 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
1
0
0
Ultrasonogram machine
1
1
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
0
0
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Lalmohan 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
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Lalmohan 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)
2
1
1
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
3
1
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Lalmohan 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
Lalmohan 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
3
0
0
1
Generator
Generator (diesel/petrol)
3
2
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
10
9
1
0
0
Laptop
4
3
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
4
3
1
0
0
Printer (laser)
5
4
1
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
Lalmohan 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
48
10
0
1
Lalmohan Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Lalmohan Upazila Health Complex
1.Increase the number ofANC,PNC,in UHC,Community clinics and other health facilities.2.Increase the Number of institutional deliveries.3.Initiate ceaserian sectionoperation and improve the quality of EOC services.4.To increase the services in IMCI corner,ANC,PNC and breast feeding corner etc.5. Increase the quality of community clinic services.6.To increase the health services to indoor,outdoor,and emergency patients.7.To ensure the presence of all officers and staffs in the office in time.