Lakhai Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very much glad to publish the Health Bulletin of Upazila Health Complex,Lakhai ,Habiganj for the year 2015.The information revised and brought up to date to reflect as far as possible the situation during 2014 .Through this bulletin, people can know about the services of different health facilities and can provide us the useful advice for improvement in future.We also come to know the achievements of different health issues eg.neonatal,infant and maternal mortality,communicable and non-communicable diseases and access to safe drinking water and sanitation etc.Through this bulletin we can also find out the constraints and problems of health services which helps us to correct in coming year so that the service providers can give better attention to the clients.The health bulletin is a storehouse of information and data of different health issues which is essential for implementation of future planning of different programe of health issues. I would like to congratulate MIS (DGHS) under MOHFW for continuing to publish local health bulletin to progress us one step ahead to establish digital Bangladesh.I will be grateful to all concerned to help us to find out the mistake of this health bulletin which will be corrected in future.
Lakhai Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Lakhai
Organization Code
10002085
Name of UHFPO Dr.Q G M Farooqui
Land Phone No. 1
08326-056025
Land Phone No. 2
FAX No.
Mobile No.
01710838931
Email lakhai@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
91.0000
No. of Unions in the Upazila 6
No. of Households in the Upazila 26,723
Population in the Upazila 162,081
Area of Upazila in sq km 197.00
Lakhai 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
31
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
2
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)
4
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
15
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
Lakhai Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,254
Under 5 Mortality Rate: 36.436 (Per 1,000 live births)
Infant Mortality Rate: 28.914 (Per 1,000 live births)
Neonatal Mortality Rate: 22.097 (Per 1,000 live births)
Still Birth Rate: 12.224 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 34,921
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%
Lakhai 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:
4
Total No. of Recipients Who Took at least one ANC:
4,145
Total Number of Deliveries:
4,306
Valid TT Coverage: 80.00 %
Maternal Mortality Ratio (MMR) is:
94.03 per 100,000 live births.
Lakhai 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
16,868
19,468
36,336
3,782
5,791
9,573
45,909
1,606
971
2,577
172
107
279
2,856
Union Sub-Centres
8,615
24,602
33,217
1,270
1,410
2,680
35,897
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)
5,842
23,974
29816
4,659
5,225
9,884
39,700
0
0
0
0
0
0
9,884
Community Clinics
30,846
93,185
124,031
8,063
10,557
18,620
142,651
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
Lakhai 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
1,116
1,287
2,403
278
185
463
2,866
2
1
3
0
1
1
4
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
Lakhai 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
2,866
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
1054
36.78
2
Y092 Assault by unspecified means, school, other institution and public administrative area
XX: External causes of morbidity and mortality
867
30.25
3
K270 Peptic ulcer, site unspecified, acute with haemorrhage
XI: Diseases of the digestive system
232
8.09
4
J180 Bronchopneumonia, unspecified
X: Diseases of the respiratory system
184
6.42
5
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
88
3.07
6
J219 Acute bronchiolitis, unspecified
X: Diseases of the respiratory system
75
2.62
7
A010 Typhoid fever
I: Certain infectious and parasitic diseases
58
2.02
8
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
12
0.42
9
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
9
0.31
10
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
5
0.17
Lakhai 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
4
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
1
25.00
2
J46 Status asthmaticus
X: Diseases of the respiratory system
1
25.00
3
R578 Other shock
X: Diseases of the respiratory system
1
25.00
4
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
1
25.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Lakhai Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
90.00
Coverage of households having access to sanitary latrines (%)
75.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
6,400
Bed Occupancy Rates (%)
56.56
Average Length of Hospital Stay (No. of days per patient)
2.23
Hospital Death Rate (%)
0.14
Lakhai Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
275
Lakhai 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
6
0
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
10
1
5
4
40.00
Class III
52
42
6
4
7.69
Class IV
18
9
7
2
11.11
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
3
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
0
0
4
100.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
2
0
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
16
5
9
2
12.50
Class IV
0
0
0
0
0.00
Lakhai 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
15
11
1
3
20.00
Non Doctor
0
0
0
0
0.00
Class II
10
1
5
4
40.00
Class III
76
48
16
12
15.79
Class IV
20
11
7
2
10.00
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
Lakhai 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
6
6
9
6
0
0
3
0
0
Nurse
0
0
0
0
11
7
0
0
0
0
0
Medical Assistant
0
0
6
2
2
2
0
0
3
0
0
Medical Technologist
0
0
2
0
8
6
0
0
0
0
0
CHCP
16
14
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
0
0
0
0
0
0
AHI
0
0
0
0
5
5
0
0
0
0
0
HA
0
0
0
0
25
25
0
0
0
0
3
Lakhai 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
0
1
1
0
Ultrasonogram machine
1
0
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
3
1
2
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
1
0
1
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
0
1
0
0
Sterilizer
1
0
0
1
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Lakhai 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
2
1
1
0
0
Pulse oximeter
1
0
1
0
0
Dental equipment
Dental unit
0
0
0
0
0
Lakhai 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)
2
1
0
1
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
1
0
3
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Lakhai 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
1
0
0
1
0
Lakhai 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)
1
0
0
1
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)
7
6
1
0
0
Laptop
2
1
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
3
1
0
2
Scanner
1
1
0
0
0
UPS
5
0
5
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
Lakhai 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
0
1
0
0
Mobile phone
2
1
0
1
0
Total
52
24
17
9
2
Lakhai Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Lakhai Upazila Health Complex
We are trying our level best to provide best health services to the people within our limited abilities.Here we like to mention some important factors which will help us to achieve good performance in future.
1. Internet speed and coverage must be upgraded to the rural area for the digitalised health
information and quick response.
2. The vacant post should be filled up immediately.
3. All the repairable equipment should be repaired as soon as possible.
4. Digital Camera & Photocopy Machine must need for digitalised health information & services.
5. Ambulance should be supplied as soon as possible for the patients.
6. Logitics of HIS & eHealth should be supplied regularly (Anti-virus, Toner of printer,etc)
7. Powerful UPS & IPS (at least 1-2 hours back up) should be supplied for the digitalised health
information and quick response because electricity problem is a common problem in upazila level.
8. X-Ray Machine should be repaired immediately.
