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Chhatak Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of Chhatak Upazilla. This bulletin contains all the Health relative information of 2014 This bulletin is published to disseminate the information of Chhatak upazilla 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 Upazilla govt. health offices has many data stored in the file . This health bulletin will help us to find constrains and also to see the results and achievement of 2014. The bulletin contains the status of MDG 4 is and MDG 5 which will help to localize the MD4 targets. This health bulletin has also the information on safe drinking water and sanitation status of the Upazilla. All the sanctioned and vacant posts and published in this bulletin of 2015. I like to take attention of the higher authority to look in to this issue. Finally I would like to congratulate the initiator of the health bulletin. Software for setting us one step a head towards digital Bangladesh.
Dr.Gulam Mawla Chowdhury
UH&FPO
Chhatak Upazila Health Complex

Chhatak Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Chhatak
Organization Code 10002130
Name of UHFPO Dr.Gulam Mawla Chowdhury
Land Phone No. 1 -0872356222
Land Phone No. 2
FAX No.
Mobile No. 01711027622
Email chattak@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.9965 And Long: 91.5524
No. of Unions in the Upazila13
No. of Households in the Upazila 59,539
Population in the Upazila 442,597
Area of Upazila in sq km 435.50

Chhatak 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 4 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) 6 0
No. of Rural/Urban/Thana Health Centers 1 20
No. of Community Clinics 22 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 1 16
No. of NGO Clinics/Facilities 1 0

Chhatak Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 11,270


Under 5 Mortality Rate: 27.684 (Per 1,000 live births)
Infant Mortality Rate: 23.248 (Per 1,000 live births)
Neonatal Mortality Rate: 17.036 (Per 1,000 live births)
Still Birth Rate: 12.600 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 52,313
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months):

Chhatak 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: 22
Total No. of Recipients Who Took at least one ANC: 11,892
Total Number of Deliveries: 10,200
Valid TT Coverage: 47.00 %
Maternal Mortality Ratio (MMR) is: 195.21 per 100,000 live births.

Chhatak 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 14,340 22,610 36,950 3,737 3,081 6,818 43,768 2,235 1,161 3,396 186 87 273 3,669
Union Sub-Centres 29,693 46,302 75,995 12,426 15,500 27,926 103,921 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) 5,064 16,768 21832 4,599 5,600 10,199 32,031 0 0 0 0 0 0 10,199
Community Clinics 59,250 107,433 166,683 12,016 13,993 26,009 192,692 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 3,351 9,295 12,646 1,203 1,154 2,357 15,003 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Chhatak 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 1,856 2,563 4,419 890 504 1,394 5,813 3 1 4 1 2 3 7
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

Chhatak 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 6,446
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 1855 28.78
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 754 11.70
3 J459 Asthma, unspecified X: Diseases of the respiratory system 192 2.98
4 O063 Unspecified abortion, incomplete, with other and unspecified complications XV: Pregnancy, childbirth and the puerperium 7 0.11
5 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 17 0.26
6 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 0.02
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 39 0.61
8 X999 Assault by sharp object, unspecified place XX: External causes of morbidity and mortality 361 5.60
9 A010 Typhoid fever I: Certain infectious and parasitic diseases 21 0.33
10 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 52 0.81

Chhatak 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 7
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 4 57.14
2 0 0.00
3 X: Diseases of the respiratory system 0 0.00
4 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 1 14.29
5 J459 Asthma, unspecified X: Diseases of the respiratory system 1 14.29
6 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1 14.29
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
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.) 7,968
Bed Occupancy Rates (%) 70.42
Average Length of Hospital Stay (No. of days per patient) 1.24
Hospital Death Rate (%) 0.11


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 2,090

 

Chhatak 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 1 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 0 3 7 70.00
Class III 110 65 22 23 20.91
Class IV 20 3 3 14 70.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 2 1 3 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 1 1 4 66.67
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 9 6 1 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 9 0 3 6 66.67
Class III 20 6 0 14 70.00
Class IV 17 5 3 9 52.94
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 37 7 12 18 48.65
Class IV 0 0 0 0 0.00

 

Chhatak 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 24 14 3 7 29.17
Non Doctor 0 0 0 0 0.00
Class II 19 0 6 13 68.42
Class III 173 79 35 59 34.10
Class IV 37 8 6 23 62.16
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

 

Chhatak 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 15 10 9 7 0 0 0 0 0
Nurse 0 0 9 3 10 3 0 0 1 0 0
Medical Assistant 0 0 12 7 2 2 0 0 5 0 0
Medical Technologist 0 0 8 1 8 6 0 0 0 0 0
CHCP 37 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 5 4 0 0 0 0 0
AHI 0 0 0 0 14 12 0 0 0 0 0
HA 0 0 0 0 70 56 0 0 0 0 0

Chhatak 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 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 1 1 0 0 0
Electric cautery machine 1 1 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 1 1 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) 2 2 0 0 0
Ventilator 0 0 0 0 0


Chhatak 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 0 0 0 1
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 2 1 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Chhatak 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 2 0 0 0
Colorimeter 3 1 2 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 6 6 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Chhatak 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 3 1 2 0 0


Chhatak 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) 1 1 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 2 0 2 0 0
ICT equipment
Computer (desktop) 9 7 2 0 0
Laptop 27 24 3 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 3 1 0 0
Scanner 1 1 0 0 0
UPS 6 4 2 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Chhatak 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) 1 0 1 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 84 65 18 0 1

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

Important information and necessary issues for Chhatak Upazila Health Complex
Last year also we could not give our maximum efforts to improve the health status due to many reasons. The main reasons are shortage of class IV employees. All the post of MLSS are vacant.In the year 2014 , temporary recruitment are achieved in the month of September through MNHI project. Six SSN , and about 12 class four employees are recruited in Chhatak UHC and 10 bed hospital Kaitak under Chhatak Upazila.There was no govt recruitment of any employee. Number of community clinic and the bed capacity of the health complex should be increased. Some female health Asstt. should receive CSBA training. Finally I am very happy to write this Health bulletin of 2015 because this document will help us to compare our progress in up coming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improve in future. .