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Fenchuganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am glad to publish this health bulletin of Fenchuganj upazila health complex of sylhet district. This health bulletin contains all the health related information of 2014.This bulletin is publish to disseminate in the health related information of Fenchuganj upazila health Complex in the year 2014. I hope all the information of this bulletin will help for planning & bridging the gaps in the health services of this upazila.This bulletin contains the present status of MDG-4 & MDG - 5 of this Fenchuganj Upazila which will help to achieve the MDG target with an aim to reach sustained development goal. This health bulletin also give the information of safe drinking water&sanitation status of fenchuganj upazila.In respect of manpower all the sanctioned & vacant posts are published among those respective vacant post need to be fill up by the respective Authority.Finally I would like to congratulate the initiator of this health bulletin in year 2014.
Dr.Md.Habibur Rahman
UH&FPO
Fenchuganj Upazila Health Complex

Fenchuganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Fenchuganj
Organization Code 10002181
Name of UHFPO Dr.Md.Habibur Rahman
Land Phone No. 1 -0822656025
Land Phone No. 2
FAX No. 0822656025
Mobile No. 01711983505
Email fenchuganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila5
No. of Households in the Upazila 18,239
Population in the Upazila 121,025
Area of Upazila in sq km 114.48

Fenchuganj 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 1 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) 1 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 10 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

Fenchuganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,969


Under 5 Mortality Rate: 30.987 (Per 1,000 live births)
Infant Mortality Rate: 22.903 (Per 1,000 live births)
Neonatal Mortality Rate: 12.462 (Per 1,000 live births)
Still Birth Rate: 9.431 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 14,427
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Fenchuganj 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: 1,377
Total Number of Deliveries: 2,997
Valid TT Coverage: 88.00 %
Maternal Mortality Ratio (MMR) is: 202.09 per 100,000 live births.

Fenchuganj 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 13,756 15,946 29,702 1,701 2,193 3,894 33,596 2,353 2,002 4,355 330 320 650 5,005
Union Sub-Centres 4,311 5,997 10,308 701 820 1,521 11,829 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) 905 3,162 4067 612 706 1,318 5,385 0 0 0 0 0 0 1,318
Community Clinics 20,942 51,437 72,379 3,936 4,647 8,583 80,962 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

Fenchuganj 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 1,269 2,302 3,571 450 359 809 4,380 7 1 8 1 2 3 11
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

Fenchuganj 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 4,380
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 984 22.47
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 397 9.06
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 360 8.22
4 O66 Other obstructed labour XV: Pregnancy, childbirth and the puerperium 307 7.01
5 Y05 Sexual assault by bodily force XX: External causes of morbidity and mortality 277 6.32
6 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 131 2.99
7 L10 Pemphigus XII: Diseases of the skin and subcutaneous tissue 44 1.00
8 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 34 0.78
9 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 33 0.75
10 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 4 0.09

Fenchuganj 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 11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 3 27.27
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 3 27.27
3 D50 Iron deficiency anaemia X: Diseases of the respiratory system 1 9.09
4 R55 Syncope and collapse XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 9.09
5 T62 Toxic effect of other noxious substances eaten as food XIX: Injury, poisoning and certain other consequences of external causes 1 9.09
6 I610 Intracerebral haemorrhage in hemisphere, subcortical IX: Diseases of the circulatory system 1 9.09
7 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 9.09
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 60.00
Coverage of households having access to sanitary latrines (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,925
Bed Occupancy Rates (%) 87.72
Average Length of Hospital Stay (No. of days per patient) 2.00
Hospital Death Rate (%) 0.25


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,432

 

Fenchuganj 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 10 0 6 4 40.00
Class III 47 22 12 13 27.66
Class IV 19 14 5 0 0.00
Union Health & Family Welfare Center (under DGHS)
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 2 1 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 1 1 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 10 3 7 0 0.00
Class IV 0 0 0 0 0.00

 

Fenchuganj 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 12 7 5 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 6 4 40.00
Class III 61 28 20 13 21.31
Class IV 20 15 5 0 0.00
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

 

Fenchuganj 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 3 3 9 9 0 0 0 0 0
Nurse 0 0 0 0 10 6 0 0 0 1 1
Medical Assistant 0 0 3 3 2 2 0 0 2 0 0
Medical Technologist 0 0 1 1 8 5 0 0 0 0 0
CHCP 10 10 0 0 0 0 0 0 10 0 0
HI 0 0 0 0 1 1 0 0 0 0 0
AHI 0 0 0 0 4 4 0 0 0 0 0
HA 0 0 0 0 20 13 0 0 0 0 0

Fenchuganj 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 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 0 0 0 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 2 0 2 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 4 3 1 0 0
Ventilator 0 0 0 0 0


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


Fenchuganj 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 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Fenchuganj 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 0 1 0


Fenchuganj 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 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) 6 5 1 0 0
Laptop 3 3 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 1 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 0 0 0 0 0
UPS 5 5 0 0 0
Fax 1 0 1 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


Fenchuganj 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 1 1 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 45 35 9 1 0

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

Important information and necessary issues for Fenchuganj Upazila Health Complex
At present we need transport facility as for example motorcycle,car,one x-ray machine & electric generator,USG machine is needed.class 1,class2,class3 vacant post should be fill-up immediately.The vertical and horizontal extension of the hospital building is needed.Now 50 bedded hospital is needed here.Soil test of the 50 beded hospital done and the foundation stone of the 50 bed hospital is laid, but the construction works did not start.It should be started as soon as possible.With all equipment and furniture residential buildings need to be repaired Immediately.