Sreepur Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Sreepur Upazila supported by MIS, DGHS, Mohakhali, Dhaka.
First of all, i would like to express my gratitude and honor to Prof.Dr.Abul Kalam Azad, ADG (Planning &development) and line Director MIS, DGHS, Mohakhali, Dhaka; who has been working hard relentlessly to develop the 'Health Information System' in a much more organized and effective way.
This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Sreepur Upazila 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 upazila. Government health department has many data stored in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
.
Sreepur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Sreepur
Organization Code
10002208
Name of UHFPO Dr. Md: Abdus Shakur .
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01714304131
Email sreepurm@uhfpo.dghs.gov.com
GPS location of UHFPO office
Lati:
23.5919 And
Long:
89.3941
No. of Unions in the Upazila 8
No. of Households in the Upazila 38,122
Population in the Upazila 179,099
Area of Upazila in sq km 175.75
Sreepur 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)
7
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
19
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
2
20
No. of NGO Clinics/Facilities
0
0
Sreepur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,453
Under 5 Mortality Rate: 31.277 (Per 1,000 live births)
Infant Mortality Rate: 28.381 (Per 1,000 live births)
Neonatal Mortality Rate: 19.983 (Per 1,000 live births)
Still Birth Rate: 22.589 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 23,227
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%
Sreepur 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:
2
Total No. of Recipients Who Took at least one ANC:
3,659
Total Number of Deliveries:
2,780
Valid TT Coverage: 99.00 %
Maternal Mortality Ratio (MMR) is:
57.92 per 100,000 live births.
Sreepur 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
14,430
20,865
35,295
2,248
2,664
4,912
40,207
986
869
1,855
235
223
458
2,313
Union Sub-Centres
3,349
4,766
8,115
2,031
2,632
4,663
12,778
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)
14,155
57,163
71318
3,115
4,116
7,231
78,549
0
0
0
0
0
0
7,231
Community Clinics
36,665
72,824
109,489
6,050
6,315
12,365
121,854
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
211
564
775
223
332
555
1,330
132
337
469
94
105
199
668
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Sreepur 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
767
881
1,648
97
94
191
1,839
3
0
3
0
0
0
3
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
147
329
476
70
82
152
628
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Sreepur 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
1,839
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
277
15.06
2
Y04 Assault by bodily force
XX: External causes of morbidity and mortality
239
13.00
3
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
168
9.14
4
O80 Single spontaneous delivery
XV: Pregnancy, childbirth and the puerperium
105
5.71
5
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
98
5.33
6
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
68
3.70
7
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
55
2.99
8
J45 Asthma
X: Diseases of the respiratory system
55
2.99
9
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
44
2.39
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
27
1.47
Sreepur 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
3
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1
33.33
2
I50 Heart failure
IX: Diseases of the circulatory system
1
33.33
3
I639 Cerebral infarction, unspecified
IX: Diseases of the circulatory system
1
33.33
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Sreepur Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
7,985
Bed Occupancy Rates (%)
70.57
Average Length of Hospital Stay (No. of days per patient)
4.40
Hospital Death Rate (%)
0.16
Sreepur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
475
Sreepur 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
10
5
2
3
30.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
60
27
14
19
31.67
Class IV
19
7
4
8
42.11
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
6
0
1
14.29
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
5
2
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
1
0
1
50.00
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
20
9
10
1
5.00
Class IV
0
0
0
0
0.00
Sreepur 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
12
2
4
22.22
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
69
33
16
20
28.99
Class IV
20
8
4
8
40.00
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
Sreepur 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
8
7
10
7
0
0
0
0
0
Nurse
0
0
0
0
12
12
0
0
1
1
0
Medical Assistant
0
0
8
8
2
2
0
0
3
0
0
Medical Technologist
0
0
0
0
5
4
0
0
0
0
0
CHCP
20
19
0
0
0
0
0
0
0
0
4
HI
0
0
0
0
2
1
0
0
0
0
4
AHI
0
0
0
0
6
2
0
0
0
0
0
HA
0
0
0
0
29
22
0
0
0
0
0
Sreepur 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)
1
0
1
0
0
X-ray machine (300 mA)
0
0
0
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
1
0
1
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
3
2
1
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
Sreepur 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
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Sreepur 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)
5
1
4
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Sreepur 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
2
2
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Sreepur 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
0
0
0
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
4
1
0
0
Scanner
0
0
0
0
0
UPS
6
6
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
Sreepur 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
0
0
0
0
0
Mobile phone
1
1
0
0
0
Total
43
33
10
0
0
Sreepur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Sreepur Upazila Health Complex
Important information and necessary issues for Sreepur Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results in future. 1. Allocation /Sanction of 31 Beded Staff and Instruments Immediately 2. The vacant post of field level Should be filled 3.ECG Machine is Needed for CHD pt 4. USG machine is needed for critical patient and pregnant mothers. Finally I am very happy to edit this bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future and to achieve MDG 4 & 5 by 2015. Our UHC is a 50 Beded Hospital Working is going on and quietly finished now the 50 beded Hospital . But we Have Allocation of diet Medicine and Manpower for 31 Beds,Most Important is Insufficient Manpower for 31 Beded Hospital as Well as Field service.So we needed urgently 19 badsAllocation of diet Medicine and as Well as Field service.