Lohagara Upazila Health Complex, Narail | Health Bulletin 2015 |
Preface
Local Health Bulletin is of great significance for the locality. Perfect health policy can be planned.
I wish every success.
Lohagara Upazila Health Complex, Narail | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Lohagara
Organization Code
10002211
Name of UHFPO Dr. Shah Fazal Elahi
Land Phone No. 1
-0482356111
Land Phone No. 2
FAX No.
Mobile No.
01913475334
Email lohagaran@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
90.0000
No. of Unions in the Upazila 12
No. of Households in the Upazila 44,963
Population in the Upazila 227,454
Area of Upazila in sq km 289.00
Lohagara Upazila Health Complex, Narail | 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
3
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)
9
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
29
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
10
100
No. of NGO Clinics/Facilities
2
0
Lohagara Upazila Health Complex, Narail | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,054
Under 5 Mortality Rate: 20.967 (Per 1,000 live births)
Infant Mortality Rate: 19.734 (Per 1,000 live births)
Neonatal Mortality Rate: 19.487 (Per 1,000 live births)
Still Birth Rate: 24.420 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 31,066
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):
Lohagara Upazila Health Complex, Narail | 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:
10
Total No. of Recipients Who Took at least one ANC:
5,662
Total Number of Deliveries:
3,851
Valid TT Coverage: 44.00 %
Maternal Mortality Ratio (MMR) is:
246.67 per 100,000 live births.
Lohagara Upazila Health Complex, Narail | 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
34,124
41,801
75,925
6,307
5,965
12,272
88,197
3,100
3,000
6,100
1,288
1,000
2,288
8,388
Union Sub-Centres
11,751
22,100
33,851
2,901
3,142
6,043
39,894
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)
0
0
0
3,000
3,942
6,942
6,942
0
0
0
0
0
0
6,942
Community Clinics
62,484
140,718
203,202
9,103
9,602
18,705
221,907
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
Lohagara Upazila Health Complex, Narail | 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
1,734
2,667
4,401
219
331
550
4,951
6
4
10
0
0
0
10
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
1,026
1,026
0
0
0
1,026
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Lohagara Upazila Health Complex, Narail | 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
4,951
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
718
14.50
2
Y05 Sexual assault by bodily force
XX: External causes of morbidity and mortality
711
14.36
3
J21 Acute bronchiolitis
X: Diseases of the respiratory system
196
3.96
4
A92 Other mosquito-borne viral fevers
I: Certain infectious and parasitic diseases
210
4.24
5
X64 Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
XX: External causes of morbidity and mortality
202
4.08
6
J45 Asthma
X: Diseases of the respiratory system
181
3.66
7
V-23 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
156
3.15
8
R30 Pain associated with micturition
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
42
0.85
9
I52 Other heart disorders in diseases classified elsewhere
IX: Diseases of the circulatory system
34
0.69
10
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
18
0.36
Lohagara Upazila Health Complex, Narail | 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
10
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I50 Heart failure
IX: Diseases of the circulatory system
3
30.00
2
E10 Insulin-dependent diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
3
30.00
3
X64 Intentional self-poisoning by and exposure to other and unspecified drugs, medicaments and biological substances
IX: Diseases of the circulatory system
1
10.00
4
J21 Acute bronchiolitis
X: Diseases of the respiratory system
1
10.00
5
J45 Asthma
X: Diseases of the respiratory system
1
10.00
6
C43 Malignant melanoma of skin
II: Neoplasms
1
10.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Lohagara Upazila Health Complex, Narail | 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 (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
11,159
Bed Occupancy Rates (%)
98.62
Average Length of Hospital Stay (No. of days per patient)
2.35
Hospital Death Rate (%)
0.21
Lohagara Upazila Health Complex, Narail | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
220
Minor Surgeries
36
Lohagara Upazila Health Complex, Narail | Health Bulletin 2015 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
10
2
3
5
50.00
Non Doctor
0
0
0
0
0.00
Class II
12
0
12
0
0.00
Class III
90
31
36
23
25.56
Class IV
19
10
6
3
15.79
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I
Doctor
12
5
2
5
41.67
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
15
8
4
3
20.00
Class IV
3
3
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
37
16
15
6
16.22
Class IV
0
0
0
0
0.00
Lohagara Upazila Health Complex, Narail | 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
22
7
5
10
45.45
Non Doctor
0
0
0
0
0.00
Class II
12
0
12
0
0.00
Class III
142
55
55
32
22.54
Class IV
22
13
6
3
13.64
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
Lohagara Upazila Health Complex, Narail | 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
12
7
10
5
0
0
4
1
0
Nurse
0
0
0
0
13
12
0
0
12
3
0
Medical Assistant
0
0
12
11
2
2
0
0
8
0
0
Medical Technologist
0
0
0
0
4
4
0
0
0
0
0
CHCP
37
31
0
0
0
0
0
0
0
0
3
HI
0
0
0
0
3
1
0
0
0
0
8
AHI
0
0
0
0
9
7
0
0
0
0
0
HA
0
0
0
0
45
31
0
0
0
0
8
Lohagara Upazila Health Complex, Narail | 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
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
2
2
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
0
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
0
0
0
1
Portable OT Light
2
1
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
4
3
0
0
1
Ventilator
0
0
0
0
0
Lohagara Upazila Health Complex, Narail | 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
2
0
0
0
2
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
0
0
0
0
0
Lohagara Upazila Health Complex, Narail | 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
1
1
0
0
0
Microscope (binocular)
3
3
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Lohagara Upazila Health Complex, Narail | 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
2
0
1
0
Lohagara Upazila Health Complex, Narail | 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)
3
1
1
0
1
Generator
Generator (diesel/petrol)
3
3
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
3
0
0
3
0
ICT equipment
Computer (desktop)
9
8
1
0
0
Laptop
3
2
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
8
8
0
0
0
Scanner
2
1
1
0
0
UPS
12
5
2
1
4
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
Lohagara Upazila Health Complex, Narail | 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
75
50
10
6
9
Lohagara Upazila Health Complex, Narail | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Lohagara Upazila Health Complex, Narail
We have to face a lot of problems. Significant deficit of basic health workers tends to reduce the sprit of health activities. We demand & wish solution by any means for the shake of the people.
