South Surma Upazila Health Complex | Health Bulletin 2015 |
Preface
It is our pleasure and opportunity to publish the health bulletin of Dakshin Surma Upazila Health Complex.It contains almost all of the health related informations of 2014.It also focuses almost all of our achievements,
drawbacks,requirements,the tasks yet to be solved.It disseminates the information of this upazila to other line departments and development partners of health and helps for planning and bridging the gap in health services of this upazila.It also contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. The information of access to safe drinking water and sanitation status of this upazila are also narrated in this bulletin.
For the kind information of all it should be mentioned that the Upazila Health complex,Dakshin Surma was separated from the UHC,Sadar, Sylhet since 1st July 2010. A two storied building near by the upazila complex outdoor service & emergency service (limited) is going in this building 23/11/2013. Deep tube well is established but iron is very high level in this supply water. This water is not suitable for medical use. I have write many latter to the highly authorities for making of fresh water. Now indoor system is not running because for the permission of D.G health service.I hope it will be solved very soon.
South Surma Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Surma
Organization Code
10002243
Name of UHFPO Dr.Aziz Ahmed Malik
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01715055880
Email southsurma@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
91.9008 And
Long:
24.8291
No. of Unions in the Upazila 10
No. of Households in the Upazila 37,856
Population in the Upazila 242,454
Area of Upazila in sq km 194.17
South Surma 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
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)
4
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)
1
10
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
1
600
No. of NGO Clinics/Facilities
0
0
South Surma Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,020
Under 5 Mortality Rate: 21.368 (Per 1,000 live births)
Infant Mortality Rate: 17.806 (Per 1,000 live births)
Neonatal Mortality Rate: 12.251 (Per 1,000 live births)
Still Birth Rate: 7.123 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 29,338
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98%
South Surma 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:
11
Total No. of Recipients Who Took at least one ANC:
6,651
Total Number of Deliveries:
7,072
Valid TT Coverage: 7.00 %
Maternal Mortality Ratio (MMR) is:
156.70 per 100,000 live births.
South Surma 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
6,913
10,974
17,887
2,106
2,963
5,069
22,956
67
83
150
28
22
50
200
Union Sub-Centres
24,542
35,581
60,123
12,333
12,562
24,895
85,018
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)
3,444
5,040
8484
1,125
1,287
2,412
10,896
0
0
0
0
0
0
2,412
Community Clinics
53,329
108,036
161,365
9,804
11,258
21,062
182,427
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)
110
5,221
5,331
950
1,281
2,231
7,562
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
39,782
51,123
90,905
13,365
16,830
30,195
121,100
14,358
4,984
19,342
3,546
9,532
13,078
32,420
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
South Surma 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
0
0
0
0
0
0
0
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
9,532
10,123
19,655
3,420
2,718
6,138
25,793
201
112
313
81
10
91
404
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
South Surma 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
0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
0
0.00
2
0
0.00
3
0
0.00
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
South Surma 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
0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
0
0.00
2
0
0.00
3
0
0.00
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
South Surma 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 (%)
98.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
0
Bed Occupancy Rates (%)
0.00
Average Length of Hospital Stay (No. of days per patient)
0.00
Hospital Death Rate (%)
0.00
South Surma Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
0
South Surma 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
5
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
9
0
9
0
0.00
Class III
64
37
17
10
15.63
Class IV
15
8
3
4
26.67
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
1
5
0
0.00
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
3
1
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
4
1
1
16.67
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
27
11
11
5
18.52
Class IV
0
0
0
0
0.00
South Surma 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
19
7
12
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
9
0
2
7
77.78
Class III
76
42
19
15
19.74
Class IV
18
11
3
4
22.22
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
South Surma 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
9
9
10
10
0
0
0
0
0
Nurse
0
0
0
0
9
1
0
0
0
0
0
Medical Assistant
0
0
9
5
1
1
0
0
1
0
0
Medical Technologist
0
0
3
2
3
3
0
0
0
0
0
CHCP
27
22
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
1
AHI
0
0
0
0
8
8
0
0
0
0
0
HA
0
0
0
0
40
35
0
0
0
0
0
South Surma 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)
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
1
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
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
South Surma 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
0
0
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
South Surma 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)
0
0
0
0
0
Colorimeter
0
0
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
South Surma 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
0
0
0
0
0
South Surma 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)
0
0
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
2
1
0
1
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
21
21
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
20
20
0
0
0
Multimedia
1
1
0
0
0
South Surma 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
68
67
0
1
0
South Surma Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for South Surma Upazila Health Complex
Last year we couldn't give our maximum efforts to improve the health status due to many reason. I like to mentionhere some improtanant actors which will help us to achieve good results in future.1.Thevacant post should be filled up immediately. 2. Our doctor and other staff need more training especilly on IMCI,femeale needed CSBA training,3, Medicine and logistice supply sould be increased, Finally I am very happy to produce this health bulletin 2014, Hope this document will help people to understand health services and provide us the useful advice for improvement in the comming future.