HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Lalpur Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very happy to publishing this health bulletin 2014 with information’s on our upazilla. I like to extend my thanks to all MIS personnel who helped to develop this health bulletin. This health bulletin is an effort for improving the health scenario of our upazilla. It is also showing us some areas specially the information about deficiencies in this upazilla which will draw attention to the concern authorities to take necessary action for further improvement.Allmighty Allah bless us. Allah Hafez. Dr. Md. Saidur Rahman Upazila Health & F.P. Officer Lalpur Natore.
Dr. Md. Saidur Rahman
UH&FPO
Lalpur Upazila Health Complex

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaLalpur
Name of UHFPO Dr. Md. Saidur Rahman
Telephone No. 0772575003
FAX No. 0
Mobile No. 01711869103
Email lalpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 89.0000
No. of Unions in the Upazila10
No. of Households in the Upazila 65,325
No. of Population in the Upazila 276,508
Area of Upazila in sq km 329.00

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 30 0
No of Trauma Centres 0 0
No. of MCWCs 1 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 3 40
No. of NGO Clinics/Facilities 0 0

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,047


Total No. of children treated under IMCI Program 59,763
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 26.75 per 1,000 live births.

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 4

Legends

  • R.P.W-
  • Registered Pregnanat Woman
  • 1st ANC-
  • No. of 1st ANC recipients
  • R.P.W-
  • No. of 4th ANC recipients
  • C. Preg-
  • No. of complicated pregnancies
  • N. deli-
  • No. of normal deliveries
  • V. deli-
  • No. of vaginal deliveries
  • C. deli-
  • No. of cesarean deliveries
  • PNC-
  • No. of PNC services provided to mother in the Upazila

Maternal health and MDG-5 (No.) (January-December, 2013)


All ANC Receiptients: 1404
Total Number of Deliveries: 5094
No. of Maternal Death: 3
Valid TT Coverage: 26.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 59.44 per 100,000 live births.

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 5

No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 39,263 13,981 25,282 5,987 6,874 3,205 3,669 574
Union Sub-Centres 40,970 11,957 29,013 3,342 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 50,799 5,584 45,215 13,909 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 383,169 126,512 256,657 50,734 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 5,549 1,048 4,501 591 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 4,449 1,864 2,585 2,240 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 528,648 160,946 363,253 76,803 6,874 3,205 3,669 574
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 5,895 2,490 3,405 501 16 10 6 0
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 1,638 164 1,474 56 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 7,533 2,654 4,879 557 16 10 6 0

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 6

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 6396
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y00 Assault by blunt object 944 14.76
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 803 12.55
3 K27 Peptic ulcer, site unspecified 451 7.05
4 V87 Traffic accident of specified type but victim's mode of transport unknown 242 3.78
5 B33 Other viral diseases, NEC 220 3.44
6 S09 Other and unspecified injuries of head 183 2.86
7 J12 Viral pneumonia, NEC 178 2.78
8 F09 Unspecified organic or symptomatic mental disorder 176 2.75
9 D64 Other anaemias 170 2.66
10 I10 Essential (primary) hypertension 118 1.84

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 7

Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period 16
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J47 Bronchiectasis 4 25.00
2 Y71 Cardiovascular devices associated with adverse incidents 2 12.50
3 I21 Acute myocardial infarction 1 6.25
4 I25 Chronic ischaemic heart disease 1 6.25
5 D64 Other anaemias 1 6.25
6 O72 Postpartum haemorrhage 1 6.25
7 K74 Fibrosis and cirrhosis of liver 2 12.50
8 J40 Bronchitis, not specified as acute or chronic 1 6.25
9 V99 Unspecified transport accident 1 6.25
10 T47 Poisoning by agents primarily affecting the gastrointestinal system 1 6.25

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,425
Bed Occupancy Rates (%) 57.12
Average Length of Hospital Stay (No. of days per patient) 1.60
Hospital Death Rate (%) 0.25


Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 52
Minor Surgeries 2578

 

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 22 6 2 14 63.64
Non Doctor 0 0 0 0 0.00
Class II 16 1 14 1 6.25
Class III 78 49 15 14 17.95
Class IV 25 10 6 9 36.00
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 11 2 0 9 81.82
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 13 7 6 0 0.00
Class IV 2 2 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 36 14 17 5 13.89
Class IV 0 0 0 0 0.00

 

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 33 8 2 23 69.70
Non Doctor 0 0 0 0 0.00
Class II 16 1 14 1 6.25
Class III 91 57 21 13 14.29
Class IV 27 12 6 9 33.33
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

 

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 12

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 11 2 22 8 0 0 3 0
Nurse 0 0 0 0 17 15 0 0 6 8
Medical Assistant 0 0 11 11 2 2 0 0 8 0
Medical Technologist 0 0 2 2 10 10 0 0 0 0
CHCP 36 31 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0
HA 0 0 0 0 40 37 0 0 0 0
CSBA trained*** 0 0 0 0 0 5 0 0 0 0

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 13

Existing equipments 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 1 0 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 1 0 1 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 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 2 2 0 0 0
Autoclave 4 1 2 1 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 0 2 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 2 0 0 1
Sterilizer 3 3 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 14

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 2 2 0 0 0
Pulse oximeter 2 0 0 2 0
Dental equipment
Dental unit 1 0 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 15

Existing equipments 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) 3 2 1 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 3 2 1 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 1 0 0 0 1
Phototherapy unit 0 0 0 0 0


Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 16

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 0 0 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 3 2 0 1 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 17

Existing equipments 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) 4 3 1 0 0
Generator
Generator (diesel/petrol) 2 0 2 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 7 7 0 0 0
Laptop 2 2 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 1 1 0 0 0
UPS 7 6 1 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


Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 18

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 73 55 12 4 2

Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Lalpur Upazila Health Complex |
Lalpur upazilla health complex is a 50 bedded hospital but there is shortage of doctors and support stuff. We hope that the higher authority should filled the vacant posts immediately and all the repairable equipments should be repair as soon as possible so that we can improve our services to the peoples of Lalpur upazilla .