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.
Lalpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Lalpur
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 Upazila 10
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 .