Wazirpur Upazila Health Complex Health Bulletin 2014

LHB-14

Ministry of Health and Family Welfare (MOHFW)
HEALTH BULLETIN 2014
Most data belong to Jan-Dec 2013
Wazirpur Upazila Health Complex
Upazila: Wazirpur, District: Barisal, Division: Barisal

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

Wazirpur Upazila Health Complex | Health Bulletin 2014 |

Preface

It is a great pleasure that I along with my collegues & subodinate staffs could complete the Health Buletin of wazirpur upazila for the year 2013.This Bulletin contins more or less all the informations of health services of Wazirpur. It also contains the demographic picture, description of health facilities , sanctioning & exesting manpower. finaly I congratulate my collegues & staffs who worked day & night to complete the health Bulletin.

Dr AkM Shamsuddin
UH&FPO
Wazirpur Upazila Health Complex

Wazirpur Upazila Health Complex | Health Bulletin 2014 | Page# 1

Organization at a glance

Name of the UpazilaWazirpur

Name of UHFPO Dr AkM Shamsuddin

Telephone No. 0432956010

FAX No. 0

Mobile No. 01720529163

Email

GPS location of UHFPO office Lati: 22.9624 And Long: 90.2255

No. of Unions in the Upazila9

No. of Households in the Upazila 48,479

No. of Population in the Upazila 254,908

Area of Upazila in sq km 249.00

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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 / 5 / 0
No. of Union Health and Family Welfare Centres / 4 / 0
No. of Rural/Urban/Thana Dispensaries / 0 / 0
No. of Community Clinics / 33 / 0
No of Trauma Centres / 0 / 0
No. of MCWCs / 0 / 0
No. of Chest Disease Clinics (TB clinics) / 0 / 0
No. of Private Clinics/Facilities / 0 / 0
No. of NGO Clinics/Facilities / 0 / 0

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Child health and MDG-4 (No.) (January-December, 2013)

No. of Live Birth: 5,941

Still BirthNeonatal DeathInfant DeathU5 Death0.020.040.060.080.0100.0120.0140.00.0144.031.0084.00111.00144.00

Total No. of children treated under IMCI Program 11,820

Fully Vaccinated Children: 99.00

Neonatal Mortality Rate (January-December, 2013)

Neonatal Mortality Rate (NMR) is 14.14 per 1,000 live births.

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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)

R.P.W1st ANC4th ANCC. Preg.N. deli.V. deli.C. deli.F. deli.PNC0.0500.01,000.01,500.02,000.02,500.03,000.03,500.04,000.04,500.05,000.05,500.06,000.00.06,049.06,049.006,049.001,267.00204.005,300.003.00666.000.005,956.00

All ANC Receiptients: 9150

Total Number of Deliveries: 5300

No. of Maternal Death: 9

Valid TT Coverage: 7.00 %

Maternal Mortality Ratio (MMR)(January-December, 2013)

Maternal Mortality Ratio (MMR) is 151.49 per 100,000 live births.

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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 / 16,635 / 5,939 / 10,696 / 5,692 / 3,245 / 1,465 / 1,780 / 827
Union Sub-Centres / 37,900 / 14,580 / 23,320 / 11,104 / 0 / 0 / 0 / 0
Union Health and Family Welfare Centre (under DGHS) / 16,017 / 5,897 / 10,120 / 2,242 / 0 / 0 / 0 / 0
Rural/Urban/Thana Dispensaries / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
Community Clinics / 165,736 / 54,414 / 111,322 / 20,192 / 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 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
NGO Clinics/Facilities / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
Total / 236,288 / 80,830 / 155,458 / 39,230 / 3,245 / 1,465 / 1,780 / 827

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 / 3,245 / 1,465 / 1,780 / 827 / 7 / 5 / 2 / 2
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 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
NGO Clinics/Facilities / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
Total / 3,245 / 1,465 / 1,780 / 827 / 7 / 5 / 2 / 2

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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 / 4052
Serial No. / ICD-10 Code with Disease name / No. of cases / %
1 / Y04 Assault by bodily force / 732 / 18.07
2 / A090 Other and unspecified gastroenteritis and colitis of infectious origin / 602 / 14.86
3 / A01 Typhoid and paratyphoid fevers / 492 / 12.14
4 / J16 Pneumonia due to other infectious organisms, NEC / 142 / 3.50
5 / X82 Intentional self-harm by crashing of motor vehicle / 99 / 2.44
6 / J45 Asthma / 97 / 2.39
7 / D63 Anaemia in chronic diseases classified elsewhere / 82 / 2.02
8 / J11 Influenza, virus not identified / 71 / 1.75
9 / N30 Cystitis / 62 / 1.53
10 / J47 Bronchiectasis / 55 / 1.36

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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 / 9
Serial No. / ICD-10 Code with Disease name / No. of cases / %
1 / P29 Cardiovascular disorders originating in the perinatal period / 2 / 22.22
2 / I21 Acute myocardial infarction / 2 / 22.22
3 / P21 Birth asphyxia / 1 / 11.11
4 / J45 Asthma / 1 / 11.11
5 / C81 Hodgkin's disease / 1 / 11.11
6 / I50 Heart failure / 1 / 11.11
7 / J16 Pneumonia due to other infectious organisms, NEC / 1 / 11.11
8 / 0 / 0.00
9 / 0 / 0.00
10 / 0 / 0.00

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Water & sanitation

Indicators / Upazila %
Coverage of households having access to safe drinking water (%) / 99.00
Coverage of households having access to sanitary latrines (%) / 97.00

Utilization of services at Upazila Health Complex

Indicators / Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) / 17,520
Bed Occupancy Rates (%) / 96.00
Average Length of Hospital Stay (No. of days per patient) / 4.38
Hospital Death Rate (%) / 0.25

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Surgeries & Interventions done in the Upazila Hospital

Type / No.
Major Surgeries / 0
Minor Surgeries / 345

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Status of Human Resources (Class wise)

Class / Sanctioned / Filled-up / Vacant / Vacancy %
M / F
UHC
Class I / Doctor / 9 / 4 / 1 / 4 / 44.44
Non Doctor / 0 / 0 / 0 / 0 / 0.00
Class II / 11 / 0 / 11 / 0 / 0.00
Class III / 107 / 63 / 38 / 6 / 5.61
Class IV / 19 / 13 / 5 / 1 / 5.26
Union Health & Family Welfare Center (under DGHS)
Class I / Doctor / 4 / 0 / 2 / 2 / 50.00
Non Doctor / 0 / 0 / 0 / 0 / 0.00
Class II / 0 / 0 / 0 / 0 / 0.00
Class III / 4 / 3 / 1 / 0 / 0.00
Class IV / 0 / 0 / 0 / 0 / 0.00
Union Sub Centers (USC)
Class I / Doctor / 5 / 2 / 1 / 2 / 40.00
Non Doctor / 0 / 0 / 0 / 0 / 0.00
Class II / 0 / 0 / 0 / 0 / 0.00
Class III / 10 / 4 / 1 / 5 / 50.00
Class IV / 5 / 4 / 0 / 1 / 20.00
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 / 33 / 20 / 11 / 2 / 6.06
Class IV / 0 / 0 / 0 / 0 / 0.00

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Status of Human Resources (Class wise)

Class / Sanctioned (No.) / Filled-up (No.) / Vacant (No.) / Vacancy %
M / F
Upazila Total
Class I / Doctor / 18 / 6 / 4 / 8 / 44.44
Non Doctor / 0 / 0 / 0 / 0 / 0.00
Class II / 11 / 0 / 11 / 0 / 0.00
Class III / 121 / 72 / 39 / 10 / 8.26
Class IV / 24 / 18 / 5 / 1 / 4.17
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

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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 / 0 / 0 / 9 / 5 / 0 / 0 / 4 / 0
Nurse / 0 / 0 / 0 / 0 / 10 / 10 / 0 / 0 / 10 / 0
Medical Assistant / 0 / 0 / 9 / 9 / 2 / 2 / 0 / 0 / 9 / 0
Medical Technologist / 0 / 0 / 0 / 0 / 5 / 5 / 0 / 0 / 0 / 0
CHCP / 33 / 31 / 0 / 0 / 0 / 0 / 0 / 0 / 31 / 0
HI / 0 / 0 / 0 / 0 / 3 / 3 / 0 / 0 / 0 / 0
AHI / 0 / 0 / 0 / 0 / 10 / 10 / 0 / 0 / 0 / 0
HA / 0 / 0 / 0 / 0 / 50 / 45 / 0 / 0 / 0 / 0
CSBA trained*** / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 17 / 0

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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) / 2 / 1 / 0 / 1 / 0
X-ray machine (500 mA) / 0 / 0 / 0 / 0 / 0
X-ray machine (digital) / 0 / 0 / 0 / 0 / 0
X-ray machine (portable) / 0 / 0 / 0 / 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 / 0 / 0 / 0 / 0 / 0
Autoclave / 0 / 0 / 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 / 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

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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 / 0 / 0 / 0 / 0 / 0
Pulse oximeter / 0 / 0 / 0 / 0 / 0
Dental equipment
Dental unit / 0 / 0 / 0 / 0 / 0
Gastroeneterology equipment
Endoscopy machine / 0 / 0 / 0 / 0 / 0
Laparoscopic machine / 0 / 0 / 0 / 0 / 0

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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) / 0 / 0 / 0 / 0 / 0
Colorimeter / 0 / 0 / 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) / 0 / 0 / 0 / 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 / 0 / 0 / 0 / 0 / 0
Phototherapy unit / 0 / 0 / 0 / 0 / 0

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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 / 0 / 0 / 0 / 0 / 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

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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) / 0 / 0 / 0 / 0 / 0
Generator
Generator (diesel/petrol) / 0 / 0 / 0 / 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) / 0 / 0 / 0 / 0 / 0
Laptop / 0 / 0 / 0 / 0 / 0
Printer (dot matrix) / 0 / 0 / 0 / 0 / 0
Printer (inkjet) / 0 / 0 / 0 / 0 / 0
Printer (laser) / 0 / 0 / 0 / 0 / 0
Scanner / 0 / 0 / 0 / 0 / 0
UPS / 0 / 0 / 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 / 0 / 0 / 0 / 0 / 0
Multimedia / 0 / 0 / 0 / 0 / 0

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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 / 0 / 0 / 0 / 0 / 0
Mobile phone / 0 / 0 / 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 / 2 / 1 / 0 / 1 / 0

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

Important information and necessary issues for Wazirpur Upazila Health Complex |

It is a great pleasure that I along with my colleges & subordinate staffs could complete the Health bulletin of Wazirpur upazila for the year 2013. This bulletin contains more or less all the information of the Health Services of Wazirpur. It also contains the demographic picture, description of Health facilities, sanctioning & existing manpower. Finlay I congratulate my colleges & staffs who work day & nigth to complete the Health bulletin. Dr. A K M Shamsuddin UH&FPO Wazirpur, Barisal.