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Bhanga Upazila Health Complex | Health Bulletin 2015 |
Preface
Bhanga is a well known and important Upazila of Faridpur district.It is the gateway of 17 important districts of southern part of Bangladesh.It is 30 km south from Faridpur.It has 12 union with 228 villages with 49,834 households.The population is around 2,85,845. People depend mainly on agriculture, fishing ,business.Most of the houses are made of mud and the socio economic condition is average.Most of the people uses safe drinking water and have sanitary latrine.The admission of primary level children (5-10 years) is about 99%.Upazila health complex is located in the south west region and the Kumer main river passes beside the health complex. I want to show my thanks and gratitude to my colleague who extend their experienced hands in publishing this Health Bulletin. Moreover i pay my cordial respect to Director ,MIS and Civil Surgeon, Faridpur for encouraging me in this issue.
Dr.Md.Emran Ali
UH&FPO
Bhanga Upazila Health Complex

Bhanga Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bhanga
Organization Code 10000089
Name of UHFPO Dr.Md.Emran Ali
Land Phone No. 1 -0632356121
Land Phone No. 2
FAX No.
Mobile No. 01771724917
Email bhanga@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila12
No. of Households in the Upazila 49,834
Population in the Upazila 285,845
Area of Upazila in sq km 216.35

Bhanga 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 50
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 0 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 4 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 30 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 4 0
No. of NGO Clinics/Facilities 0 0

Bhanga Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,056


Under 5 Mortality Rate: 25.099 (Per 1,000 live births)
Infant Mortality Rate: 21.631 (Per 1,000 live births)
Neonatal Mortality Rate: 18.494 (Per 1,000 live births)
Still Birth Rate: 15.852 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 26,902
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months):

Bhanga 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: 3
Total No. of Recipients Who Took at least one ANC: 6,585
Total Number of Deliveries: 6,152
Valid TT Coverage: 13.00 %
Maternal Mortality Ratio (MMR) is: 49.54 per 100,000 live births.

Bhanga 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 12,677 17,114 29,791 2,856 3,759 6,615 36,406 3,152 4,315 7,467 852 701 1,553 9,020
Union Sub-Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 13,445 14,575 28,020 1,985 2,841 4,826 32,846 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 35,194 82,721 117,915 8,176 11,240 19,416 137,331 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

Bhanga 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 2,496 3,008 5,504 204 170 374 5,878 9 7 16 0 0 0 16
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

Bhanga 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 5,878
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A060 Acute amoebic dysentery I: Certain infectious and parasitic diseases 476 8.10
2 K297 Gastritis, unspecified XI: Diseases of the digestive system 1345 22.88
3 J459 Asthma, unspecified X: Diseases of the respiratory system 345 5.87
4 T201 Burn of first degree of head and neck XIX: Injury, poisoning and certain other consequences of external causes 67 1.14
5 V165 Pedal cyclist injured in collision with other nonmotor vehicle, passenger, traffic accident XX: External causes of morbidity and mortality 714 12.15
6 R104 Other and unspecified abdominal pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1214 20.65
7 K598 Other specified functional intestinal disorders XI: Diseases of the digestive system 532 9.05
8 O809 Single spontaneous delivery, unspecified XV: Pregnancy, childbirth and the puerperium 624 10.62
9 P229 Respiratory distress of newborn, unspecified XVI: Certain conditions originating in the perinatal period 167 2.84
10 X858 Assault by drugs, medicaments and biological substances, other specified places XX: External causes of morbidity and mortality 394 6.70

Bhanga 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 16
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 V061 Pedestrian injured in collision with other nonmotor vehicle, traffic accident XX: External causes of morbidity and mortality 1 6.25
2 R092 Respiratory arrest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 12.50
3 I21 Acute myocardial infarction XX: External causes of morbidity and mortality 3 18.75
4 R104 Other and unspecified abdominal pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 12.50
5 J459 Asthma, unspecified X: Diseases of the respiratory system 6 37.50
6 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 2 12.50
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Bhanga Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
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.) 24,573
Bed Occupancy Rates (%) 134.65
Average Length of Hospital Stay (No. of days per patient) 4.10
Hospital Death Rate (%) 0.20


Bhanga Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 17
Minor Surgeries 3,245

 

Bhanga 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 21 8 4 9 42.86
Non Doctor 0 0 0 0 0.00
Class II 16 2 13 1 6.25
Class III 90 31 19 40 44.44
Class IV 25 17 4 4 16.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 5 1 2 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 7 1 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 30 9 18 3 10.00
Class IV 0 0 0 0 0.00

 

Bhanga 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 29 13 5 11 37.93
Non Doctor 0 0 0 0 0.00
Class II 16 1 13 2 12.50
Class III 130 57 38 35 26.92
Class IV 25 17 4 4 16.00
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

 

Bhanga 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 8 6 21 12 0 0 1 2 0
Nurse 0 0 0 0 14 13 0 0 1 5 0
Medical Assistant 0 0 8 8 2 1 0 0 8 0 0
Medical Technologist 0 0 0 0 8 3 0 0 0 0 0
CHCP 30 27 0 0 0 0 0 0 0 0 14
HI 0 0 0 0 3 2 0 0 0 0 14
AHI 0 0 0 0 10 10 0 0 0 0 0
HA 0 0 0 0 50 33 0 0 0 0 0

Bhanga 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) 2 1 0 1 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 1 1 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 1 1 0 0 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 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 3 3 0 0 0


Bhanga 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 3 3 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Bhanga 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 1 1 0 0 0
Centrifuge machine (electric) 2 2 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Bhanga 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 1 1 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 2 2 0 0 0


Bhanga 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) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 6 6 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 6 0 0 0
Scanner 1 1 0 0 0
UPS 7 7 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Bhanga 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 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 63 62 0 1 0

Bhanga Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Bhanga Upazila Health Complex
I have been serving this upazila as an UH&FPO for last four and half years.We gave our maximum efforts to improve the health status.we have crossed the landmark of the goverment proposed target of various issues like MMR NMR etc.we are commited to make the bhanga U.H.C. as a patient friendly hospital and a service center of excellence by exploring inner potentiality and patriotism of our experienced and enthusiastic doctors.