Bakshiganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of bakshiganj upazila. This bulletin contains all the health related information of 2014. Published to disseminate the information of bakshiganj upazila Health related activities to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to take attention of the higher authority to look into this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Bakshiganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Bakshiganj
Organization Code
10000188
Name of UHFPO Dr. Md. Hibrul Bari
Land Phone No. 1
-0982256038
Land Phone No. 2
FAX No.
Mobile No.
01716867959
Email bakshiganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.1770 And
Long:
89.8700
No. of Unions in the Upazila 7
No. of Households in the Upazila 47,280
Population in the Upazila 206,062
Area of Upazila in sq km 204.00
Bakshiganj 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)
5
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
5
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
24
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
0
0
No. of NGO Clinics/Facilities
2
0
Bakshiganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,533
Under 5 Mortality Rate: 45.545 (Per 1,000 live births)
Infant Mortality Rate: 28.737 (Per 1,000 live births)
Neonatal Mortality Rate: 25.664 (Per 1,000 live births)
Still Birth Rate: 15.543 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,223
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98%
Bakshiganj 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:
12
Total No. of Recipients Who Took at least one ANC:
8,276
Total Number of Deliveries:
3,096
Valid TT Coverage: 50.00 %
Maternal Mortality Ratio (MMR) is:
216.88 per 100,000 live births.
Bakshiganj 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
32,757
31,765
64,522
12,822
11,128
23,950
88,472
8,812
6,958
15,770
1,087
995
2,082
17,852
Union Sub-Centres
18,442
17,553
35,995
6,545
5,452
11,997
47,992
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
13,525
12,187
25,712
4,720
4,322
9,042
34,754
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
55,895
112,948
168,843
16,565
17,050
33,615
202,458
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
920
3,825
4,745
825
842
1,667
6,412
0
0
0
0
0
0
0
Bakshiganj 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
1,675
2,158
3,833
224
265
489
4,322
9
8
17
2
1
3
20
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
Bakshiganj 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
4,302
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
925
21.50
2
O75 Other complications of labour and delivery, NEC
XV: Pregnancy, childbirth and the puerperium
423
9.83
3
V09 Pedestrian injured in other and unspecified transport accidents
XX: External causes of morbidity and mortality
375
8.72
4
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
310
7.21
5
A009 Cholera, unspecified
I: Certain infectious and parasitic diseases
288
6.69
6
A99 Unspecified viral haemorrhagic fever
I: Certain infectious and parasitic diseases
220
5.11
7
K352 Acute appendicitis with generalized peritonitis
XI: Diseases of the digestive system
192
4.46
8
J458 Mixed asthma
X: Diseases of the respiratory system
175
4.07
9
A527 Other symptomatic late syphilis
I: Certain infectious and parasitic diseases
125
2.91
10
I15 Secondary hypertension
IX: Diseases of the circulatory system
45
1.05
Bakshiganj 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
20
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
6
30.00
2
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
2
10.00
3
P21 Birth asphyxia
IX: Diseases of the circulatory system
2
10.00
4
J45 Asthma
X: Diseases of the respiratory system
2
10.00
5
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
2
10.00
6
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
2
10.00
7
J45 Asthma
X: Diseases of the respiratory system
1
5.00
8
R579 Shock, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
5.00
9
I110 Hypertensive heart disease with (congestive) heart failure
IX: Diseases of the circulatory system
1
5.00
10
K352 Acute appendicitis with generalized peritonitis
XI: Diseases of the digestive system
1
5.00
Bakshiganj 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 (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
11,071
Bed Occupancy Rates (%)
97.84
Average Length of Hospital Stay (No. of days per patient)
2.57
Hospital Death Rate (%)
0.46
Bakshiganj Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
525
Bakshiganj 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
3
2
5
50.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
7
3
30.00
Class III
53
43
10
0
0.00
Class IV
19
12
5
2
10.53
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
3
0
2
40.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
9
0
1
10.00
Class IV
5
4
0
1
20.00
Rural Dispensaries
Class I
Doctor
3
2
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
3
2
1
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
24
10
13
1
4.17
Class IV
0
0
0
0
0.00
Bakshiganj 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
18
8
3
7
38.89
Non Doctor
0
0
0
0
0.00
Class II
10
0
7
3
30.00
Class III
90
63
25
2
2.22
Class IV
24
16
5
3
12.50
Other Hospitals & Clinics
Class I
Doctor
0
6
0
-6
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
Bakshiganj 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
10
5
0
6
1
0
0
Nurse
0
0
0
0
10
7
0
0
2
2
0
Medical Assistant
0
0
8
8
2
2
0
0
7
0
0
Medical Technologist
0
0
5
4
8
8
0
0
0
0
0
CHCP
24
23
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
1
1
0
0
0
0
5
AHI
0
0
0
0
5
5
0
0
0
0
0
HA
0
0
0
0
25
25
0
0
0
0
0
Bakshiganj 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)
1
0
1
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
2
0
0
2
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
2
1
0
1
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
Bakshiganj 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
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
4
2
0
2
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
1
0
1
0
0
Bakshiganj 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
2
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
0
0
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Bakshiganj 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
1
1
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Bakshiganj 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)
0
0
0
0
0
Generator
Generator (diesel/petrol)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
2
2
0
0
0
ICT equipment
Computer (desktop)
8
7
1
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)
4
4
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
24
24
0
0
0
Multimedia
1
1
0
0
0
Bakshiganj 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
0
1
0
0
Total
69
58
6
5
0
Bakshiganj Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Bakshiganj Upazila Health Complex