Bhaluka Upazila Health Complex | Health Bulletin 2015 |
Preface
I am highly glad to publish the Health bulletin of UHC Bhaluka, Mymensingh. This health bulletin reflects all the health and health related information of 2014 at Bhaluka. This bulletin is published to disseminate the information of Bhaluka Upazila to other line department and development partners of health . I hope all the information of thisbulletin will help for local level planning and bridging the gaps in health Services of this Upazila. Government health office has many data stored in the file .This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin bears health infrastructure and Services delivery of Bhluka. It contains the Status of MDG 4 and MDG5 which will help to localize the MDG targets. The bulletin has also depicted the Status of kala-azar ,EPI,EOC Services Service of Trauma centre and demonstrate on safe d irking water and Sanitation Statusof the Upazila . All the Sanctioned and Vacant Posts are published in the bulletin of 2014. I like to take attention of the higher authority to look into this issue .Finally I would like to congratulate the irritation of the health bulletin Software for setting us on step a head to ward
Digital Bangladesh.
DR.A.K..M. MONJURUL HOQE
UH&FPO
BHALUKA,MYMENSINGH>
Bhaluka Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Bhaluka
Organization Code
10000352
Name of UHFPO Dr.A.K.M. MONJURUL HOQE
Land Phone No. 1
0-0902256031
Land Phone No. 2
FAX No.
Mobile No.
01816647048
Email bhaluka@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.4560 And
Long:
93.4560
No. of Unions in the Upazila 11
No. of Households in the Upazila 99,024
Population in the Upazila 399,722
Area of Upazila in sq km 442.75
Bhaluka 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
3
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
7
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
41
0
No of Trauma Centres
1
20
No. of MCWCs (belongs to DGFP)
0
0
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
3
30
No. of NGO Clinics/Facilities
2
0
Bhaluka Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,070
Under 5 Mortality Rate: 49.690 (Per 1,000 live births)
Infant Mortality Rate: 31.970 (Per 1,000 live births)
Neonatal Mortality Rate: 22.553 (Per 1,000 live births)
Still Birth Rate: 17.720 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 18,876
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 96%
Bhaluka 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:
15
Total No. of Recipients Who Took at least one ANC:
11,435
Total Number of Deliveries:
5,791
Valid TT Coverage: 24.00 %
Maternal Mortality Ratio (MMR) is:
185.87 per 100,000 live births.
Bhaluka 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
9,925
9,826
19,751
5,246
4,939
10,185
29,936
45,321
3,401
48,722
1,734
1,354
3,088
51,810
Union Sub-Centres
10,213
19,324
29,537
5,267
3,214
8,481
38,018
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
0
0
0
0
0
0
0
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
66,134
86,513
152,647
18,345
22,920
41,265
193,912
0
0
0
0
0
0
0
Trauma Centres
5,667
3,641
9,308
1,729
2,315
4,044
13,352
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
Bhaluka 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
2,084
3,836
5,920
1,478
0
1,478
7,398
9
5
14
1
0
1
15
Trauma Centres
155
93
248
35
0
35
283
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
Bhaluka 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
5,920
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
1234
20.84
2
E539 Vitamin B deficiency, unspecified
IV: Endocrine, nutritional and metabolic diseases
961
16.23
3
R509 Fever, unspecified
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
673
11.37
4
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
379
6.40
5
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
299
5.05
6
E46 Unspecified protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
256
4.32
7
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
232
3.92
8
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
184
3.11
9
J45 Asthma
X: Diseases of the respiratory system
161
2.72
10
D539 Nutritional anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
87
1.47
Bhaluka 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
15
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
5
33.33
2
I159 Secondary hypertension, unspecified
IX: Diseases of the circulatory system
3
20.00
3
J18 Pneumonia, organism unspecified
XX: External causes of morbidity and mortality
2
13.33
4
T07 Unspecified multiple injuries
XIX: Injury, poisoning and certain other consequences of external causes
2
13.33
5
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
2
13.33
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Bhaluka Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
96.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
18,929
Bed Occupancy Rates (%)
103.72
Average Length of Hospital Stay (No. of days per patient)
3.20
Hospital Death Rate (%)
0.25
Bhaluka Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
1,245
Minor Surgeries
4,154
Bhaluka 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
22
18
4
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
19
4
15
0
0.00
Class III
122
69
15
38
31.15
Class IV
22
16
2
4
18.18
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
6
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
3
5
0
0.00
Class IV
0
0
0
0
0.00
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
6
6
0
0
0.00
Class IV
3
3
3
-3
-100.00
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
16
17
0
0.00
Class IV
0
0
0
0
0.00
Bhaluka 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
35
21
7
7
20.00
Non Doctor
0
0
0
0
0.00
Class II
19
4
15
0
0.00
Class III
122
69
28
25
20.49
Class IV
28
16
2
10
35.71
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
Bhaluka 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
11
11
22
18
3
3
2
0
0
Nurse
0
0
0
0
15
15
3
3
3
4
0
Medical Assistant
0
0
11
11
2
2
0
0
5
0
0
Medical Technologist
0
0
0
0
8
4
0
0
0
0
0
CHCP
33
33
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
0
AHI
0
0
0
0
12
12
0
0
0
0
0
HA
0
0
0
0
60
46
0
0
0
0
8
Bhaluka 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)
0
0
0
0
0
X-ray machine (300 mA)
4
2
1
1
0
Ultrasonogram machine
2
1
1
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
6
3
3
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
6
3
2
1
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
6
3
3
0
0
Operating microscope
4
2
2
0
0
Ceiling mounting OT Light
4
2
2
0
0
Portable OT Light
2
1
1
0
0
Fracture table
2
1
1
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
4
2
2
0
0
Sucker machine (electric)
10
5
5
0
0
Ventilator
10
5
5
0
0
Bhaluka 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
4
2
2
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
1
1
0
0
Bhaluka 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
10
5
5
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
2
2
0
0
Pediatric equipment
Baby incubator
2
1
1
0
0
Phototherapy unit
0
0
0
0
0
Bhaluka 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
2
1
1
0
0
Vehicles
Ambulance
2
1
1
0
0
Bhaluka 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)
24
12
12
0
0
Generator
Generator (diesel/petrol)
4
2
2
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)
14
7
7
0
0
Laptop
76
38
38
0
0
Printer (dot matrix)
2
1
1
0
0
Printer (inkjet)
4
2
2
0
0
Printer (laser)
10
5
5
0
0
Scanner
6
3
3
0
0
UPS
14
7
7
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
2
1
1
0
0
Bhaluka 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
2
1
1
0
0
PA system (Sound)
0
0
0
0
0
Land phone
2
1
1
0
0
Mobile phone
2
1
1
0
0
Total
247
124
121
2
0
Bhaluka Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Bhaluka Upazila Health Complex
Important information and necessary issues for Bhaluka Upazila Health Complex
By the year 2015 We could give maximum efforts for betterment of health status in our upazila and won the national award for the contribution in Emoc in Bangladesh. Bhaluka is a kala-azar prone endemic area. Cases are decreasing day by day due to availability of drugs , pathological facilities and skill manpower .Beside this first IRS installment already finished recently . Two kala-azar research project working here under the guidance of BMRC . I desire to mention few important topics which will help our mission to achieve our vision . (1) There should be a local emergency fund to manage emergency situation. (2) Our doctors and auxiliary staff need more training on IMCI and basic EOC. (3) Skill man power transfer should be stopped without informing local authority ‘ (4) Proposed another 20 C.C should be completed and hand over as soon as possible . (5) We need to fill up 3rd and 4th class vacant post . Finally we are very happy to write this health bulletin of 2013. It will help us to depict our progress and compare with other upazila of Bangladesh. This is the first documented health bulletin which will help the people to realize the health status and health services .By this booklet we enter into a new area.
