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Barhatta Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish Barhatta Upazila Health bulletin of 2015.This bulletin contains all the health related information of 2014 of Barhatta Upazila.This Provides information to other line deparment partners of health.I hope all the information of this Bulletin will help for planing & filluping the gaps in health service of this Upazila.The bulletin contains the Status of MDG4 &MDG5 alongwith other data which will help to reach MDG targets.This bulletin with help to rearange the health service status of Barhatta Upazila .It is a complex process to prepare this bulletin by collection of data of whole year , compilating them & presented in this bulletin.So I would like to thank HA,AHI,HI,SI,Statistician & other related persons to collected data for this bulletin.I also congratulate the initiator of this health bulletin software for making digital healthservice in Bangladesh . Dr. Md. Abu Yusuf UHFPO Barhatta,Netrakona .
Dr.Md.Abu Yusuf
UH&FPO
Barhatta Upazila Health Complex

Barhatta Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Barhatta
Organization Code 10000468
Name of UHFPO Dr.Md.Abu Yusuf
Land Phone No. 1 -0952356014
Land Phone No. 2
FAX No.
Mobile No. 01711478388
Email barhatta@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.5373 And Long: 90.5300
No. of Unions in the Upazila7
No. of Households in the Upazila 37,291
Population in the Upazila 179,812
Area of Upazila in sq km 220.50

Barhatta 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 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 0 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 19 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 1 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 0 0

Barhatta Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,948


Under 5 Mortality Rate: 29.305 (Per 1,000 live births)
Infant Mortality Rate: 25.869 (Per 1,000 live births)
Neonatal Mortality Rate: 21.221 (Per 1,000 live births)
Still Birth Rate: 17.381 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 6,252
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Barhatta 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: 14
Total No. of Recipients Who Took at least one ANC: 4,683
Total Number of Deliveries: 762
Valid TT Coverage: 81.00 %
Maternal Mortality Ratio (MMR) is: 282.94 per 100,000 live births.

Barhatta 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 19,147 35,379 54,526 7,398 7,107 14,505 69,031 2,408 1,533 3,941 981 797 1,778 5,719
Union Sub-Centres 2,850 4,023 6,873 1,251 1,764 3,015 9,888 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) 8,393 47,309 55702 5,444 4,888 10,332 66,034 0 0 0 0 0 0 10,332
Community Clinics 60,613 108,405 169,018 8,030 9,570 17,600 186,618 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) 170 83 253 1 1 2 255 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

Barhatta 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 1,418 1,487 2,905 402 320 722 3,627 13 4 17 2 0 2 19
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

Barhatta 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 3,556
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 622 17.49
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 581 16.34
3 T146 Injury of muscles and tendons of unspecified body region XIX: Injury, poisoning and certain other consequences of external causes 402 11.30
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 344 9.67
5 E639 Nutritional deficiency, unspecified IV: Endocrine, nutritional and metabolic diseases 219 6.16
6 J459 Asthma, unspecified X: Diseases of the respiratory system 173 4.87
7 T189 Foreign body in alimentary tract, part unspecified XIX: Injury, poisoning and certain other consequences of external causes 81 2.28
8 T96 Sequelae of poisoning by drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 56 1.57
9 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 36 1.01
10 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 35 0.98

Barhatta 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 18
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J189 Pneumonia, unspecified X: Diseases of the respiratory system 3 16.67
2 I688 Other cerebrovascular disorders in diseases classified elsewhere IX: Diseases of the circulatory system 3 16.67
3 I159 Secondary hypertension, unspecified X: Diseases of the respiratory system 3 16.67
4 I469 Cardiac arrest, unspecified IX: Diseases of the circulatory system 3 16.67
5 K769 Liver disease, unspecified XI: Diseases of the digestive system 2 11.11
6 J45 Asthma X: Diseases of the respiratory system 1 5.56
7 V392 Unspecified occupant of three-wheeled motor vehicle injured in collision with other and unspecified motor vehicles in nontraffic accident XX: External causes of morbidity and mortality 1 5.56
8 A014 Paratyphoid fever, unspecified I: Certain infectious and parasitic diseases 1 5.56
9 O720 Third-stage haemorrhage XV: Pregnancy, childbirth and the puerperium 1 5.56
10 E748 Other specified disorders of carbohydrate metabolism IV: Endocrine, nutritional and metabolic diseases 1 5.56

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 84.00
Coverage of households having access to sanitary latrines (%) 75.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 6,301
Bed Occupancy Rates (%) 55.69
Average Length of Hospital Stay (No. of days per patient) 1.70
Hospital Death Rate (%) 1.11


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 2,306

 

Barhatta 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 8 3 -1 -10.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 8 2 20.00
Class III 64 39 15 10 15.63
Class IV 19 9 4 6 31.58
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 7 5 0 2 28.57
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 4 1 3 37.50
Class IV 1 0 0 1 100.00
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 20 11 8 1 5.00
Class IV 0 0 0 0 0.00

 

Barhatta 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 17 13 3 1 5.88
Non Doctor 0 0 0 0 0.00
Class II 10 0 8 2 20.00
Class III 92 54 24 14 15.22
Class IV 20 9 4 7 35.00
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

 

Barhatta 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 7 5 10 6 0 5 0 0 0
Nurse 0 0 0 0 11 8 0 0 4 0 0
Medical Assistant 0 0 7 5 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0 0
CHCP 19 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 2 2 0 0
AHI 0 0 0 0 0 0 7 7 6 0 0
HA 0 0 0 0 0 0 34 27 27 0 8

Barhatta 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) 1 0 1 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 1 0 1 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 1 1 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 0 1 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 5 3 0 2 0
Ventilator 0 0 0 0 0


Barhatta 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 4 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 2 1 1 0 0


Barhatta 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) 2 2 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 2 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Barhatta 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 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Barhatta 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 0 1 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) 8 7 1 0 0
Laptop 4 4 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 2 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 0 6 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


Barhatta 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 58 39 15 4 0

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

Important information and necessary issues for Barhatta Upazila Health Complex
Constrain to Provide good health service in Barhatta Upazila:- There are some constrains to provide good health service in Barhatta Upazila as some HA post are Vaccant ,these are hard to reach area to cover health issues . Less CSBA training for female health worker, there isno/less equipments supplied in community clinic for delevery of baby as training,Nofour wheeler car for Supervisors for supervision of field work. Mostly as the UHC is not 50(fifty)beds hospital. So service facility is less. (Dr. Md. Abu yusuf) UH&FPO Barhatta,Netrakona.