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Bholahat Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of my upazila .This bulletin will help us to find constrains, result and achivement of 2014. Dr.Tofiqul Islam Md.Belal UHFPO Bholahat,ChapaiNawabganj
Dr.Tofiqul Islam Md.Belal
UH&FPO
Bholahat Upazila Health Complex

Bholahat Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bholahat
Organization Code 10001163
Name of UHFPO Dr.Tofiqul Islam Md.Belal
Land Phone No. 1 -0782256028
Land Phone No. 2
FAX No.
Mobile No. 01711578618
Email bholahat@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.9360 And Long: 88.2220
No. of Unions in the Upazila4
No. of Households in the Upazila 21,420
Population in the Upazila 111,706
Area of Upazila in sq km 365.00

Bholahat 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) 3 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 2 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 9 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 1 0
No. of NGO Clinics/Facilities 0 0

Bholahat Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,119


Under 5 Mortality Rate: 0.000 (Per 1,000 live births)
Infant Mortality Rate: 0.000 (Per 1,000 live births)
Neonatal Mortality Rate: 0.000 (Per 1,000 live births)
Still Birth Rate: 5.663 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,320
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Bholahat 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: 0
Total No. of Recipients Who Took at least one ANC: 2,198
Total Number of Deliveries: 2,010
Valid TT Coverage: 40.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Bholahat 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 24,184 28,122 52,306 2,289 2,752 5,041 57,347 1,102 1,411 2,513 300 236 536 3,049
Union Sub-Centres 6,379 7,120 13,499 3,155 1,922 5,077 18,576 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 23,819 69,350 93,169 2,678 3,235 5,913 99,082 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

Bholahat 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 1,055 1,994 3,049 229 188 417 3,466 13 4 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

Bholahat 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 3,466
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 854 24.64
2 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 558 16.10
3 J45 Asthma X: Diseases of the respiratory system 208 6.00
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 188 5.42
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 150 4.33
6 F41 Other anxiety disorders V: Mental and behavioural disorders 126 3.64
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 89 2.57
8 V021 Pedestrian injured in collision with two- or three-wheeled motor vehicle, traffic accident XX: External causes of morbidity and mortality 50 1.44
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 55 1.59
10 X40 Accidental poisoning by and exposure to nonopioid analgesics, antipyretics and antirheumatics XX: External causes of morbidity and mortality 32 0.92

Bholahat 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 J45 Asthma X: Diseases of the respiratory system 4 20.00
2 I21 Acute myocardial infarction IX: Diseases of the circulatory system 2 10.00
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2 10.00
4 I674 Hypertensive encephalopathy IX: Diseases of the circulatory system 2 10.00
5 I152 Hypertension secondary to endocrine disorders IX: Diseases of the circulatory system 1 5.00
6 A41 Other septicaemia I: Certain infectious and parasitic diseases 1 5.00
7 C169 Stomach, unspecified II: Neoplasms 1 5.00
8 R031 Nonspecific low blood-pressure reading XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.00
9 Q643 Other atresia and stenosis of urethra and bladder neck XVII: Congenital malformations, deformations and chromosomal abnormalities 1 5.00
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 5.00

Bholahat 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 (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,204
Bed Occupancy Rates (%) 81.34
Average Length of Hospital Stay (No. of days per patient) 2.66
Hospital Death Rate (%) 0.58


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 109

 

Bholahat 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 9 4 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 1 8 1 10.00
Class III 40 30 6 4 10.00
Class IV 20 13 5 2 10.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 1 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 3 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
Class IV 1 1 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 10 6 3 1 10.00
Class IV 0 0 0 0 0.00

 

Bholahat 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 13 6 2 5 38.46
Non Doctor 0 0 0 0 0.00
Class II 10 1 8 1 10.00
Class III 55 40 10 5 9.09
Class IV 20 14 5 1 5.00
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

 

Bholahat 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 4 4 9 4 0 0 1 0 0
Nurse 0 0 0 0 11 9 0 0 0 0 0
Medical Assistant 0 0 4 4 2 2 0 0 3 0 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0 0
CHCP 10 9 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 1 0 0 0 0 0 4
AHI 0 0 0 0 3 3 0 0 0 0 0
HA 0 0 0 0 15 14 0 0 0 0 0

Bholahat 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 2 1 0 1 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 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Bholahat 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 2 1 0 0 1
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Bholahat 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 0 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 1 0 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Bholahat 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 2 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Bholahat 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) 1 1 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 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 4 0 1 0
Scanner 1 1 0 0 0
UPS 4 4 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 11 11 0 0 0
Multimedia 0 0 0 0 0


Bholahat 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 55 45 6 3 1

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

Important information and necessary issues for Bholahat Upazila Health Complex
I am very glad to publish this health bulletin of my upazila.This health bulletin includes all the health related information of 2015.All the information of this health bulletin will help for planning and bridging the gap in health services.This health bulletin stores many data and information of government health offices.This bulletin will help us to find constrains,result and achivement of 2014.This bulletin gives us information about safe drinking water,sanitation,EPI status,condition of community clinics,MDG target,sanctioned and vacant post of my upazila. Dr.Tofiqul Islam Md.Belal UH&FPO Bholahat Upazila Health Complex,ChapaiNawabganj.