Birampur Upazila Health Complex | Health Bulletin 2015 |
Preface
Bangladesh is one of the most densely populated and disaster-prone country in the world. Birampur Upazila is not an exception. Moreover there are many population of tribal origin, namely Tribe. The literacy rate and economical status of the Tribal population are very poor and, it is very challenging to provide health services to this population. In spite of this difficulties Birampur Upazila has made marked progress in health service development. It is a great pleasure that Birampur upazila received National Awards 2012 on safe motherhood for excellent performance on maternal health.
It is the third time that Birampur upazila has published a health Bulletin 2015 under ministry of health & family welfare.The Bulletin is mainly confined to the public health services. The present information is on four major ares, morbidity, mortality, resource availability and provision of services. The information revised and brought up to date to reflect as far as possible the situation during 2014.
I wish to place on record of my appreciation and grateful thanks to all officials who gave generously their time & knowledge, providing data. My thanks are also due to the valuable services rendered by the staff of medical statistics unit that has planed and co- coordinated the bulletin
Birampur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Birampur
Organization Code
10001189
Name of UHFPO Dr. Paritosh Chandra Das Gupta
Land Phone No. 1
-0532256445
Land Phone No. 2
FAX No.
Mobile No.
01716007790
Email birampur@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.2343 And
Long:
88.5915
No. of Unions in the Upazila 7
No. of Households in the Upazila 35,354
Population in the Upazila 170,339
Area of Upazila in sq km 211.81
Birampur 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
0
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
6
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
21
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
7
56
No. of NGO Clinics/Facilities
1
100
Birampur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,143
Under 5 Mortality Rate: 30.544 (Per 1,000 live births)
Infant Mortality Rate: 22.590 (Per 1,000 live births)
Neonatal Mortality Rate: 10.181 (Per 1,000 live births)
Still Birth Rate: 16.545 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 9,307
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98%
Birampur 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:
4
Total No. of Recipients Who Took at least one ANC:
2,970
Total Number of Deliveries:
3,195
Valid TT Coverage: 60.00 %
Maternal Mortality Ratio (MMR) is:
127.27 per 100,000 live births.
Birampur 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
38,274
44,508
82,782
1,453
1,529
2,982
85,764
3,238
3,518
6,756
227
273
500
7,256
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)
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
53,487
97,797
151,284
8,381
8,669
17,050
168,334
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
Birampur 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
1,895
2,955
4,850
169
335
504
5,354
9
7
16
4
3
7
23
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
Birampur 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
5,354
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
820
15.32
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
492
9.19
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
479
8.95
4
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
350
6.54
5
J45 Asthma
X: Diseases of the respiratory system
185
3.46
6
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
165
3.08
7
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
159
2.97
8
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
145
2.71
9
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
125
2.33
10
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
97
1.81
Birampur 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
23
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I516 Cardiovascular disease, unspecified
IX: Diseases of the circulatory system
4
17.39
2
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
3
13.04
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
IX: Diseases of the circulatory system
2
8.70
4
B82 Unspecified intestinal parasitism
I: Certain infectious and parasitic diseases
2
8.70
5
J45 Asthma
X: Diseases of the respiratory system
2
8.70
6
E14 Unspecified diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
1
4.35
7
O72 Postpartum haemorrhage
XV: Pregnancy, childbirth and the puerperium
1
4.35
8
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
1
4.35
9
G04 Encephalitis, myelitis and encephalomyelitis
VI: Diseases of the nervous system
1
4.35
10
A064 Amoebic liver abscess
I: Certain infectious and parasitic diseases
1
4.35
Birampur Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
91.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
9,331
Bed Occupancy Rates (%)
82.47
Average Length of Hospital Stay (No. of days per patient)
1.74
Hospital Death Rate (%)
0.43
Birampur Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
1,556
Minor Surgeries
1,403
Birampur 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
3
3
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
12
0
11
1
8.33
Class III
57
42
13
2
3.51
Class IV
19
15
4
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
1
0
1
0
0.00
Non Doctor
1
1
0
0
0.00
Class II
2
0
1
1
50.00
Class III
68
8
37
23
33.82
Class IV
12
5
7
0
0.00
Rural Dispensaries
Class I
Doctor
7
3
3
1
14.29
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
6
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
21
12
8
1
4.76
Class IV
0
0
0
0
0.00
Birampur 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
16
6
6
4
25.00
Non Doctor
0
0
0
0
0.00
Class II
12
0
11
1
8.33
Class III
64
48
14
2
3.13
Class IV
19
15
4
0
0.00
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
Birampur 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
6
9
6
0
0
0
1
0
Nurse
0
0
0
0
12
11
0
0
4
4
0
Medical Assistant
0
0
7
7
2
2
0
0
9
0
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
0
CHCP
21
20
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
5
5
0
0
0
0
0
HA
0
0
0
0
30
29
0
0
0
0
4
Birampur 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
1
0
0
0
Ultrasonogram machine
2
1
0
0
1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
1
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
2
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
0
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
5
3
1
1
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
3
1
2
0
0
Sucker machine (electric)
3
2
1
0
0
Ventilator
0
0
0
0
0
Birampur 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
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
4
1
0
3
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Birampur 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
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
2
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Birampur 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
2
1
1
0
0
Refrigerator
2
2
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Birampur 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)
3
3
0
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
0
1
0
Printer (laser)
4
4
0
0
0
Scanner
1
1
0
0
0
UPS
5
4
1
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
Birampur 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
1
1
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
72
57
9
5
1
Birampur Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Birampur Upazila Health Complex
Despite progress in comprehensive essential obstetric care services many other health indicators need to be improved. To provide Health services to the population we are facing several constraints, notable scarcity of manpower .To improve child survival and maternal health, consultant post of pediatrician should be filled up. Medical equipments and logistic support should be continued in a timely fashion. Repairable instruments should be repaired immediately. Health Complex is over crowded by older unusable materials. It should be quickly disposed. Doctor and nurses need more training on IMCI, communicable and non-communicable diseases. Finally, I am very happy to publish this health bulletin 2015, because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement.
