Birganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this e-health bulletin 2015 of Birganj Upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Birganj upazila 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. Government health office has many data stored in the file. This e-health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulleting 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 2015. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Hope we will be able to serve a better Bulletin in the next Time. Thanks to MIS, DG, Health and all our health workers for their kind Cooperation in printing this matter
Dr. Md. Nurul Aziz
UH&FPO
Birganj Upazila Health Complex
Birganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Birganj
Organization Code
10001193
Name of UHFPO Dr. Md. Nurul Aziz
Land Phone No. 1
-0532372227
Land Phone No. 2
FAX No.
Mobile No.
01715170258
Email birganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
25.5247 And
Long:
88.3809
No. of Unions in the Upazila 11
No. of Households in the Upazila 70,594
Population in the Upazila 316,789
Area of Upazila in sq km 413.75
Birganj 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
2
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)
10
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
33
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
3
0
No. of NGO Clinics/Facilities
0
0
Birganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,271
Under 5 Mortality Rate: 41.208 (Per 1,000 live births)
Infant Mortality Rate: 30.672 (Per 1,000 live births)
Neonatal Mortality Rate: 23.180 (Per 1,000 live births)
Still Birth Rate: 10.068 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 63,971
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 93%
Birganj 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:
7
Total No. of Recipients Who Took at least one ANC:
4,273
Total Number of Deliveries:
4,314
Valid TT Coverage: 47.00 %
Maternal Mortality Ratio (MMR) is:
163.90 per 100,000 live births.
Birganj 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
28,337
41,002
69,339
3,040
3,371
6,411
75,750
2,140
2,013
4,153
341
317
658
4,811
Union Sub-Centres
16,764
23,384
40,148
6,119
6,713
12,832
52,980
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
95,154
117,144
212,298
43,134
47,016
90,150
302,448
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
Birganj 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
1,334
1,710
3,044
289
257
546
3,590
9
3
12
1
0
1
13
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
Birganj 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
3,590
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y009 Assault by blunt object, unspecified place
XX: External causes of morbidity and mortality
715
19.92
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
415
11.56
3
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
219
6.10
4
X68 Intentional self-poisoning by and exposure to pesticides
XX: External causes of morbidity and mortality
185
5.15
5
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
169
4.71
6
J46 Status asthmaticus
X: Diseases of the respiratory system
163
4.54
7
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
90
2.51
8
D509 Iron deficiency anaemia, unspecified
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
58
1.62
9
T30 Burn and corrosion, body region unspecified
XIX: Injury, poisoning and certain other consequences of external causes
12
0.33
10
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
7
0.19
Birganj 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
13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J46 Status asthmaticus
X: Diseases of the respiratory system
6
46.15
2
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
2
15.38
3
I21 Acute myocardial infarction
X: Diseases of the respiratory system
1
7.69
4
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
1
7.69
5
J46 Status asthmaticus
X: Diseases of the respiratory system
1
7.69
6
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
1
7.69
7
J96 Respiratory failure, NEC
X: Diseases of the respiratory system
1
7.69
8
0
0.00
9
0
0.00
10
0
0.00
Birganj Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
8,804
Bed Occupancy Rates (%)
77.81
Average Length of Hospital Stay (No. of days per patient)
2.45
Hospital Death Rate (%)
0.36
Birganj Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
897
Birganj 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
5
1
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
78
46
23
9
11.54
Class IV
19
16
3
0
0.00
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
10
4
4
2
20.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
12
6
3
3
25.00
Class IV
2
2
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
33
12
21
0
0.00
Class IV
0
0
0
0
0.00
Birganj 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
19
9
5
5
26.32
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
123
66
44
13
10.57
Class IV
21
18
3
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
Birganj 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
10
8
9
6
0
0
0
0
0
Nurse
0
0
0
0
12
10
0
0
6
8
0
Medical Assistant
0
0
10
7
2
2
0
0
0
0
0
Medical Technologist
0
0
0
0
6
5
0
0
0
0
0
CHCP
33
33
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
9
9
0
0
0
0
0
HA
0
0
0
0
45
39
0
0
0
0
6
Birganj 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)
2
1
0
1
0
X-ray machine (300 mA)
2
1
1
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
1
0
1
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
1
1
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
1
1
0
0
Operating microscope
6
3
1
2
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
8
4
2
2
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)
6
3
0
3
0
Ventilator
6
3
0
3
0
Birganj 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
6
3
2
1
0
Pulse oximeter
2
1
1
0
0
Dental equipment
Dental unit
2
1
0
1
0
Birganj 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)
4
2
2
0
0
Colorimeter
2
1
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
10
5
2
3
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Birganj 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
Birganj 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)
2
1
0
1
0
Generator
Generator (diesel/petrol)
2
1
1
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)
10
5
4
1
0
Laptop
3
2
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
9
3
3
3
0
Scanner
2
1
1
0
0
UPS
0
0
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
0
0
0
0
0
Multimedia
2
1
1
0
0
Birganj 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
2
1
1
0
0
Mobile phone
2
1
1
0
0
Total
101
50
29
22
0
Birganj Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Birganj Upazila Health Complex
Birganj UHC has been upgraded from 31 Bed to 50 Bed and handed over on 20th Sept/2012, although not yet permitted to deliver the services to the patients as 50 Bed hospital. Now this hospital is waiting for inaugarotion by the Honourable Prime Minister of People's Republic of Bangladesh as 50 bed hospital very soon.
To deliver the services to the patients as 50 Bed hospital following essential measures should be taken immediately-
A. posting of:-
1. consultant/specialists ( Gynae & Obs, Anaesthesia).
2. Dental Surgeon.
3. Nursing Superviser.
4. Other Staffs.
B:-
1. Well equiped Operation theatre.
2. Essential instruments for performing operations.
3. Anesthesia machine and necessary drugs related with anesthesia.
C:-
1. A New AMBULANCE.
D:-
1. Medical equipments and logistic support should be continued in a timely fashion.
2. Repairable instruments should be repaired immediately (e.g- X-ray machine, Sucker machine, Microscope etc.)
E:-
Doctor and nurses need more training on IMCI, EOC, communicable and non-communicable diseases.
Finally, I am very happy to write 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 advices for our improvement
