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Bhurungamari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of our upazila.This bulletin contains all the health related information of 2014.I hope all the information of this bulletin will help to planning and better health services of this upazila.This health bulletin will be help us to find out and also to see the results and achievement of 2014.The bulleting contains the status of MDG 4 and MDG 5 which will help to achieve the MDG target.This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts published in this health bulletin 2015. I like to take attention of the higher authority to look after these problems. which is help us to give better health services in this upazila. Dr. Nasreen Begum UH&FPO Bhurungamari Upazila Health Complex. Dist.Kurigram. Dr. Nasreen UH&FPO Bhurungamari Upazila Health Complex
Dr. Nasreen Begum.
UH&FPO
Bhurungamari Upazila Health Complex

Bhurungamari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bhurungamari
Organization Code 10001308
Name of UHFPO Dr. Nasreen Begum.
Land Phone No. 1 -0582256012
Land Phone No. 2
FAX No.
Mobile No. 01712206663
Email bhurungamari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila10
No. of Households in the Upazila 51,985
Population in the Upazila 246,593
Area of Upazila in sq km 232.00

Bhurungamari 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 4 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 31 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 2 20
No. of NGO Clinics/Facilities 0 0

Bhurungamari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,660


Under 5 Mortality Rate: 31.802 (Per 1,000 live births)
Infant Mortality Rate: 28.622 (Per 1,000 live births)
Neonatal Mortality Rate: 25.618 (Per 1,000 live births)
Still Birth Rate: 26.502 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,406
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 96%

Bhurungamari 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: 8
Total No. of Recipients Who Took at least one ANC: 5,585
Total Number of Deliveries: 5,630
Valid TT Coverage: 58.00 %
Maternal Mortality Ratio (MMR) is: 141.34 per 100,000 live births.

Bhurungamari 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 24,140 31,037 55,177 6,209 7,587 13,796 68,973 2,409 1,686 4,095 326 398 724 4,819
Union Sub-Centres 29,601 34,415 64,016 4,710 5,102 9,812 73,828 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) 2,428 24,686 27114 4,107 4,448 8,555 35,669 0 0 0 0 0 0 8,555
Community Clinics 65,025 169,632 234,657 21,628 26,435 48,063 282,720 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

Bhurungamari 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 1,933 1,841 3,774 373 456 829 4,603 7 2 9 1 0 1 10
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 302 774 1,076 40 48 88 1,164 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bhurungamari 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 4,603
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 1293 28.09
2 Y00 Assault by blunt object XX: External causes of morbidity and mortality 1059 23.01
3 J45 Asthma X: Diseases of the respiratory system 509 11.06
4 A94 Unspecified arthropod-borne viral fever I: Certain infectious and parasitic diseases 234 5.08
5 I11 Hypertensive heart disease IX: Diseases of the circulatory system 226 4.91
6 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 214 4.65
7 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 206 4.48
8 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 182 3.95
9 A010 Typhoid fever I: Certain infectious and parasitic diseases 151 3.28
10 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 125 2.72

Bhurungamari 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 10
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 4 40.00
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2 20.00
3 J449 Chronic obstructive pulmonary disease, unspecified IX: Diseases of the circulatory system 1 10.00
4 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 10.00
5 K721 Chronic hepatic failure XI: Diseases of the digestive system 1 10.00
6 N18 Chronic renal failure XIV: Diseases of the genitourinary system 1 10.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Bhurungamari 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 (%) 100.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,355
Bed Occupancy Rates (%) 91.52
Average Length of Hospital Stay (No. of days per patient) 2.25
Hospital Death Rate (%) 0.22


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 175

 

Bhurungamari 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 2 1 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 0 5 5 50.00
Class III 72 54 12 6 8.33
Class IV 19 14 5 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 3 1 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 2 0 3 60.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 4 4 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 6 0 2 25.00
Class IV 4 3 0 1 25.00
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 35 15 17 3 8.57
Class IV 0 0 0 0 0.00

 

Bhurungamari 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 18 9 2 7 38.89
Non Doctor 0 0 0 0 0.00
Class II 10 0 5 5 50.00
Class III 85 62 12 11 12.94
Class IV 23 17 5 1 4.35
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

 

Bhurungamari 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 9 8 9 3 0 0 2 0 0
Nurse 0 0 0 0 10 5 0 0 1 0 0
Medical Assistant 0 0 9 5 2 2 0 0 2 0 0
Medical Technologist 0 0 4 3 8 6 0 0 0 0 0
CHCP 35 32 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 8 8 0 0 0 0 0
HA 0 0 0 0 40 38 0 0 0 0 4

Bhurungamari 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 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 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 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 1 1 0 0 0
Sucker machine (electric) 3 2 1 0 0
Ventilator 0 0 0 0 0


Bhurungamari 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 8 3 3 0 2
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Bhurungamari 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


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


Bhurungamari 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 42 10 2 4

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

Important information and necessary issues for Bhurungamari Upazila Health Complex
Important information and necessary issues for Bhurungamari Upazila Health Complex.Important information and necessary issues for Bhurungamari Upazila health Complex.last year we could not give our sufficient health services due to some reasons.I like to mention some important factors.which will help us active good result in future.1.Vacant post should be filled immediately.2. Doctors and Nurse need more training on different subject.3.Number of community Clinic and the bed capacity of the health complex should be increased. 4.All the repairable equipments should repaired as soon as possible.5.Female HA and CHCP need CSBA training as early as possible. Finally I am very hapy to write this health bullten of 2014.because this document will help usto compare progress and improve the health services in the year.