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Badalgachi Upazila Health Complex | Health Bulletin 2015 |
Preface
We are glad to publish this health bulletin for the Badalgachi upazilla as per government policy to disseminate the information to public, different development organizations and government departments for use in planning for future development of health sector of this upazilla. Also there are information about deficiencies in this upazilla which will draw attention of the concern authorities to take necessary actions. Badalgachi Upazilla is one of 11 upazillas of Naogaon district of Rajshai division. This upazilla is well known for the historic Paharpur Buddhist Temple. In this health bulletin we will try to inform you about the setup, activities and other aspects of the Health Sector of the Badalgachhi Upazilla of the Naogaon District. There will be some basic information regarding health setup, services we provide, our manpower, activities and other matters. The data of this bulletin contain information of the calendar year 2014. We hope that this bulletin will be helpful to all.
Dr. Mohammed Ali
UH&FPO
Badalgachi Upazila Health Complex

Badalgachi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Badalgachi
Organization Code 10001370
Name of UHFPO Dr. Mohammed Ali
Land Phone No. 1 -0742356012
Land Phone No. 2
FAX No.
Mobile No. 01712160930
Email badalgachi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.9609 And Long: 88.9054
No. of Unions in the Upazila8
No. of Households in the Upazila 52,137
Population in the Upazila 207,009
Area of Upazila in sq km 231.75

Badalgachi 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 50
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 5 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) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 26 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 0 0
No. of NGO Clinics/Facilities 1 0

Badalgachi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,153


Under 5 Mortality Rate: 44.402 (Per 1,000 live births)
Infant Mortality Rate: 23.153 (Per 1,000 live births)
Neonatal Mortality Rate: 19.981 (Per 1,000 live births)
Still Birth Rate: 0.634 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 34,416
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Badalgachi 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: 3,150
Total Number of Deliveries: 3,155
Valid TT Coverage: 75.00 %
Maternal Mortality Ratio (MMR) is: 126.86 per 100,000 live births.

Badalgachi 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 13,624 20,651 34,275 7,464 6,021 13,485 47,760 1,775 1,680 3,455 250 200 450 3,905
Union Sub-Centres 7,303 11,054 18,357 2,734 3,079 5,813 24,170 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) 7,915 11,585 19500 2,005 2,580 4,585 24,085 0 0 0 0 0 0 4,585
Community Clinics 83,839 179,079 262,918 12,301 14,380 26,681 289,599 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

Badalgachi 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 930 1,670 2,600 311 258 569 3,169 3 1 4 1 1 2 6
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

Badalgachi 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 3,169
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 613 19.34
2 Y068 By other specified persons XX: External causes of morbidity and mortality 451 14.23
3 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 182 5.74
4 X48 Accidental poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 109 3.44
5 S097 Multiple injuries of head XIX: Injury, poisoning and certain other consequences of external causes 72 2.27
6 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 47 1.48
7 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 38 1.20
8 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 23 0.73
9 T29 Burns and corrosions of multiple body regions XIX: Injury, poisoning and certain other consequences of external causes 18 0.57
10 B55 Leishmaniasis I: Certain infectious and parasitic diseases 5 0.16

Badalgachi 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 6
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R092 Respiratory arrest XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 3 50.00
2 X48 Accidental poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 2 33.33
3 J45 Asthma XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 16.67
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Badalgachi 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.) 7,678
Bed Occupancy Rates (%) 42.07
Average Length of Hospital Stay (No. of days per patient) 2.75
Hospital Death Rate (%) 0.02


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 205

 

Badalgachi 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 21 13 5 3 14.29
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 118 44 17 57 48.31
Class IV 26 8 5 13 50.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 1 0 2 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 2 0 0.00
Class IV 3 1 1 1 33.33
Rural Dispensaries
Class I Doctor 5 3 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 2 3 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 26 14 12 0 0.00
Class IV 0 0 0 0 0.00

 

Badalgachi 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 29 13 5 11 37.93
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 130 49 23 58 44.62
Class IV 26 9 6 11 42.31
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

 

Badalgachi 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 8 6 21 10 0 0 7 2 0
Nurse 0 0 0 0 15 15 0 0 5 9 5
Medical Assistant 0 0 8 8 2 2 0 0 5 0 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0 0
CHCP 26 26 0 0 0 0 0 0 0 0 5
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 33 0 0 0 0 7

Badalgachi 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) 1 0 0 1 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 1 1 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 8 4 4 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 8 4 4 0 0


Badalgachi 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 3 2 1 0 0
Pulse oximeter 20 10 10 0 0
Dental equipment
Dental unit 15 15 0 0 0


Badalgachi 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) 0 0 0 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 7 4 3 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Badalgachi 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 1 1 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Badalgachi 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) 2 1 0 1 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) 9 8 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 6 1 0 0
Scanner 1 1 0 0 0
UPS 8 7 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


Badalgachi 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 109 80 27 2 0

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

Important information and necessary issues for Badalgachi Upazila Health Complex
Badalgachi Upazila Health Comlex is a 50-bed hospital, but there is sever shortage of doctors.Most of the posts of consultants are vacant. so providing adequate service is very difficult. post of Medicine,surgery,Guynae&Obs,EYE,ENT,Cardio,Ortho and Anaesthesiology consultants are vacant. Operation Theatre is not fungtioning because post of anaesthetists are empty.the X-ray Machine is also not- functioning which is ceverely humpering the management of patients.currently major surgery is not possible in this UHC.These problems were infromed to the higher authorities through proper channel.We hpoe that the authorities will take necessary actions to solve these problems so that we can improve our our services to the people of Badalgachi upazila of Naogaon district.