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Bagatipara Upazila Health Complex | Health Bulletin 2015 |
Preface
অষ্টাদশ শতকের অর্ধ বঙ্গশ্বেরী রাণী ভবানীর স্মৃতি বিজড়িত বিদগ্ধ প্রকৃতি প্রেমী কবি জীবনানন্দ দাশের কল্পোলোকের প্রেয়সী বনলতা সেন, রসনাতৃপ্ত সু-স্বাদু অবাক সন্দেশ, কাঁচাগোল্লা আর দৃষ্টি নন্দন অপূর্ব কারুকার্য্য খচিত উত্তরা গণভবন খ্যাত বাংলাদেশের দ্বিতীয় রাজধানী ঐতিহ্যবাহী নাটোর জেলার ছোট্র একটি উপজেলা বাগাতিপাড়া। ১৯৪৮ সালের ৮ই আগস্ট জেলা কাউন্সিলের তত্ত্বাবধানে উপজেলার বিহারকোল মোড়ে লক্ষণহাটি দাতব্য চিকিৎসালয় নামে যে প্রতিষ্ঠানটি স্থাপিত হয় সেটিই পরবর্তীকালে সত্তোর দশকের শেষের দিকে থানা স্বাস্থ্য কমপ্লেক্স নাম ধারণ করে ৩১ শয্যার হাসপাতালে রুপান্তরিত হয়ে এলাকার বিপুল জনগোষ্ঠীকে স্বাস্থ্য ও পরিবার পরিকল্পনা সেবা প্রদান করে আসছে। এই স্বাস্থ্য কমপ্লেক্স থেকে লোকাল হেলথ্‌ বুলেটিন প্রকাশিত হচ্ছে এটা খুবই আনন্দের কথা।
Dr. Md. Khalilur Rahman
UH&FPO
Bagatipara Upazila Health Complex

Bagatipara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bagatipara
Organization Code 10001417
Name of UHFPO Dr. Md. Khalilur Rahman
Land Phone No. 1 -0772272006
Land Phone No. 2
FAX No.
Mobile No. 01711894742
Email baghatipara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 94.0000
No. of Unions in the Upazila5
No. of Households in the Upazila 31,862
Population in the Upazila 136,584
Area of Upazila in sq km 140.00

Bagatipara 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) 4 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 17 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 30
No. of NGO Clinics/Facilities 1 0

Bagatipara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,596


Under 5 Mortality Rate: 13.097 (Per 1,000 live births)
Infant Mortality Rate: 11.171 (Per 1,000 live births)
Neonatal Mortality Rate: 9.630 (Per 1,000 live births)
Still Birth Rate: 2.696 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,234
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%

Bagatipara 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: 2
Total No. of Recipients Who Took at least one ANC: 2,688
Total Number of Deliveries: 2,603
Valid TT Coverage: 75.00 %
Maternal Mortality Ratio (MMR) is: 77.04 per 100,000 live births.

Bagatipara 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 33,682 45,316 78,998 4,596 5,204 9,800 88,798 2,362 2,809 5,171 281 172 453 5,624
Union Sub-Centres 7,877 7,546 15,423 246 322 568 15,991 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 49,205 94,958 144,163 8,127 8,733 16,860 161,023 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 372 1,434 1,806 28 23 51 1,857 85 122 207 14 15 29 236
NGO Clinics/Facilities 456 977 1,433 153 165 318 1,751 0 0 0 0 0 0 0

Bagatipara 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 1,174 1,686 2,860 135 106 241 3,101 1 3 4 0 0 0 4
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 68 896 964 0 0 0 964 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bagatipara 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 3,101
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 568 18.32
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 409 13.19
3 D539 Nutritional anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 398 12.83
4 E46 Unspecified protein-energy malnutrition IV: Endocrine, nutritional and metabolic diseases 322 10.38
5 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 241 7.77
6 B34 Viral infection of unspecified site I: Certain infectious and parasitic diseases 240 7.74
7 F929 Mixed disorder of conduct and emotions, unspecified V: Mental and behavioural disorders 176 5.68
8 J45 Asthma X: Diseases of the respiratory system 123 3.97
9 T571 Phosphorus and its compounds XIX: Injury, poisoning and certain other consequences of external causes 122 3.93
10 B99 Other and unspecified infectious diseases I: Certain infectious and parasitic diseases 84 2.71

Bagatipara 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 4
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 25.00
2 I509 Heart failure, unspecified IX: Diseases of the circulatory system 1 25.00
3 J45 Asthma IX: Diseases of the circulatory system 2 50.00
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

Bagatipara 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 (%) 99.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,446
Bed Occupancy Rates (%) 74.64
Average Length of Hospital Stay (No. of days per patient) 2.70
Hospital Death Rate (%) 0.13


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 431

 

Bagatipara 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 6 1 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 1 8 1 10.00
Class III 52 45 3 4 7.69
Class IV 19 13 6 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 1 2 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 4 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 2 0 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 17 10 7 0 0.00
Class IV 0 0 0 0 0.00

 

Bagatipara 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 14 8 3 3 21.43
Non Doctor 0 0 0 0 0.00
Class II 10 1 8 1 10.00
Class III 69 55 10 4 5.80
Class IV 20 14 6 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

 

Bagatipara 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 5 4 9 7 0 0 0 0 0
Nurse 0 0 0 0 9 9 0 0 3 1 5
Medical Assistant 0 0 5 5 2 2 0 0 0 0 0
Medical Technologist 0 0 1 1 7 7 0 0 0 0 0
CHCP 17 17 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0 1
AHI 0 0 0 0 4 4 0 0 0 0 0
HA 0 0 0 0 19 17 0 0 0 0 0

Bagatipara 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 1 0 0 0
X-ray machine (300 mA) 0 0 0 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 0 2 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 0 0 0 0 0
Sterilizer 2 2 0 0 0
Sucker machine (electric) 4 4 0 0 0
Ventilator 0 0 0 0 0


Bagatipara 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 2 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Bagatipara 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 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 1 3 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Bagatipara 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


Bagatipara 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) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 3 3 0 0 0
ICT equipment
Computer (desktop) 7 7 0 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) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 5 5 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Bagatipara 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 0 0 1 0
PA system (Sound) 1 0 0 1 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 51 39 11 1 0

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

Important information and necessary issues for Bagatipara Upazila Health Complex
অত্র স্বাস্থ্য কমপ্লেক্সটি ৩১ শয্যা থেকে ৫০ শয্যায় উন্নীত করে জরুরী প্রসূতি সেবা চালু করা প্রয়োজন। বৈদ্যুতিক লাইন মেরামত এবং আবাসিক ভবনগুলি আশু সংস্কার প্রয়োজন। স্বাস্থ্য সেবার মান উন্নত করতে হলে প্রশিক্ষণের মাধ্যমে দক্ষ জনবল তৈরী করা প্রয়োজন। কমিউনিটি ক্লিনিকের মাধ্যমে তৃণমূল পর্যায়ে স্বাস্থ্য সেবা জনগণের দোর গোড়ায় পৌঁছে দেয়া হয়েছে। আশার কথা, তৃণমূল পর্যায় থেকে প্রকাশিত প্রয়োজনীয় তথ্য সমৃদ্ধ এই হেল্‌থ বুলেটিন একদিকে যেমন সংশ্লিষ্ট স্বাস্থ্য প্রতিষ্ঠানে স্বাস্থ্য সেবার পরিধি, চিকিৎসার ধরণ এবং মান সম্পর্কে জনগণকে সুস্পষ্ট ধারনা দিতে পারবে তেমনি এই তথ্য পরিবীক্ষণ এবং বিশ্লেষণের মাধ্যমে জাতীয় পর্যায়ে স্বাস্থ্য বিভাগীয় উন্নয়ন পরিকল্পনা প্রনয়ণ এবং বাস্তবায়নে গুরুত্বপূর্ণ সহায়ক ভূমিকা রাখবে। আমি এর সার্বিক সাফল্য কামনা করি।