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Bangura Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of upazila. This health bulletin contain all the health related information of 2014.The bulletin contains the status of MDG 4 & MDG 5 which will help to localize the MDG targets. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards digital Bangladesh. ( Dr.Mohammad Shahadot Hossain ) UH&FPO UHC,Bhangura,Pabna.
DR. MOHAMMAD SHAHADOT HOSSAIN
UH&FPO
Bangura Upazila Health Complex

Bangura Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bangura
Organization Code 10001473
Name of UHFPO DR. MOHAMMAD SHAHADOT HOSSAIN
Land Phone No. 1 07328-056031
Land Phone No. 2
FAX No.
Mobile No. 01711451153
Email bhangura@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.2000 And Long: 89.3783
No. of Unions in the Upazila6
No. of Households in the Upazila 26,076
Population in the Upazila 129,708
Area of Upazila in sq km 220.00

Bangura 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 5 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 14 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 40
No. of NGO Clinics/Facilities 0 0

Bangura Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,258


Under 5 Mortality Rate: 5.525 (Per 1,000 live births)
Infant Mortality Rate: 3.376 (Per 1,000 live births)
Neonatal Mortality Rate: 1.842 (Per 1,000 live births)
Still Birth Rate: 1.535 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 15,630
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Bangura 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: 0
Total No. of Recipients Who Took at least one ANC: 3,172
Total Number of Deliveries: 3,256
Valid TT Coverage: 24.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Bangura 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 22,071 31,233 53,304 3,364 4,626 7,990 61,294 681 216 897 89 59 148 1,045
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) 7,133 21,014 28147 1,631 1,558 3,189 31,336 0 0 0 0 0 0 3,189
Community Clinics 29,923 83,745 113,668 9,056 9,435 18,491 132,159 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 870 1,015 1,885 105 84 189 2,074 213 175 388 85 65 150 538
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bangura 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 1,598 2,133 3,731 455 280 735 4,466 11 11 22 2 3 5 27
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 685 2,074 2,759 145 156 301 3,060 0 4 4 0 0 0 4
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bangura 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 2,902
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 559 19.26
2 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 474 16.33
3 K297 Gastritis, unspecified XI: Diseases of the digestive system 453 15.61
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 401 13.82
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 319 10.99
6 J12 Viral pneumonia, NEC X: Diseases of the respiratory system 252 8.68
7 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 175 6.03
8 D500 Iron deficiency anaemia secondary to blood loss (chronic) III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 117 4.03
9 T449 Other and unspecified drugs primarily affecting the autonomic nervous system XIX: Injury, poisoning and certain other consequences of external causes 99 3.41
10 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 53 1.83

Bangura 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 27
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I110 Hypertensive heart disease with (congestive) heart failure IX: Diseases of the circulatory system 7 25.93
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 5 18.52
3 I409 Acute myocarditis, unspecified IX: Diseases of the circulatory system 4 14.81
4 V05 Pedestrian injured in collision with railway train or railway vehicle XX: External causes of morbidity and mortality 2 7.41
5 B99 Other and unspecified infectious diseases I: Certain infectious and parasitic diseases 2 7.41
6 J189 Pneumonia, unspecified X: Diseases of the respiratory system 2 7.41
7 C34 Malignant neoplasm of bronchus and lung II: Neoplasms 2 7.41
8 P071 Other low birth weight XVI: Certain conditions originating in the perinatal period 1 3.70
9 E14 Unspecified diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 1 3.70
10 T45 Poisoning by primarily systemic and haematological agents, NEC XIX: Injury, poisoning and certain other consequences of external causes 1 3.70

Bangura 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 (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,196
Bed Occupancy Rates (%) 81.27
Average Length of Hospital Stay (No. of days per patient) 3.17
Hospital Death Rate (%) 0.93


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 383

 

Bangura 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 10 2 2 6 60.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 46 31 9 6 13.04
Class IV 19 13 4 2 10.53
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 5 4 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 5 0 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 11 4 7 0 0.00
Class IV 0 0 0 0 0.00

 

Bangura 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 15 7 3 5 33.33
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 62 40 16 6 9.68
Class IV 19 13 4 2 10.53
Other Hospitals & Clinics
Class I Doctor 3 3 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 25 13 12 0 0.00
Class IV 23 12 11 0 0.00

 

Bangura 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 5 10 5 0 0 2 1 0
Nurse 0 0 0 0 10 9 0 0 3 3 0
Medical Assistant 0 0 5 5 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 8 8 0 0 0 0 0
CHCP 11 11 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 1 1 0 0 0 0 0
AHI 0 0 0 0 4 4 0 0 0 0 0
HA 0 0 0 0 19 13 0 0 0 0 5

Bangura 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 0 0 1 0
Ultrasonogram machine 0 0 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 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 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 3 3 0 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 1 1 0 0 0


Bangura 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 5 2 0 3 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 0 1 0


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


Bangura 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


Bangura 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 2 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 1 1 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) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 7 7 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


Bangura 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 59 53 0 6 0

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

Important information and necessary issues for Bangura Upazila Health Complex
In this upazila of five doctors post vacant (with RMO ,Jr Consultant Medicine, Jr.Consultant Surgery), & Dental Surgeon) Please fillup doctors immediately. 1. in this upazila health complex,s X-ray machine is non functioning we informed our higher authority. 2. Very important issue is Ambulance but condition is very poor Maximum time it becomes out of order & risk. I am very happy to write this health bulletin of 2015. become this document will help us to compare our progress in up coming years. ( DR.Mohammad Shahadot Hossain) UH&FPO, Bhangura,Pabna.