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Boda Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish the health bulletin of Boda upazila like last year. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Boda upazila to other sactors/departments and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps of the health services of this upazila. Government health office has many data stored in file only. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets.The health bulletin has also the information on safe drinking water ,sanitation and vaccination status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014.I would like to take attention of the higher authority to look after this crucial issue and take necessary measures accordingly . I like to congratulate all the local community leaders, stake holders,GOB,Develomment partners,NGOS,Private sector organisations for keeping role for community awareness and participation. I am optimist that we can achieve our vision and mission by the year 2021, through different OPs going to be implemented by HPNSDP , initiating by the MOHFW , Government of Bangladesh.
Dr. Md. Haider Ali
UH&FPO
Boda Upazila Health Complex

Boda Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Boda
Organization Code 10001502
Name of UHFPO Dr. Md. Haider Ali
Land Phone No. 1 -0565356105
Land Phone No. 2
FAX No.
Mobile No. 01720335723
Email boda@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.2026 And Long: 88.5541
No. of Unions in the Upazila10
No. of Households in the Upazila 51,846
Population in the Upazila 230,720
Area of Upazila in sq km 351.97

Boda 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 1 0
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 9 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 23 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 10
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 2 10
No. of NGO Clinics/Facilities 0 0

Boda Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,211


Under 5 Mortality Rate: 30.872 (Per 1,000 live births)
Infant Mortality Rate: 26.597 (Per 1,000 live births)
Neonatal Mortality Rate: 22.560 (Per 1,000 live births)
Still Birth Rate: 19.235 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 12,563
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 93%

Boda 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: 4,718
Total Number of Deliveries: 950
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR) is: 166.23 per 100,000 live births.

Boda 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 30,232 40,468 70,700 11,232 12,146 23,378 94,078 2,740 1,561 4,301 235 182 417 4,718
Union Sub-Centres 3,643 4,786 8,429 1,131 1,324 2,455 10,884 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 12,541 13,243 25,784 5,754 6,754 12,508 38,292 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 67,854 71,235 139,089 22,531 25,437 47,968 187,057 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 5,463 5,463 0 0 0 5,463 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

Boda 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 2,456 2,773 5,229 491 177 668 5,897 8 5 13 4 2 6 19
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 745 745 0 0 0 745 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

Boda 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 5,831
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 1112 19.07
2 Y003 Assault by blunt object, sports and athletics area XX: External causes of morbidity and mortality 780 13.38
3 Y76 Obstetric and gynaecological devices associated with adverse incidents XX: External causes of morbidity and mortality 589 10.10
4 B34 Viral infection of unspecified site I: Certain infectious and parasitic diseases 321 5.51
5 B08 Other viral infections characterized by skin and mucous membrane lesions, NEC I: Certain infectious and parasitic diseases 245 4.20
6 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system XIX: Injury, poisoning and certain other consequences of external causes 201 3.45
7 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 197 3.38
8 J17 Pneumonia in diseases classified elsewhere X: Diseases of the respiratory system 142 2.44
9 A060 Acute amoebic dysentery I: Certain infectious and parasitic diseases 125 2.14
10 D63 Anaemia in chronic diseases classified elsewhere III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 119 2.04

Boda 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 19
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J459 Asthma, unspecified X: Diseases of the respiratory system 6 31.58
2 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 5 26.32
3 I41 Myocarditis in diseases classified elsewhere X: Diseases of the respiratory system 2 10.53
4 B18 Chronic viral hepatitis I: Certain infectious and parasitic diseases 2 10.53
5 A047 Enterocolitis due to Clostridium difficile I: Certain infectious and parasitic diseases 2 10.53
6 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 1 5.26
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Boda Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
Coverage of households having access to sanitary latrines (%) 91.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,987
Bed Occupancy Rates (%) 71.16
Average Length of Hospital Stay (No. of days per patient) 2.23
Hospital Death Rate (%) 0.33


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 51
Minor Surgeries 521

 

Boda 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 29 13 5 11 37.93
Non Doctor 0 0 0 0 0.00
Class II 15 1 9 5 33.33
Class III 81 37 31 13 16.05
Class IV 24 17 6 1 4.17
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 7 5 1 1 14.29
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 6 1 2 22.22
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 25 10 12 3 12.00
Class IV 0 0 0 0 0.00

 

Boda 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 14 5 10 34.48
Non Doctor 0 0 0 0 0.00
Class II 15 1 9 5 33.33
Class III 81 37 31 13 16.05
Class IV 24 17 6 1 4.17
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

 

Boda 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 25 22 9 7 20 11 0 0 3 0 0
Nurse 0 0 0 0 15 10 0 0 0 2 0
Medical Assistant 0 0 9 7 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 7 5 0 0 0 0 0
CHCP 25 22 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 35 34 0 0 0 0 0

Boda 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 1 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 1 0 1 0 0
Anesthesia machine without ventilator 1 0 1 0 0
Autoclave 2 1 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 1 1 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 3 2 1 0 0
Ventilator 0 0 0 0 0


Boda 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 1 0 1 1
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 0 0 1


Boda 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) 6 2 1 3 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Boda 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 2 1 1 0 0


Boda 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) 1 0 0 0 1
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 4 4 0 0
Laptop 25 24 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 5 4 1 0 0
Scanner 2 2 0 0 0
UPS 6 5 0 0 1
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 1 1 0 0 0


Boda 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 1 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 83 61 14 4 4

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

Important information and necessary issues for Boda Upazila Health Complex