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Bagmara Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Bagmara Upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Bagmara Upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Upazila. Government health office has many data stored in the file. This health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulleting contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2015. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr. Md Shahidul Islam
UH&FPO
Bagmara Upazila Health Complex

Bagmara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bagmara
Organization Code 10001523
Name of UHFPO Dr. Md Shahidul Islam
Land Phone No. 1 -0722256009
Land Phone No. 2
FAX No.
Mobile No. 01714473836
Email bagmara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.5597 And Long: 88.8040
No. of Unions in the Upazila16
No. of Households in the Upazila 86,355
Population in the Upazila 357,701
Area of Upazila in sq km 366.33

Bagmara 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 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 15 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 38 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 5 50
No. of NGO Clinics/Facilities 1 10

Bagmara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,228


Under 5 Mortality Rate: 11.079 (Per 1,000 live births)
Infant Mortality Rate: 4.978 (Per 1,000 live births)
Neonatal Mortality Rate: 4.496 (Per 1,000 live births)
Still Birth Rate: 2.248 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 26,127
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 98%

Bagmara 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: 7,560
Total Number of Deliveries: 6,242
Valid TT Coverage: 29.00 %
Maternal Mortality Ratio (MMR) is: 32.11 per 100,000 live births.

Bagmara 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 16,265 33,518 49,783 7,525 7,628 15,153 64,936 2,045 2,412 4,457 992 1,241 2,233 6,690
Union Sub-Centres 7,008 10,132 17,140 2,573 0 2,573 19,713 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 47,321 51,345 98,666 11,987 0 11,987 110,653 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 160,280 240,350 400,630 50,558 0 50,558 451,188 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

Bagmara 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 1,752 2,245 3,997 302 278 580 4,577 5 2 7 0 0 0 7
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

Bagmara 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 4,577
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T009 Multiple superficial injuries, unspecified XIX: Injury, poisoning and certain other consequences of external causes 892 19.49
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 769 16.80
3 K276 Peptic ulcer, site unspecified, chronic or unspecified with both haemorrhage and perforation XI: Diseases of the digestive system 402 8.78
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 328 7.17
5 T602 Other insecticides XIX: Injury, poisoning and certain other consequences of external causes 223 4.87
6 J459 Asthma, unspecified X: Diseases of the respiratory system 176 3.85
7 T006 Superficial injuries involving multiple regions of upper limb(s) with lower limb(s) XIX: Injury, poisoning and certain other consequences of external causes 150 3.28
8 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 110 2.40
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 65 1.42
10 J129 Viral pneumonia, unspecified X: Diseases of the respiratory system 51 1.11

Bagmara 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 7
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1 14.29
2 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 14.29
3 J81 Pulmonary oedema IX: Diseases of the circulatory system 1 14.29
4 G129 Spinal muscular atrophy, unspecified VI: Diseases of the nervous system 1 14.29
5 T300 Burn of unspecified body region, unspecified degree XIX: Injury, poisoning and certain other consequences of external causes 1 14.29
6 O689 Labour and delivery complicated by fetal stress, unspecified XV: Pregnancy, childbirth and the puerperium 1 14.29
7 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 1 14.29
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 93.00
Coverage of households having access to sanitary latrines (%) 84.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,534
Bed Occupancy Rates (%) 68.68
Average Length of Hospital Stay (No. of days per patient) 2.74
Hospital Death Rate (%) 0.15


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 18
Minor Surgeries 431

 

Bagmara 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 6 3 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 10 2 6 2 20.00
Class III 88 48 26 14 15.91
Class IV 19 9 2 8 42.11
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 16 9 5 2 12.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 20 17 3 0 0.00
Class IV 5 4 0 1 20.00
Rural Dispensaries
Class I Doctor 1 0 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 1 1 0 0.00
Class IV 1 0 0 1 100.00
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 38 15 23 0 0.00
Class IV 0 0 0 0 0.00

 

Bagmara 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 27 15 9 3 11.11
Non Doctor 0 0 0 0 0.00
Class II 10 1 7 2 20.00
Class III 149 81 53 15 10.07
Class IV 25 13 2 10 40.00
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

 

Bagmara 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 17 13 10 9 0 0 0 1 0
Nurse 0 0 0 0 10 8 0 0 0 0 0
Medical Assistant 0 0 17 17 2 2 0 0 8 0 0
Medical Technologist 0 0 6 6 7 7 0 0 0 0 0
CHCP 38 38 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 1 0 0 0 0 0
AHI 0 0 0 0 11 9 0 0 0 0 0
HA 0 0 0 0 55 47 0 0 0 0 2

Bagmara 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 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 3 1 1 1 0
Electric cautery machine 1 0 1 0 0
Diathermy machine 1 0 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 2 1 0 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 0 1 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 3 0 1 2 0
Ventilator 1 0 1 0 0


Bagmara 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 1 1 0
Pulse oximeter 1 0 0 1 0
Dental equipment
Dental unit 0 0 0 0 0


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


Bagmara 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 1 1 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Bagmara 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) 3 1 1 1 0
Generator
Generator (diesel/petrol) 2 0 1 1 0
Generator (gas) 0 0 0 0 0
Solar panel 2 1 0 1 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 8 6 1 1 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 4 3 1 0 0
Scanner 1 1 0 0 0
UPS 6 3 2 1 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 1 1 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Bagmara 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) 2 2 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 65 33 19 13 0

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

Important information and necessary issues for Bagmara Upazila Health Complex
Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. 1. The vacant post should be filled immediately. 2. Our doctor and nurse need more training on IMCI 3. All the repairable equipment’s should be repaired as soon as possible 4. We have female HA who need CSBA training Finally I am very happy to write this health bulletin of 2015 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future.