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.
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 Upazila 16
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.