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Bheramara Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of my upazila. This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of my upazila to other line department and development and partners of health. I hope all the information of this bulletin with help for planning and bridging the gaps in health services of this upazila. Government health offices have 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 bulletin contains the status of MDG 4 and MDG 5 which will help to indicate the MDG targets. This health bulletin has also the information of safe drinking water and sanitation status of the upazila. Also have information of EPI status and the condition of community clinics. All the sanctioned and vacant posts are published in this bulletin 2015. I like to draw attention of the higher authority to look into 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. ATIAR RAHMAN SHAIKH
UH&FPO
Bheramara Upazila Health Complex

Bheramara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bheramara
Organization Code 10001830
Name of UHFPO DR. MD. ATIAR RAHMAN SHAIKH
Land Phone No. 1 -0702271271
Land Phone No. 2
FAX No.
Mobile No. 01712659278
Email bheramara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 41,255
Population in the Upazila 192,487
Area of Upazila in sq km 153.69

Bheramara 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 2 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) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 18 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 8 80
No. of NGO Clinics/Facilities 0 0

Bheramara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,396


Under 5 Mortality Rate: 10.919 (Per 1,000 live births)
Infant Mortality Rate: 10.237 (Per 1,000 live births)
Neonatal Mortality Rate: 6.369 (Per 1,000 live births)
Still Birth Rate: 1.365 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 16,439
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 98%

Bheramara 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: 4,033
Total Number of Deliveries: 4,396
Valid TT Coverage: 92.00 %
Maternal Mortality Ratio (MMR) is: 45.50 per 100,000 live births.

Bheramara 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 17,329 37,373 54,702 8,337 8,546 16,883 71,585 4,159 3,847 8,006 587 377 964 8,970
Union Sub-Centres 17,639 24,724 42,363 2,921 3,479 6,400 48,763 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 35,064 98,196 133,260 11,213 12,051 23,264 156,524 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 57 1,531 1,588 13 9 22 1,610 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bheramara 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 2,568 3,198 5,766 540 364 904 6,670 18 3 21 0 0 0 21
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

Bheramara 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 6,670
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 1527 22.89
2 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 639 9.58
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 630 9.45
4 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 379 5.68
5 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 281 4.21
6 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 273 4.09
7 A880 Enteroviral exanthematous fever [Boston exanthem] I: Certain infectious and parasitic diseases 265 3.97
8 T600 Organophosphate and carbamate insecticides XIX: Injury, poisoning and certain other consequences of external causes 264 3.96
9 J459 Asthma, unspecified X: Diseases of the respiratory system 210 3.15
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 182 2.73

Bheramara 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 21
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I63 Cerebral infarction IX: Diseases of the circulatory system 5 23.81
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 4 19.05
3 I21 Acute myocardial infarction IX: Diseases of the circulatory system 4 19.05
4 I12 Hypertensive renal disease IX: Diseases of the circulatory system 3 14.29
5 J45 Asthma X: Diseases of the respiratory system 2 9.52
6 N18 Chronic renal failure XIV: Diseases of the genitourinary system 2 9.52
7 B81 Other intestinal helminthiases, NEC I: Certain infectious and parasitic diseases 1 4.76
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 86.00
Coverage of households having access to sanitary latrines (%) 74.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,229
Bed Occupancy Rates (%) 67.01
Average Length of Hospital Stay (No. of days per patient) 2.50
Hospital Death Rate (%) 0.32


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,489

 

Bheramara 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 21 13 2 6 28.57
Non Doctor 0 0 0 0 0.00
Class II 15 1 14 0 0.00
Class III 59 23 27 9 15.25
Class IV 22 9 4 9 40.91
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 6 4 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 7 1 0 0.00
Class IV 2 1 0 1 50.00
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 18 8 11 -1 -5.56
Class IV 0 0 0 0 0.00

 

Bheramara 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 17 4 6 22.22
Non Doctor 0 0 0 0 0.00
Class II 15 1 14 0 0.00
Class III 85 38 39 8 9.41
Class IV 24 10 4 10 41.67
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

 

Bheramara 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 6 6 21 15 0 0 1 1 0
Nurse 0 0 0 0 16 15 0 0 1 2 3
Medical Assistant 0 0 6 6 2 2 0 0 8 0 0
Medical Technologist 0 0 0 0 8 8 0 0 0 1 0
CHCP 18 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0 18
AHI 0 0 0 0 5 4 0 0 0 0 0
HA 0 0 0 0 24 24 0 0 0 0 0

Bheramara 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 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 2 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 5 2 3 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 2 2 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 3 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Bheramara 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 4 4 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 1 3 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Bheramara 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 1 0 1 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 2 2 0 0 0
Microscope (binocular) 5 1 0 4 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Bheramara 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 4 4 0 0 0
Blood bank refrigerator 3 3 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 3 2 1 0 0


Bheramara 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) 4 4 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) 9 8 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 7 5 2 0 0
Scanner 1 1 0 0 0
UPS 6 5 1 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


Bheramara 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) 1 0 1 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 91 71 15 5 0

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

Important information and necessary issues for Bheramara Upazila Health Complex
1. In this upazila 2 X-ray machine. One is general one is dental X-ray machine lack of proper logistics we can't use dental x-ray machine. General x-ray machine is old model & lack of all types and sizes of films we can't do all types of x-ray in the hospital. 2. Our hospital is 50 bedded hospital. 3. Our hospital is located 3.5 km. from Bheramara town. Some time we need photocopy. It is very difficult for us to go to town everyday for photocopy. We have given demand of one photocopy machine.