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Bamna Upazila Health Complex | Health Bulletin 2015 |
Preface
I am feeling very proud to publish this Health Bulletin of Bamna Upazilla in Barguna district. After being promoted to UH&FPO, it is my pleasure to take responsibilities as a upazilla manager and facing the challenges of health issues of a upazilla, like Bamna. Bamna is a small Upazilla, consisting of only four unions. Before my joining, there were only two Medical officers working in the UHC. Both of them struggling hard to run the facility. Dr. Md. Atiqul Hoque is from 31st BCS and Dr. Sabbir Ahmed Shakil is from 33rd BCS. How horrible it was for them to cope with the situations, since their joining in this UHC. However I took the responsibility and glad to say that this bulletin contains all the information which will help us to find a good solutions, to take necessary action to face the health problem of this upazilla. Despite all the barrier, we will overcome the situations. I would like to thank everybody for their contribution to publish this health bulletin. May Almighty God bless us. Dr. Md. Humayun Shaheen Khan UH&FPO UHC, Bamna, Barguna.
Dr. Md. Humayun Shaheen Khan
UH&FPO
Bamna Upazila Health Complex

Bamna Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bamna
Organization Code 10001937
Name of UHFPO Dr. Md. Humayun Shaheen Khan
Land Phone No. 1 -0445356076
Land Phone No. 2
FAX No.
Mobile No. 01712175343
Email bamna@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.3098 And Long: 90.0931
No. of Unions in the Upazila4
No. of Households in the Upazila 17,086
Population in the Upazila 78,270
Area of Upazila in sq km 101.00

Bamna 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 0 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) 3 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 8 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 0 0
No. of NGO Clinics/Facilities 0 0

Bamna Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,219


Under 5 Mortality Rate: 7.210 (Per 1,000 live births)
Infant Mortality Rate: 4.957 (Per 1,000 live births)
Neonatal Mortality Rate: 2.704 (Per 1,000 live births)
Still Birth Rate: 0.901 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,263
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 98%

Bamna 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: 3,624
Total Number of Deliveries: 2,331
Valid TT Coverage: 13.00 %
Maternal Mortality Ratio (MMR) is: 90.13 per 100,000 live births.

Bamna 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 10,527 10,562 21,089 1,754 1,351 3,105 24,194 939 753 1,692 175 166 341 2,033
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) 0 0 0 0 0 0 0 7,009 13,845 20,854 1,745 1,681 3,426 3,426
Community Clinics 16,371 24,736 41,107 3,607 3,519 7,126 48,233 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

Bamna 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 689 622 1,311 171 165 336 1,647 5 5 10 1 3 4 14
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

Bamna 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 1,647
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T148 Other injuries of unspecified body region XIX: Injury, poisoning and certain other consequences of external causes 505 30.66
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 231 14.03
3 A010 Typhoid fever I: Certain infectious and parasitic diseases 159 9.65
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 105 6.38
5 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 99 6.01
6 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 66 4.01
7 J459 Asthma, unspecified X: Diseases of the respiratory system 64 3.89
8 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 47 2.85
9 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 44 2.67
10 T440 Anticholinesterase agents XIX: Injury, poisoning and certain other consequences of external causes 36 2.19

Bamna 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 14
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 5 35.71
2 J459 Asthma, unspecified X: Diseases of the respiratory system 3 21.43
3 A410 Septicaemia due to Staphylococcus aureus IX: Diseases of the circulatory system 3 21.43
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 1 7.14
5 N185 Chronic kidney disease, stage 5 XIV: Diseases of the genitourinary system 1 7.14
6 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 1 7.14
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 7,039
Bed Occupancy Rates (%) 62.21
Average Length of Hospital Stay (No. of days per patient) 4.27
Hospital Death Rate (%) 0.85


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 156

 

Bamna 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 4 0 6 60.00
Non Doctor 0 0 0 0 0.00
Class II 9 2 7 0 0.00
Class III 50 21 16 13 26.00
Class IV 19 12 5 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 2 0 2 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 8 1 6 1 12.50
Class IV 0 0 0 0 0.00

 

Bamna 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 14 6 0 8 57.14
Non Doctor 0 0 0 0 0.00
Class II 9 2 7 0 0.00
Class III 58 24 22 12 20.69
Class IV 19 12 5 2 10.53
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

 

Bamna 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 4 2 10 4 0 0 2 1 0
Nurse 0 0 0 0 9 9 0 0 6 0 0
Medical Assistant 0 0 4 2 2 1 0 0 3 0 0
Medical Technologist 0 0 0 0 6 2 0 0 0 0 0
CHCP 8 7 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 20 19 0 0 2 0 7

Bamna 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) 1 0 1 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 3 2 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Bamna 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 4 2 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Bamna 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 8 3 2 3 0
Vehicles
Ambulance 1 1 0 0 0


Bamna 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 1 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 0 0 0 0 0
ICT equipment
Computer (desktop) 8 3 4 1 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 2 1 1 0
Scanner 2 2 0 0 0
UPS 7 3 2 1 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 0 1 0 0


Bamna 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 30 20 7 2

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

Important information and necessary issues for Bamna Upazila Health Complex
Bamna Upazilla Heath Complex declared as a 50 bedded Hospital 2 years back, but the manpower and other facility has not been sanctioned yet among the allotted post of 14 Doctor, Only 3 is working at this moment, including me (UHFPO). With this shortage of manpower, we are facing huge problem to implement all the programme. I wish this type of manpower shortage will be solved by our superior authorities immediately. Furnitures, Equipments, Ambulance, , Colorimeter, Fax machine, Photocopy machine, X-Ray machine & others necessary equipment should be supplied immediately. Finally, I am very happy to write this Health Bulletin of 2014, because this documents will help us compare our progress in coming years. This documents will help everybody to understand health services & to achieve MDG goal to a build Digital Bangladesh. .