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Bakerganj Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a privilege for me to announce the successful publication of the health bullitin of Bakergonj Upazila. This bullitin contains all the health related inormation of roll.Once upon a time the whole Barisal division is known as Bakergonj.It has many historical background. It is a big upazila, huge population,many remote area,little visite is difficult to deliver health services.I hope all the information of this bullitin will help for planning and bridging gaps in health sevices of this upazila.. Dr. Md. Mahbubur Rahman UH&FPO Bakrgonj, Barisal.
Dr. Md. Mahbubur Rahman
UH&FPO
Bakerganj Upazila Health Complex

Bakerganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bakerganj
Organization Code 10001963
Name of UHFPO Dr. Md. Mahbubur Rahman
Land Phone No. 1 0432874-0432874026
Land Phone No. 2
FAX No.
Mobile No. 01714033497
Email bakerganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.5390 And Long: 90.3463
No. of Unions in the Upazila14
No. of Households in the Upazila 71,537
Population in the Upazila 342,713
Area of Upazila in sq km 411.36

Bakerganj 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) 7 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 45 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 1 10
No. of NGO Clinics/Facilities 1 6

Bakerganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,253


Under 5 Mortality Rate: 52.950 (Per 1,000 live births)
Infant Mortality Rate: 43.015 (Per 1,000 live births)
Neonatal Mortality Rate: 23.991 (Per 1,000 live births)
Still Birth Rate: 2.302 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 48,200
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):

Bakerganj 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: 13
Total No. of Recipients Who Took at least one ANC: 9,663
Total Number of Deliveries: 9,067
Valid TT Coverage: 52.00 %
Maternal Mortality Ratio (MMR) is: 157.52 per 100,000 live births.

Bakerganj 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 17,604 27,432 45,036 4,814 7,032 11,846 56,882 1,099 602 1,701 345 148 493 2,194
Union Sub-Centres 26,336 35,942 62,278 7,543 8,145 15,688 77,966 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 8,773 9,112 17,885 2,456 2,531 4,987 22,872 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 105,989 184,443 290,432 16,785 18,303 35,088 325,520 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 2,555 3,007 5,562 369 411 780 6,342 1,095 720 1,815 286 84 370 2,185
NGO Clinics/Facilities 957 3,186 4,143 889 911 1,800 5,943 0 0 0 0 0 0 0

Bakerganj 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 1,648 1,845 3,493 404 369 773 4,266 9 4 13 0 2 2 15
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 52 312 364 3 5 8 372 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 64 64 0 0 0 64 0 0 0 0 0 0 0

Bakerganj 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 4,266
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 543 12.73
2 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 427 10.01
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 385 9.02
4 J16 Pneumonia due to other infectious organisms, NEC X: Diseases of the respiratory system 330 7.74
5 J20 Acute bronchitis X: Diseases of the respiratory system 93 2.18
6 K259 Gastric ulcer, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 89 2.09
7 G91 Hydrocephalus VI: Diseases of the nervous system 75 1.76
8 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 50 1.17
9 O021 Missed abortion XV: Pregnancy, childbirth and the puerperium 44 1.03
10 F064 Organic anxiety disorder V: Mental and behavioural disorders 41 0.96

Bakerganj 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 15
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J20 Acute bronchitis X: Diseases of the respiratory system 2 13.33
2 J451 Nonallergic asthma X: Diseases of the respiratory system 2 13.33
3 P612 Anaemia of prematurity X: Diseases of the respiratory system 3 20.00
4 I500 Congestive heart failure IX: Diseases of the circulatory system 3 20.00
5 K929 Disease of digestive system, unspecified XI: Diseases of the digestive system 2 13.33
6 G939 Disorder of brain, unspecified VI: Diseases of the nervous system 2 13.33
7 T29 Burns and corrosions of multiple body regions XIX: Injury, poisoning and certain other consequences of external causes 1 6.67
8 0 0.00
9 0 0.00
10 0 0.00

Bakerganj 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 (%) 92.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,121
Bed Occupancy Rates (%) 98.29
Average Length of Hospital Stay (No. of days per patient) 2.64
Hospital Death Rate (%) 0.36


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 104

 

Bakerganj 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 7 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 13 2 10 1 7.69
Class III 24 18 6 0 0.00
Class IV 19 13 1 5 26.32
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 3 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 0 0 7 100.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 7 5 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 11 0 3 21.43
Class IV 7 5 0 2 28.57
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 51 19 22 10 19.61
Class IV 0 0 0 0 0.00

 

Bakerganj 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 24 15 9 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 13 2 10 1 7.69
Class III 189 88 58 43 22.75
Class IV 26 18 1 7 26.92
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

 

Bakerganj 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 14 14 10 9 1 1 4 0 0
Nurse 0 0 0 0 12 12 0 0 0 0 0
Medical Assistant 0 0 14 6 2 1 0 0 0 0 0
Medical Technologist 0 0 7 5 7 7 0 0 0 0 0
CHCP 51 41 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 5 5 0 0 0 0 14
AHI 0 0 0 0 15 15 0 0 0 0 0
HA 0 0 0 0 74 55 0 0 0 0 0

Bakerganj 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 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 2 1 1 0 0
Operating microscope 2 1 0 1 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) 5 2 0 3 0
Ventilator 0 0 0 0 0


Bakerganj 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 2 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Bakerganj 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) 1 1 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Bakerganj 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 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Bakerganj 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) 0 0 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 0 0 0 0 0
ICT equipment
Computer (desktop) 9 8 0 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) 6 5 1 0 0
Scanner 2 2 0 0 0
UPS 0 0 0 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


Bakerganj 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 45 36 4 5 0

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

Important information and necessary issues for Bakerganj Upazila Health Complex
With a view to improving the health status of people of Bakergonj Upazila, I would like to mention some important issues, given below. By strengthening 5 ''R'' we can overcome the constraints. (1) R= Record keeping mannually, maintaing the registers from houshold,community clinic,sub-centre,H&FWC and UHC, we should stand e-Health services for every sphere of our services. (2) R= Reporting system,Data,generated from record keeping should be informed to proper authority. (3) R= Referral system:- In bangladesh referral system in Health care services is poor. We should have a clear cut system from downward to upward and upward to downward. (4) R= Reflex or Feedback:- By arrainging meeting properly(Weekly,Monthly,Quarterly and easmagnn) we can improve our services. (5) R= Research: In the health facilities of Bangladesh there are plenty resources for research, specialy data analysis in the PHC level. 1. Our collaborative services with NGOs should be increased in every steps of the same. 2. Deputation problem at UHC Bakergonj is prevalent. 3. Condemnation and repair articles,equipments,instrument are burning issues. For achieving MDG 4,5 and 6 we should try heart and soul. (Dr. Md. Mahbubur Rahman) UH&FPO Bakergonj, Barisal.