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Bhandaria Upazila Health Complex | Health Bulletin 2015 |
Preface
Preface You will be pleased to know that we are going to publish a Local Health Bulletin from 2012yearly,which will included our provided health services & relative health datas like MMR, IMR, EPI, EOC etc. I, on behalf of all the staffs of Bhandaria Upazila Health Complex, want to thank our Honourable ADG (P & D) & Director (MIS) DGHS sir, for taking initiativeness to publish such publication. DR.MD. SHAHADUT HOSSAIN HAZRA UH & FPO Bhandaria Upazila Health Complex
Dr.Md. Shahadut Hossain Hazra
UH&FPO
Bhandaria Upazila Health Complex

Bhandaria Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bhandaria
Organization Code 10002055
Name of UHFPO Dr.Md. Shahadut Hossain Hazra
Land Phone No. 1 04623-056290
Land Phone No. 2
FAX No.
Mobile No. 01730324431
Email bhandaria@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 33,830
Population in the Upazila 157,631
Area of Upazila in sq km 163.00

Bhandaria 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 1 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) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 20 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 3 30
No. of NGO Clinics/Facilities 1 3

Bhandaria Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,055


Under 5 Mortality Rate: 5.237 (Per 1,000 live births)
Infant Mortality Rate: 2.619 (Per 1,000 live births)
Neonatal Mortality Rate: 0.982 (Per 1,000 live births)
Still Birth Rate: 1.637 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,802
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):

Bhandaria 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: 0
Total No. of Recipients Who Took at least one ANC: 3,923
Total Number of Deliveries: 3,441
Valid TT Coverage: 30.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Bhandaria 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 10,688 14,226 24,914 1,174 1,425 2,599 27,513 1,274 996 2,270 199 191 390 2,660
Union Sub-Centres 5,549 6,838 12,387 207 302 509 12,896 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) 6,732 30,012 36744 5,853 7,154 13,007 49,751 0 0 0 0 0 0 13,007
Community Clinics 41,549 82,211 123,760 6,288 7,395 13,683 137,443 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

Bhandaria 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 1,808 2,420 4,228 410 241 651 4,879 7 12 19 0 1 1 20
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

Bhandaria 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 4,855
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 1970 40.58
2 A000 Cholera due to Vibrio cholerae 01, biovar cholerae I: Certain infectious and parasitic diseases 1266 26.08
3 Y019 Assault by pushing from high place, unspecified place XX: External causes of morbidity and mortality 944 19.44
4 V119 Pedal cyclist injured in collision with other pedal cycle, unspecified pedal cyclist, traffic accident XX: External causes of morbidity and mortality 115 2.37
5 T500 Mineralocorticoids and their antagonists XIX: Injury, poisoning and certain other consequences of external causes 113 2.33
6 I679 Cerebrovascular disease, unspecified IX: Diseases of the circulatory system 83 1.71
7 J180 Bronchopneumonia, unspecified X: Diseases of the respiratory system 77 1.59
8 K277 Peptic ulcer, site unspecified, chronic without haemorrhage or perforation XI: Diseases of the digestive system 72 1.48
9 A011 Paratyphoid fever A I: Certain infectious and parasitic diseases 62 1.28
10 J450 Predominantly allergic asthma X: Diseases of the respiratory system 55 1.13

Bhandaria 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 20
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I678 Other specified cerebrovascular diseases IX: Diseases of the circulatory system 4 20.00
2 J450 Predominantly allergic asthma X: Diseases of the respiratory system 3 15.00
3 I210 Acute transmural myocardial infarction of anterior wall IX: Diseases of the circulatory system 2 10.00
4 T479 Agent primarily affecting the gastrointestinal system, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1 5.00
5 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.00
6 T284 Burn of other and unspecified internal organs XIX: Injury, poisoning and certain other consequences of external causes 1 5.00
7 I469 Cardiac arrest, unspecified IX: Diseases of the circulatory system 1 5.00
8 J459 Asthma, unspecified X: Diseases of the respiratory system 1 5.00
9 D024 Respiratory system, unspecified II: Neoplasms 1 5.00
10 S129 Fracture of neck, part unspecified XIX: Injury, poisoning and certain other consequences of external causes 1 5.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
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.) 11,089
Bed Occupancy Rates (%) 98.00
Average Length of Hospital Stay (No. of days per patient) 2.28
Hospital Death Rate (%) 0.41


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 502

 

Bhandaria 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 9 5 1 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 12 0 11 1 8.33
Class III 73 37 30 6 8.22
Class IV 19 13 4 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 2 2 1 20.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 5 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 2 0 0 0.00
Class IV 1 1 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 21 9 11 1 4.76
Class IV 0 0 0 0 0.00

 

Bhandaria 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 15 8 3 4 26.67
Non Doctor 0 0 0 0 0.00
Class II 12 0 11 1 8.33
Class III 80 44 30 6 7.50
Class IV 20 14 4 2 10.00
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

 

Bhandaria 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 5 9 6 0 0 1 1 0
Nurse 0 0 0 0 12 11 0 0 9 9 0
Medical Assistant 0 0 6 6 2 2 0 0 4 0 0
Medical Technologist 0 0 1 1 8 6 0 0 0 0 0
CHCP 21 20 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0 0
HA 0 0 0 0 40 38 0 0 0 1 0

Bhandaria 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 0 0 0 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 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 0 0 0 0 0


Bhandaria 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Bhandaria 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 1 1 0 0 0
Centrifuge machine (electric) 2 2 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Bhandaria 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 1 1 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Bhandaria 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 1 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) 8 5 3 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 3 0 0
Scanner 1 1 0 0 0
UPS 4 3 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


Bhandaria 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 37 29 8 0 0

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

Important information and necessary issues for Bhandaria Upazila Health Complex
I would like to mention some important information regarding our health status which will help us to achieve good results in near future . 1. The vacant post should be filled up immediately. 2. To supply MSR as per required. 3. Effective Training should be provided to all staffs. 4. There is no conference and training room in upazila Health Complex . A well facilitated conference room is necessary for this purpose. 5. Thanks to ADG (P&D) & Director (MIS) DGHS sir for taking such initiative to publish the Local Health Bulletin yearly.