Bahubal Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Bahubal Upazila.This bulletin contains all the health related information of 2014.I hope all the information of this bulletin will help us for planning and bridging the gaps in health services of this Upazila.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 us to localize the MDG target.All the sanctioned and vacant posts are published in this bulletin of 2014.I like to take attention of the higher authority to look into this issue.Finally I congratulate the initiator of the health bulletin software for setting us ahead toward Digital Bangladesh.Dr.M.Sulaiman Khan.UH&FPO.Bahubal.Habigonj
Bahubal Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Bahubal
Organization Code
10002075
Name of UHFPO Dr.M.Sulaiman khan
Land Phone No. 1
-0832356007
Land Phone No. 2
FAX No.
Mobile No.
01712317778
Email bahubal@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.2020 And
Long:
91.3218
No. of Unions in the Upazila 7
No. of Households in the Upazila 30,866
Population in the Upazila 197,997
Area of Upazila in sq km 231.50
Bahubal 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)
0
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
19
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
Bahubal Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,398
Under 5 Mortality Rate: 18.340 (Per 1,000 live births)
Infant Mortality Rate: 16.858 (Per 1,000 live births)
Neonatal Mortality Rate: 15.191 (Per 1,000 live births)
Still Birth Rate: 5.558 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 31,125
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 93%
Bahubal 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:
9
Total No. of Recipients Who Took at least one ANC:
5,021
Total Number of Deliveries:
5,398
Valid TT Coverage: 94.00 %
Maternal Mortality Ratio (MMR) is:
166.73 per 100,000 live births.
Bahubal 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
33,395
32,828
66,223
5,438
6,057
11,495
77,718
2,453
1,719
4,172
174
90
264
4,436
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)
3,028
9,578
12,606
2,476
3,025
5,501
18,107
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
9,537
13,135
22672
2,767
3,384
6,151
28,823
0
0
0
0
0
0
6,151
Community Clinics
53,426
101,218
154,644
8,497
9,887
18,384
173,028
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
Bahubal 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
2,149
2,488
4,637
988
584
1,572
6,209
0
2
2
3
0
3
5
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
Bahubal 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
6,033
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
1096
18.17
2
K26 Duodenal ulcer
XI: Diseases of the digestive system
981
16.26
3
Y90 Evidence of alcohol involvement determined by blood alcohol level
XX: External causes of morbidity and mortality
919
15.23
4
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
895
14.84
5
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
183
3.03
6
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
103
1.71
7
J45 Asthma
X: Diseases of the respiratory system
51
0.85
8
A03 Shigellosis
I: Certain infectious and parasitic diseases
13
0.22
9
T60 Toxic effect of pesticides
XIX: Injury, poisoning and certain other consequences of external causes
7
0.12
10
B54 Unspecified malaria
I: Certain infectious and parasitic diseases
1
0.02
Bahubal 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
5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
2
40.00
2
I50 Heart failure
IX: Diseases of the circulatory system
2
40.00
3
I46 Cardiac arrest
X: Diseases of the respiratory system
1
20.00
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Bahubal Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
11,749
Bed Occupancy Rates (%)
103.84
Average Length of Hospital Stay (No. of days per patient)
1.95
Hospital Death Rate (%)
0.08
Bahubal Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,765
Bahubal 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
4
3
2
22.22
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
59
36
11
12
20.34
Class IV
17
11
4
2
11.76
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
1
1
1
33.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
3
2
1
0
0.00
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
19
7
12
0
0.00
Class IV
0
0
0
0
0.00
Bahubal 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
12
5
3
4
33.33
Non Doctor
0
0
0
0
0.00
Class II
10
0
5
5
50.00
Class III
62
39
13
10
16.13
Class IV
17
11
4
2
11.76
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
Bahubal 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
0
0
9
6
0
0
1
0
0
Nurse
0
0
0
0
9
5
0
0
0
0
0
Medical Assistant
0
0
3
3
2
1
0
0
2
0
0
Medical Technologist
0
0
0
0
8
4
0
0
0
0
0
CHCP
19
19
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
0
HA
0
0
0
0
30
26
0
0
0
0
3
Bahubal 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
3
3
0
0
0
Portable OT Light
3
3
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
0
0
0
0
0
Bahubal 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
6
4
0
2
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Bahubal 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)
3
2
1
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
1
1
0
0
0
Microscope (binocular)
3
1
0
2
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Bahubal 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
Bahubal 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
0
0
1
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)
10
9
1
0
0
Laptop
3
1
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
9
9
0
0
0
Scanner
2
2
0
0
0
UPS
9
8
0
1
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
2
0
0
0
Multimedia
1
1
0
0
0
Bahubal 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
77
65
5
7
0
Bahubal Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Bahubal Upazila Health Complex
Last year we could not give proper efforts to improve the health status for many reasons.Here I like to mention some important factors which will help us to achieve good results in future.The vacant posts should be filled immediately as soon as possible.The hospital boundary wall is not heighten enough to secure all the hospital staffs and residents of quarters.So the higher authority should be serious to tale necessary action to heighten the boundary wall.In this bulletin there may be some errors. So it should be ignored.I am very happy to publish this health bulletin of 2014 because this bulletin will help us to compare our progress in coming years. I thanks to all who are related to publish this health bulletin.
Dr M Sulaiman Khan
UH&FPO
Bahubal Habigonj