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Barlekha Upazila Health Complex | Health Bulletin 2015 |
Preface
I cordially Welcome everybody to this health bulletin session.This bulletin contains health service information of 2015.I strongly believe this efort has eventually come to reality due to the strong initiative and co-operation delivered by our MIS section of DGHS.Our Barlekha Upazilla is an important upazilla of Moulvibazar district.It is situated 62 km north from Moulvibazar District HQ.Bangladesh's largest waterfall, Madhabkundo falls is situated in this upazilla and is set in a lush green Eco -park Setting makes for a spectacular viewing.It is surrounded by beautiful tea estates. Every year thousands of tourists are drawn to madhabkundo beacuse of its natural beauty . Hakaluki haor is famous for a wide variety of waterfowl and wintering migratory birds .There are 18 tea gardens in Barlekha.Lastly this Upazilla is very well communicated.
DR. Md. Abu Nayem Mahmud Hasan
UH&FPO
Barlekha Upazila Health Complex

Barlekha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Barlekha
Organization Code 10002096
Name of UHFPO DR. Md. Abu Nayem Mahmud Hasan
Land Phone No. 1 08622-0862256030
Land Phone No. 2
FAX No.
Mobile No. 01017186003
Email barlekha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.6939 And Long: 92.1848
No. of Unions in the Upazila10
No. of Households in the Upazila 45,967
Population in the Upazila 282,478
Area of Upazila in sq km 446.87

Barlekha 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) 4 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 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 1 20
No. of NGO Clinics/Facilities 0 0

Barlekha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,972


Under 5 Mortality Rate: 23.236 (Per 1,000 live births)
Infant Mortality Rate: 21.658 (Per 1,000 live births)
Neonatal Mortality Rate: 19.220 (Per 1,000 live births)
Still Birth Rate: 16.495 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 31,725
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 92%

Barlekha 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: 20
Total No. of Recipients Who Took at least one ANC: 7,980
Total Number of Deliveries: 7,081
Valid TT Coverage: 87.00 %
Maternal Mortality Ratio (MMR) is: 286.86 per 100,000 live births.

Barlekha 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 28,820 35,541 64,361 5,110 5,321 10,431 74,792 6,201 5,725 11,926 3,571 2,612 6,183 18,109
Union Sub-Centres 6,537 10,204 16,741 2,691 2,321 5,012 21,753 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 6,931 7,362 14,293 9,361 8,633 17,994 32,287 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 37,540 66,992 104,532 25,527 28,407 53,934 158,466 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

Barlekha 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 1,821 3,210 5,031 1,620 1,552 3,172 8,203 6 5 11 14 13 27 38
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

Barlekha 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 8,203
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 1741 21.22
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1013 12.35
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 731 8.91
4 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 412 5.02
5 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 295 3.60
6 J21 Acute bronchiolitis X: Diseases of the respiratory system 233 2.84
7 O05 Other abortion XV: Pregnancy, childbirth and the puerperium 152 1.85
8 J45 Asthma X: Diseases of the respiratory system 129 1.57
9 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 91 1.11
10 N30 Cystitis XIV: Diseases of the genitourinary system 57 0.69

Barlekha 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 38
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 10 26.32
2 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 4 10.53
3 I50 Heart failure X: Diseases of the respiratory system 4 10.53
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 3 7.89
5 J45 Asthma X: Diseases of the respiratory system 2 5.26
6 R572 Septic shock XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 5.26
7 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 5.26
8 I46 Cardiac arrest IX: Diseases of the circulatory system 1 2.63
9 N17 Acute renal failure XIV: Diseases of the genitourinary system 1 2.63
10 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 1 2.63

Barlekha 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 (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,510
Bed Occupancy Rates (%) 92.89
Average Length of Hospital Stay (No. of days per patient) 1.28
Hospital Death Rate (%) 0.46


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 22
Minor Surgeries 1,992

 

Barlekha 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 6 1 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 0 5 5 50.00
Class III 68 31 28 9 13.24
Class IV 20 14 2 4 20.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 10 8 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 4 2 4 40.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 0 0 2 100.00
Class IV 1 0 0 1 100.00
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 25 11 13 1 4.00
Class IV 0 0 0 0 0.00

 

Barlekha 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 20 14 3 3 15.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 5 5 50.00
Class III 105 46 43 16 15.24
Class IV 21 14 2 5 23.81
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

 

Barlekha 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 11 10 9 7 0 0 14 2 0
Nurse 0 0 0 0 11 5 0 0 0 0 0
Medical Assistant 0 0 11 6 2 2 0 0 8 0 0
Medical Technologist 0 0 1 0 8 5 0 0 0 0 0
CHCP 25 24 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 7 6 0 0 0 0 0
HA 0 0 0 0 0 39 37 0 0 0 6

Barlekha 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 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 3 3 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 1 3 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 1 0 0
Operating microscope 2 2 0 0 0
Ceiling mounting OT Light 2 0 2 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 5 3 2 0 0
Sterilizer 3 1 2 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Barlekha 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 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Barlekha 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 0 1 0 0
Centrifuge machine (electric) 2 2 0 0 0
Colorimeter 3 2 1 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


Barlekha 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 1 0 1 0 0
Refrigerator 1 0 1 0 0
Vehicles
Ambulance 1 1 0 0 0


Barlekha 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) 2 1 1 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 3 3 0 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) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 2 2 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


Barlekha 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 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 63 47 16 0 0

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

Important information and necessary issues for Barlekha Upazila Health Complex
Thanks All.