Balaganj Upazila Health Complex | Health Bulletin 2015 |
Preface
This is the 4th attempt to publishing “ Health Bulletin” of Balaganj upazila of Sylhet district. Last year (2014) we published “ Health Bulletin -2014” which was the third attempt focussing all the health related activities and achievements of Balaganj Upazila for the year -2013. This edition of “Health Bulletin -2015” focuses the achievements of the year – 2014.
Although certain constrains are still existing in the health delivery system of the upazila, all the service providers are trying to achieve their best quality of service delivery. The success goes to all who are related to health sector including doctors, nurses and support staff.
I strongly believe that this health bulletin will act as a index to evaluate and compare with previous year and also help to enhance the development of health related states and to identify problems for future.
We have a mobile phone running round the clock for health service delivery by a qualified doctor; phone no 01730324749. We are running telemedicine service which connects our complicated patients with experts of Sylhet MAG Osmani Medical College Hospital.
The readers are requested to consider with sympathy if any unwanted errors still present in this bulletin, please inform the undersigned.
With thanks.
Balaganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Balaganj
Organization Code
10002164
Name of UHFPO Dr. Padma Mohan Sinha
Land Phone No. 1
08222-056136
Land Phone No. 2
FAX No.
056136
Mobile No.
01712140865
Email balaganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
28.0000 And
Long:
87.0000
No. of Unions in the Upazila 14
No. of Households in the Upazila 47,747
Population in the Upazila 296,827
Area of Upazila in sq km 376.75
Balaganj 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
8
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
6
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
33
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
2
6
No. of NGO Clinics/Facilities
2
70
Balaganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,563
Under 5 Mortality Rate: 25.387 (Per 1,000 live births)
Infant Mortality Rate: 22.875 (Per 1,000 live births)
Neonatal Mortality Rate: 13.222 (Per 1,000 live births)
Still Birth Rate: 6.082 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 48,457
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months): 0%
Balaganj 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:
7,084
Total Number of Deliveries:
7,582
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR) is:
171.89 per 100,000 live births.
Balaganj 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
13,217
20,867
34,084
1,208
1,176
2,384
36,468
2,781
2,522
5,303
197
189
386
5,689
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)
46,138
60,575
106,713
4,633
4,792
9,425
116,138
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
107,432
163,543
270,975
17,928
18,809
36,737
307,712
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
3,670
5,461
9,131
1,821
1,809
3,630
12,761
976
216
1,192
76
69
145
1,337
NGO Clinics/Facilities
17,710
18,831
36,541
2,021
1,894
3,915
40,456
0
0
0
0
0
0
0
Balaganj 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
858
1,156
2,014
52
63
115
2,129
1
2
3
0
0
0
3
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
285
641
926
291
275
566
1,492
0
0
0
0
0
0
0
NGO Clinics/Facilities
3,334
3,991
7,325
0
0
0
7,325
0
0
0
0
0
0
0
Balaganj 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
2,129
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
554
26.02
2
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
273
12.82
3
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
207
9.72
4
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
188
8.83
5
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
183
8.60
6
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
117
5.50
7
J45 Asthma
X: Diseases of the respiratory system
85
3.99
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
33
1.55
9
N70 Salpingitis and oophoritis
XIV: Diseases of the genitourinary system
31
1.46
10
O669 Obstructed labour, unspecified
XV: Pregnancy, childbirth and the puerperium
30
1.41
Balaganj 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
3
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
N17 Acute renal failure
XIV: Diseases of the genitourinary system
2
66.67
2
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
33.33
3
XIV: Diseases of the genitourinary system
0
0.00
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
Balaganj Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
84.00
Coverage of households having access to sanitary latrines (%)
91.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
4,051
Bed Occupancy Rates (%)
35.80
Average Length of Hospital Stay (No. of days per patient)
1.90
Hospital Death Rate (%)
0.14
Balaganj Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
74
Minor Surgeries
523
Balaganj 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
7
3
-1
-11.11
Non Doctor
0
0
0
0
0.00
Class II
10
1
3
6
60.00
Class III
91
59
9
23
25.27
Class IV
19
10
1
8
42.11
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
3
3
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
12
7
0
5
41.67
Class IV
6
5
0
1
16.67
Rural Dispensaries
Class I
Doctor
8
5
3
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
1
1
6
75.00
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
39
19
18
2
5.13
Class IV
0
0
0
0
0.00
Balaganj 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
23
14
10
-1
-4.35
Non Doctor
0
0
0
0
0.00
Class II
10
1
3
6
60.00
Class III
150
87
28
35
23.33
Class IV
25
15
1
9
36.00
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
Balaganj 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
6
9
10
8
8
1
0
0
Nurse
0
0
0
0
10
4
0
0
0
0
0
Medical Assistant
0
0
6
6
2
0
8
3
6
0
0
Medical Technologist
0
0
6
1
8
4
0
0
0
0
0
CHCP
0
0
0
0
0
0
39
37
0
0
0
HI
0
0
0
0
0
0
4
4
0
0
0
AHI
0
0
0
0
0
0
11
11
0
0
0
HA
0
0
0
0
0
0
55
44
0
0
0
Balaganj 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)
0
0
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
1
0
1
0
0
Autoclave
2
0
2
0
0
Electric cautery machine
1
0
1
0
0
Diathermy machine
1
0
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
1
0
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
3
1
2
0
0
Sucker machine (electric)
5
3
2
0
0
Ventilator
0
0
0
0
0
Balaganj 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
3
2
1
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Balaganj 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
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
1
1
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Balaganj 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
0
1
0
Balaganj 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
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)
7
7
0
0
0
Laptop
41
41
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
7
7
0
0
0
Fax
1
0
1
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
Balaganj 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
94
75
17
2
0
Balaganj Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Balaganj Upazila Health Complex
We have a X-Ray machine but it is non-functioning and there is no Medical Technologist (RG). So for better health service X-Ray machine should be made functioning and recruitment of Medical Technologist (RG) is mandatory.
We have no Medical Technologist (Lab) and that`s why we can`t do any serological and routine investigation for confirmatory diagnosis of a case. So recruitment of Medical Technologist (Lab) is mandatory.
We need a Generator for electric supply during load shedding.
We need Senior Staff Nurses. Only 3 SSN out of 10 are available here. Without Senior Staff Nurse proper health service is almost impossible. So Senior Staff Nurses recruitment is mandatory.
Dr. Padma Mohan Sinha
Upazila Health & Family Planning Officer.
Balaganj, Sylhet.
Phone No. 08222-56136
Email – balaganj@uhfpo.dghs.gov.bd
Prepared by :
Fani Bhusson Sarkar
Statistician
UHC Balaganj, Sylhet.
Mobile No. 01710984018
Email: fanibhussonsarkar65@gmail.com
