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Beanibazar Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure and privilege for us that, this is the 4th time this kind of news bulletin is going to be published and we are entitled to be a part of it. This bulletin contains all the health related information of Beanibazar Upazilla in 2014. This will enhance to give update & corrent information about the ongoing health services of our Upazilla. I hope all the information of this bulletin will help for planning & bridging the gaps in health services of this Upazilla. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. Though There may be some limitations but in course of time it will be a milestone in the development of the health sector in Bangladesh. Finally I would like to congratulate the initiators of the health bulletin software for setting us one step ahead toward digital Bangladesh. Dr.Moyazzam Ali khan Chowdhury UH&FPO Upazila Health Complex Beanibazar,Sylhet.
Dr. Moyazzam Ali Khan Chowdhury
UH&FPO
Beanibazar Upazila Health Complex

Beanibazar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Beanibazar
Organization Code 10002172
Name of UHFPO Dr. Moyazzam Ali Khan Chowdhury
Land Phone No. 1 -0822356135
Land Phone No. 2
FAX No.
Mobile No. 01711132999
Email beanibazar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila11
No. of Households in the Upazila 36,700
Population in the Upazila 264,715
Area of Upazila in sq km 249.25

Beanibazar 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 50
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) 7 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 21 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 3 26
No. of NGO Clinics/Facilities 2 0

Beanibazar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,110


Under 5 Mortality Rate: 16.174 (Per 1,000 live births)
Infant Mortality Rate: 14.768 (Per 1,000 live births)
Neonatal Mortality Rate: 9.142 (Per 1,000 live births)
Still Birth Rate: 6.329 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 50,525
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Beanibazar 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: 7
Total No. of Recipients Who Took at least one ANC: 6,761
Total Number of Deliveries: 7,105
Valid TT Coverage: 71.00 %
Maternal Mortality Ratio (MMR) is: 98.45 per 100,000 live births.

Beanibazar 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 27,599 42,078 69,677 7,267 8,865 16,132 85,809 15,272 9,957 25,229 2,443 1,294 3,737 28,966
Union Sub-Centres 9,443 8,545 17,988 1,858 1,049 2,907 20,895 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 34,180 41,774 75,954 3,435 4,199 7,634 83,588 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 31,044 95,450 126,494 10,440 15,662 26,102 152,596 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 178 210 388 132 129 261 649 93 95 188 85 96 181 369
NGO Clinics/Facilities 11,626 23,440 35,066 4,395 5,345 9,740 44,806 0 0 0 0 0 0 0

Beanibazar 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 911 4,556 5,467 1,440 896 2,336 7,803 3 3 6 6 11 17 23
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 261 570 831 554 619 1,173 2,004 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Beanibazar 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 6,993
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 1346 19.25
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1109 15.86
3 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 328 4.69
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 188 2.69
5 O034 Spontaneous abortion, incomplete, without complication XV: Pregnancy, childbirth and the puerperium 188 2.69
6 J450 Predominantly allergic asthma X: Diseases of the respiratory system 136 1.94
7 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 81 1.16
8 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 68 0.97
9 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 38 0.54
10 A390 Meningococcal meningitis I: Certain infectious and parasitic diseases 4 0.06

Beanibazar 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 23
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 8 34.78
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 4 17.39
3 P219 Birth asphyxia, unspecified I: Certain infectious and parasitic diseases 3 13.04
4 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 3 13.04
5 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 3 13.04
6 J16 Pneumonia due to other infectious organisms, NEC X: Diseases of the respiratory system 1 4.35
7 O13 Gestational [pregnancy-induced] hypertension without significant proteinuria XV: Pregnancy, childbirth and the puerperium 1 4.35
8 0 0.00
9 0 0.00
10 0 0.00

Beanibazar 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 (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 15,740
Bed Occupancy Rates (%) 86.25
Average Length of Hospital Stay (No. of days per patient) 2.25
Hospital Death Rate (%) 0.33


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 140
Minor Surgeries 1,231

 

Beanibazar 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 21 14 6 1 4.76
Non Doctor 0 0 0 0 0.00
Class II 16 0 15 1 6.25
Class III 84 44 12 28 33.33
Class IV 26 11 9 6 23.08
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 2 1 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 3 1 4 50.00
Class IV 4 3 0 1 25.00
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 1 0 1 50.00
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 22 11 8 3 13.64
Class IV 0 0 0 0 0.00

 

Beanibazar 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 32 21 8 3 9.38
Non Doctor 0 0 0 0 0.00
Class II 16 0 15 1 6.25
Class III 122 61 21 40 32.79
Class IV 31 15 9 7 22.58
Other Hospitals & Clinics
Class I Doctor 6 2 0 4 66.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 1 0 5 83.33
Class IV 0 0 0 0 0.00

 

Beanibazar 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 5 4 21 20 6 5 1 2 0
Nurse 0 0 0 0 15 14 2 1 0 6 0
Medical Assistant 0 0 5 5 2 2 6 2 9 0 0
Medical Technologist 0 0 5 0 10 3 0 0 0 0 0
CHCP 22 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 3 3 0 0 0
AHI 0 0 0 0 0 0 9 9 0 0 0
HA 0 0 0 0 0 0 45 31 0 0 0

Beanibazar 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 0 0 1 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 4 3 1 0 0
Autoclave 4 1 3 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 4 3 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 5 0 5 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 8 4 3 1 0
Ventilator 0 0 0 0 0


Beanibazar 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 4 4 0 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 2 2 0 0 0


Beanibazar 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) 3 1 2 0 0
Pediatric equipment
Baby incubator 2 2 0 0 0
Phototherapy unit 0 0 0 0 0


Beanibazar 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 2 2 0 0 0
Blood bank refrigerator 2 2 0 0 0
Refrigerator 3 3 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Beanibazar 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) 2 1 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) 8 8 0 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 7 7 0 0 0
Scanner 1 1 0 0 0
UPS 9 8 1 0 0
Fax 1 0 0 1 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


Beanibazar 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 95 72 17 6 0

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

Important information and necessary issues for Beanibazar Upazila Health Complex
Important information and necessary issues for Beanibazar Upazila Health Complex. For last 7 years, we received the best performance award as Emoc UHC in Sylhet Division. Electricity supply is not available always. We have no generator. So, one generator is our urgent requirement. We need one anesthesia consultant . X-ray, ECG, Ultrasonography facilities & man power must be ensured. X-Ray machine should be repaired or newly replaced.Condemned items should be disposed quickly to disocuppy the space. There is no specific store room in our existing facillities.So that lots of valuable medical equipments have remained here & there. It is nessessory to take initiative to resolve this problem. Financial power to solve local needs should be increased. An emergency fund must be available to handle urgent need for better management. A four wheel vehicle is needed to field visit & monitoring. CSBA, training for female HA ,CHCP & FWA should be arranged. Promotion of the employee should be ensured after definite time & duration. Finally I express my gratefulness to all those initiators who gave us scope to focus our important issues to the higher authority.