Boalmari Upazila Health Complex | Health Bulletin 2014 |
Preface
Preface :
It’s an immense pleaser for me to publish the health bulletin of Boalmari Upazila. It contains all the health related information of the year 2013. This Bulletin is published in collaboration with other Govt: Sectors. I hope this will be helpful for planning & implementing the health services of this upazila. This Bulletin will focus on the achievements to the local people on 2013, at the same time also states the status of MDG targets. It contains the safe drinking water & sanitation condition of this upazila. All Sanction & Vacant posts are published here. I would like to draw the attention of the authority concern to pay attention into the issue. Finally I would like congratulate & encourage at e-health programmed like this which will lead us step forward towards Digital Bangladesh.
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Boalmari
Name of UHFPO Dr.Md.Farid Hossain Miah.
Telephone No. 0632456125
FAX No. 0
Mobile No. 01712509001
Email Boalmari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.3917 And Long: 89.6833
No. of Unions in the Upazila 11
No. of Households in the Upazila 52,303
No. of Population in the Upazila 287,602
Area of Upazila in sq km 273.00
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex
1
50
No. of Union Sub-Centres
5
0
No. of Union Health and Family Welfare Centres
7
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
24
0
No of Trauma Centres
0
0
No. of MCWCs
1
10
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
7
76
No. of NGO Clinics/Facilities
1
0
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,298
Total No. of children treated under IMCI Program 7,900
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 22.23 per 1,000 live births.
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 4
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother in the Upazila
Maternal health and MDG-5 (No.) (January-December, 2013)
All ANC Receiptients: 2502
Total Number of Deliveries: 8002
No. of Maternal Death: 9
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
142.90 per 100,000 live births.
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 5
No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
44,638
20,064
24,574
27,857
3,639
2,363
1,276
512
Union Sub-Centres
37,434
13,497
23,937
8,172
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
175,986
48,623
127,363
23,499
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
7,063
297
6,766
525
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
6,620
1,946
4,674
1,190
0
0
0
0
Total
271,741
84,427
187,314
61,243
3,639
2,363
1,276
512
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
8,952
3,935
5,017
2,166
29
15
14
20
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
63
0
63
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
825
0
825
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
9,840
3,935
5,905
2,166
29
15
14
20
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 6
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
5931
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
2115
35.66
2
J13 Pneumonia due to Streptococcus pneumoniae
1652
27.85
3
P364 Sepsis of newborn due to Escherichia coli
239
4.03
4
A390 Meningococcal meningitis
15
0.25
5
I10 Essential (primary) hypertension
525
8.85
6
I21 Acute myocardial infarction
143
2.41
7
I50 Heart failure
84
1.42
8
J45 Asthma
625
10.54
9
A01 Typhoid and paratyphoid fevers
252
4.25
10
I61 Intracerebral haemorrhage
281
4.74
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period
29
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
0
0.00
2
J13 Pneumonia due to Streptococcus pneumoniae
8
27.59
3
P364 Sepsis of newborn due to Escherichia coli
6
20.69
4
A390 Meningococcal meningitis
0
0.00
5
I10 Essential (primary) hypertension
1
3.45
6
I21 Acute myocardial infarction
4
13.79
7
I50 Heart failure
4
13.79
8
J45 Asthma
5
17.24
9
A01 Typhoid and paratyphoid fevers
0
0.00
10
I61 Intracerebral haemorrhage
1
3.45
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
98.00
Coverage of households having access to sanitary latrines (%)
93.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
20,207
Bed Occupancy Rates (%)
110.72
Average Length of Hospital Stay (No. of days per patient)
1.81
Hospital Death Rate (%)
0.44
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
397
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
21
10
2
9
42.86
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
67
32
6
29
43.28
Class IV
25
12
0
13
52.00
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I
Doctor
11
1
4
6
54.55
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
16
9
1
6
37.50
Class IV
5
3
2
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
27
9
16
2
7.41
Class IV
0
0
0
0
0.00
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned (No.)
Filled-up (No.)
Vacant (No.)
Vacancy %
M
F
Upazila Total
Class I
Doctor
32
11
6
15
46.88
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
83
41
7
35
42.17
Class IV
30
15
2
13
43.33
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
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 12
Status of Human Resources (No.) (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
11
5
21
12
0
0
1
1
Nurse
0
0
0
0
16
16
0
0
0
0
Medical Assistant
0
0
11
8
2
2
0
0
8
0
Medical Technologist
0
0
5
1
10
5
0
0
0
0
CHCP
27
25
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
AHI
0
0
0
0
5
3
0
0
0
0
HA
0
0
0
0
31
17
0
0
0
0
CSBA trained***
0
0
0
0
0
6
0
0
0
0
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 13
Existing equipments 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
1
0
0
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
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
1
0
0
0
Autoclave
2
1
1
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
1
1
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 14
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
1
1
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
5
3
0
2
0
Pulse oximeter
3
1
2
0
0
Dental equipment
Dental unit
1
0
1
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 15
Existing equipments 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)
2
1
1
0
0
Colorimeter
2
2
0
0
0
Electrolyte analyzer
0
0
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
3
1
2
0
0
Obstetric equipment
Fetal Monitor
1
1
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
1
0
1
0
0
Phototherapy unit
1
1
0
0
0
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 16
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
0
0
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
0
0
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
1
1
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 17
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
1
1
0
0
0
Air conditioner (window)
3
3
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
5
3
2
0
0
ICT equipment
Computer (desktop)
8
6
2
0
0
Laptop
31
31
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
6
0
0
0
Scanner
0
0
0
0
0
UPS
7
5
2
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
30
30
0
0
0
Multimedia
0
0
0
0
0
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 18
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
OHP
PA system (Sound)
0
0
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
128
110
16
2
0
Boalmari Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Boalmari Upazila Health Complex |
In the last year we tried our level best for the achievement of MDG-4 & MDG-5 goals, at the same time up-gradation of health status of the local community. We are facing some problem like inadequate man power. The Vacant posts should be filled immediately. We also need trained Stuff Nurse , OT Boy & Sufficient drugs for EOC purpose. The X-Ray Machine needs to be repaired.The Anaesthesia Machine needs to be repaired.During surgery Diathermy Machine is needed.Two Pulse Oxymeter needs to be repaired. For Dental Surgeon Dental Table needs to be repaired. At last I thank MIS for this effort & wish the dream of Digital Bangladesh will be implemented.