HPNSDP
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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Bajitpur Upazila Health Complex | Health Bulletin 2014 |
Preface
We have complied the year 2013. Many successful events and achievement have been done this year in health sector. Maternal mortality and child mortality rate have been reduced tremendously. As a result over all life expectorate have increased to 70 years. Our Bajitpur Upazilla Heatlh Complex and field health management system is a proud partner of this successful story. But there is many lacking in our health delivery system. Many post of doctor, Nurse, paramedics & field stuff have to be filled up. Village people are not fully aware of their personal health. They come hospital in the late stage of disease. Pregnant women do not want to come hospital for their ANC, delivery and PNC due to shyness. So health education must be strengthen in our rural people.
Dr. Md. Jamir Uddin
UH&FPO
Bajitpur Upazila Health Complex

Bajitpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBajitpur
Name of UHFPO Dr. Md. Jamir Uddin
Telephone No. 0942364255
FAX No. 0
Mobile No. 01712183687
Email bajitpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.1200 And Long: 90.5700
No. of Unions in the Upazila11
No. of Households in the Upazila 46,521
No. of Population in the Upazila 226,014
Area of Upazila in sq km 193.00

Bajitpur 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 31
No. of Union Sub-Centres 4 0
No. of Union Health and Family Welfare Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 21 0
No of Trauma Centres 0 0
No. of MCWCs 1 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 1 0
No. of NGO Clinics/Facilities 0 0

Bajitpur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,362


Total No. of children treated under IMCI Program 18,570
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 12.31 per 1,000 live births.

Bajitpur 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: 2613
Total Number of Deliveries: 5229
No. of Maternal Death: 6
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 111.90 per 100,000 live births.

Bajitpur 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 74,904 27,393 47,511 30,463 5,374 4,091 1,283 2,378
Union Sub-Centres 62,203 27,496 34,707 7,705 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 289,987 83,256 206,731 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 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 0 0 0 0 0 0 0 0
Total 427,094 138,145 288,949 38,168 5,374 4,091 1,283 2,378
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 4,058 1,865 2,193 1,451 12 5 7 0
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 0 0 0 0 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 0 0 0 0 0 0 0 0
Total 4,058 1,865 2,193 1,451 12 5 7 0

Bajitpur 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 4858
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J14 Pneumonia due to Haemophilus influenzae 2110 43.43
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 813 16.74
3 Y09 Assault by unspecified means 523 10.77
4 J45 Asthma 495 10.19
5 K25 Gastric ulcer 403 8.30
6 A010 Typhoid fever 327 6.73
7 O64 Obstructed labour due to malposition and malpresentation of fetus 113 2.33
8 D509 Iron deficiency anaemia, unspecified 28 0.58
9 I10 Essential (primary) hypertension 24 0.49
10 A03 Shigellosis 22 0.45

Bajitpur 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 12
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J14 Pneumonia due to Haemophilus influenzae 3 25.00
2 A419 Septicaemia, unspecified 2 16.67
3 J21 Acute bronchiolitis 1 8.33
4 K271 Peptic ulcer, site unspecified, acute with perforation 1 8.33
5 I21 Acute myocardial infarction 1 8.33
6 J449 Chronic obstructive pulmonary disease, unspecified 1 8.33
7 J15 Bacterial pneumonia, NEC 1 8.33
8 C34 Malignant neoplasm of bronchus and lung 1 8.33
9 I50 Heart failure 1 8.33
10 0 0.00

Bajitpur Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 75.00
Coverage of households having access to sanitary latrines (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 12,171
Bed Occupancy Rates (%) 107.76
Average Length of Hospital Stay (No. of days per patient) 2.50
Hospital Death Rate (%) 0.00


Bajitpur Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 392

 

Bajitpur 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 20 5 2 13 65.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 101 43 36 22 21.78
Class IV 26 17 3 6 23.08
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 24 8 8 8 33.33
Class IV 16 7 6 3 18.75
Rural Dispensaries
Class I Doctor 4 2 0 2 50.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 5 0 3 37.50
Class IV 4 2 0 2 50.00
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 26 11 15 0 0.00
Class IV 0 0 0 0 0.00

 

Bajitpur 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 20 6 2 12 60.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 127 54 50 23 18.11
Class IV 26 17 4 5 19.23
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

 

Bajitpur 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 4 2 20 5 0 0 5 0
Nurse 0 0 0 0 11 10 0 0 5 0
Medical Assistant 0 0 4 4 13 10 0 0 6 0
Medical Technologist 0 0 0 0 4 4 0 0 0 0
CHCP 26 26 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 2 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0
HA 0 0 0 0 45 36 0 0 0 0
CSBA trained*** 0 0 0 0 9 9 0 0 0 0

Bajitpur 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) 1 0 0 1 0
X-ray machine (300 mA) 1 0 1 0 0
X-ray machine (500 mA) 1 0 1 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 2 1 0 0 1
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 2 1 1 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Bajitpur 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 0 0 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 4 4 0 0 0
Pulse oximeter 1 0 1 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


Bajitpur 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 2 0 0 0
Colorimeter 0 0 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 2 0 1 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Bajitpur 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 0 0 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 2 0 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


Bajitpur 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) 3 0 3 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 0 0 0 0 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 7 0 1 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 5 0 1 0
Scanner 1 1 0 0 0
UPS 7 6 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Bajitpur 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 57 42 9 5 1

Bajitpur Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Bajitpur Upazila Health Complex |
Irregular supply of electricity is a major problem in Bajitpur Upazilla Health Complex. Neubulizer can not given regularly to the asthma and pneumonia patient due to lack of electricity. Necessary injection and I/V saline pushing is difficult in night. So one electricity generator is immediately need. Our water pump is old of many years. It should be replaced by new one. Number of community clinic and bed capacity of the health complex should be increased.