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.
Bajitpur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Bajitpur
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 Upazila 11
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.