Bhaluka Upazila Health Complex | Health Bulletin 2014 |
Preface
I am highly glad to publish the Health bulletin of UHC Bhaluka, Mymensingh. This health bulletin reflects all the health and health related information of 2014 at Bhaluka. This bulletin is published to disseminate the information of Bhaluka upazila to other line department and development partners of health . I hope all the information of this
bulletin will help for local level planning and bridging the gaps in health Services of this Upazila. Government health
office has many data stored in the file .This health bulletin will help us to find constrains and also to see the results and achievements of 2012. The bulletin bears health infrastructure and Services delivery of Bhluka. It contains the
Status of MDG 4 and MDG5 which will help to localize the MDG targets. The bulletin has also depicted the Status of kala-azar ,EPI,EOC Services Service of Trauma centre and demonstrate on safe d irking water and Sanitation Status
of the Upazila . All the Sanctioned and Vacant Posts are published in the bulletin of 2014. I like to take attention of the higher authority to look into this issue .
Finally I would like to congratulate the irritation of the health bulletin Software for setting us on step a head to ward
Digital Bangladesh.
Bhaluka Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Bhaluka
Name of UHFPO Dr.GAUS NEWAZ
Telephone No. 0902256031
FAX No. 0
Mobile No. 01911380150
Email bhaluka@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4560 And Long: 93.4560
No. of Unions in the Upazila 11
No. of Households in the Upazila 99,024
No. of Population in the Upazila 399,722
Area of Upazila in sq km 442.75
Bhaluka 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
3
0
No. of Union Health and Family Welfare Centres
7
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
37
0
No of Trauma Centres
1
20
No. of MCWCs
0
0
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
3
30
No. of NGO Clinics/Facilities
2
0
Bhaluka Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,073
Total No. of children treated under IMCI Program 15,869
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Bhaluka 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: 5480
Total Number of Deliveries: 6464
No. of Maternal Death: 13
Valid TT Coverage: 34.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Bhaluka 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
15,102
7,213
7,889
4,810
5,618
3,217
2,401
1,918
Union Sub-Centres
36,999
11,388
25,611
7,267
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
144,072
54,247
89,825
19,066
0
0
0
0
Trauma Centres
10,796
6,840
3,956
736
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
206,969
79,688
127,281
31,879
5,618
3,217
2,401
1,918
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
5,172
1,785
3,387
1,292
10
4
6
2
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
250
135
115
58
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
5,422
1,920
3,502
1,350
10
4
6
2
Bhaluka 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
5613
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
V892 Person injured in unspecified motor-vehicle accident, traffic
1131
20.15
2
E539 Vitamin B deficiency, unspecified
845
15.05
3
R509 Fever, unspecified
578
10.30
4
K27 Peptic ulcer, site unspecified
299
5.33
5
I10 Essential (primary) hypertension
289
5.15
6
E46 Unspecified protein-energy malnutrition
245
4.36
7
A09 Diarrhoea and gastroenteritis of presumed infectious origin
239
4.26
8
J18 Pneumonia, organism unspecified
173
3.08
9
J45 Asthma
127
2.26
10
D539 Nutritional anaemia, unspecified
69
1.23
Bhaluka 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
6
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
V892 Person injured in unspecified motor-vehicle accident, traffic
1
16.67
2
I159 Secondary hypertension, unspecified
1
16.67
3
J18 Pneumonia, organism unspecified
1
16.67
4
T07 Unspecified multiple injuries
1
16.67
5
I516 Cardiovascular disease, unspecified
1
16.67
6
R100 Acute abdomen
1
16.67
7
D649 Anaemia, unspecified
0
0.00
8
R074 Chest pain, unspecified
0
0.00
9
0
0.00
10
0
0.00
Bhaluka Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
96.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
18,036
Bed Occupancy Rates (%)
99.00
Average Length of Hospital Stay (No. of days per patient)
3.00
Hospital Death Rate (%)
0.01
Bhaluka Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
1078
Minor Surgeries
3639
Bhaluka 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
17
3
1
4.76
Non Doctor
0
0
0
0
0.00
Class II
19
4
15
0
0.00
Class III
122
69
15
38
31.15
Class IV
22
16
2
4
18.18
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
8
6
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
3
5
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
2
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
6
0
0
0.00
Class IV
3
3
3
-3
-100.00
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
34
16
18
0
0.00
Class IV
0
0
0
0
0.00
Bhaluka 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
35
21
7
7
20.00
Non Doctor
0
0
0
0
0.00
Class II
19
4
15
0
0.00
Class III
122
69
28
25
20.49
Class IV
28
16
2
10
35.71
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
Bhaluka 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
91
21
17
3
3
2
1
Nurse
0
0
0
0
15
15
3
3
3
4
Medical Assistant
0
0
11
11
2
2
0
0
5
0
Medical Technologist
0
0
0
0
8
4
0
0
0
0
CHCP
34
34
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
AHI
0
0
0
0
12
12
0
0
0
0
HA
0
0
0
0
60
47
0
0
0
0
CSBA trained***
0
0
0
0
8
8
0
0
0
0
Bhaluka 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)
2
1
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
1
0
1
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
4
2
2
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
10
5
5
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
2
2
0
0
0
Operating microscope
2
1
1
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
6
3
3
0
0
Fracture table
2
2
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
5
5
0
0
0
Ventilator
2
2
0
0
0
Bhaluka 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
2
2
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Bhaluka 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)
1
1
0
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)
0
0
0
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
1
0
0
0
Phototherapy unit
0
0
0
0
0
Bhaluka 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
3
2
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
Bhaluka 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)
8
8
0
0
0
Air conditioner (window)
0
0
0
0
0
Generator
Generator (diesel/petrol)
2
2
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)
7
7
0
0
0
Laptop
40
40
0
0
0
Printer (dot matrix)
2
2
0
0
0
Printer (inkjet)
2
2
0
0
0
Printer (laser)
2
2
0
0
0
Scanner
0
0
0
0
0
UPS
7
7
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Bhaluka 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)
1
1
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
126
112
14
0
0
Bhaluka Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Bhaluka Upazila Health Complex |
By the year 2012 We could give maximum efforts for betterment of health status in our upazila and won the national award for the contribution in Emoc in Bangladesh. Bhaluka is a kala-azar prone endemic area. Cases are decreasing day by day due to availability of drugs , pathological facilities and skill manpower .Beside this first IRS installment already finished recently . Two kala-azar research project working here under the guidance of BMRC . I desire to mention few important topics which will help our mission to achieve our vision . (1) There should be a local emergency fund to manage emergency situation. (2) Our doctors and auxiliary staff need more training on IMCI and basic EOC. (3) Skill man power transfer should be stopped without informing local authority ‘ (4) Proposed another 20 C.C should be completed and hand over as soon as possible . (5) We need to fill up 3rd and 4th class vacant post . Finally we are very happy to write this health bulletin of 2013. It will help us to depict our progress and compare with other upazila of Bangladesh. This is the first documented health bulletin which will help the people to realize the health status and health services .By this booklet we enter into a new area.
