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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Barhatta Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish Health bulletin of Barhatta Upazila. This bulletin contains all the health related information of 2013. This bulletin is published to disseminate the information of this Upazila to other line deparment and development partners of health .I hope all the information of this bulletin will help for planing and bridging the gaps in health services of this Upazila.Government health office has many data stored in fine .This health bulletin will help us to find constrains and also to see the results and achievements of 2012 .The bulletin contains the status of MDG4 & MDG5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water & sanitation status of the upazila.all the sanctioned and vacant posts are published in this health bulletin of 2013 .I like to take attention of the higher authority to look into to this issue .Finally would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh . Dr. Abul Mosur Ahmad UHFPO Barhatta,Netrakona .
Dr.Abul Monsur Ahmad
UH&FPO
Barhatta Upazila Health Complex

Barhatta Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBarhatta
Name of UHFPO Dr.Abul Monsur Ahmad
Telephone No. 0952356014
FAX No. 0
Mobile No. 01816499225
Email barhatta@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.5373 And Long: 90.5300
No. of Unions in the Upazila7
No. of Households in the Upazila 37,291
No. of Population in the Upazila 179,812
Area of Upazila in sq km 220.50

Barhatta 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 1 0
No. of Union Health and Family Welfare Centres 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 19 0
No of Trauma Centres 0 0
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 0 0

Barhatta Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,822


Total No. of children treated under IMCI Program 6,661
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 17.21 per 1,000 live births.

Barhatta 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: 1466
Total Number of Deliveries: 1143
No. of Maternal Death: 7
Valid TT Coverage: 76.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 145.17 per 100,000 live births.

Barhatta 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 57,750 20,532 37,218 17,419 3,902 2,550 1,352 1,456
Union Sub-Centres 7,176 3,004 4,172 3,002 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 135,231 51,179 84,052 17,523 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 200,157 74,715 125,442 37,944 3,902 2,550 1,352 1,456
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 3,128 1,501 1,627 812 10 4 6 10
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 3,128 1,501 1,627 812 10 4 6 10

Barhatta 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 3950
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 643 16.28
2 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 515 13.04
3 T146 Injury of muscles and tendons of unspecified body region 382 9.67
4 J189 Pneumonia, unspecified 148 3.75
5 J459 Asthma, unspecified 141 3.57
6 A048 Other specified bacterial intestinal infections 101 2.56
7 V290 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident 88 2.23
8 I159 Secondary hypertension, unspecified 66 1.67
9 A920 Chikungunya virus disease 61 1.54
10 T432 Other and unspecified antidepressants 54 1.37

Barhatta 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 20
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 P219 Birth asphyxia, unspecified 3 15.00
2 I688 Other cerebrovascular disorders in diseases classified elsewhere 3 15.00
3 J189 Pneumonia, unspecified 2 10.00
4 O722 Delayed and secondary postpartum haemorrhage 2 10.00
5 G039 Meningitis, unspecified 2 10.00
6 K295 Chronic gastritis, unspecified 2 10.00
7 I252 Old myocardial infarction 2 10.00
8 O85 Puerperal sepsis 1 5.00
9 G009 Bacterial meningitis, unspecified 1 5.00
10 I050 Mitral stenosis 1 5.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 79.00
Coverage of households having access to sanitary latrines (%) 65.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 8,419
Bed Occupancy Rates (%) 75.70
Average Length of Hospital Stay (No. of days per patient) 2.50
Hospital Death Rate (%) 0.51


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 156

 

Barhatta 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 9 4 1 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 10 0 8 2 20.00
Class III 63 35 19 9 14.29
Class IV 19 8 7 4 21.05
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 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 4 1 3 37.50
Class IV 1 0 0 1 100.00
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 20 11 8 1 5.00
Class IV 0 0 0 0 0.00

 

Barhatta 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 16 7 1 8 50.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 8 2 20.00
Class III 83 46 27 10 12.05
Class IV 20 8 7 5 25.00
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

 

Barhatta 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 7 3 9 5 0 0 0 0
Nurse 0 0 0 0 11 8 0 0 4 0
Medical Assistant 0 0 7 5 2 2 0 0 6 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0
CHCP 19 19 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 2 2 2 0
AHI 0 0 0 0 0 0 7 7 6 0
HA 0 0 0 0 0 0 34 29 29 0
CSBA trained*** 0 0 0 0 0 0 0 9 0 0

Barhatta 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 0 0 0 0 0
Autoclave 1 1 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 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) 5 0 0 5 0
Ventilator 0 0 0 0 0


Barhatta 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 1 0 3 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


Barhatta 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 1 1 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 1 1 0 0 0
Microscope (binocular) 3 2 1 0 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


Barhatta 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 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


Barhatta 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 0 1 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 8 0 0 0
Laptop 4 4 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 0 0 2 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 1 0 1 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 0 0 0 0 0
Multimedia 0 0 0 0 0


Barhatta 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 50 35 5 10 0

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

Important information and necessary issues for Barhatta Upazila Health Complex |
 Importance of information & necessary issues of Barhatta Upazila Health complex. Last year we could not give our maximum eforts improve the health status due to many reason. Here i like mention some important factors which will help us to achieve good results in future . 1.The Vacant post should be filled immediately .2.Need training on IMCI & EOC.for FWV& SACMO .3.Bed occupency Rate should be increased by filling Vaccant post of .RMO & consultant .4.All the repairrable equipments should be repired as soon as possible .5.We have 9 Female CSBA trained H.A out of 16 H.A . Non trained HA need training as soon as possible.Finaly I am very hapy to write this health bulletin of 2013 because this doccument will help us to compare our progress in upcoming years.This is very useful help the puplic to understand health services to provide us the useful advice for improvement in future.