Bhedarganj Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Bhedarganj upazila . This bulletin contains all the health related information of 2013. This bulletin is publishedto disseminate the information of Bhedarganj upazila to other line department and development partners of health. I hope all the information of the bulletin will help for planning and bridging the gaps in health services of this upazila . Goverment health office has many data stored in the fine . This health bulletin will help us to find constrains and also yo see the result and achievementof 2013 . The bulletin contains the status of MDG 4 and MDG 5 which will help localize the MDG targets . This bulletin has also the information on safe drinking water and sanitation status of upazila . All the sanctioned and vacant posts are published in this bulletin of 2014 . this year health contains ICD code -10 that improved our health services internationally. its also contains detail human resurces information in different way.
I like to take attention to the higher authority to look into to this issue. Finaly I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Bhedarganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Bhedarganj
Name of UHFPO Dr. Md. Abdullah
Telephone No. 0602256107
FAX No. 0
Mobile No. 01711731282
Email bhedarganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.1977 And Long: 90.4428
No. of Unions in the Upazila 13
No. of Households in the Upazila 48,159
No. of Population in the Upazila 252,580
Area of Upazila in sq km 267.75
Bhedarganj 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
5
0
No. of Union Health and Family Welfare Centres
4
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
1
10
No. of NGO Clinics/Facilities
1
0
Bhedarganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,568
Total No. of children treated under IMCI Program 8,488
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 2.16 per 1,000 live births.
Bhedarganj 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: 2755
Total Number of Deliveries: 4928
No. of Maternal Death: 1
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
17.96 per 100,000 live births.
Bhedarganj 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
33,843
15,566
18,277
11,328
3,010
1,460
1,550
1,310
Union Sub-Centres
20,600
9,416
11,184
10,793
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
135,200
38,600
96,600
22,008
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
4,318
1,789
2,529
612
191
102
89
111
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
198,279
65,371
128,590
44,741
3,201
1,562
1,639
1,399
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
2,938
1,483
1,455
1,008
12
6
6
16
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
964
112
852
780
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
3,902
1,595
2,307
1,788
12
6
6
16
Bhedarganj 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
3947
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
790
20.02
2
J189 Pneumonia, unspecified
502
12.72
3
Y00 Assault by blunt object
479
12.14
4
K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation
369
9.35
5
A75 Typhus fever
268
6.79
6
O68 Labour and delivery complicated by fetal stress [distress]
97
2.46
7
J44 Other chronic obstructive pulmonary disease
79
2.00
8
J449 Chronic obstructive pulmonary disease, unspecified
53
1.34
9
P36 Bacterial sepsis of newborn
34
0.86
10
N390 Urinary tract infection, site not specified
18
0.46
Bhedarganj 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
28
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
P210 Severe birth asphyxia
5
17.86
2
I600 Subarachnoid haemorrhage from carotid siphon and bifurcation
2
7.14
3
I090 Rheumatic myocarditis
2
7.14
4
V880 Person injured in collision between car and two- or three-wheeled motor vehicle, nontraffic
2
7.14
5
P360 Sepsis of newborn due to streptococcus, group B
2
7.14
6
N18 Chronic renal failure
1
3.57
7
B15 Acute hepatitis A
1
3.57
8
C76 Malignant neoplasm of other and ill-defined sites
1
3.57
9
R75 Laboratory evidence of human immunodeficiency virus [HIV]
1
3.57
10
G96 Other disorders of central nervous system
1
3.57
Bhedarganj 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 (%)
98.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
10,941
Bed Occupancy Rates (%)
96.69
Average Length of Hospital Stay (No. of days per patient)
2.79
Hospital Death Rate (%)
0.26
Bhedarganj Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
189
Bhedarganj 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
2
0
7
77.78
Non Doctor
0
0
0
0
0.00
Class II
9
1
6
2
22.22
Class III
107
64
26
17
15.89
Class IV
23
12
7
4
17.39
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
13
2
1
10
76.92
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
18
5
1
12
66.67
Class IV
4
1
3
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
31
13
12
6
19.35
Class IV
0
0
0
0
0.00
Bhedarganj 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
22
4
1
17
77.27
Non Doctor
0
0
0
0
0.00
Class II
9
1
6
2
22.22
Class III
156
82
39
35
22.44
Class IV
27
15
10
2
7.41
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
Bhedarganj 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
13
3
9
2
0
0
1
1
Nurse
0
0
0
0
11
10
0
0
2
2
Medical Assistant
0
0
13
5
2
2
0
0
3
0
Medical Technologist
0
0
0
0
6
4
0
0
0
0
CHCP
31
24
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
3
0
0
0
0
AHI
0
0
0
0
12
12
0
0
0
0
HA
0
0
0
0
60
46
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Bhedarganj 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
0
1
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
2
1
0
0
1
Anesthesia machine without ventilator
2
1
0
0
1
Autoclave
1
1
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
3
3
0
0
0
Sucker machine (electric)
8
4
4
0
0
Ventilator
0
0
0
0
0
Bhedarganj 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
3
1
0
2
0
Pulse oximeter
2
2
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Bhedarganj 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
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)
1
1
0
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
Bhedarganj 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
1
1
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
0
1
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
Bhedarganj 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)
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)
4
3
1
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
2
1
0
1
0
Printer (laser)
3
3
0
0
0
Scanner
1
1
0
0
0
UPS
0
0
0
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
1
1
0
0
0
Bhedarganj 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
49
37
5
5
2
Bhedarganj Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Bhedarganj Upazila Health Complex |
Last year we could not give our maximum efforts improve the health status due to many reasons . Here I like mention some important factors which will help us to achieve good result in future. Firstly The vacant post should be filled immediately. Secondly our doctor and nurse need training on IMCI and every HA need CSBA training . Finally I am very to write this health bulletin of 2014. Because this document is help us to compair our progress in upcoming year .