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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.
Dr. Md. Abdullah
UH&FPO
Bhedarganj Upazila Health Complex

Bhedarganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBhedarganj
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 Upazila13
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 .