HPNSDP
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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Banshkhali Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Banskhali Upazila. This bulletin contains that all the health related information of 2013. I hope all the information of this bulletin will help for planning & bridging the gaps in health services of this Upazila.the bulletin contains the status of MDG4&MDG5 which will help to localize the MDG targets. This health bulletin also have the information on safe drinking water & sanitation status of the upazila. All the sanctioned & vacant posts are published in this bulletin of 2013. I like to take the attention of the higher authority to look into this issue. Finally i would like to congratulate the initiator of the health bulletin software for setting us one step ahead towars digital Bangladesh. Dr.Md.Rezaul Haque. UH&FPO Banshkhali Upazila Health Complex,Ctg.
Dr.Md.Rezaul Haque
UH&FPO
Banshkhali Upazila Health Complex

Banshkhali Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBanshkhali
Name of UHFPO Dr.Md.Rezaul Haque
Telephone No. 0303756014
FAX No. 0
Mobile No. 01712092278
Email banshkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.3230 And Long: 91.7880
No. of Unions in the Upazila15
No. of Households in the Upazila 84,304
No. of Population in the Upazila 494,470
Area of Upazila in sq km 391.09

Banshkhali 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 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 35 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 3 0
No. of NGO Clinics/Facilities 2 0

Banshkhali Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 13,765


Total No. of children treated under IMCI Program 35,143
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 1.67 per 1,000 live births.

Banshkhali 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: 897
Total Number of Deliveries: 409
No. of Maternal Death: 0
Valid TT Coverage: 86.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Banshkhali 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 35,429 9,255 26,174 7,174 13,014 6,237 6,777 4,379
Union Sub-Centres 23,211 9,862 13,349 3,015 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 39,336 17,408 21,928 7,034 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 102,842 37,384 65,458 23,229 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 200,818 73,909 126,909 40,452 13,014 6,237 6,777 4,379
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 4,243 1,875 2,368 2,676 22 12 10 18
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 4,243 1,875 2,368 2,676 22 12 10 18

Banshkhali 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 3970
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2100 52.90
2 J189 Pneumonia, unspecified 853 21.49
3 Y00 Assault by blunt object 246 6.20
4 J449 Chronic obstructive pulmonary disease, unspecified 239 6.02
5 T37 Poisoning by other systemic anti-infectives and antiparasitics 163 4.11
6 J459 Asthma, unspecified 122 3.07
7 J47 Bronchiectasis 96 2.42
8 A94 Unspecified arthropod-borne viral fever 61 1.54
9 A01 Typhoid and paratyphoid fevers 48 1.21
10 O234 Unspecified infection of urinary tract in pregnancy 42 1.06

Banshkhali 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 40
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified 8 20.00
2 J22 Unspecified acute lower respiratory infection 5 12.50
3 J189 Pneumonia, unspecified 4 10.00
4 J45 Asthma 4 10.00
5 R560 Febrile convulsions 3 7.50
6 P361 Sepsis of newborn due to other and unspecified streptococci 3 7.50
7 E44 Protein-energy malnutrition of moderate and mild degree 2 5.00
8 P210 Severe birth asphyxia 2 5.00
9 I21 Acute myocardial infarction 2 5.00
10 G839 Paralytic syndrome, unspecified 1 2.50

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 55.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 13,532
Bed Occupancy Rates (%) 74.11
Average Length of Hospital Stay (No. of days per patient) 2.10
Hospital Death Rate (%) 0.30


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 4
Minor Surgeries 183

 

Banshkhali 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 12 2 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 17 1 11 5 29.41
Class III 109 51 36 22 20.18
Class IV 22 12 8 2 9.09
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 3 1 7 63.64
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 0 1 10 90.91
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 0 2 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 3 0 3 50.00
Class IV 3 2 0 1 33.33
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 45 21 25 -1 -2.22
Class IV 0 0 0 0 0.00

 

Banshkhali 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 15 5 15 42.86
Non Doctor 0 0 0 0 0.00
Class II 17 1 11 5 29.41
Class III 171 75 62 34 19.88
Class IV 25 14 11 0 0.00
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

 

Banshkhali 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 14 8 21 14 0 0 1 1
Nurse 0 0 0 0 16 12 0 0 2 2
Medical Assistant 0 0 14 4 2 2 0 0 5 0
Medical Technologist 0 0 3 0 9 5 0 0 0 0
CHCP 45 36 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 3 0 0 0 0
AHI 0 0 0 0 13 11 0 0 0 0
HA 0 0 0 0 64 56 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Banshkhali 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 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 2 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 5 3 0 0 2
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 3 3 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Banshkhali 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 2 2 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 3 0 0 0
Pulse oximeter 1 1 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


Banshkhali 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) 6 3 1 1 1
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 0 0 0 0 0
Microscope (binocular) 4 3 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 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Banshkhali 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 2 1 0 1 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 0 0 1
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Banshkhali 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) 0 0 0 0 0
Air conditioner (window) 2 2 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 13 8 0 1 4
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 2 0 1 0
Printer (laser) 8 5 0 0 3
Scanner 1 1 0 0 0
UPS 13 8 0 0 5
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 0 0 0 0 0


Banshkhali 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 87 64 1 6 16

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

Important information and necessary issues for Banshkhali Upazila Health Complex |
 Last we tried our best to give maximum efforts to improve the health status.Here i like mention some important factors which will help us to achieve good results.in future.1.The vacent post should be filled immediatly.2.Consultant should be placed .3.Our doctor & nurses need training on IMCI &EOC.4.No of sub-centre & community clinic should be increased.All the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this health bulletin of 2013 because this document will help us to compare our progress in upcoming years.This is very useful document and will help the public to understand health services & provide us the useful advice for improvement in future.