HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Boalkhali Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to published this health bulletin of Boalkhali Upazila. This bulletin contains all the health related information of 2013. I hope all the information of this bulletin will help for planning 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 constraints and also to see the results and achievements of 2013. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets.This bulletin has also the information on safe water and Sanitation status of the Upazila. All the sanction and vacant posts are published in in this bulletin of 2013. I would like to draw attention of the higher authority to look into this issue.Finally I would like to congratulate the initiator of the health bulletin software for leading us towards one step closer to form Digital Bangladesh.
Dr. Murshid Ara Begum
UH&FPO
Boalkhali Upazila Health Complex

Boalkhali Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBoalkhali
Name of UHFPO Dr. Murshid Ara Begum
Telephone No. 0303256024
FAX No. 0
Mobile No. 01817211780
Email boalkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.3746 And Long: 91.9190
No. of Unions in the Upazila10
No. of Households in the Upazila 43,053
No. of Population in the Upazila 249,341
Area of Upazila in sq km 136.27

Boalkhali 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 6 0
No. of Union Health and Family Welfare Centres 9 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 27 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 20
No. of NGO Clinics/Facilities 0 0

Boalkhali Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,134


Total No. of children treated under IMCI Program 15,579
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 1.75 per 1,000 live births.

Boalkhali 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: 546
Total Number of Deliveries: 865
No. of Maternal Death: 0
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 0.00 per 100,000 live births.

Boalkhali 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 51,730 18,616 33,114 25,089 10,025 5,387 4,638 4,755
Union Sub-Centres 36,765 14,122 22,643 5,720 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 55,915 12,603 43,312 16,179 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 115,138 42,782 72,356 39,273 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 7,530 2,051 5,479 4,756 1,210 578 632 1,302
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 274,608 90,174 176,904 91,017 11,235 5,965 5,270 5,387
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 4,690 1,123 3,567 1,087 8 4 4 1
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 582 245 337 262 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 5,272 1,368 3,904 1,349 8 4 4 1

Boalkhali 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 5777
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1987 34.40
2 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 1656 28.67
3 K270 Peptic ulcer, site unspecified, acute with haemorrhage 657 11.37
4 J189 Pneumonia, unspecified 423 7.32
5 J459 Asthma, unspecified 397 6.87
6 J210 Acute bronchiolitis due to respiratory syncytial virus 138 2.39
7 A010 Typhoid fever 119 2.06
8 B820 Intestinal helminthiasis, unspecified 87 1.51
9 I10 Essential (primary) hypertension 76 1.32
10 E10 Insulin-dependent diabetes mellitus 57 0.99

Boalkhali 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 9
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J40 Bronchitis, not specified as acute or chronic 3 33.33
2 J459 Asthma, unspecified 3 33.33
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin 2 22.22
4 J189 Pneumonia, unspecified 1 11.11
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Boalkhali 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 (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,569
Bed Occupancy Rates (%) 63.26
Average Length of Hospital Stay (No. of days per patient) 1.22
Hospital Death Rate (%) 0.16


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 22
Minor Surgeries 118

 

Boalkhali 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 8 1 4.76
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 95 52 22 21 22.11
Class IV 34 21 9 4 11.76
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 2 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 0 0 4 100.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 6 1 5 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 5 1 6 50.00
Class IV 6 6 0 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 29 7 18 4 13.79
Class IV 0 0 0 0 0.00

 

Boalkhali 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 31 15 15 1 3.23
Non Doctor 0 0 0 0 0.00
Class II 16 1 15 0 0.00
Class III 121 57 42 22 18.18
Class IV 30 21 9 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

 

Boalkhali 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 10 10 21 19 0 0 2 0
Nurse 0 0 0 0 16 16 0 0 3 1
Medical Assistant 0 0 8 6 2 2 0 0 8 0
Medical Technologist 0 0 0 0 8 4 0 0 0 0
CHCP 29 25 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0
HA 0 0 0 0 45 37 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Boalkhali 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) 0 0 0 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 1 0 1 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 1 1 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 2 0 0 0 0
Dehumidifier 2 2 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 2 2 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 5 5 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 3 3 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 1 0 1 0 0
Sucker machine (electric) 4 1 3 0 0
Ventilator 0 0 0 0 0


Boalkhali 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 9 4 5 0 0
Pulse oximeter 3 2 1 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


Boalkhali 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 1 0 1 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 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 0 0 0 0 0
Phototherapy unit 1 1 0 0 0


Boalkhali 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 1 1 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


Boalkhali 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) 2 2 0 0 0
Air conditioner (window) 4 4 0 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 9 8 0 1 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 2 2 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Boalkhali 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 86 69 12 5 0

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

Important information and necessary issues for Boalkhali 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. (1) Our Doctors,Nurse and Medical Assistant need more training on IMCI (2) I am very happy to write this Health Bulletin of 2013 because this document will help us to compare our progress in upcoming year. This is very useful document and will help the public to understand Health service and to provide us the useful advice for improvement in future.