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.
Boalkhali Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Boalkhali
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 Upazila 10
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.