Barura Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very much happy to publish this Health Bulletin of Barura Upazilla Health complex.This bulletin contains all the health related data and information of 2013 of this Upazilla.The bulletin has been published to disseminate the informations of Barura Upazilla to other line department and development partners of health.I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazilla.Brief reflections of different activities like outdoor ,indoor,emergency services, maternal and child health services and other preventive field activities run by health department of Barura Upazilla have been incorporated in this publication.In this initative all detailed information could not be furnished.I hope in future the bulletin will be much informative.We are thankful to Prof.Dr.Abul kalam Azad , Additional Director General ( Planning & development ) Director MIS DGHS for his technical assistance and financial support without which this work would have been incomplete.I am grateful to all my colleagues and other office assistants for their continued support in publishing this health bulletin.
Dr. Md. Abu Zaher
UH&FPO
Upazilla Health Complex, Barura, Comilla.
Barura Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Barura
Name of UHFPO Dr. Md.Abu Zaher
Telephone No. 0802752022
FAX No. 0
Mobile No. 01714003143
Email barura@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 91.0000
No. of Unions in the Upazila 17
No. of Households in the Upazila 84,528
No. of Population in the Upazila 464,298
Area of Upazila in sq km 242.00
Barura 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
13
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
38
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
6
74
No. of NGO Clinics/Facilities
1
0
Barura Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 12,450
Total No. of children treated under IMCI Program 11,406
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 0.80 per 1,000 live births.
Barura 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: 2603
Total Number of Deliveries: 12450
No. of Maternal Death: 0
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Barura 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
35,109
7,804
27,305
6,264
2,266
1,559
707
1,082
Union Sub-Centres
23,024
8,645
14,379
3,275
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
248,405
58,561
189,844
39,957
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
306,538
75,010
231,528
49,496
2,266
1,559
707
1,082
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
2,359
942
1,417
812
10
6
4
7
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
2,359
942
1,417
812
10
6
4
7
Barura 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
3171
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
X85 Assault by drugs, medicaments and biological substances
833
26.27
2
A009 Cholera, unspecified
515
16.24
3
J189 Pneumonia, unspecified
244
7.69
4
T609 Pesticide, unspecified
168
5.30
5
J449 Chronic obstructive pulmonary disease, unspecified
112
3.53
6
B33 Other viral diseases, NEC
99
3.12
7
V03 Pedestrian injured in collision with car, pick-up truck or van
45
1.42
8
R39 Other symptoms and signs involving the urinary system
38
1.20
9
K35 Acute appendicitis
21
0.66
10
T29 Burns and corrosions of multiple body regions
9
0.28
Barura 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
17
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J16 Pneumonia due to other infectious organisms, NEC
4
23.53
2
J449 Chronic obstructive pulmonary disease, unspecified
3
17.65
3
P210 Severe birth asphyxia
2
11.76
4
I21 Acute myocardial infarction
2
11.76
5
J189 Pneumonia, unspecified
1
5.88
6
C01 Malignant neoplasm of base of tongue
1
5.88
7
T609 Pesticide, unspecified
2
11.76
8
T519 Alcohol, unspecified
2
11.76
9
0
0.00
10
0
0.00
Barura Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
92.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
7,879
Bed Occupancy Rates (%)
70.00
Average Length of Hospital Stay (No. of days per patient)
2.50
Hospital Death Rate (%)
0.44
Barura Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
944
Barura 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
6
2
1
11.11
Non Doctor
0
0
0
0
0.00
Class II
10
0
9
1
10.00
Class III
98
42
24
32
32.65
Class IV
19
12
3
4
21.05
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
9
6
2
1
11.11
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
16
13
3
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
5
2
2
1
20.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
5
0
0
0.00
Class IV
5
3
0
2
40.00
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
42
11
26
5
11.90
Class IV
0
0
0
0
0.00
Barura 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
29
17
7
5
17.24
Non Doctor
0
0
0
0
0.00
Class II
15
0
10
5
33.33
Class III
158
65
53
40
25.32
Class IV
27
18
3
6
22.22
Other Hospitals & Clinics
Class I
Doctor
6
3
1
2
33.33
Non Doctor
0
0
0
0
0.00
Class II
5
0
1
4
80.00
Class III
4
1
0
3
75.00
Class IV
3
3
0
0
0.00
Barura 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
12
9
8
6
4
2
2
Nurse
0
0
0
0
10
9
5
1
6
1
Medical Assistant
0
0
14
14
2
2
0
0
9
0
Medical Technologist
0
0
0
0
4
3
1
0
0
0
CHCP
42
37
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
AHI
0
0
0
0
12
11
0
0
0
0
HA
0
0
0
0
60
34
0
0
0
0
CSBA trained***
0
0
0
0
0
4
0
0
0
0
Barura 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)
2
0
1
1
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)
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
0
0
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
2
2
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
1
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
1
1
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Barura 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
5
2
3
0
0
Pulse oximeter
3
2
1
0
0
Dental equipment
Dental unit
1
0
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Barura 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)
1
1
0
0
0
Colorimeter
2
1
1
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)
3
1
2
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
Barura 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
0
0
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
2
1
1
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
1
0
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
Barura 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)
3
3
0
0
0
Generator
Generator (diesel/petrol)
1
0
1
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)
7
7
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
2
2
0
0
0
Scanner
1
1
0
0
0
UPS
6
6
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Barura 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
2
2
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
53
40
11
2
0
Barura Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Barura Upazila Health Complex |
1.As I mentioned earlier this Health Complex was established in 1966 as 10 bedded Rural Health Centre.Later on in 1975 upgraded to 31 bedded Health complex.Considering , increasing population and local health demand this health complex now should be upgraded to 50 bedded one.
2.There are very shortage of rooms or spaces for separate IMCI corner, ORT corner, DOTS corner, Nutrition corner, NCD corner, Dental unit and store, doctors rooms, doctor`s rest room, reception counter etc.More field staffs like HA and AHI are needed.
3. 20 bedded Sonaimuri Hospital may be started by fulfilling manpower, suppling furnitures, instrumants and by completing remaining undone 30% construction work.
4. This health bulletin will be much helpful for local level planning and future improvement of health services of Barura specially.