Baghaichari Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to published this health bulletin of Baghaichari upazila.This contains all health related information of 2013.This bulletin is published to disseminate Baghaichari upazilla to other department and development partners of health. I hope all the information of this bulletin will help for planing and bridging the gaps in health services of this upazilla.Government health office has many data stored in the file .This bulletin will help us to find contains and to see the results and achievement of 2013.This bulletin gives the status of MDG4 and MDG5 which will help to localize the MDG targets.This health bulletin has also gives the information on safe drinking water and sanitation status of the upazila . All the sanction and vacant post are published in this bulletin 2013.There is severe interruption of power supply which hampers our normal activities as well as internet facilities. There is great difficulties in water supply due to interruption power supply. . We con not use our X-Ray machine due to low voltage.The main building of this hospital is very old which needs immediate reconstruction otherwise dangerous events can take place at anytime.I like to attention the higher authority to look to this issue. Sajek union is a large union in this upazila as well as in the country.This is a beautiful place of tourism.This union is attached to the Indian border.The end of the union is about hundred km from the upazila headquarter.Recently Honorable President and Honorable Prime Minister visited the Sajek union. So we are proud for this beautiful place of tourism.There are never to reach area in this union .where health facilities can not reach to the people. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Baghaichari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Baghaichari
Name of UHFPO Dr Md: Nazrul Islam
Telephone No. 00
FAX No. 0
Mobile No. 01711762525
Email baghaichari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 0.0000
No. of Unions in the Upazila 8
No. of Households in the Upazila 26,212
No. of Population in the Upazila 105,546
Area of Upazila in sq km 1,931.28
Baghaichari 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
2
0
No. of Union Health and Family Welfare Centres
3
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
6
0
No of Trauma Centres
0
0
No. of MCWCs
1
0
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
0
0
No. of NGO Clinics/Facilities
0
0
Baghaichari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,546
Total No. of children treated under IMCI Program 11,107
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 1.96 per 1,000 live births.
Baghaichari 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: 1864
Total Number of Deliveries: 2546
No. of Maternal Death: 0
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
0.00 per 100,000 live births.
Baghaichari 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
17,408
8,002
9,406
4,373
547
315
232
98
Union Sub-Centres
5,768
2,559
3,209
1,010
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
8,233
3,899
4,334
1,631
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
16,456
6,123
10,333
2,166
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
1,559
224
1,335
2,166
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
49,424
20,807
28,617
11,346
547
315
232
98
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
900
626
274
223
17
10
7
2
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
900
626
274
223
17
10
7
2
Baghaichari 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
1502
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
R10 Abdominal and pelvic pain
264
17.58
2
B97 Viral agents as the cause of diseases classified to other chapters
149
9.92
3
Y00 Assault by blunt object
124
8.26
4
A09 Diarrhoea and gastroenteritis of presumed infectious origin
115
7.66
5
J45 Asthma
109
7.26
6
J99 Respiratory disorders in diseases classified elsewhere
90
5.99
7
V899 Person injured in unspecified vehicle accident
67
4.46
8
F68 Other disorders of adult personality and behaviour
46
3.06
9
I11 Hypertensive heart disease
32
2.13
10
B50 Plasmodium falciparum malaria
28
1.86
Baghaichari 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
22
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J45 Asthma
9
40.91
2
R10 Abdominal and pelvic pain
3
13.64
3
P29 Cardiovascular disorders originating in the perinatal period
3
13.64
4
P59 Neonatal jaundice from other and unspecified causes
2
9.09
5
J80 Adult respiratory distress syndrome
1
4.55
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Baghaichari Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
40.00
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.)
3,638
Bed Occupancy Rates (%)
32.15
Average Length of Hospital Stay (No. of days per patient)
2.24
Hospital Death Rate (%)
1.69
Baghaichari Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
456
Baghaichari 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
1
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
10
1
4
5
50.00
Class III
63
48
7
8
12.70
Class IV
23
15
4
4
17.39
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
0
0
5
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
2
1
2
40.00
Class IV
5
0
0
5
100.00
Rural Dispensaries
Class I
Doctor
2
0
0
2
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
0
3
75.00
Class IV
2
1
0
1
50.00
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
13
6
7
0
0.00
Class IV
0
0
0
0
0.00
Baghaichari 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
16
2
1
13
81.25
Non Doctor
0
0
0
0
0.00
Class II
10
1
4
5
50.00
Class III
86
57
15
14
16.28
Class IV
25
16
4
5
20.00
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
Baghaichari 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
7
0
9
3
0
0
0
1
Nurse
0
0
0
0
9
5
0
0
0
2
Medical Assistant
0
0
7
3
2
2
0
0
2
0
Medical Technologist
0
0
2
2
8
8
0
0
0
0
CHCP
13
13
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
1
0
0
0
0
AHI
0
0
0
0
7
7
0
0
0
0
HA
0
0
0
0
35
29
0
0
0
0
CSBA trained***
0
0
0
0
0
0
30
30
0
0
Baghaichari 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
1
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
1
1
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
1
1
0
0
0
Autoclave
1
1
0
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
1
1
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)
6
2
4
0
0
Ventilator
0
0
0
0
0
Baghaichari 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
0
0
0
0
0
Pulse oximeter
0
0
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
Baghaichari 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
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
1
1
0
0
0
Microscope (binocular)
2
1
1
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
Baghaichari 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
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
1
1
0
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
Baghaichari 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)
0
0
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)
8
7
1
0
0
Laptop
3
3
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
3
2
1
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
1
1
0
0
0
Multimedia
2
1
1
0
0
Baghaichari 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
0
0
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
41
8
0
0
Baghaichari Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Baghaichari Upazila Health Complex |
Last year we could not give our maximum efforts to improve the health status due to many reason .Here I like to mention some important factors which will help us to achieve good result in future .1.The vacant post should be filled up immediately . 2.Reconstruct the main building of this hospital and staff quarter . 3. Number of community clinic and bed capacity of the health complex should be increased.4.We are unable to use our X-Ray facilities due to low voltage .There is need a 50kv transformer to upgrade of voltage . Finally I am very happy to write the 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 services and to provide us the useful advised for improvement in future.