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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.
Dr Md: Nazrul Islam
UH&FPO
Baghaichari Upazila Health Complex

Baghaichari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBaghaichari
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 Upazila8
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.