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

Birampur Upazila Health Complex | Health Bulletin 2014 |
Preface
Bangladesh is one of the most densely populated and disaster-prone countries in the world. Birampur Upazila is not an exception. Moreover there are many population of tribal origin, namely Tribe. The literacy rate and economical status of the Tribal population are very poor and, it was very challenging to provide health services to this population. In spite of this difficulties Birampur Upazila has made marked progress in health service development. It is a great pleasure that Birampur upazila received National Awards 2012 on safe motherhood for excellent performance on maternal health. It is the third time that Birampur upazila has published a health Bulletin 2014 under ministry of health & family welfare.The Bulletin is mainly confined to the public health services. The present information is on four major ares, morbidity, mortality, resource availability and provision of services. The information revised and brought up to date to reflect as far as possible the situation during 2013. I wish to place on record of my appreciation and grateful thanks to all officials who gave generously their time & knowledge, providing data. My thanks are also due to the valuable services rendered by the staff of medical statistics unit that has planed and co- coordinated the bulletin
Dr. Paritosh Chandra Das Gupta
UH&FPO
Birampur Upazila Health Complex

Birampur Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBirampur
Name of UHFPO Dr. Paritosh Chandra Das Gupta
Telephone No. 0532256445
FAX No. 0
Mobile No. 01716007790
Email birampur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.2343 And Long: 88.5915
No. of Unions in the Upazila7
No. of Households in the Upazila 35,354
No. of Population in the Upazila 168,254
Area of Upazila in sq km 211.81

Birampur 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 0 0
No. of Union Health and Family Welfare Centres 6 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 20 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 5 56
No. of NGO Clinics/Facilities 1 90

Birampur Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,140


Total No. of children treated under IMCI Program 9,894
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 8.60 per 1,000 live births.

Birampur 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: 4380
Total Number of Deliveries: 3140
No. of Maternal Death: 4
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 127.39 per 100,000 live births.

Birampur 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 50,338 20,586 29,752 9,896 6,671 3,278 3,393 639
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 28,045 8,995 19,050 1,693 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 132,398 44,421 87,977 18,598 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 210,781 74,002 136,779 30,187 6,671 3,278 3,393 639
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 4,758 1,865 2,893 596 13 10 3 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 4,758 1,865 2,893 596 13 10 3 2

Birampur 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 4749
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 699 14.72
2 Y04 Assault by bodily force 523 11.01
3 K27 Peptic ulcer, site unspecified 392 8.25
4 A01 Typhoid and paratyphoid fevers 291 6.13
5 T629 Noxious substance eaten as food, unspecified 166 3.50
6 V892 Person injured in unspecified motor-vehicle accident, traffic 159 3.35
7 J45 Asthma 140 2.95
8 F412 Mixed anxiety and depressive disorder 130 2.74
9 D50 Iron deficiency anaemia 81 1.71
10 I516 Cardiovascular disease, unspecified 80 1.68

Birampur 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 15
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 3 20.00
2 I21 Acute myocardial infarction 2 13.33
3 P21 Birth asphyxia 2 13.33
4 Z017 Laboratory examination 2 13.33
5 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 6.67
6 K27 Peptic ulcer, site unspecified 1 6.67
7 T300 Burn of unspecified body region, unspecified degree 1 6.67
8 V892 Person injured in unspecified motor-vehicle accident, traffic 1 6.67
9 I50 Heart failure 1 6.67
10 R89 Abnormal findings in specimens from other organs, systems and tissues 1 6.67

Birampur Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 8,818
Bed Occupancy Rates (%) 77.93
Average Length of Hospital Stay (No. of days per patient) 1.89
Hospital Death Rate (%) 0.32


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 529
Minor Surgeries 1201

 

Birampur 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 5 2 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 12 0 11 1 8.33
Class III 65 46 14 5 7.69
Class IV 19 13 4 2 10.53
Union Health & Family Welfare Center (under DGHS)
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 14 5 8 1 7.14
Class IV 11 5 6 0 0.00
Rural Dispensaries
Class I Doctor 7 0 0 7 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 6 1 0 0.00
Class IV 0 0 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 20 12 8 0 0.00
Class IV 0 0 0 0 0.00

 

Birampur 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 5 2 9 56.25
Non Doctor 0 0 0 0 0.00
Class II 12 0 11 1 8.33
Class III 65 46 14 5 7.69
Class IV 19 13 4 2 10.53
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

 

Birampur 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 7 0 0 2 3
Nurse 0 0 0 0 12 11 0 0 4 4
Medical Assistant 0 0 7 7 2 2 0 0 3 3
Medical Technologist 0 0 0 0 8 8 0 0 4 0
CHCP 20 20 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 5 5 0 0 0 0
HA 0 0 0 0 30 28 0 0 0 0
CSBA trained*** 0 0 7 7 0 0 0 0 7 0

Birampur 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) 1 0 0 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) 1 1 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 1 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 0 1 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 5 3 1 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 3 1 1 0 1
Sterilizer 3 1 2 0 0
Sucker machine (electric) 3 2 1 0 0
Ventilator 0 0 0 0 0


Birampur 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 2 0 0 0 2
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 4 1 0 3 0
Pulse oximeter 2 1 0 0 1
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


Birampur 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 1 1 0 0 0
Microscope (binocular) 2 2 0 0 0
Obstetric equipment
Fetal Monitor 1 1 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


Birampur 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 2 1 1 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 2 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


Birampur 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) 2 2 0 0 0
Generator
Generator (diesel/petrol) 2 2 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 6 0 0 2
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 7 4 0 2 1
Scanner 1 1 0 0 0
UPS 6 4 0 1 1
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


Birampur 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 76 50 7 10 9

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

Important information and necessary issues for Birampur Upazila Health Complex |
 Despite progress in comprehensive essential obstetric care services many other health indicators need to be improved. To provide health services to the population we are facing several constraints, notably scarcity of manpower. Eighty percent of post of doctors is vacant. To improve and sustain progress it is essential to fille up the vacant post immediately. To improve child survival and maternal health, consultant post of pediatrician should be filled up. Medical equipments and logistic support should be continued in a timely fashion. Repairable instruments should be repaired immediately. Doctor and nurses need more training on IMCI, communicable and non-communicable diseases. Finally, I am very happy to publish this health Bulletin 2014, because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement.