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

Birganj Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this e-health bulletin 2014 of Birganj Upazila. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Birganj upazila 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 upazila. Government health office has many data stored in the file. This e-health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulleting contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2013. I like to take attention of the higher authority to look into to this issue. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Hope we will be able to serve a better Bulletin in the next Time. Thanks to MIS, DG, Health and all our health workers for their kind Cooperation in printing this matter Dr. Abu Sayed Md. Rafiqzzaman UH&FPO Birganj Upazila Health Complex
Dr. Abu Sayed Md. Rafiquzzaman
UH&FPO
Birganj Upazila Health Complex

Birganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBirganj
Name of UHFPO Dr. Abu Sayed Md. Rafiquzzaman
Telephone No. 0532372227
FAX No. 0
Mobile No. 01716297369
Email birganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.5247 And Long: 88.3809
No. of Unions in the Upazila11
No. of Households in the Upazila 70,594
No. of Population in the Upazila 316,789
Area of Upazila in sq km 414.00

Birganj 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 0 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 33 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 0 0
No. of NGO Clinics/Facilities 0 0

Birganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,586


Total No. of children treated under IMCI Program 17,465
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 8.07 per 1,000 live births.

Birganj 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: 1914
Total Number of Deliveries: 4617
No. of Maternal Death: 4
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 87.22 per 100,000 live births.

Birganj 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 58,453 24,842 33,611 10,857 3,926 1,777 2,149 765
Union Sub-Centres 42,856 17,906 24,950 12,743 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 222,584 95,319 127,265 67,345 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 323,893 138,067 185,826 90,945 3,926 1,777 2,149 765
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 2,854 1,038 1,816 748 13 7 6 6
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 2,854 1,038 1,816 748 13 7 6 6

Birganj 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 3602
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y009 Assault by blunt object, unspecified place 676 18.77
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 244 6.77
3 A01 Typhoid and paratyphoid fevers 224 6.22
4 V892 Person injured in unspecified motor-vehicle accident, traffic 217 6.02
5 X68 Intentional self-poisoning by and exposure to pesticides 189 5.25
6 J46 Status asthmaticus 107 2.97
7 D509 Iron deficiency anaemia, unspecified 63 1.75
8 J129 Viral pneumonia, unspecified 62 1.72
9 T30 Burn and corrosion, body region unspecified 40 1.11
10 I10 Essential (primary) hypertension 29 0.81

Birganj 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 19
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J46 Status asthmaticus 4 21.05
2 J45 Asthma 3 15.79
3 P219 Birth asphyxia, unspecified 2 10.53
4 I21 Acute myocardial infarction 2 10.53
5 J129 Viral pneumonia, unspecified 2 10.53
6 A090 Other and unspecified gastroenteritis and colitis of infectious origin 2 10.53
7 J96 Respiratory failure, NEC 2 10.53
8 R10 Abdominal and pelvic pain 1 5.26
9 A01 Typhoid and paratyphoid fevers 1 5.26
10 0 0.00

Birganj 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 (%) 90.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 8,787
Bed Occupancy Rates (%) 77.65
Average Length of Hospital Stay (No. of days per patient) 2.43
Hospital Death Rate (%) 0.21


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1176

 

Birganj 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 1 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 78 47 18 13 16.67
Class IV 19 15 3 1 5.26
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 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 10 1 0 9 90.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 9 3 0 0.00
Class IV 2 2 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 33 12 21 0 0.00
Class IV 0 0 0 0 0.00

 

Birganj 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 19 7 2 10 52.63
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 123 67 43 13 10.57
Class IV 21 17 3 1 4.76
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

 

Birganj 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 1 9 6 0 0 2 0
Nurse 0 0 0 0 12 10 0 0 6 6
Medical Assistant 0 0 10 10 2 2 0 0 4 0
Medical Technologist 0 0 0 0 6 5 0 0 0 0
CHCP 33 33 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 36 0 0 0 0
CSBA trained*** 0 0 0 0 0 5 0 0 0 0

Birganj 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) 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 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 1 0 1 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 3 1 2 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 4 2 2 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) 3 0 0 3 0
Ventilator 3 0 0 3 0


Birganj 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 3 2 1 0 0
Pulse oximeter 1 1 0 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


Birganj 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 2 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 0 0 1 0
Microscope (binocular) 5 2 3 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


Birganj 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


Birganj 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) 4 3 1 0 0
Air conditioner (window) 1 0 0 1 0
Generator
Generator (diesel/petrol) 1 1 0 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) 3 2 1 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 0 3 0
Scanner 1 1 0 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Birganj 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 55 30 12 13 0

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

Important information and necessary issues for Birganj Upazila Health Complex |
Birganj UHC has been upgraded from 31 Bed to 50 Bed and handed over on 20th Sept/2012, although not yet permitted to deliver the services to the patients as 50 Bed hospital. this 50 Bed hospital as inaugarated by the Honourable Prime Minister of People's Republic of Bangladesh on 22 October 2013. To deliver the services to the patients as 50 Bed hospital following essential measures should be taken immediately- A. posting of:- 1. consultant/specialists (Medicine, Gynae & Obs, Anaesthesia). 2. RMO. 3. Dental Surgeon. 4. Nursing Superviser. 5. Other Staffs. B:- 1. Well equiped Operation theatre. 2. Essential instruments for performing operations. 3. Anesthesia machine and necessary drugs related with anesthesia. C:- 1. A New AMBULANCE. D:- 1. Medical equipments and logistic support should be continued in a timely fashion. 2. Repairable instruments should be repaired immediately (e.g- X-ray machine, Sucker machine, Microscope etc.) E:- Doctor and nurses need more training on IMCI, EOC, communicable and non-communicable diseases. Finally, I am very happy to write 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 advices for our improvement