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
Birganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Birganj
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 Upazila 11
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