Bochaganj Upazila Health Complex | Health Bulletin 2014 |
Preface
Preface
I am very glad to publish this e-health bulletin of Bochaganj Upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Bochaganj 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 fine. This e-health bulletin will help us to find constrains and also to see the results and achievements of 2014. The bulletin 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 2014. 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.Saral Chandra Roy UH&FPO Upazila Health Complex Bochaganj,Dinajpur.
Dr. Saral Chandra Roy
UH&FPO
Bochaganj Upazila Health Complex Dinajpur.
Bochaganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Bochaganj
Name of UHFPO Dr. Saral Chandra Roy
Telephone No. 0532573063
FAX No. 0
Mobile No. 01715015020
Email Bochaganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.4760 And Long: 88.2802
No. of Unions in the Upazila 6
No. of Households in the Upazila 36,076
No. of Population in the Upazila 164,057
Area of Upazila in sq km 22,481.00
Bochaganj 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
50
No. of Union Sub-Centres
0
0
No. of Union Health and Family Welfare Centres
5
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
21
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
Bochaganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,922
Total No. of children treated under IMCI Program 4,681
Fully Vaccinated Children: 92.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 4.84 per 1,000 live births.
Bochaganj 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: 3060
Total Number of Deliveries: 4330
No. of Maternal Death: 6
Valid TT Coverage: 7.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
152.98 per 100,000 live births.
Bochaganj 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
29,195
11,850
17,345
1,768
1,517
1,068
449
505
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
155,343
52,229
103,114
18,260
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
184,538
64,079
120,459
20,028
1,517
1,068
449
505
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
2,650
1,282
1,368
537
10
4
6
1
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
2,650
1,282
1,368
537
10
4
6
1
Bochaganj 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
3187
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y009 Assault by blunt object, unspecified place
446
13.99
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
430
13.49
3
A01 Typhoid and paratyphoid fevers
102
3.20
4
X68 Intentional self-poisoning by and exposure to pesticides
99
3.11
5
I10 Essential (primary) hypertension
94
2.95
6
J129 Viral pneumonia, unspecified
75
2.35
7
J46 Status asthmaticus
68
2.13
8
V892 Person injured in unspecified motor-vehicle accident, traffic
58
1.82
9
C68 Malignant neoplasm of other and unspecified urinary organs
20
0.63
10
T30 Burn and corrosion, body region unspecified
4
0.13
Bochaganj 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
10
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I64 Stroke, not specified as haemorrhage or infarction
2
20.00
2
G049 Encephalitis, myelitis and encephalomyelitis, unspecified
1
10.00
3
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed
1
10.00
4
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
1
10.00
5
N18 Chronic renal failure
1
10.00
6
J80 Adult respiratory distress syndrome
1
10.00
7
K566 Other and unspecified intestinal obstruction
1
10.00
8
J159 Bacterial pneumonia, unspecified
1
10.00
9
K859 Acute pancreatitis, unspecified
1
10.00
10
0
0.00
Bochaganj Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
8,025
Bed Occupancy Rates (%)
43.97
Average Length of Hospital Stay (No. of days per patient)
2.07
Hospital Death Rate (%)
0.28
Bochaganj Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
1066
Bochaganj 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
27
10
6
11
40.74
Non Doctor
0
0
0
0
0.00
Class II
16
0
9
7
43.75
Class III
65
38
14
13
20.00
Class IV
22
14
5
3
13.64
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
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
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
22
9
13
0
0.00
Class IV
0
0
0
0
0.00
Bochaganj 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
27
10
6
11
40.74
Non Doctor
0
0
0
0
0.00
Class II
16
0
9
7
43.75
Class III
65
38
14
13
20.00
Class IV
22
14
5
3
13.64
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
Bochaganj 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
0
0
27
16
0
0
2
1
Nurse
0
0
0
0
16
9
0
0
3
4
Medical Assistant
0
0
0
0
2
2
6
5
7
0
Medical Technologist
0
0
0
0
7
3
0
0
0
0
CHCP
22
22
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
0
0
0
0
0
AHI
0
0
0
0
0
0
5
5
0
0
HA
0
0
0
0
0
0
25
23
0
0
CSBA trained***
0
0
0
0
0
0
0
2
0
0
Bochaganj 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
0
1
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
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
4
4
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
2
2
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Bochaganj 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
2
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
3
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Bochaganj 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)
3
3
0
0
0
Colorimeter
2
2
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
0
0
0
0
0
Microscope (binocular)
1
1
0
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
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Bochaganj 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
Bochaganj 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)
3
3
0
0
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
1
1
0
0
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
3
2
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
0
0
0
0
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
1
1
0
0
0
Multimedia
1
1
0
0
0
Bochaganj 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
46
44
2
0
0
Bochaganj Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Bochaganj Upazila Health Complex |
Important information and necessary issues for Bochaganj Upazila Health Complex Last year we could not utilize our maximum efforts to improve the health status due to many reasons. 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 immediately. 2. Our doctor and nurse need more training on IMCI. 3. Number of community clinic should be increased. 4. All the repairable equipment should be repaired as soon as possible.