Bhurungamari Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of our upazila.This bulletin contains all the health related information of 2013.I hove all the information of this bulletin will help to planning and better health services of this upazila.This health bulletin will be help us to find out and also to see the results and achievement of 2013.The bulleting contains the status of MDG 4 and MDG 5 which will help to achieve the MDG target.This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts published in this health bulletin 2014. I like to take attention of the higher authority to look after these problems. which is help us to give better health services in this upazila. Dr. Md. Saifur Rahman UH&fPO Bhurungamari Upazila Health Complex. Dist.Kurigram.
Dr. Md. Saifur Rahman
UH&FPO
Bhurungamari Upazila Health Complex
Bhurungamari Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Bhurungamari
Name of UHFPO Dr. Md.Saifur Rahman
Telephone No. 0582256012
FAX No. 0
Mobile No. 01715081610
Email bhurungamari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 94.0000
No. of Unions in the Upazila 10
No. of Households in the Upazila 50,900
No. of Population in the Upazila 246,577
Area of Upazila in sq km 232.00
Bhurungamari 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
4
0
No. of Union Health and Family Welfare Centres
5
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
25
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
2
20
No. of NGO Clinics/Facilities
0
0
Bhurungamari Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,651
Total No. of children treated under IMCI Program 7,471
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 24.07 per 1,000 live births.
Bhurungamari 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: 4532
Total Number of Deliveries: 5651
No. of Maternal Death: 8
Valid TT Coverage: 48.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
141.57 per 100,000 live births.
Bhurungamari 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
64,740
29,151
35,589
12,948
4,448
2,324
2,124
667
Union Sub-Centres
69,950
34,088
35,862
9,286
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
35,330
5,595
29,735
7,464
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
292,034
92,742
199,292
49,464
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
462,054
161,576
300,478
79,162
4,448
2,324
2,124
667
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
4,209
2,078
2,131
841
11
5
6
0
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
1,107
323
784
78
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
5,316
2,401
2,915
919
11
5
6
0
Bhurungamari 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
4209
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
X85 Assault by drugs, medicaments and biological substances
1053
25.02
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
957
22.74
3
J45 Asthma
370
8.79
4
V011 Pedestrian injured in collision with pedal cycle, traffic accident
269
6.39
5
D50 Iron deficiency anaemia
222
5.27
6
A94 Unspecified arthropod-borne viral fever
196
4.66
7
A010 Typhoid fever
180
4.28
8
K27 Peptic ulcer, site unspecified
139
3.30
9
O669 Obstructed labour, unspecified
94
2.23
10
I11 Hypertensive heart disease
90
2.14
Bhurungamari 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
11
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J459 Asthma, unspecified
2
18.18
2
J45 Asthma
2
18.18
3
T600 Organophosphate and carbamate insecticides
2
18.18
4
I679 Cerebrovascular disease, unspecified
2
18.18
5
I21 Acute myocardial infarction
1
9.09
6
J159 Bacterial pneumonia, unspecified
1
9.09
7
I110 Hypertensive heart disease with (congestive) heart failure
1
9.09
8
0
0.00
9
0
0.00
10
0
0.00
Bhurungamari Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
9,274
Bed Occupancy Rates (%)
82.08
Average Length of Hospital Stay (No. of days per patient)
2.25
Hospital Death Rate (%)
0.26
Bhurungamari Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
162
Bhurungamari 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
3
0
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
10
2
8
0
0.00
Class III
72
53
11
8
11.11
Class IV
19
14
5
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
2
0
3
60.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
1
0
4
80.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
0
0
4
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
5
0
3
37.50
Class IV
4
4
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
35
15
18
2
5.71
Class IV
0
0
0
0
0.00
Bhurungamari 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
18
5
0
13
72.22
Non Doctor
0
0
0
0
0.00
Class II
10
2
8
0
0.00
Class III
85
59
11
15
17.65
Class IV
23
18
5
0
0.00
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
Bhurungamari 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
9
2
9
3
0
0
2
0
Nurse
0
0
0
0
10
10
0
0
1
0
Medical Assistant
0
0
9
2
2
1
0
0
1
0
Medical Technologist
0
0
4
4
8
6
0
0
0
0
CHCP
35
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
8
8
0
0
0
0
HA
0
0
0
0
40
36
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Bhurungamari 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)
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)
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
0
0
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
1
0
1
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
0
0
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)
3
2
1
0
0
Ventilator
0
0
0
0
0
Bhurungamari 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
8
3
3
0
2
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
Bhurungamari 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
0
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
0
0
0
0
0
Microscope (binocular)
2
0
0
2
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
Bhurungamari 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
2
1
1
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
Bhurungamari 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)
4
4
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
0
0
0
0
0
ICT equipment
Computer (desktop)
2
2
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
6
2
0
0
4
Scanner
1
1
0
0
0
UPS
1
1
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
Bhurungamari 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
42
26
8
2
6
Bhurungamari Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Bhurungamari Upazila Health Complex |