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Badalgachi Upazila Health Complex | Health Bulletin 2014 |
Preface
We are glad to publish this health bulletin for the Badalgachi upazilla as per government policy to disseminate the information to public, different development organizations and government departments for use in planning for future development of health sector of this upazilla. Also there are information about deficiencies in this upazilla which will draw attention of the concern authorities to take necessary actions. Badalgachi Upazilla is one of 11 upazillas of Naogaon district of Rajshai division. This upazilla is well known for the historic Paharpur Buddhist Temple. In this health bulletin we will try to inform you about the setup, activities and other aspects of the Health Sector of the Badalgachhi Upazilla of the Naogaon District. There will be some basic information regarding health setup, services we provide, our manpower, activities and other matters. The data of this bulletin contain information of the calendar year 2013. We hope that this bulletin will be helpful to all.
Dr. Rowshan Ara Khanom
UH&FPO
Badalgachi Upazila Health Complex

Badalgachi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBadalgachi
Name of UHFPO Dr. Rowshan Ara Khanom
Telephone No. 0742356012
FAX No. 0
Mobile No. 01712226651
Email badalgachi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.9609 And Long: 88.9054
No. of Unions in the Upazila8
No. of Households in the Upazila 52,137
No. of Population in the Upazila 207,009
Area of Upazila in sq km 231.75

Badalgachi 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 5 0
No. of Union Health and Family Welfare Centres 3 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 26 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

Badalgachi Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,836


Total No. of children treated under IMCI Program 32,310
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 29.27 per 1,000 live births.

Badalgachi 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: 1852
Total Number of Deliveries: 2840
No. of Maternal Death: 5
Valid TT Coverage: 55.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 176.30 per 100,000 live births.

Badalgachi 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 27,876 9,768 18,108 7,464 3,336 1,716 1,620 456
Union Sub-Centres 13,404 5,516 7,888 3,368 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 17,604 6,816 10,788 4,368 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 237,377 96,170 141,207 1,734 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 296,261 118,270 177,991 16,934 3,336 1,716 1,620 456
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 2,352 912 1,440 360 4 2 2 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 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 2,352 912 1,440 360 4 2 2 0

Badalgachi 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 2712
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 457 16.85
2 Y068 By other specified persons 380 14.01
3 X48 Accidental poisoning by and exposure to pesticides 95 3.50
4 J44 Other chronic obstructive pulmonary disease 91 3.36
5 S097 Multiple injuries of head 33 1.22
6 A01 Typhoid and paratyphoid fevers 61 2.25
7 K27 Peptic ulcer, site unspecified 41 1.51
8 J15 Bacterial pneumonia, NEC 16 0.59
9 T29 Burns and corrosions of multiple body regions 11 0.41
10 B55 Leishmaniasis 11 0.41

Badalgachi 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 4
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 R092 Respiratory arrest 2 50.00
2 X48 Accidental poisoning by and exposure to pesticides 1 25.00
3 J45 Asthma 1 25.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Badalgachi 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 (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 13,343
Bed Occupancy Rates (%) 73.82
Average Length of Hospital Stay (No. of days per patient) 2.75
Hospital Death Rate (%) 0.02


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 199

 

Badalgachi 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 7 5 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 118 44 17 57 48.31
Class IV 26 8 5 13 50.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 2 0 0.00
Class IV 3 1 1 1 33.33
Rural Dispensaries
Class I Doctor 5 0 0 5 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 2 3 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 26 14 12 0 0.00
Class IV 0 0 0 0 0.00

 

Badalgachi 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 28 5 2 21 75.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 130 49 23 58 44.62
Class IV 26 9 6 11 42.31
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

 

Badalgachi 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 8 0 21 7 0 0 7 2
Nurse 0 0 0 0 15 15 0 0 5 9
Medical Assistant 0 0 8 8 2 2 0 0 3 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0
CHCP 26 26 0 0 0 0 0 0 0 3
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 33 0 0 0 0
CSBA trained*** 0 3 0 0 0 7 0 7 0 0

Badalgachi 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 1 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 1
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 1 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 8 4 4 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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 8 4 4 0 0


Badalgachi 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 1 1 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 20 10 10 0 0
Dental equipment
Dental unit 15 15 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Badalgachi 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) 0 0 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 0 0 0 0 0
Microscope (binocular) 7 4 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


Badalgachi 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 1 1 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


Badalgachi 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) 1 1 0 0 0
Air conditioner (window) 4 4 0 0 0
Generator
Generator (diesel/petrol) 2 1 0 1 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) 9 8 1 0 0
Laptop 5 4 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 6 1 0 0
Scanner 1 1 0 0 0
UPS 8 7 1 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


Badalgachi 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 112 83 28 1 0

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

Important information and necessary issues for Badalgachi Upazila Health Complex |
Badalgachi Upazila Health Comlex is a 50-bed hospital, but there is sever shortage of doctors.Most of the posts of Medical officers,EMO and consultants are vacant. so providing adequate service is very difficult. post of Medicine,surgery,Guynae&Obs,EYE,ENT and Anaesthesiology consultants are vacant. Operation Theatre is not fungtioning because post of anaesthetists are empty.the X-ray Machine is also not- functioning which is ceverely humpering the management of patients.currently major surgery is not possible in this UHC.These problems were infromed to the higher authorities through proper channel.We hpoe that the authorities will take necessary actions to solve these problems so that we can improve our our services to the people of Badalgachi upazila of Naogaon district.