Baraigram Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Baraigram upazila.This bulletin contains at the health related information of 2013. this bulletin is published to disserminate the information of Baraigram Upazila to other line department and development partners of health . I hope all the information of this bulletin will help for planning and bringing the gaps in the health services of this Upazila. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements pf 2013.
Dr.Md.Abdul Hannan
UHFPO
Upazila Health Complex,
Baraigram,Natore
Baraigram Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Baraigram
Name of UHFPO Dr.Md.Abdul Hannan
Telephone No. 00
FAX No. 0
Mobile No. 01711351126
Email baraigram@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.3687 And Long: 89.2367
No. of Unions in the Upazila 7
No. of Households in the Upazila 61,941
No. of Population in the Upazila 274,743
Area of Upazila in sq km 299.61
Baraigram 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
7
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
35
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
9
130
No. of NGO Clinics/Facilities
1
0
Baraigram Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,996
Total No. of children treated under IMCI Program 52,020
Fully Vaccinated Children: 97.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 15.34 per 1,000 live births.
Baraigram 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: 2284
Total Number of Deliveries: 6025
No. of Maternal Death: 1
Valid TT Coverage: 27.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
16.68 per 100,000 live births.
Baraigram 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
82,092
35,342
46,750
7,920
4,540
2,570
1,970
188
Union Sub-Centres
34,095
9,765
24,330
8,230
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
59,905
12,445
47,460
15,240
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
217,710
93,750
123,960
21,740
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
13,075
5,735
7,340
2,150
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
419,952
157,037
249,840
55,280
4,540
2,570
1,970
188
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
2,495
1,005
1,490
35
1
1
0
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
5,310
1,840
3,470
370
28
13
15
3
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
7,805
2,845
4,960
405
29
14
15
9
Baraigram 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
2530
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J00-J06 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
430
17.00
2
S00-S99 Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
345
13.64
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
235
9.29
4
K25 Gastric ulcer
255
10.08
5
J45 Asthma
270
10.67
6
J189 Pneumonia, unspecified
260
10.28
7
I10 Essential (primary) hypertension
205
8.10
8
V01 Pedestrian injured in collision with pedal cycle
165
6.52
9
T36 Poisoning by systemic antibiotics
135
5.34
10
R50 Fever of unknown origin
230
9.09
Baraigram 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
1
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J45 Asthma
1
100.00
2
0
0.00
3
0
0.00
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
Baraigram 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 (%)
98.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
5,763
Bed Occupancy Rates (%)
50.93
Average Length of Hospital Stay (No. of days per patient)
2.14
Hospital Death Rate (%)
0.03
Baraigram Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
210
Baraigram 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
3
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
80
49
17
14
17.50
Class IV
21
10
3
8
38.10
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
12
6
5
1
8.33
Class IV
4
0
4
0
0.00
Rural Dispensaries
Class I
Doctor
7
2
2
3
42.86
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
5
4
0
0.00
Class IV
2
1
0
1
50.00
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
38
20
16
2
5.26
Class IV
0
0
0
0
0.00
Baraigram 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
16
5
5
6
37.50
Non Doctor
0
0
0
0
0.00
Class II
11
0
11
0
0.00
Class III
139
80
42
17
12.23
Class IV
27
11
7
9
33.33
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
Baraigram 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
7
4
9
5
0
0
2
0
Nurse
0
0
0
0
11
11
0
0
4
5
Medical Assistant
0
0
7
7
2
2
0
0
4
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
CHCP
38
36
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
39
24
0
0
0
0
CSBA trained***
16
4
0
0
10
10
0
0
0
0
Baraigram 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
1
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
2
2
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
0
0
0
0
0
Portable OT Light
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
0
0
0
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
0
0
0
0
0
Baraigram 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
1
1
0
0
0
Pulse oximeter
0
0
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
Baraigram 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
0
0
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)
2
2
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
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Baraigram 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
Baraigram 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)
0
0
0
0
0
Generator
Generator (diesel/petrol)
0
0
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
3
3
0
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
0
0
0
0
0
UPS
0
0
0
0
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Baraigram 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
0
0
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
30
30
0
0
0
Baraigram Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Baraigram Upazila Health Complex |
In 2013,we cannot achieve our standard in serving the people due to some lackings such as,1) Shortase of manpower including doctors,2) Absence of equipements as,x-ray machine,ECG machine,USG machine,Photocopier,Scanner machine and Fax machine,etc.which should be filled up on an emergency basis.Local Level Planning and more financial power should be delegated to the Upazilla Level for upgrading the service quality.
Dr.Md.Abdul Hannan
UHFPO
Upazila Health Complex,
Baraigram,Natore