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Bangura Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of upaz3ila. This bulletin contain all the health related information of 2013.The bulletin contains the status of MDG 4 & MDG 5 which will healp to localize the MDG targets. Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards digital Bangladesh. (Dr. Mohammad ShahadotHossain) UH&FPO UHC,Bhangura,Pabna.
DR. MOHAMMAD SHAHADOT HOSSAIN
UH&FPO
Bangura Upazila Health Complex

Bangura Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBangura
Name of UHFPO DR. MOHAMMAD SHAHADOT HOSSAIN
Telephone No. 0732856031
FAX No. 0
Mobile No. 01711451153
Email bhangura@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.2000 And Long: 89.3783
No. of Unions in the Upazila5
No. of Households in the Upazila 26,076
No. of Population in the Upazila 127,481
Area of Upazila in sq km 220.00

Bangura 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 5 0
No. of Union Health and Family Welfare Centres 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 11 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 3 40
No. of NGO Clinics/Facilities 0 0

Bangura Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,242


Total No. of children treated under IMCI Program 15,537
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 3.39 per 1,000 live births.

Bangura 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: 3123
Total Number of Deliveries: 3232
No. of Maternal Death: 3
Valid TT Coverage: 27.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 92.54 per 100,000 live births.

Bangura 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 52,689 22,449 30,240 7,473 439 326 113 188
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 29,175 8,500 20,675 6,326 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 61,271 15,016 46,255 6,799 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 1,290 585 705 115 260 104 156 135
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 145,715 46,550 97,875 20,713 699 430 269 344
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 3,223 1,287 1,936 650 19 11 8 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 1,113 325 788 61 3 0 3 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,336 1,612 2,724 711 22 11 11 1

Bangura 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 2229
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 451 20.23
2 Y009 Assault by blunt object, unspecified place 415 18.62
3 J189 Pneumonia, unspecified 339 15.21
4 K297 Gastritis, unspecified 242 10.86
5 J449 Chronic obstructive pulmonary disease, unspecified 218 9.78
6 V890 Person injured in unspecified motor-vehicle accident, nontraffic 190 8.52
7 V189 Pedal cyclist injured in noncollision transport accident, unspecified pedal cyclist, traffic accident 138 6.19
8 D500 Iron deficiency anaemia secondary to blood loss (chronic) 82 3.68
9 I110 Hypertensive heart disease with (congestive) heart failure 78 3.50
10 T449 Other and unspecified drugs primarily affecting the autonomic nervous system 76 3.41

Bangura 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 20
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 V890 Person injured in unspecified motor-vehicle accident, nontraffic 5 25.00
2 J449 Chronic obstructive pulmonary disease, unspecified 5 25.00
3 I110 Hypertensive heart disease with (congestive) heart failure 5 25.00
4 I219 Acute myocardial infarction, unspecified 2 10.00
5 T449 Other and unspecified drugs primarily affecting the autonomic nervous system 1 5.00
6 K746 Other and unspecified cirrhosis of liver 1 5.00
7 P219 Birth asphyxia, unspecified 1 5.00
8 0 0.00
9 0 0.00
10 0 0.00

Bangura 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.) 9,473
Bed Occupancy Rates (%) 83.72
Average Length of Hospital Stay (No. of days per patient) 2.50
Hospital Death Rate (%) 0.64


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 375

 

Bangura 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 1 4 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 45 29 10 6 13.33
Class IV 20 15 4 1 5.00
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 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 5 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 11 4 7 0 0.00
Class IV 0 0 0 0 0.00

 

Bangura 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 14 1 4 9 64.29
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 50 34 10 6 12.00
Class IV 20 15 4 1 5.00
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

 

Bangura 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 5 0 9 5 0 0 2 2
Nurse 0 0 0 0 10 9 0 0 2 3
Medical Assistant 0 0 5 5 2 2 5 2 9 0
Medical Technologist 0 0 0 0 8 8 0 0 0 0
CHCP 11 11 0 0 0 0 0 0 0 0
HI 0 0 0 0 1 1 0 0 0 0
AHI 0 0 0 0 4 4 0 0 0 0
HA 0 0 0 0 19 14 0 0 0 0
CSBA trained*** 1 1 0 0 6 6 0 0 0 0

Bangura 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 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 1 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 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 5 2 0 3 0
Ventilator 1 1 0 0 0


Bangura 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 4 2 0 2 0
Pulse oximeter 0 0 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


Bangura 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 0 1 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) 3 3 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


Bangura 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) 1 1 0 0 0
Refrigerator 2 2 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


Bangura 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) 2 2 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) 7 7 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 3 3 0 0 0
Scanner 0 0 0 0 0
UPS 6 6 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


Bangura 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) 1 1 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 60 51 1 8 0

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

Important information and necessary issues for Bangura Upazila Health Complex |
 1. In This upazila of nine doctors post vacant ( with Eoc Anesthesia doctors) So Eoc Service is hampering. All doctors are Female Except (UH&FPO) They can not manage night duty. Plese fillup Male doctors immediately. 2. Our doctors and nurse need more traning on IMCI 3. In this Upazila health complex,s X-ray machine is non functioning we informed our higher authority. 4.Very inportant issue is Ambulance but condition is very poor maximum time it becomes out of order & risk.. Our inter-net connection is very slow for this reason we are suffering correspondent official papers. So We have need 3 G inter-net connection immediately. I am very happy to write this health Bulletin of 2013. Becose this document will help us to compare our progress in up coming years. Many Thanks. ( ডাঃ মোহাম্মদ সাহাদত হোসেন ) উপজেলা স্বাস্থ্য ও পঃ পঃ কমকতা উপজেলা স্বস্থ্য কমপ্লেক্স, ভাঙ্গুড়া,পাবনা ।