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Bera Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this Health Bulletin of Bera upazila.This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Bera upazila to other line department & development partners of health.I hope all the information of this bulletin will help for planning & bridging the gaps in health services of this upazila.The bulletin contains the status of MDG 4 & MDG 5 which will help to evaluate the MDG targets.This bulletin has also the information on safe drinking water & sanitation status of this upazila.All the sanctioned & vacant posts are published in this bulletin of 2013.Finally I would congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr.Kartic Kumar saha UH&FPO Bera Upazila Health Complex
Dr.Kartic Kumar Saha
UH&FPO
Bera Upazila Health Complex

Bera Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBera
Name of UHFPO Dr.Kartic Kumar Saha
Telephone No. 0732375046
FAX No. 0
Mobile No. 01716110614
Email bera@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 87.0000
No. of Unions in the Upazila10
No. of Households in the Upazila 55,826
No. of Population in the Upazila 274,191
Area of Upazila in sq km 249.25

Bera 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 10 0
No. of Union Health and Family Welfare Centres 3 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 28 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 14
No. of NGO Clinics/Facilities 0 0

Bera Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,573


Total No. of children treated under IMCI Program 81,115
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 2.13 per 1,000 live births.

Bera 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: 4020
Total Number of Deliveries: 6591
No. of Maternal Death: 9
Valid TT Coverage: 39.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 136.92 per 100,000 live births.

Bera 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 51,753 24,740 27,013 7,283 19,877 10,527 9,350 3,470
Union Sub-Centres 56,523 20,676 35,847 18,160 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 48,139 9,253 38,886 16,494 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 261,608 77,597 184,011 57,868 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 3,200 1,400 1,800 400 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 424,423 133,666 287,557 100,205 19,877 10,527 9,350 3,470
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 8,697 4,174 4,523 1,402 25 11 14 4
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 690 94 596 24 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 9,387 4,268 5,119 1,426 25 11 14 4

Bera 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 10099
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1448 14.34
2 X85 Assault by drugs, medicaments and biological substances 1109 10.98
3 K257 Gastric ulcer, chronic without haemorrhage or perforation 953 9.44
4 J189 Pneumonia, unspecified 374 3.70
5 I119 Hypertensive heart disease without (congestive) heart failure 362 3.58
6 V70 Bus occupant injured in collision with pedestrian or animal 325 3.22
7 B349 Viral infection, unspecified 290 2.87
8 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system 235 2.33
9 F419 Anxiety disorder, unspecified 187 1.85
10 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection 176 1.74

Bera 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 29
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J45 Asthma 5 17.24
2 I516 Cardiovascular disease, unspecified 5 17.24
3 I10 Essential (primary) hypertension 4 13.79
4 J18 Pneumonia, organism unspecified 3 10.34
5 I21 Acute myocardial infarction 2 6.90
6 K27 Peptic ulcer, site unspecified 1 3.45
7 P210 Severe birth asphyxia 1 3.45
8 N17 Acute renal failure 1 3.45
9 R100 Acute abdomen 1 3.45
10 K56 Paralytic ileus and intestinal obstruction without hernia 1 3.45

Bera Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 81.00
Coverage of households having access to sanitary latrines (%) 82.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 14,200
Bed Occupancy Rates (%) 78.00
Average Length of Hospital Stay (No. of days per patient) 1.00
Hospital Death Rate (%) 0.28


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 1135

 

Bera 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 12 1 11 0 0.00
Class III 73 54 10 9 12.33
Class IV 19 13 4 2 10.53
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 8 3 0 5 62.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 9 2 0 0.00
Class IV 3 3 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 28 15 10 3 10.71
Class IV 0 0 0 0 0.00

 

Bera 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 17 6 3 8 47.06
Non Doctor 0 0 0 0 0.00
Class II 12 1 11 0 0.00
Class III 84 63 12 9 10.71
Class IV 22 17 3 2 9.09
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

 

Bera 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 3 9 6 0 0 0 1
Nurse 0 0 0 0 10 10 0 0 2 1
Medical Assistant 0 0 8 8 2 2 0 0 7 0
Medical Technologist 0 0 0 0 5 5 0 0 0 0
CHCP 28 25 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 30 0 0 0 0
CSBA trained*** 0 0 0 0 0 6 0 0 0 0

Bera 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 0 1 0
X-ray machine (300 mA) 1 1 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 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 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 1 1 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 5 5 0 0 0
Sucker machine (electric) 5 5 0 0 0
Ventilator 0 0 0 0 0


Bera 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 4 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


Bera 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 1 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) 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


Bera 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 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 3 2 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


Bera 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 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) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 5 5 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Bera 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 58 1 1 0

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

Important information and necessary issues for Bera Upazila Health Complex |
 Important information and necessary issues for Bera Upazila Health Complex It is very difficult to provide all the health services properly to all group of people at different level with limited human resources,shortage doctors,wardboy,sweepers etc.So I would like to invite the attention of our higher authority take all the necessary steps to improve the health facility . Thank you