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Baliadangi Upazila Health Complex | Health Bulletin 2014 |
Preface
The Health bulletin 2014 contains all health related information of 2013. This bulletin is published to disseminate the information of Upazila and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in 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 of 2013. The bulletin contains the status of MDG 4 & MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2013. I like to take attention of the higher authority to look into to this issue. Finally i would like congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr. Md. Reajul Islam
UH&FPO
Baliadangi Upazila Health Complex

Baliadangi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBaliadangi
Name of UHFPO Dr. Md. Reajul Islam
Telephone No. 0562256011
FAX No. 0
Mobile No. 01712763555
Email baliadangi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.0000 And Long: 88.0000
No. of Unions in the Upazila8
No. of Households in the Upazila 39,015
No. of Population in the Upazila 204,668
Area of Upazila in sq km 248.12

Baliadangi 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 1 0
No. of Union Health and Family Welfare Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 20 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 1 10
No. of NGO Clinics/Facilities 0 0

Baliadangi Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,889


Total No. of children treated under IMCI Program 2,019
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 14.40 per 1,000 live births.

Baliadangi 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: 0
Total Number of Deliveries: 855
No. of Maternal Death: 9
Valid TT Coverage: 100.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 231.42 per 100,000 live births.

Baliadangi 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 17,059 7,570 9,489 4,590 1,040 390 650 210
Union Sub-Centres 4,255 1,621 2,634 1,158 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 37,120 16,080 21,040 4,609 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 132,326 55,156 77,170 20,060 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 190,760 80,427 110,333 30,417 1,040 390 650 210
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 5,198 2,180 3,018 890 32 8 24 2
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 223 11 212 4 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 5,421 2,191 3,230 894 32 8 24 2

Baliadangi 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 5640
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 X791 Intentional self-harm by blunt object, residential institution 1520 26.95
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin 920 16.31
3 K27 Peptic ulcer, site unspecified 728 12.91
4 A010 Typhoid fever 312 5.53
5 T379 Systemic anti-infective and antiparasitic, unspecified 254 4.50
6 V190 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident 232 4.11
7 D64 Other anaemias 187 3.32
8 D55 Anaemia due to enzyme disorders 110 1.95
9 J219 Acute bronchiolitis, unspecified 84 1.49
10 I959 Hypotension, unspecified 70 1.24

Baliadangi 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 22
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 P220 Respiratory distress syndrome of newborn 6 27.27
2 I509 Heart failure, unspecified 3 13.64
3 J18 Pneumonia, organism unspecified 2 9.09
4 I219 Acute myocardial infarction, unspecified 2 9.09
5 T600 Organophosphate and carbamate insecticides 1 4.55
6 A419 Septicaemia, unspecified 1 4.55
7 J219 Acute bronchiolitis, unspecified 1 4.55
8 D55 Anaemia due to enzyme disorders 1 4.55
9 R50 Fever of unknown origin 1 4.55
10 D56 Thalassaemia 1 4.55

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 87.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 18,019
Bed Occupancy Rates (%) 97.99
Average Length of Hospital Stay (No. of days per patient) 2.91
Hospital Death Rate (%) 0.28


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 180
Minor Surgeries 15

 

Baliadangi 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 21 6 2 13 61.90
Non Doctor 0 0 0 0 0.00
Class II 15 0 15 0 0.00
Class III 89 49 24 16 17.98
Class IV 26 14 5 7 26.92
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 0 0 7 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 0 0 7 100.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 1 1 0 0 0.00
Class IV 1 1 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 22 6 14 2 9.09
Class IV 0 0 0 0 0.00

 

Baliadangi 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 29 6 2 21 72.41
Non Doctor 0 0 0 0 0.00
Class II 15 15 0 0 0.00
Class III 97 50 24 23 23.71
Class IV 27 15 5 7 25.93
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

 

Baliadangi 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 8 0 0 0 0
Nurse 0 0 0 0 15 15 0 0 0 0
Medical Assistant 0 0 8 1 2 2 0 0 0 0
Medical Technologist 0 0 0 0 8 5 0 0 0 0
CHCP 22 20 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0
HA 0 0 0 0 30 25 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 5 4 0 0

Baliadangi 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) 2 1 0 1 0
X-ray machine (300 mA) 2 1 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 1 0 0 0 1
Mamogram machine 1 0 0 0 0
Dehumidifier 1 1 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 5 3 1 0 1
Autoclave 5 1 3 1 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 6 3 0 0 3
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 10 6 1 3 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 4 1 3 0 0
Sucker machine (electric) 5 1 1 2 1
Ventilator 0 0 0 0 0


Baliadangi 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 3 1 1 1 0
Pulse oximeter 3 1 0 1 1
Dental equipment
Dental unit 2 1 1 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Baliadangi 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 0 1 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 1 1 0 0 0
Microscope (binocular) 5 1 4 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


Baliadangi 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 1 1 0 0 0
Blood bank refrigerator 4 2 1 0 1
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


Baliadangi 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 2 0 2 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 2 2 0 0 0
ICT equipment
Computer (desktop) 2 2 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 2 1 0 0
Printer (laser) 2 2 0 0 0
Scanner 1 1 0 0 0
UPS 0 0 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 0 0 0 0 0


Baliadangi 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 0 0 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 83 46 19 11 7

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

Important information and necessary issues for Baliadangi Upazila Health Complex |
Last year we could not give our maximum efforts improve the health status due to many reasons. Here I mention some important factors which will help us to achieve good results in future.1.The vacant post should be filled immediately . 2. Our doctors, nurse and SACMO need more training on IMCI and basic EOC. 3. One modern, One Photocopy machine & One Digital Camera should be supplied this year. Finally I am very happy to write this health bulletin of 2013 because this document will help us to compare our progress in upcoming years. This is very useful document and will help the public to understand health services and provide us the useful advice for improvement in future.