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Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Bamna Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this Health Bulletin of Bamna Upazila under the district of Barguna. This Bulletin is published to describe all the Health information of Bamna Upazila to take proper necessary action to all the Health development sector. This Heath Bulletin contains target, achievements of Bamna Upazila of 2013. This Bulletin contains all the status will help to localities the MDG targets. Here I have presented all Health indicators of Bamna Upazila. Maximum of the people under the poverty level. 90% of the people are lower incoming workers. The Literacy rate of Bamna is less than 50%. They lag behind due to religious belief and superstitions. When any one becomes ill they go to the Quack doctor, Kabiraj, Homeiopathic, Medicine shop keeper. Health education and proper decision making capacity should be built among the people to encourage to attend the community clinics & Hospital. Hospital delivery is very occasion in these area. We are trying the improvement of this situation. Ward level advocacy & information sharing meeting may improve the situation dramatically. So we all the Gov.& NGO & Local elites kept our hands together to improve the situation. Finally I would like to congratulate the initiating software for setting us one step ahead toward digital Bangladesh. Dr. Madan Gopal Paul UH&FPO UHC, Bamna, Barguna.
Dr. Madan Gopal Paul
UH&FPO
Bamna Upazila Health Complex

Bamna Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBamna
Name of UHFPO Dr. Madan Gopal Paul
Telephone No. 0445356076
FAX No. 0
Mobile No. 01711462217
Email bamna@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.3098 And Long: 90.0931
No. of Unions in the Upazila4
No. of Households in the Upazila 17,086
No. of Population in the Upazila 78,270
Area of Upazila in sq km 101.00

Bamna 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 0 0
No. of Union Health and Family Welfare Centres 3 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 8 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

Bamna Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,230


Total No. of children treated under IMCI Program 5,745
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 0.90 per 1,000 live births.

Bamna 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: 2231
No. of Maternal Death: 2
Valid TT Coverage: 51.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 89.69 per 100,000 live births.

Bamna 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 28,767 14,533 14,234 3,847 1,647 1,125 522 291
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 22,714 7,722 14,992 5,696 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 42,117 15,529 26,588 7,642 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 93,598 37,784 55,814 17,185 1,647 1,125 522 291
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 1,498 764 734 271 19 13 6 3
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 1,498 764 734 271 19 13 6 3

Bamna 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 1769
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 T148 Other injuries of unspecified body region 410 23.18
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 328 18.54
3 A010 Typhoid fever 222 12.55
4 J189 Pneumonia, unspecified 139 7.86
5 V892 Person injured in unspecified motor-vehicle accident, traffic 83 4.69
6 J159 Bacterial pneumonia, unspecified 78 4.41
7 J459 Asthma, unspecified 69 3.90
8 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 49 2.77
9 T440 Anticholinesterase agents 42 2.37
10
Others Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
349 19.73

Bamna 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 I516 Cardiovascular disease, unspecified 4 18.18
2 N185 Chronic kidney disease, stage 5 3 13.64
3 I500 Congestive heart failure 3 13.64
4 I159 Secondary hypertension, unspecified 3 13.64
5 A410 Septicaemia due to Staphylococcus aureus 2 9.09
6 A010 Typhoid fever 2 9.09
7 J459 Asthma, unspecified 2 9.09
8 T148 Other injuries of unspecified body region 1 4.55
9 I219 Acute myocardial infarction, unspecified 1 4.55
10 V892 Person injured in unspecified motor-vehicle accident, traffic 1 4.55

Bamna 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 (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 6,966
Bed Occupancy Rates (%) 61.56
Average Length of Hospital Stay (No. of days per patient) 3.93
Hospital Death Rate (%) 1.25


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 30

 

Bamna 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 2 0 7 77.78
Non Doctor 0 0 0 0 0.00
Class II 9 2 7 0 0.00
Class III 50 23 14 13 26.00
Class IV 19 8 4 7 36.84
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 3 0 1 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 0 2 50.00
Class IV 0 0 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 8 2 6 0 0.00
Class IV 0 0 0 0 0.00

 

Bamna 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 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
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

 

Bamna 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 4 3 9 2 0 0 1 0
Nurse 0 0 0 0 9 9 0 0 5 8
Medical Assistant 0 0 4 2 2 2 0 0 4 2
Medical Technologist 0 0 0 0 6 2 0 0 0 0
CHCP 8 8 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 20 15 0 0 2 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 6

Bamna 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) 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 1 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 3 2 1 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 1 1 0 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Bamna 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 0 0 0 1
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 2 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


Bamna 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) 4 1 1 1 1
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 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Bamna 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 7 2 5 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


Bamna 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) 3 3 0 0 0
Air conditioner (window) 1 0 1 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) 3 2 1 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 2 1 1 0
Scanner 2 2 0 0 0
UPS 5 2 1 1 1
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 0 1 0 0


Bamna 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 52 27 18 3 4

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

Important information and necessary issues for Bamna Upazila Health Complex |
Last year we could not give our maximum efforts due to shortage of doctors, medical trained persons & other many causes. Here I like to mention some important factors which help us to achieve our targets in future. 1. The vacant post of Doctors, medical technologist, HA & 4th class employees should be filled immediately. 2. More training to collect the all data correctly from the community level. 3. MNH programme has already been started from last year. 4. 50 bedded new buildings construction work has been completed and handed over on 12.06.2012. But very soon the newly constructed 50 beded Hospital started after creation of post of health personels. 5. Furnitures, Equipments, Ambulance, , Colorimeter, Fax machine, Photocopy machine, X-Ray machine & others necessary equipment should be supplied immediately. Finally, I am very happy to write this Health Bulletin of 2013, because this documents will help us compare our progress in coming years. This documents help to public to understand health services & to achieve MDG goal to a build Digital Bangladesh. .