HPNSDP
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Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Betagi Upazila Health Complex | Health Bulletin 2014 |
Preface
I am highly glad to publish health blulletin of Betagi Upazila. This bulletin contains all health related information of 2012. Betagi Upazila is a remote upazila of Barguna district.It is 33 KMs north From Barguna.It is situatedon the bank of river Bishkhali.It is about 26 KMs long and 6.5 KMs breth.Total area of this upazila is about 167 sq. KMs.It has 7 (seven) Union With 59 Mouzas.There are 27645 household and 139503 population in Betagi Upazila.Out of them 71,376 male and 68127 female.Literacy rate is about 59%.About 85% people live under proverty level.There are 1 (one) UHC, 1 (one) USC , 5 (five) UH&FWC and 14 (fourtin) community clinics in Betagi Upazila.There are 4 (four) Doctors are Posted out of 27 (twenty seven) post in this Upazila. This bulletin is published to disserminated the information of Betagi Upazila to other line department and devlopment pertners of health.I hope all the infomation of this bulletin willhelp for planning and bridging the gaps in health service of this Upazila.Government health office has many data stored in the fine.The health bulletin will help us to find constrains and also to see the results achivements of 2012.This bulletin contains the status of MDG 4 and MDG 5 whice will help to localise the target.The bulletin has also the information on save drinking water and sanitation status of this upazila. EmOC programme of this upazila is not going on smothy due to lack of pair doctors for long time.All the sanctioned and vacant post are published in this bulletin of 2012.I like to take attention of higher authority to into this issue.Finally I wouldlike to congratulate initiator of this health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr.Md. Sohrab Uddin
UH&FPO
Betagi Upazila Health Complex

Betagi Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBetagi
Name of UHFPO Dr.Md. Sohrab Uddin
Telephone No. 0445456030
FAX No. 0
Mobile No. 01730324406
Email betagi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.1578 And Long: 90.1271
No. of Unions in the Upazila7
No. of Households in the Upazila 27,645
No. of Population in the Upazila 139,503
Area of Upazila in sq km 167.00

Betagi 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 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 15 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

Betagi Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 3,639


Total No. of children treated under IMCI Program 8,731
Fully Vaccinated Children: 96.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 7.14 per 1,000 live births.

Betagi 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: 59
Total Number of Deliveries: 3645
No. of Maternal Death: 6
Valid TT Coverage: 22.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 164.88 per 100,000 live births.

Betagi 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 14,133 7,404 6,729 1,836 2,122 1,017 1,105 422
Union Sub-Centres 5,109 2,264 2,845 316 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 30,262 7,618 22,644 2,668 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 149,387 58,975 90,412 3,489 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 198,891 76,261 122,630 8,309 2,122 1,017 1,105 422
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 1,795 899 896 388 5 3 2 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 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 1,795 899 896 388 5 3 2 6

Betagi 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 2183
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 T149 Injury, unspecified 525 24.05
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 221 10.12
3 J189 Pneumonia, unspecified 134 6.14
4 V011 Pedestrian injured in collision with pedal cycle, traffic accident 113 5.18
5 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation 64 2.93
6 T439 Psychotropic drug, unspecified 58 2.66
7 A010 Typhoid fever 56 2.57
8 J459 Asthma, unspecified 40 1.83
9 I10 Essential (primary) hypertension 36 1.65
10 S009 Superficial injury of head, part unspecified 25 1.15

Betagi 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 11
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 P210 Severe birth asphyxia 2 18.18
2 I159 Secondary hypertension, unspecified 1 9.09
3 T439 Psychotropic drug, unspecified 1 9.09
4 J189 Pneumonia, unspecified 1 9.09
5 R509 Fever, unspecified 1 9.09
6 R482 Apraxia 1 9.09
7 P361 Sepsis of newborn due to other and unspecified streptococci 1 9.09
8 P071 Other low birth weight 1 9.09
9 I509 Heart failure, unspecified 1 9.09
10 O149 Pre-eclampsia, unspecified 1 9.09

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 83.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 9,652
Bed Occupancy Rates (%) 52.34
Average Length of Hospital Stay (No. of days per patient) 4.43
Hospital Death Rate (%) 0.50


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 16

 

Betagi 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 4 0 17 80.95
Non Doctor 0 0 0 0 0.00
Class II 14 0 14 0 0.00
Class III 65 36 16 13 20.00
Class IV 22 16 5 1 4.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 0 0 6 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 2 2 33.33
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 2 1 0 1 50.00
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 16 6 10 0 0.00
Class IV 0 0 0 0 0.00

 

Betagi 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 27 4 0 23 85.19
Non Doctor 0 0 0 0 0.00
Class II 14 0 14 0 0.00
Class III 90 46 28 16 17.78
Class IV 23 17 5 1 4.35
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

 

Betagi 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 0 21 4 0 0 0 0
Nurse 0 0 0 0 15 15 0 0 5 4
Medical Assistant 0 0 7 5 2 2 0 0 6 0
Medical Technologist 0 0 1 0 10 8 0 0 0 0
CHCP 16 16 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0
HA 0 0 0 0 30 23 0 0 0 0
CSBA trained*** 0 0 0 0 4 4 0 0 0 0

Betagi 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) 2 1 0 1 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 1 1 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 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 2 2 0 0 0


Betagi 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 1 1 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Betagi 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) 3 2 0 1 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) 4 1 3 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 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Betagi 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 1 1 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) 3 2 0 1 0
Refrigerator 3 2 1 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


Betagi 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) 1 1 0 0 0
Generator
Generator (diesel/petrol) 2 1 1 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) 9 6 1 2 0
Laptop 2 2 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 1 1 0 0 0
UPS 8 6 0 2 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


Betagi 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 63 48 7 8 0

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

Important information and necessary issues for Betagi Upazila Health Complex |
This is a 50 (fifty) Bedded Hospital.There are only 3 doctors Presents out of 21 post. EmOC pair of doctors are absent from beginning of the EmOC Activities but there are 15 (fifteen) Community Clinics running out of 16 (sixteen).Huge number of patients are treated at the Community Clinics.Normal delivery facilities are present at Ranipur Community Clinics.6 (six) normal deliveries Were conducted at Ranipur Community Clinics in last 5 (five) months.