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Bakerganj Upazila Health Complex | Health Bulletin 2014 |
Preface
It is a privilege for me to announce the successful publication of the health bullitin of Bakergonj Upazila. This bullitin contains all the health related inormation of roll.Once upon a time the whole Barisal division is known as Bakergonj.It has many historical background. It is a big upazila, huge population,many remote area,little visite is difficult to deliver health services.I hope all the information of this bullitin will help for planning and bridging gaps in health sevices of this upazila.. Dr. A.K.M. Abul Khair UH&FPO Bakrgonj, Barisal.
Dr. A.K.M. Abul Khair
UH&FPO
Bakerganj Upazila Health Complex

Bakerganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBakerganj
Name of UHFPO Dr. A.K.M. Abul Khair
Telephone No. 0432874026
FAX No. 0
Mobile No. 01725451292
Email bakerganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.5390 And Long: 90.3463
No. of Unions in the Upazila14
No. of Households in the Upazila 71,537
No. of Population in the Upazila 334,799
Area of Upazila in sq km 411.36

Bakerganj 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 7 0
No. of Union Health and Family Welfare Centres 7 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 44 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 1 6

Bakerganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 8,309


Total No. of children treated under IMCI Program 37,958
Fully Vaccinated Children: 91.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 4.81 per 1,000 live births.

Bakerganj 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: 1396
Total Number of Deliveries: 8339
No. of Maternal Death: 11
Valid TT Coverage: 5.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 132.39 per 100,000 live births.

Bakerganj 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 130,087 12,189 117,898 8,323 1,370 883 487 397
Union Sub-Centres 62,320 26,013 36,307 1,929,717,238 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 240,146 86,312 153,834 29,460 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 695 305 390 255 230 105 125 99
NGO Clinics/Facilities 4,576 611 3,965 3,104 0 0 0 0
Total 438,519 125,430 312,394 1,929,758,380 1,600 988 612 522
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 2,866 1,376 1,490 687 5 5 0 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 243 40 203 3 0 0 0 0
NGO Clinics/Facilities 38 0 38 0 0 0 0 0
Total 3,147 1,416 1,731 690 5 5 0 2

Bakerganj 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 3553
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 634 17.84
2 R509 Fever, unspecified 588 16.55
3 X85 Assault by drugs, medicaments and biological substances 323 9.09
4 B953 Streptococcus pneumoniae as the cause of diseases classified to other chapters 170 4.78
5 J45 Asthma 108 3.04
6 K27 Peptic ulcer, site unspecified 103 2.90
7 O00 Ectopic pregnancy 31 0.87
8 K40 Inguinal hernia 28 0.79
9 G91 Hydrocephalus 23 0.65
10 F60 Specific personality disorders 23 0.65

Bakerganj 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 7
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J110 Influenza with pneumonia, virus not identified 2 28.57
2 J451 Nonallergic asthma 1 14.29
3 P612 Anaemia of prematurity 1 14.29
4 I500 Congestive heart failure 1 14.29
5 K929 Disease of digestive system, unspecified 1 14.29
6 G939 Disorder of brain, unspecified 1 14.29
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Bakerganj 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 (%) 87.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 10,100
Bed Occupancy Rates (%) 89.26
Average Length of Hospital Stay (No. of days per patient) 2.85
Hospital Death Rate (%) 0.20


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 71

 

Bakerganj 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 5 1 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 13 2 10 1 7.69
Class III 116 64 34 18 15.52
Class IV 18 12 2 4 22.22
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 1 3 3 42.86
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 7 2 0 5 71.43
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 14 11 1 2 14.29
Class IV 7 6 0 1 14.29
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 50 19 23 8 16.00
Class IV 0 0 0 0 0.00

 

Bakerganj 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 23 8 4 11 47.83
Non Doctor 0 0 0 0 0.00
Class II 13 2 10 1 7.69
Class III 187 94 56 37 19.79
Class IV 25 18 2 5 20.00
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

 

Bakerganj 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 14 6 9 6 0 0 6 0
Nurse 0 0 0 0 12 12 0 0 8 0
Medical Assistant 0 0 14 7 2 2 0 0 9 0
Medical Technologist 0 0 7 5 7 6 0 0 0 0
CHCP 50 42 0 0 0 0 0 0 0 0
HI 0 0 0 0 5 5 0 0 0 0
AHI 0 0 0 0 0 0 15 15 0 0
HA 0 0 0 0 0 0 74 58 0 0
CSBA trained*** 0 0 0 0 0 0 0 10 0 0

Bakerganj 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 0 0 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 2 0 0 0
Electric cautery machine 1 0 1 0 0
Diathermy machine 2 0 1 1 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 3 1 2 0 0
Sucker machine (electric) 0 0 0 0 0
Ventilator 1 1 0 0 0


Bakerganj 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 1 1 0 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


Bakerganj 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 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) 1 1 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


Bakerganj 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 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 2 1 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


Bakerganj 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 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) 9 8 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 1 0 0
Printer (laser) 9 9 0 0 0
Scanner 1 1 0 0 0
UPS 9 8 0 1 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


Bakerganj 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 0 0 1 0
Land phone 1 0 1 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 57 43 11 3 0

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

Important information and necessary issues for Bakerganj Upazila Health Complex |
 Last year we could not give maximum efforts improve the health stutus due to many reason. Here I like mention some important factors which will help us to achieve good results in future. 1. The vaccant post should be filled immediatly.2. The X-ray machine is disorder it should be replaced with a new x-ray machine or should be repaired.3. All the repairable equivments should be repaired as soon as possible. I am very happy to write this Health Bulletin in 2013.