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Borhanuddin Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to published Local Health Bulletin of Upazila Health Complex Borhanuddin, Bhola. This bulletin Contains all the health related information of 2013. This bulletin is Published to disseminate the information of Borhanuddin Upazila to other line department 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 bulleting will help us to find constrains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG tergets.This Health bulletin has also the information on safe drinking water and sanitation status of the Borhanuddin Upazila. All the sanctioned and vacant posts are Published in the bulletin of 2014. I Like to take attention of the higherauthority of look this issue. Finally I would to congratulate the initiator of health bulletlin 2014 software for setting us one step ahead toward DIGITAL BANGLADESH. THANK YOU Dr. Nazrul Islam UHFPO Borhanuddin, Bhola.
Dr.Nazrul Islam
UH&FPO
Borhanuddin Upazila Health Complex

Borhanuddin Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBorhanuddin
Name of UHFPO Dr.Nazrul Islam
Telephone No. 0492256119
FAX No. 0
Mobile No. 01711428416
Email borhanuddin@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.4967 And Long: 90.7194
No. of Unions in the Upazila9
No. of Households in the Upazila 50,950
No. of Population in the Upazila 264,333
Area of Upazila in sq km 285.00

Borhanuddin 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 0 0
No. of Union Health and Family Welfare Centres 8 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 29 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

Borhanuddin Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,343


Total No. of children treated under IMCI Program 4,045
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 6.31 per 1,000 live births.

Borhanuddin 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: 6357
No. of Maternal Death: 2
Valid TT Coverage: 32.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is 31.53 per 100,000 live births.

Borhanuddin 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 29,601 12,116 17,485 11,095 7,242 3,247 3,995 3,641
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 238,941 51,811 187,130 28,756 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 268,542 63,927 204,615 39,851 7,242 3,247 3,995 3,641
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 6,237 2,497 3,740 3,641 20 13 7 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 6,237 2,497 3,740 3,641 20 13 7 3

Borhanuddin 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 9878
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin 2596 26.28
2 I252 Old myocardial infarction 1253 12.68
3 K26 Duodenal ulcer 804 8.14
4 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 253 2.56
5 B971 Enterovirus as the cause of diseases classified to other chapters 211 2.14
6 V892 Person injured in unspecified motor-vehicle accident, traffic 201 2.03
7 T384 Oral contraceptives 175 1.77
8 D801 Nonfamilial hypogammaglobulinaemia 65 0.66
9 I110 Hypertensive heart disease with (congestive) heart failure 57 0.58
10 S010 Open wound of scalp 43 0.44

Borhanuddin 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 23
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J46 Status asthmaticus 6 26.09
2 I21 Acute myocardial infarction 5 21.74
3 J15 Bacterial pneumonia, NEC 2 8.70
4 A419 Septicaemia, unspecified 1 4.35
5 J039 Acute tonsillitis, unspecified 1 4.35
6 W14 Fall from tree 1 4.35
7 B820 Intestinal helminthiasis, unspecified 1 4.35
8 K271 Peptic ulcer, site unspecified, acute with perforation 1 4.35
9 J449 Chronic obstructive pulmonary disease, unspecified 1 4.35
10 S09 Other and unspecified injuries of head 1 4.35

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
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.) 18,306
Bed Occupancy Rates (%) 101.00
Average Length of Hospital Stay (No. of days per patient) 1.81
Hospital Death Rate (%) 0.25


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 33

 

Borhanuddin 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 22 5 2 15 68.18
Non Doctor 0 0 0 0 0.00
Class II 16 0 13 3 18.75
Class III 74 50 24 0 0.00
Class IV 22 16 4 2 9.09
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 1 0 8 88.89
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 3 0 6 66.67
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 31 19 10 2 6.45
Class IV 0 0 0 0 0.00

 

Borhanuddin 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 31 6 2 23 74.19
Non Doctor 0 0 0 0 0.00
Class II 16 0 13 3 18.75
Class III 126 69 34 23 18.25
Class IV 22 16 4 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

 

Borhanuddin 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 9 1 22 7 0 0 6 1
Nurse 0 0 0 0 14 13 0 0 9 0
Medical Assistant 0 0 9 3 2 2 0 0 5 0
Medical Technologist 0 0 0 0 10 4 0 0 0 0
CHCP 31 29 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0
AHI 0 0 0 0 11 11 0 0 0 0
HA 0 0 0 0 52 43 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 0

Borhanuddin 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 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 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 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 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) 2 0 2 0 0
Ventilator 0 0 0 0 0


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


Borhanuddin 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 1 2 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


Borhanuddin 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 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) 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 3 1 1 1 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


Borhanuddin 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) 0 0 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) 2 0 2 0 0
Laptop 29 28 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 1 1 0 0 0
Scanner 0 0 0 0 0
UPS 7 5 2 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 0 0 0 0 0


Borhanuddin 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 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 59 45 13 1 0

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

Important information and necessary issues for Borhanuddin Upazila Health Complex |
Last year we could not give our maximum attempts the improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future (1) The vacant post should be filled up immediately (2) All the repairable equipments should be repaired as soon as possible (3) our Doctors, Nurses & others staff need more training (4) Hospital & Community Clinic medicine will be increased. Finally I am very happy to write this health bulletin of 2014. Because this document will help us to compare our progress in upcoming years. This is very useful document & will help the public to understand health services & to provide us the useful advice for improvement in future. Dr. Nazrul Islam UHFPO Borhanuddin, Bhola.