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.
Borhanuddin Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Borhanuddin
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 Upazila 9
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.