Bhandaria Upazila Health Complex | Health Bulletin 2014 |
Preface
Preface
You will be pleased to know that we are going to publish a Local Health Bulletin from 2012yearly,which will included our provided health services & relative health datas like MMR, IMR, EPI, EOC etc. I, on behalf of all the staffs of Bhandaria Upazila Health Complex, want to thank our Honourable ADG (P & D) & Director (MIS) DGHS sir, for taking initiativeness to publish such publication.
DR.MD. SHAHADUT HOSSAIN HAZRA
UH & FPO
Bhandaria Upazila Health Complex
Bhandaria Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Bhandaria
Name of UHFPO Dr.Md. Shahadut Hossain Hazra
Telephone No. 0462356290
FAX No. 0
Mobile No. 01712094929
Email bhandaria@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila 7
No. of Households in the Upazila 33,830
No. of Population in the Upazila 157,631
Area of Upazila in sq km 163.00
Bhandaria 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
1
0
No. of Union Health and Family Welfare Centres
7
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
20
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
3
13
No. of NGO Clinics/Facilities
0
0
Bhandaria Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,986
Total No. of children treated under IMCI Program 6,042
Fully Vaccinated Children: 94.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 0.00 per 1,000 live births.
Bhandaria 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: 3123
Total Number of Deliveries: 2987
No. of Maternal Death: 1
Valid TT Coverage: 11.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
33.49 per 100,000 live births.
Bhandaria 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
27,838
12,272
15,566
3,096
1,985
1,106
879
313
Union Sub-Centres
9,556
4,222
5,334
524
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
124,874
42,231
82,643
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
162,268
58,725
103,543
3,620
1,985
1,106
879
313
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
3,728
1,713
2,015
505
14
9
5
1
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
3,728
1,713
2,015
505
14
9
5
1
Bhandaria 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
4233
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
N008 Acute nephritic syndrome, other
1594
37.66
2
A000 Cholera due to Vibrio cholerae 01, biovar cholerae
984
23.25
3
Y049 Assault by bodily force, unspecified place
874
20.65
4
V119 Pedal cyclist injured in collision with other pedal cycle, unspecified pedal cyclist, traffic accident
116
2.74
5
A011 Paratyphoid fever A
109
2.58
6
I679 Cerebrovascular disease, unspecified
109
2.58
7
T500 Mineralocorticoids and their antagonists
105
2.48
8
K277 Peptic ulcer, site unspecified, chronic without haemorrhage or perforation
57
1.35
9
J189 Pneumonia, unspecified
54
1.28
10
J459 Asthma, unspecified
33
0.78
Bhandaria 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
15
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I119 Hypertensive heart disease without (congestive) heart failure
4
26.67
2
J459 Asthma, unspecified
3
20.00
3
I469 Cardiac arrest, unspecified
1
6.67
4
T149 Injury, unspecified
1
6.67
5
T479 Agent primarily affecting the gastrointestinal system, unspecified
1
6.67
6
S146 Injury of other and unspecified nerves of neck
1
6.67
7
J189 Pneumonia, unspecified
1
6.67
8
R509 Fever, unspecified
1
6.67
9
I679 Cerebrovascular disease, unspecified
1
6.67
10
A879 Viral meningitis, unspecified
1
6.67
Bhandaria Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
97.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
9,618
Bed Occupancy Rates (%)
85.00
Average Length of Hospital Stay (No. of days per patient)
2.90
Hospital Death Rate (%)
0.35
Bhandaria Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
490
Bhandaria 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
3
1
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
12
0
11
1
8.33
Class III
73
32
28
13
17.81
Class IV
19
11
5
3
15.79
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
5
0
0
5
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
5
4
0
1
20.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
1
0
0
0.00
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
21
10
11
0
0.00
Class IV
0
0
0
0
0.00
Bhandaria 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
15
4
1
10
66.67
Non Doctor
0
0
0
0
0.00
Class II
12
0
11
1
8.33
Class III
80
37
28
15
18.75
Class IV
20
12
5
3
15.00
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
Bhandaria 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
6
2
9
4
0
0
1
0
Nurse
0
0
0
0
12
11
0
0
9
9
Medical Assistant
0
0
6
4
2
2
0
0
0
0
Medical Technologist
0
0
1
0
8
5
0
0
0
0
CHCP
21
21
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
AHI
0
0
0
0
8
8
0
0
0
0
HA
0
0
0
0
40
34
0
0
0
1
CSBA trained***
0
0
0
0
0
3
0
0
0
0
Bhandaria 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
0
0
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
0
0
0
0
0
Sucker machine (electric)
0
0
0
0
0
Ventilator
0
0
0
0
0
Bhandaria 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
0
0
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
Bhandaria 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
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)
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
Bhandaria 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
Bhandaria 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)
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)
8
5
0
0
3
Laptop
2
1
0
0
1
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
1
0
1
0
0
Fax
1
0
1
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
Bhandaria 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
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
31
24
3
0
4
Bhandaria Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Bhandaria Upazila Health Complex |
I would like to mention some important information regarding our health status which will help us to achieve good results in near future .
1. The vacant post should be filled up immediately.
2. To supply MSR as per required.
3. Effective Training should be provided to all staffs.
4. There is no conference and training room in upazila Health Complex . A well facilitated conference room is necessary for this purpose.
5. Thanks to ADG (P&D) & Director (MIS) DGHS sir for taking such initiative to publish the Local Health Bulletin yearly.