HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Barlekha Upazila Health Complex | Health Bulletin 2014 |
Preface
I cordially Welcome everybody to this health bulletin session.This bulletin contains health service information of 2013.I strongly believe this efort has eventually come to reality due to the strong initiative and co-operation delivered by our MIS section of DGHS.Our Barlekha Upazilla is an important upazilla of Moulvibazar district.It is situated 62 km north from Moulvibazar District HQ.Bangladesh's largest waterfall, Madhabkundo falls is situated in this upazilla and is set in a lush green Eco -park Setting makes for a spectacular viewing.It is surrounded by beautiful tea estates. Every year thousands of tourists are drawn to madhabkundo beacuse of its natural beauty . Hakaluki haor is famous for a wide variety of waterfowl and wintering migratory birds .There are 18 tea gardens in Barlekha.Lastly this Upazilla is very well communicated.
DR. MD.Azim Uddin
UH&FPO
Barlekha Upazila Health Complex

Barlekha Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaBarlekha
Name of UHFPO DR. MD.Azim Uddin
Telephone No. 0862256030
FAX No. 0
Mobile No. 01730324735
Email barlekha@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.6939 And Long: 92.1848
No. of Unions in the Upazila10
No. of Households in the Upazila 45,967
No. of Population in the Upazila 282,478
Area of Upazila in sq km 446.62

Barlekha 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 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 18 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 20
No. of NGO Clinics/Facilities 0 0

Barlekha Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 6,507


Total No. of children treated under IMCI Program 29,234
Fully Vaccinated Children: 93.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 15.68 per 1,000 live births.

Barlekha 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: 2591
Total Number of Deliveries: 7180
No. of Maternal Death: 20
Valid TT Coverage: 53.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 307.36 per 100,000 live births.

Barlekha 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 82,210 38,530 43,680 4,920 9,501 5,302 4,199 3,210
Union Sub-Centres 14,748 5,323 9,425 1,760 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 100,207 38,704 61,503 23,365 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 197,165 82,557 114,608 30,045 9,501 5,302 4,199 3,210
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 4,943 1,749 3,194 2,320 14 8 6 24
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 4,943 1,749 3,194 2,320 14 8 6 24

Barlekha 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 7263
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1720 23.68
2 J18 Pneumonia, organism unspecified 810 11.15
3 K27 Peptic ulcer, site unspecified 535 7.37
4 F419 Anxiety disorder, unspecified 301 4.14
5 Y04 Assault by bodily force 210 2.89
6 J21 Acute bronchiolitis 205 2.82
7 J45 Asthma 133 1.83
8 O05 Other abortion 129 1.78
9 T60 Toxic effect of pesticides 85 1.17
10 N30 Cystitis 55 0.76

Barlekha 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 38
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J18 Pneumonia, organism unspecified 11 28.95
2 A419 Septicaemia, unspecified 6 15.79
3 I50 Heart failure 5 13.16
4 A01 Typhoid and paratyphoid fevers 2 5.26
5 R572 Septic shock 2 5.26
6 J45 Asthma 2 5.26
7 R100 Acute abdomen 2 5.26
8 I46 Cardiac arrest 1 2.63
9 N17 Acute renal failure 1 2.63
10 P21 Birth asphyxia 1 2.63

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 92.00
Coverage of households having access to sanitary latrines (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 9,810
Bed Occupancy Rates (%) 86.70
Average Length of Hospital Stay (No. of days per patient) 1.49
Hospital Death Rate (%) 0.00


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

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 46
Minor Surgeries 1867

 

Barlekha 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 4 0 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 0 7 3 30.00
Class III 69 30 18 21 30.43
Class IV 21 9 5 7 33.33
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 10 2 0 8 80.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 4 2 4 40.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 0 1 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 0 0 1 100.00
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 25 11 13 1 4.00
Class IV 0 0 0 0 0.00

 

Barlekha 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 20 6 1 13 65.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 7 4 36.36
Class III 106 46 33 27 25.47
Class IV 22 9 5 8 36.36
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

 

Barlekha 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 11 3 9 4 0 0 2 2
Nurse 0 0 0 0 11 7 0 0 0 0
Medical Assistant 0 0 11 7 2 2 0 0 7 0
Medical Technologist 0 0 1 0 8 5 0 0 0 0
CHCP 25 24 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 2 0 0 0 0
AHI 0 0 0 0 8 7 0 0 0 0
HA 0 0 0 0 0 39 27 0 0 0
CSBA trained*** 0 0 0 0 0 6 6 0 0 0

Barlekha 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) 1 1 0 0 0
X-ray machine (300 mA) 0 0 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 3 3 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 4 1 3 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 1 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 2 0 2 0 0
Portable OT Light 2 1 1 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 5 3 2 0 0
Sterilizer 3 1 2 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Barlekha 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 2 2 0 0 0
Pulse oximeter 1 1 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


Barlekha 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 1 0 1 0 0
Centrifuge machine (electric) 0 0 0 0 0
Colorimeter 2 1 1 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) 2 2 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


Barlekha 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 0 1 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 1 0 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


Barlekha 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) 3 3 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 3 3 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 2 2 0 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Barlekha 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 58 43 15 0 0

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

Important information and necessary issues for Barlekha Upazila Health Complex |