Balaganj Upazila Health Complex | Health Bulletin 2014 |
Preface
Preface
This is the 3rd attempt to publishing “ Health Bulletin” of Balaganj upazila of Sylhet district. Last year (2013) we published “ Health Bulletin -2013” which was the second attempt focussing all the health related activities and achievements of Balaganj Upazila for the year -2012. This edition of “Health Bulletin -2014” focuses the achievements of the year – 2013.
Although certain constrains are still existing in the health delivery system of the upazila, all the service providers are trying to achieve their best quality of service delivery. The success goes to all who related to health sector including doctors, nurses and support staff.
I strongly believe that this health bulletin will act as index to evaluate and compare with previous year and also help to enhance the development of health related states and to identify problems for future.
We have a mobile phone running round the clock for health service delivery by a qualified doctor; phone no 01730324749. We are running telemedicine service which connects our complicated patients with experts of Sylhet MAG Osmani Medical College Hospital.
The readers are requested to consider with sympathy if any unwanted errors still present in this bulletin, please inform the undersigned.
With thanks.
Balaganj Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Balaganj
Name of UHFPO Dr. Padma Mohan Sinha
Telephone No. 0822256136
FAX No. 822256136
Mobile No. 01712140865
Email balaganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 28.0000 And Long: 87.0000
No. of Unions in the Upazila 14
No. of Households in the Upazila 47,747
No. of Population in the Upazila 295,430
Area of Upazila in sq km 376.75
Balaganj 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
8
0
No. of Union Health and Family Welfare Centres
6
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
39
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
2
6
No. of NGO Clinics/Facilities
2
70
Balaganj Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,308
Total No. of children treated under IMCI Program 79,131
Fully Vaccinated Children: 91.00
Neonatal Mortality Rate (January-December, 2013)
Balaganj 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: 105
Total Number of Deliveries: 7341
No. of Maternal Death: 9
Valid TT Coverage: 22.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Balaganj 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
36,219
15,879
20,340
3,003
4,299
2,229
2,070
144
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
100,385
43,349
57,036
5,447
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
397,122
159,378
237,744
70,681
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
7,754
4,602
3,152
2,343
0
0
0
0
NGO Clinics/Facilities
42,016
20,544
21,472
3,921
0
0
0
0
Total
591,250
243,752
339,744
85,395
4,299
2,229
2,070
144
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
1,905
768
1,137
84
5
1
4
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
934
298
636
455
0
0
0
0
NGO Clinics/Facilities
2,000
906
1,094
0
0
0
0
0
Total
4,839
1,972
2,867
539
5
1
4
1
Balaganj 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
1989
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
457
22.98
2
K27 Peptic ulcer, site unspecified
271
13.62
3
B34 Viral infection of unspecified site
190
9.55
4
J18 Pneumonia, organism unspecified
158
7.94
5
Y09 Assault by unspecified means
142
7.14
6
J45 Asthma
106
5.33
7
N390 Urinary tract infection, site not specified
88
4.42
8
O669 Obstructed labour, unspecified
52
2.61
9
J459 Asthma, unspecified
41
2.06
10
N73 Other female pelvic inflammatory diseases
27
1.36
Balaganj 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
6
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J189 Pneumonia, unspecified
3
50.00
2
I219 Acute myocardial infarction, unspecified
1
16.67
3
R571 Hypovolaemic shock
1
16.67
4
S099 Unspecified injury of head
1
16.67
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Balaganj Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
79.00
Coverage of households having access to sanitary latrines (%)
85.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
4,169
Bed Occupancy Rates (%)
38.07
Average Length of Hospital Stay (No. of days per patient)
2.57
Hospital Death Rate (%)
0.32
Balaganj Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
75
Minor Surgeries
289
Balaganj 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
10
1
3
6
60.00
Class III
91
61
10
20
21.98
Class IV
19
10
2
7
36.84
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
6
2
2
2
33.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
12
7
0
5
41.67
Class IV
6
5
0
1
16.67
Rural Dispensaries
Class I
Doctor
8
0
0
8
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
1
1
6
75.00
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
39
18
19
2
5.13
Class IV
0
0
0
0
0.00
Balaganj 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
5
3
15
65.22
Non Doctor
0
0
0
0
0.00
Class II
10
1
3
6
60.00
Class III
150
87
30
33
22.00
Class IV
25
15
2
8
32.00
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
Balaganj 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
4
9
4
8
0
1
0
Nurse
0
0
0
0
10
4
0
0
0
0
Medical Assistant
0
0
6
6
2
2
8
2
6
0
Medical Technologist
0
0
6
1
8
4
0
0
0
0
CHCP
0
0
0
0
0
0
39
37
0
0
HI
0
0
0
0
0
0
4
2
0
0
AHI
0
0
0
0
0
0
11
11
0
0
HA
0
0
0
0
0
0
55
47
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Balaganj 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
0
1
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
0
0
0
0
0
Anesthesia machine without ventilator
1
0
1
0
0
Autoclave
2
0
2
0
0
Electric cautery machine
1
0
1
0
0
Diathermy machine
1
0
1
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
0
0
Portable OT Light
1
0
1
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)
5
3
2
0
0
Ventilator
0
0
0
0
0
Balaganj 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
4
2
2
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
Balaganj 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)
0
0
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)
2
2
0
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
1
1
0
0
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Balaganj 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
0
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
Balaganj 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
0
0
1
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)
7
7
0
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
5
4
1
0
0
Scanner
1
1
0
0
0
UPS
7
7
0
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
Balaganj 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)
0
0
0
0
0
Land phone
1
0
1
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
1
1
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
55
35
18
2
0
Balaganj Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Balaganj Upazila Health Complex |
Balaganj Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Balaganj Upazila Health Complex I
We have a X-Ray machine but it is non-functioning and there is no Medical Technologist (RG). So for better health service X-Ray machine should be made functioning and recruitment of Medical Technologist (RG) is mandatory.
We have no Medical Technologist (Lab) and that`s why we can`t do any serological and routine investigation for confirmatory diagnosis of a case. So recruitment of Medical Technologist (Lab) is mandatory.
We need a Generator for electric supply during load shedding.
We need Senior Staff Nurses. Only 3 SSN out of 10 are available here. Without Senior Staff Nurse proper health service is almost impossible. So Senior Staff Nurses recruitment is mandatory.
Dr. Padma Mohan Sinha
Upazila Health & Family Planning Officer.
Balaganj, Sylhet.
Phone No. 08222-56136
Email – balaganj@uhfpo.dghs.gov.bd
Prepared by :
Fani Bhusson Sarkar
Statistician
UHC Balaganj, Sylhet.
Mobile No. 01710984018
Email: fanibhussonsarkar65@gmail.com
