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Bajitpur Upazila Health Complex | Health Bulletin 2015 |
Preface
We have complied the year 2014. Many successful events and achievement have been done this year in health sector. Maternal mortality and child mortality rate have been reduced tremendously. As a result over all life expectorate have increased to 70 years. Our Bajitpur Upazilla Heatlh Complex and field health management system is a proud partner of this successful story. But there is many lacking in our health delivery system. Many post of doctors have recently joined us but Nurse, paramedics & field stuff have to be filled up. Village people are not fully aware of their personal health. They come hospital in the late stage of disease. Pregnant women do not want to come hospital for their ANC, delivery and PNC due to shyness. So health education must be strengthen in our rural people.
Dr. Md. Jamir Uddin
UH&FPO
Bajitpur Upazila Health Complex

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bajitpur
Organization Code 10000227
Name of UHFPO Dr. Md. Jamir Uddin
Land Phone No. 1 09243-064255
Land Phone No. 2
FAX No.
Mobile No. 01766144576
Email bajitpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.1200 And Long: 90.5700
No. of Unions in the Upazila11
No. of Households in the Upazila 46,578
Population in the Upazila 226,612
Area of Upazila in sq km 193.00

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 8 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 24 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 1 0
No. of NGO Clinics/Facilities 0 0

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,312


Under 5 Mortality Rate: 25.979 (Per 1,000 live births)
Infant Mortality Rate: 16.190 (Per 1,000 live births)
Neonatal Mortality Rate: 9.224 (Per 1,000 live births)
Still Birth Rate: 3.765 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 17,076
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 85%

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;



No. of Maternal Deaths: 7
Total No. of Recipients Who Took at least one ANC: 4,559
Total Number of Deliveries: 4,507
Valid TT Coverage: 47.00 %
Maternal Mortality Ratio (MMR) is: 131.78 per 100,000 live births.

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 5

No. of OPD & Emergency visits at Upazila
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 23,004 54,600 77,604 27,184 0 27,184 104,788 3,708 1,992 5,700 1,248 0 1,248 6,948
Union Sub-Centres 24,265 30,948 55,213 9,228 0 9,228 64,441 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 81,656 210,288 291,944 24,624 23,784 48,408 340,352 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 6

No. of Admissions & Deaths at Upazila
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 1,949 1,876 3,825 936 0 936 4,761 5 7 12 0 0 0 12
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 7

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 4,761
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J14 Pneumonia due to Haemophilus influenzae X: Diseases of the respiratory system 1656 34.78
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1027 21.57
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 876 18.40
4 J45 Asthma X: Diseases of the respiratory system 373 7.83
5 K25 Gastric ulcer XI: Diseases of the digestive system 454 9.54
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 257 5.40
7 O64 Obstructed labour due to malposition and malpresentation of fetus XV: Pregnancy, childbirth and the puerperium 67 1.41
8 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 23 0.48
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 34 0.71
10 A03 Shigellosis I: Certain infectious and parasitic diseases 19 0.40

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period 12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J14 Pneumonia due to Haemophilus influenzae X: Diseases of the respiratory system 2 16.67
2 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 3 25.00
3 J21 Acute bronchiolitis X: Diseases of the respiratory system 1 8.33
4 K271 Peptic ulcer, site unspecified, acute with perforation XI: Diseases of the digestive system 1 8.33
5 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 8.33
6 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 1 8.33
7 J15 Bacterial pneumonia, NEC X: Diseases of the respiratory system 1 8.33
8 C34 Malignant neoplasm of bronchus and lung II: Neoplasms 1 8.33
9 I50 Heart failure IX: Diseases of the circulatory system 1 8.33
10 0 0.00

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 78.00
Coverage of households having access to sanitary latrines (%) 92.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,556
Bed Occupancy Rates (%) 102.13
Average Length of Hospital Stay (No. of days per patient) 2.43
Hospital Death Rate (%) 0.25


Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 520

 

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 11 7 2 2 18.18
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 101 50 46 5 4.95
Class IV 26 19 2 5 19.23
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 4 1 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 8 5 0 3 37.50
Class IV 4 4 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 26 11 15 0 0.00
Class IV 0 0 0 0 0.00

 

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 20 11 6 3 15.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 103 47 46 10 9.71
Class IV 24 14 8 2 8.33
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

 

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained CSBA trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 4 4 9 7 0 0 5 0 0
Nurse 0 0 0 0 11 10 0 0 5 0 0
Medical Assistant 0 0 4 4 13 11 0 0 6 0 0
Medical Technologist 0 0 0 0 4 4 0 0 0 0 0
CHCP 26 26 0 0 0 0 0 0 0 0 1
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 9 8 0 0 0 0 0
HA 0 0 0 0 45 42 0 0 0 0 10

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment 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 0 1 0
X-ray machine (300 mA) 1 0 1 0 0
Ultrasonogram machine 2 1 0 0 1
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 2 1 1 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 4 4 0 0 0
Pulse oximeter 1 0 1 0 0
Dental equipment
Dental unit 1 0 1 0 0


Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment 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) 2 2 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 2 0 1 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 2 0 0 0


Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment 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) 0 0 0 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) 8 7 0 1 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 5 0 1 0
Scanner 1 1 0 0 0
UPS 7 6 0 1 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


Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP 0 0 0 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 54 43 5 5 1

Bajitpur Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Bajitpur Upazila Health Complex
Irregular supply of electricity is a major problem in Bajitpur Upazilla Health Complex. Neubulizer can not given regularly to the asthma and pneumonia patient due to lack of electricity. Necessary injection and I/V saline pushing is difficult in night. So one electricity generator is immediately need. Our water pump is old of many years. It should be replaced by new one. Number of community clinic and bed capacity of the health complex should be increased.