Bandar Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of our Upazila. The Upazila is Situated in the east side of the District. There are 5 unions 30965 households 189188population in 53.46sq.km land. The Upazila health complex is located on longitude 20,000,000 and 87,000,000 latitude. This bulletin contains all the health related information's of 2014. This bulletin is published to disseminate the information of our Upazila to other departments and development partners of health. This health bulletin will help us to find constrains and also to see the results and achievement of 2014. The bulletin contains the status of MDG4 and MDG5, Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Bandar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Bandar
Organization Code
10000420
Name of UHFPO Dr. Md. Aftab Uddin
Land Phone No. 1
-027661422
Land Phone No. 2
FAX No.
Mobile No.
01819252629
Email bandar@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 30,965
Population in the Upazila 189,188
Area of Upazila in sq km 53.46
Bandar 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
1
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
0
0
No. of Union Health and Family Welfare Centres (belongs to DGFP)
4
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
12
0
No of Trauma Centres
0
0
No. of MCWCs (belongs to DGFP)
0
0
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
4
35
No. of NGO Clinics/Facilities
1
12
Bandar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,482
Under 5 Mortality Rate: 3.793 (Per 1,000 live births)
Infant Mortality Rate: 3.124 (Per 1,000 live births)
Neonatal Mortality Rate: 2.677 (Per 1,000 live births)
Still Birth Rate: 1.339 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,735
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%
Bandar 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:
1
Total No. of Recipients Who Took at least one ANC:
4,488
Total Number of Deliveries:
5,062
Valid TT Coverage: 46.00 %
Maternal Mortality Ratio (MMR) is:
22.31 per 100,000 live births.
Bandar 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
14,305
30,802
45,107
9,405
9,350
18,755
63,862
2,597
3,485
6,082
155
163
318
6,400
Union Sub-Centres
2,680
10,115
12,795
2,478
2,435
4,913
17,708
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
16,485
73,185
89,670
10,134
10,218
20,352
110,022
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
2,620
3,995
6,615
810
750
1,560
8,175
350
270
620
100
80
180
800
NGO Clinics/Facilities
3,802
6,640
10,442
4,098
6,085
10,183
20,625
0
0
0
0
0
0
0
Bandar 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
443
363
806
58
51
109
915
3
1
4
0
0
0
4
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
350
647
997
140
100
240
1,237
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
237
237
0
0
0
237
0
0
0
0
0
0
0
Bandar 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
915
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
232
25.36
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
229
25.03
3
J45 Asthma
X: Diseases of the respiratory system
64
6.99
4
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
53
5.79
5
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
39
4.26
6
J159 Bacterial pneumonia, unspecified
X: Diseases of the respiratory system
38
4.15
7
E14 Unspecified diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
28
3.06
8
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
25
2.73
9
M00 Pyogenic arthritis
XIII: Diseases of the musculoskeletal system and connective tissue
19
2.08
10
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
12
1.31
Bandar 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
4
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
2
50.00
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1
25.00
3
J159 Bacterial pneumonia, unspecified
X: Diseases of the respiratory system
1
25.00
4
0
0.00
5
0
0.00
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Bandar Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
92.00
Coverage of households having access to sanitary latrines (%)
95.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
8,735
Bed Occupancy Rates (%)
77.20
Average Length of Hospital Stay (No. of days per patient)
5.00
Hospital Death Rate (%)
0.43
Bandar Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,380
Bandar 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
10
4
5
1
10.00
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
60
30
13
17
28.33
Class IV
19
9
4
6
31.58
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
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
0
2
0
0.00
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
14
5
9
0
0.00
Class IV
0
0
0
0
0.00
Bandar 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
15
7
7
1
6.67
Non Doctor
0
0
0
0
0.00
Class II
10
0
10
0
0.00
Class III
80
35
28
17
21.25
Class IV
20
10
4
6
30.00
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
Bandar 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
5
5
10
9
0
0
2
0
0
Nurse
0
0
0
0
9
9
0
0
2
0
0
Medical Assistant
0
0
5
5
2
2
0
0
7
0
0
Medical Technologist
0
0
1
1
8
8
0
0
0
0
0
CHCP
14
14
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
1
0
0
0
0
6
AHI
0
0
0
0
6
6
0
0
0
0
0
HA
0
0
0
0
30
15
0
0
0
0
0
Bandar 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)
0
0
0
0
0
X-ray machine (300 mA)
1
1
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
0
0
0
1
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
3
2
1
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
2
1
1
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
0
0
0
0
0
Bandar 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
1
1
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
3
2
1
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Bandar 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)
3
2
1
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
1
0
1
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Bandar 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
1
1
0
0
0
Bandar 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)
3
3
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
5
2
0
1
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
4
2
1
0
1
Scanner
1
1
0
0
0
UPS
8
5
2
0
1
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
Bandar 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
1
0
1
0
0
PA system (Sound)
1
1
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
59
44
11
0
4
Bandar Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Bandar Upazila Health Complex
Here, I like mention some important factors which will help us to achieve good results. (1) The vacant post must be filled immediately. (2) Our doctors & nurses need more training on IMCI, (3) Number of community clinic and the bed capacity of the health complex must be increased. Finally I am happy to write the health bulletin 2015 because this document will help us to compare our progress in up coming years. This is very useful document and will help the public to understand health services and provided us the useful advise for improvement in future. Some important equipments are required for better management. Such as generator, Refrigerator for lab, USG machine etc.
