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Belabo Upazila Health Complex | Health Bulletin 2015 |
Preface
My heartiest greetings to all on the occasion of publication of local health bulletin 2015 which contains necessary information and data regarding the health service status of Belabo upazila,Narsingdi.We committed through the last publication that we would improve the quality of health service delivery.But still now we have to run a long long distance to achieve the goal.However we have achieved a remarkable land mark in the sector of community clinic beased service,which is the golden dream of our Honorable Prime Minister Sheikh Hasina.Our 50 beded hospital construction is over but more man power and other supportings must be established.I like to thank from the amid of my heart to all of my collegues and every body who help me in publishing this descriptive bulletin.
Dr.Prodip Kumar Dey
UH&FPO
Belabo Upazila Health Complex

Belabo Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Belabo
Organization Code 10000436
Name of UHFPO Dr.Prodip Kumar Dey
Land Phone No. 1 -0625263003
Land Phone No. 2
FAX No.
Mobile No. 01711813626
Email belabo@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0620 And Long: 90.5100
No. of Unions in the Upazila8
No. of Households in the Upazila 39,225
Population in the Upazila 205,722
Area of Upazila in sq km 134.68

Belabo 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) 6 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) 0 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 1 0

Belabo Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,068


Under 5 Mortality Rate: 19.337 (Per 1,000 live births)
Infant Mortality Rate: 8.485 (Per 1,000 live births)
Neonatal Mortality Rate: 5.919 (Per 1,000 live births)
Still Birth Rate: 2.368 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 25,085
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 0%

Belabo 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: 7,254
Total Number of Deliveries: 5,317
Valid TT Coverage: 32.00 %
Maternal Mortality Ratio (MMR) is: 19.73 per 100,000 live births.

Belabo 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 24,238 47,779 72,017 4,246 5,047 9,293 81,310 1,722 1,408 3,130 538 506 1,044 4,174
Union Sub-Centres 0 0 0 0 0 0 0 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) 12,370 20,655 33025 984 1,253 2,237 35,262 0 0 0 0 0 0 2,237
Community Clinics 76,653 136,727 213,380 6,780 7,020 13,800 227,180 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

Belabo 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 1,577 2,019 3,596 184 188 372 3,968 8 3 11 2 0 2 13
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

Belabo 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 3,966
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 652 16.44
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 497 12.53
3 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 481 12.13
4 J459 Asthma, unspecified X: Diseases of the respiratory system 392 9.88
5 J189 Pneumonia, unspecified X: Diseases of the respiratory system 325 8.19
6 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 230 5.80
7 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 213 5.37
8 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 206 5.19
9 K319 Disease of stomach and duodenum, unspecified XI: Diseases of the digestive system 87 2.19
10 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 63 1.59

Belabo 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 13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J459 Asthma, unspecified X: Diseases of the respiratory system 4 30.77
2 K282 Gastrojejunal ulcer, acute with both haemorrhage and perforation XI: Diseases of the digestive system 2 15.38
3 I50 Heart failure X: Diseases of the respiratory system 2 15.38
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2 15.38
5 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 1 7.69
6 W10 Fall on and from stairs and steps XX: External causes of morbidity and mortality 1 7.69
7 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1 7.69
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 81.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,077
Bed Occupancy Rates (%) 89.06
Average Length of Hospital Stay (No. of days per patient) 2.54
Hospital Death Rate (%) 0.33


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 583

 

Belabo 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 6 2 2 20.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 65 41 21 3 4.62
Class IV 19 7 7 5 26.32
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 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 24 6 15 3 12.50
Class IV 0 0 0 0 0.00

 

Belabo 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 18 10 6 2 11.11
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 122 58 55 9 7.38
Class IV 20 8 7 5 25.00
Other Hospitals & Clinics
Class I Doctor 7 3 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 4 3 0 0.00
Class IV 0 0 0 0 0.00

 

Belabo 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 1 1 10 8 7 7 0 0 0
Nurse 0 0 0 0 11 10 0 0 1 2 0
Medical Assistant 0 0 1 1 2 2 7 7 5 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 24 21 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0 6
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 34 33 0 0 0 0 0

Belabo 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 0 1 0 0
Ultrasonogram machine 1 1 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 2 2 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 2 2 0 0 0
Ceiling mounting OT Light 2 2 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 1 1 0 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Belabo 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 3 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Belabo 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 1 1 0 0 0
Blood bank refrigerator 0 0 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 1 1 0 0 0


Belabo 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) 6 5 1 0 0
Generator
Generator (diesel/petrol) 2 1 0 0 1
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 1 0 0
Laptop 25 25 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 5 1 0 0
Scanner 1 1 0 0 0
UPS 7 6 1 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 0 0 0 0 0
Multimedia 1 0 1 0 0


Belabo 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) 1 0 1 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 82 74 7 0 1

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

Important information and necessary issues for Belabo Upazila Health Complex
For ensuring better management at least four EMO post should be created to run the emergency department smoothly. To run operation theatre, selective staffs should be trained up on a regular basis. All doctors should be trained up about administrative matters. For better monitoring of field inspection, a four wheeler vehicle & a cell phone is highly needed. Adequate financial support to handle local needs should be established. Promotion scope should be increased after definite time period. Doctors those are serving remote & hard to reach areas should have incentive. The residential and hospital building should be repaired thoroughly to overcome the present embarrassing condition. Total security system should be established to secure doctors, health staffs & information. To face frequent load shedding high power IPS should be installed. RMO post should be upgraded. All classes of health staff & officer should be transferrable within a definite period of time.