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Bhedarganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Bhedarganj upazila . This bulletin contains all the health related information of 2014. This health bulletin is published to disseminate the information of Bhedarganj upazila under Shariatpur District to other line department and development partners of health. I hope all the information of the bulletin will help for planning and bridging the gaps in health services of this upazila . Goverment health office has many data stored in the fine . This health bulletin will help us to find constrains and also yo see the result and achievementof 2014 . The bulletin contains the status of MDG 4 and MDG 5 which will help localize the MDG targets . This bulletin has also the information on safe drinking water and sanitation status of upazila . All the sanctioned and vacant posts are published in this bulletin of 2014 . this year health contains ICD code -10 that improved our health services internationally. its also contains detail human resurces information in different way. I like to take attention to the higher authority to look into to this issue. Finaly I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Dr. Md. Abdullah
UH&FPO
Bhedarganj Upazila Health Complex

Bhedarganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bhedarganj
Organization Code 10000541
Name of UHFPO Dr. Md. Abdullah
Land Phone No. 1 06022-0602256107
Land Phone No. 2
FAX No.
Mobile No. 01711631282
Email bhedarganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.1977 And Long: 90.4428
No. of Unions in the Upazila13
No. of Households in the Upazila 48,159
Population in the Upazila 2,556,680
Area of Upazila in sq km 267.28

Bhedarganj 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 5 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 27 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 2 20
No. of NGO Clinics/Facilities 1 0

Bhedarganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,581


Under 5 Mortality Rate: 18.993 (Per 1,000 live births)
Infant Mortality Rate: 12.184 (Per 1,000 live births)
Neonatal Mortality Rate: 8.780 (Per 1,000 live births)
Still Birth Rate: 1.254 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 18,356
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 97%

Bhedarganj 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: 2
Total No. of Recipients Who Took at least one ANC: 4,243
Total Number of Deliveries: 5,244
Valid TT Coverage: 96.00 %
Maternal Mortality Ratio (MMR) is: 35.84 per 100,000 live births.

Bhedarganj 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 15,726 18,502 34,228 4,225 5,314 9,539 43,767 1,332 1,622 2,954 872 1,318 2,190 5,144
Union Sub-Centres 16,112 19,301 35,413 4,618 5,820 10,438 45,851 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 42,400 98,442 140,842 14,006 25,602 39,608 180,450 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 1,895 3,012 4,907 412 560 972 5,879 198 172 370 120 180 300 670
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bhedarganj 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 1,675 1,865 3,540 508 543 1,051 4,591 8 5 13 11 3 14 27
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 216 1,048 1,264 442 585 1,027 2,291 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bhedarganj 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 4,591
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K580 Irritable bowel syndrome with diarrhoea XI: Diseases of the digestive system 982 21.39
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 783 17.06
3 K273 Peptic ulcer, site unspecified, acute without haemorrhage or perforation XI: Diseases of the digestive system 302 6.58
4 Y00 Assault by blunt object XX: External causes of morbidity and mortality 422 9.19
5 A75 Typhus fever I: Certain infectious and parasitic diseases 216 4.70
6 P360 Sepsis of newborn due to streptococcus, group B XVI: Certain conditions originating in the perinatal period 123 2.68
7 V880 Person injured in collision between car and two- or three-wheeled motor vehicle, nontraffic XX: External causes of morbidity and mortality 192 4.18
8 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 156 3.40
9 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 127 2.77
10 G932 Benign intracranial hypertension VI: Diseases of the nervous system 118 2.57

Bhedarganj 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 27
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 6 22.22
2 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 7 25.93
3 J449 Chronic obstructive pulmonary disease, unspecified I: Certain infectious and parasitic diseases 3 11.11
4 J069 Acute upper respiratory infection, unspecified X: Diseases of the respiratory system 1 3.70
5 I501 Left ventricular failure IX: Diseases of the circulatory system 1 3.70
6 R579 Shock, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 3.70
7 P220 Respiratory distress syndrome of newborn XVI: Certain conditions originating in the perinatal period 1 3.70
8 I461 Sudden cardiac death, so described IX: Diseases of the circulatory system 2 7.41
9 G96 Other disorders of central nervous system VI: Diseases of the nervous system 2 7.41
10 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 3 11.11

Bhedarganj 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 (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 13,301
Bed Occupancy Rates (%) 117.55
Average Length of Hospital Stay (No. of days per patient) 2.90
Hospital Death Rate (%) 0.59


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 218

 

Bhedarganj 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 9 5 1 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 9 1 7 1 11.11
Class III 107 64 26 17 15.89
Class IV 23 12 7 4 17.39
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 13 7 4 2 15.38
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 18 5 1 12 66.67
Class IV 4 1 3 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 27 12 11 4 14.81
Class IV 0 0 0 0 0.00

 

Bhedarganj 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 22 12 5 5 22.73
Non Doctor 0 0 0 0 0.00
Class II 9 1 6 2 22.22
Class III 156 82 39 35 22.44
Class IV 27 15 10 2 7.41
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

 

Bhedarganj 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 13 11 9 5 0 0 2 2 0
Nurse 0 0 0 0 11 7 0 0 2 2 0
Medical Assistant 0 0 13 9 2 2 0 0 3 0 0
Medical Technologist 0 0 0 0 6 3 0 0 0 0 0
CHCP 31 23 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 2 0 0 0 0 0
AHI 0 0 0 0 12 12 0 0 0 0 0
HA 0 0 0 0 60 57 0 0 0 0 0

Bhedarganj 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 0 1 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 1 0 0 1
Anesthesia machine without ventilator 1 0 0 0 1
Autoclave 4 3 0 0 1
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 1 1 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 4 4 0 0 0
Sucker machine (electric) 8 4 4 0 0
Ventilator 0 0 0 0 0


Bhedarganj 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 3 2 0 0 1
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 2 2 0 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Bhedarganj 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 1 1 0 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Bhedarganj 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) 2 2 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) 9 8 1 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 5 5 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Bhedarganj 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 74 62 5 3 4

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

Important information and necessary issues for Bhedarganj Upazila Health Complex
Last year we could not give our maximum efforts improve the health status due to many reasons . Here I like mention some important factors which will help us to achieve good result in future. Firstly The vacant post should be filled immediately. Secondly our doctor and nurse need training on IMCI and every HA need CSBA training . Finally I am very to write this health bulletin of 2015. Because this document is help us to compair our progress in upcoming year .