Banshkhali Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad with the new publication of Banskhali Upazila heaith bulletin. This bulletin contains all the health related information of 2014. I hope all the information will help planning & bridging the gaps in health services, the status of MDG4 & MDG5 in fulfilling all target of health services .This health bulletin also have the information on safe drinking water & sanitation status of the upazila. All the sanctioned & vacant posts are published in this bulletin of 2014. I like to take the attention of the higher authority to look into this issue. Finally i would like to congratulate the initiator of the health bulletin software for setting us one step ahead towards digital Bangladesh. Dr.Md.Rezaul Haque. UH&FPO Banshkhali Upazila Health Complex,Ctg.
Banshkhali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Banshkhali
Organization Code
10000734
Name of UHFPO Dr.Md.Rezaul Haque
Land Phone No. 1
-0303756014
Land Phone No. 2
FAX No.
Mobile No.
01712092278
Email banshkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.3230 And
Long:
91.7880
No. of Unions in the Upazila 15
No. of Households in the Upazila 84,304
Population in the Upazila 494,470
Area of Upazila in sq km 391.09
Banshkhali 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
50
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
3
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
11
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
39
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
0
No. of NGO Clinics/Facilities
1
0
Banshkhali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 13,672
Under 5 Mortality Rate: 8.850 (Per 1,000 live births)
Infant Mortality Rate: 4.462 (Per 1,000 live births)
Neonatal Mortality Rate: 0.805 (Per 1,000 live births)
Still Birth Rate: 0.073 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 175,048
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 0%
Banshkhali 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:
0
Total No. of Recipients Who Took at least one ANC:
807
Total Number of Deliveries:
350
Valid TT Coverage: 35.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Banshkhali 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
15,567
28,394
43,961
2,628
3,894
6,522
50,483
6,783
6,543
13,326
2,861
1,468
4,329
17,655
Union Sub-Centres
8,969
13,258
22,227
1,980
2,027
4,007
26,234
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
1,368
11,403
12,771
1,368
1,712
3,080
15,851
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
54,781
109,690
164,471
18,546
20,364
38,910
203,381
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
5,850
50,440
56,290
7,055
12,169
19,224
75,514
0
0
0
0
0
0
0
Banshkhali 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
2,535
2,726
5,261
2,259
1,123
3,382
8,643
12
8
20
8
4
12
32
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
Banshkhali 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
8,643
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
2292
26.52
2
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
1062
12.29
3
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
350
4.05
4
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
318
3.68
5
J47 Bronchiectasis
X: Diseases of the respiratory system
257
2.97
6
T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
XIX: Injury, poisoning and certain other consequences of external causes
210
2.43
7
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
208
2.41
8
J45 Asthma
X: Diseases of the respiratory system
150
1.74
9
N390 Urinary tract infection, site not specified
XIV: Diseases of the genitourinary system
62
0.72
10
V99 Unspecified transport accident
XX: External causes of morbidity and mortality
33
0.38
Banshkhali 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
32
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
11
34.38
2
J449 Chronic obstructive pulmonary disease, unspecified
X: Diseases of the respiratory system
7
21.88
3
P210 Severe birth asphyxia
X: Diseases of the respiratory system
2
6.25
4
I501 Left ventricular failure
IX: Diseases of the circulatory system
2
6.25
5
A41 Other septicaemia
I: Certain infectious and parasitic diseases
2
6.25
6
P361 Sepsis of newborn due to other and unspecified streptococci
XVI: Certain conditions originating in the perinatal period
1
3.13
7
T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs
XIX: Injury, poisoning and certain other consequences of external causes
1
3.13
8
R560 Febrile convulsions
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
1
3.13
9
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1
3.13
10
T09 Other injuries of spine and trunk, level unspecified
XIX: Injury, poisoning and certain other consequences of external causes
1
3.13
Banshkhali Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
97.00
Coverage of households having access to sanitary latrines (%)
58.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
16,809
Bed Occupancy Rates (%)
92.10
Average Length of Hospital Stay (No. of days per patient)
2.08
Hospital Death Rate (%)
0.37
Banshkhali Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
537
Banshkhali 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
21
15
6
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
16
2
9
5
31.25
Class III
109
52
33
24
22.02
Class IV
22
12
6
4
18.18
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
11
4
5
2
18.18
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
11
0
0
11
100.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
3
2
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
6
3
0
3
50.00
Class IV
3
2
0
1
33.33
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
45
21
25
-1
-2.22
Class IV
0
0
0
0
0.00
Banshkhali 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
35
21
12
2
5.71
Non Doctor
0
0
0
0
0.00
Class II
16
2
9
5
31.25
Class III
171
76
58
37
21.64
Class IV
25
14
6
5
20.00
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
Banshkhali 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
14
12
21
21
0
0
0
2
0
Nurse
0
0
0
0
16
11
0
0
2
2
0
Medical Assistant
0
0
14
3
2
2
0
0
5
0
0
Medical Technologist
0
0
3
0
9
5
0
0
0
0
0
CHCP
45
36
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
0
AHI
0
0
0
0
13
13
0
0
0
0
0
HA
0
0
0
0
64
47
0
0
0
0
0
Banshkhali 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)
2
1
0
1
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
2
0
0
0
Anesthesia machine without ventilator
0
0
0
0
0
Autoclave
5
3
0
0
2
Electric cautery machine
0
0
0
0
0
Diathermy machine
1
1
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
3
3
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
0
0
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Banshkhali 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
2
2
0
0
0
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
3
3
0
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Banshkhali 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)
6
3
1
1
1
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
3
0
1
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Banshkhali 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
2
1
0
1
0
Refrigerator
0
0
0
0
0
Vehicles
Ambulance
3
2
0
1
0
Banshkhali 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)
2
2
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
10
8
0
1
1
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
3
2
0
1
0
Printer (laser)
7
5
0
0
2
Scanner
1
1
0
0
0
UPS
9
8
0
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
0
0
0
0
0
Banshkhali 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
79
64
1
7
7
Banshkhali Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Banshkhali Upazila Health Complex
Last we tried our best to give maximum efforts to improve the health status.Here i like mention some important factors which will help us to achieve good results.in future.1.The vacent post should be filled immediatly.2.Consultant should be placed .3.Our doctor & nurses need training on IMCI &EOC.4.No of sub-centre & community clinic should be increased.All the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years.This is very useful document and will help the public to understand health services & provide us the useful advice for improvement in future.