Boalkhali Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to published this health bulletin of Boalkhali Upazila. This bulletin contains all the health related information of 2014. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this Upazila. Government Health Office has many data stored in fine. This health bulletin will help us to find constraints and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets.This bulletin has also the information on safe water and Sanitation status of the Upazila. All the sanction and vacant posts are published in in this bulletin of 2014. I would like to draw attention of the higher authority to look into this issue.Finally I would like to congratulate the initiator of the health bulletin software for leading us towards one step closer to form Digital Bangladesh.
Boalkhali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Boalkhali
Organization Code
10000740
Name of UHFPO Dr. Md. Motahar Hossain
Land Phone No. 1
-0303256024
Land Phone No. 2
FAX No.
Mobile No.
01715487489
Email boalkhali@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.3746 And
Long:
91.9190
No. of Unions in the Upazila 10
No. of Households in the Upazila 43,053
Population in the Upazila 249,341
Area of Upazila in sq km 136.52
Boalkhali 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
6
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
9
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
29
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
1
20
No. of NGO Clinics/Facilities
1
0
Boalkhali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,356
Under 5 Mortality Rate: 12.883 (Per 1,000 live births)
Infant Mortality Rate: 6.721 (Per 1,000 live births)
Neonatal Mortality Rate: 3.174 (Per 1,000 live births)
Still Birth Rate: 4.854 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 17,265
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):
Boalkhali 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:
3,544
Total Number of Deliveries:
924
Valid TT Coverage: 25.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Boalkhali 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
18,327
35,009
53,336
13,230
14,842
28,072
81,408
6,026
4,947
10,973
2,960
3,060
6,020
16,993
Union Sub-Centres
16,475
24,582
41,057
2,578
2,986
5,564
46,621
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
2,457
7,452
9,909
1,574
1,965
3,539
13,448
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
12,570
45,324
57894
7,854
8,524
16,378
74,272
0
0
0
0
0
0
16,378
Community Clinics
47,548
82,410
129,958
21,745
22,365
44,110
174,068
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
2,172
5,657
7,829
2,560
2,458
5,018
12,847
654
752
1,406
693
472
1,165
2,571
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Boalkhali 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
1,162
4,299
5,461
2,530
2,931
5,461
10,922
4
5
9
2
0
2
11
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
235
367
602
162
157
319
921
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Boalkhali 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
5,461
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
1187
21.74
2
J440 Chronic obstructive pulmonary disease with acute lower respiratory infection
X: Diseases of the respiratory system
1126
20.62
3
K270 Peptic ulcer, site unspecified, acute with haemorrhage
XI: Diseases of the digestive system
747
13.68
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
467
8.55
5
J459 Asthma, unspecified
X: Diseases of the respiratory system
387
7.09
6
J210 Acute bronchiolitis due to respiratory syncytial virus
X: Diseases of the respiratory system
124
2.27
7
A010 Typhoid fever
I: Certain infectious and parasitic diseases
114
2.09
8
B820 Intestinal helminthiasis, unspecified
I: Certain infectious and parasitic diseases
78
1.43
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
69
1.26
10
E10 Insulin-dependent diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
62
1.14
Boalkhali 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
11
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J459 Asthma, unspecified
X: Diseases of the respiratory system
7
63.64
2
I249 Acute ischaemic heart disease, unspecified
IX: Diseases of the circulatory system
1
9.09
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
X: Diseases of the respiratory system
1
9.09
4
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
1
9.09
5
K920 Haematemesis
XI: Diseases of the digestive system
1
9.09
6
0
0.00
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Boalkhali Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
96.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
10,377
Bed Occupancy Rates (%)
56.86
Average Length of Hospital Stay (No. of days per patient)
1.90
Hospital Death Rate (%)
0.20
Boalkhali Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
62
Boalkhali 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
11
9
1
4.76
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
87
52
22
13
14.94
Class IV
28
19
8
1
3.57
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
2
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
0
0
4
100.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
6
1
3
2
33.33
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
12
5
1
6
50.00
Class IV
6
6
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
29
7
17
5
17.24
Class IV
0
0
0
0
0.00
Boalkhali 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
31
15
13
3
9.68
Non Doctor
0
0
0
0
0.00
Class II
16
1
15
0
0.00
Class III
121
54
40
27
22.31
Class IV
30
21
8
1
3.33
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
Boalkhali 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
10
9
21
20
0
0
2
1
0
Nurse
0
0
0
0
16
16
0
0
2
2
0
Medical Assistant
0
0
10
6
2
2
0
0
8
0
0
Medical Technologist
0
0
10
0
7
5
0
0
0
0
0
CHCP
29
24
0
0
0
0
0
0
0
0
0
HI
3
3
0
0
0
0
0
0
0
0
0
AHI
9
9
0
0
0
0
0
0
0
0
0
HA
45
36
0
0
0
0
0
0
0
0
0
Boalkhali 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
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
1
0
1
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
2
2
0
0
0
Operating microscope
5
5
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
5
5
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
2
0
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
3
3
0
0
0
Boalkhali 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
2
2
0
0
0
Pulse oximeter
3
3
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Boalkhali 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
1
0
1
0
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
Boalkhali 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
1
1
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Boalkhali 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)
4
4
0
0
0
Generator
Generator (diesel/petrol)
2
1
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
32
32
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
5
0
0
0
Scanner
1
1
0
0
0
UPS
8
8
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
31
31
0
0
0
Multimedia
2
1
1
0
0
Boalkhali 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
2
1
1
0
0
Mobile phone
2
1
1
0
0
Total
144
135
6
3
0
Boalkhali Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Boalkhali 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. (1) Our Doctors,Nurse, Statistician and Medical Assistant need more training on IMCI (2) I am very happy to write this Health Bulletin of 2014 because this document will help us to compare our progress in upcoming year. This is very useful document and will help the public to understand Health service and to provide us the useful advice for improvement in future.
