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Baghaichari Upazila Health Complex | Health Bulletin 2015 |
Preface
With cordial greetings to all employees and peoples of Baghaichari upazilla, I’m very happy to publish the health bulletin 2015 of Baghaichari. I’ve tried to include complete health information of 2014 of this upazilla in this bulletin. I hope this will help to disperse the efficiency of health system and natural resources of our upazilla to all. It will also help to manage the gaps in health service of this upazilla. Various data entries will show the results and success of 2014 and will also give the status of MDG4 and MDG5 which will help to point out new MDG targets. This bulletin will give the information of safe drinking water and sanitation status of the upazilla. All the sanctioned and vacant posts are published in this bulletin. We’ve told the power supply problem in our previous bulletin. This problem persists till now along with poor internet facilities, inability to do ECG, Nebulisation, x-ray due to low voltage. The main building of this complex, dormitories of doctors, residence of other employees are very old and all of these need urgent reparation. Otherwise dangerous events can take place at any time. I hope our higher authority will look after it. Beautiful Sajek union is the largest union of this upazilla as well as our country. But this union is situated about 100 km away from upazilla headquarter with many unreachable areas. For this, sometime breach in health services occur but we’re trying to overcome it with our efficient manpower. Finally, I want to conclude by giving thanks to all the manpower of health services and hope the dream of making healthy digital Bangladesh will become fruitful.
Dr. Md. Nazrul Islam
UH&FPO
Baghaichari Upazila Health Complex

Baghaichari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Baghaichari
Organization Code 10001067
Name of UHFPO Dr. Md. Nazrul Islam
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01711762525
Email baghaichari@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: N/A
No. of Unions in the Upazila8
No. of Households in the Upazila 26,411
Population in the Upazila 108,586
Area of Upazila in sq km 1,931.28

Baghaichari 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 2 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) 3 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 6 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 1 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 0 0

Baghaichari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,517


Under 5 Mortality Rate: 2.781 (Per 1,000 live births)
Infant Mortality Rate: 1.986 (Per 1,000 live births)
Neonatal Mortality Rate: 0.795 (Per 1,000 live births)
Still Birth Rate: 0.795 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 14,147
Fully Vaccinated Children (<= 12 months): 87.00 %
Fully Vaccinated Children (<= 23 months): 0%

Baghaichari 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: 3,207
Total Number of Deliveries: 2,512
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Baghaichari 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 8,397 10,675 19,072 2,033 2,127 4,160 23,232 418 212 630 56 32 88 718
Union Sub-Centres 2,002 2,318 4,320 577 455 1,032 5,352 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) 4,321 5,432 9753 1,233 1,356 2,589 12,342 0 0 0 0 0 0 2,589
Community Clinics 10,560 14,795 25,355 1,589 1,563 3,152 28,507 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) 2,245 3,321 5,566 1,632 1,413 3,045 8,611 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

Baghaichari 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 635 767 1,402 210 173 383 1,785 8 3 11 1 4 5 16
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

Baghaichari 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 1,502
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 R10 Abdominal and pelvic pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 252 16.78
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 157 10.45
3 J99 Respiratory disorders in diseases classified elsewhere X: Diseases of the respiratory system 153 10.19
4 Y00 Assault by blunt object XX: External causes of morbidity and mortality 111 7.39
5 J45 Asthma X: Diseases of the respiratory system 87 5.79
6 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 52 3.46
7 D63 Anaemia in chronic diseases classified elsewhere III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 40 2.66
8 I11 Hypertensive heart disease IX: Diseases of the circulatory system 33 2.20
9 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 29 1.93
10 T29 Burns and corrosions of multiple body regions XIX: Injury, poisoning and certain other consequences of external causes 28 1.86

Baghaichari 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 16
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 P29 Cardiovascular disorders originating in the perinatal period XVI: Certain conditions originating in the perinatal period 5 31.25
2 J45 Asthma X: Diseases of the respiratory system 3 18.75
3 J99 Respiratory disorders in diseases classified elsewhere XVI: Certain conditions originating in the perinatal period 2 12.50
4 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 1 6.25
5 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 1 6.25
6 I46 Cardiac arrest IX: Diseases of the circulatory system 1 6.25
7 I21 Acute myocardial infarction IX: Diseases of the circulatory system 1 6.25
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 54.00
Coverage of households having access to sanitary latrines (%) 56.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 5,236
Bed Occupancy Rates (%) 46.27
Average Length of Hospital Stay (No. of days per patient) 3.49
Hospital Death Rate (%) 1.07


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 432

 

Baghaichari 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 2 1 6 66.67
Non Doctor 0 0 0 0 0.00
Class II 10 1 3 6 60.00
Class III 63 48 8 7 11.11
Class IV 23 15 4 4 17.39
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 5 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 2 1 2 40.00
Class IV 5 0 0 5 100.00
Rural Dispensaries
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 1 0 3 75.00
Class IV 2 1 0 1 50.00
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 13 6 7 0 0.00
Class IV 0 0 0 0 0.00

 

Baghaichari 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 16 9 1 6 37.50
Non Doctor 0 0 0 0 0.00
Class II 10 1 4 5 50.00
Class III 86 57 16 13 15.12
Class IV 25 16 4 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

 

Baghaichari 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 7 7 9 3 0 0 0 1 0
Nurse 0 0 0 0 9 4 0 0 0 2 0
Medical Assistant 0 0 7 4 2 2 0 0 2 0 0
Medical Technologist 0 0 2 2 8 5 0 0 0 0 0
CHCP 13 13 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 2 1 0 0 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 35 28 0 0 0 0 2

Baghaichari 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 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 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 1 1 0 0 0
Sucker machine (electric) 6 2 4 0 0
Ventilator 0 0 0 0 0


Baghaichari 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 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Baghaichari 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 1 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Baghaichari 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


Baghaichari 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) 0 0 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) 8 7 1 0 0
Laptop 3 3 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 3 2 1 0 0
UPS 0 0 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 1 1 0 0 0
Multimedia 2 1 1 0 0


Baghaichari 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 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 45 37 8 0 0

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

Important information and necessary issues for Baghaichari Upazila Health Complex
Though we are giving best efforts, we are not fully successful to attain the optimum health status due to many reason. Here I would like to mention some important factors which will help us to achieve good results in future : 1. The vacant posts should be filled up as early as possible. 2. Reconstruction of the main building of this hospital, dormitories and staff quarter . 3. Number of community clinics and bed capacity of the health complex should be increased. 4. We are unable to use our X-Ray facilities due to low voltage .There is need a 50kv transformer to upgrade of voltage. 5. Increase the services of pathological tests in the hospital. Finally I am very happy to write the 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 services and to provide us the useful advised for improvement in future.