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Birol Upazila Health Complex | Health Bulletin 2015 |
Preface
I feel very proudy to say that for the 4th time we are publishing Birol Upazilla Health Complex Health Bulletin. In this Health Bulletin we are mentioning our achievement. and limitations. I hope the readers of this bulletin will analyse the over all situations and will meet up our demand to give better service to the people by their sugessions ' We believe health is our right . Governrnrent should provide health service to the people. We are to give those services. With our limitation we are tring to satisfy the people. Finally I am giving thanks to those authority officers and staffs who helped to publish this bulletin.and begging perden if there are some wrong.
Dr. A.S.M JAHEEDUL ISLAM
UH&FPO
Birol Upazila Health Complex

Birol Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Birol
Organization Code 10001200
Name of UHFPO Dr. A.S.M JAHEEDUL ISLAM
Land Phone No. 1 -0532456011
Land Phone No. 2
FAX No.
Mobile No. 01712777281
Email birol@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.3810 And Long: 88.3314
No. of Unions in the Upazila11
No. of Households in the Upazila 60,033
Population in the Upazila 262,034
Area of Upazila in sq km 318.25

Birol 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 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 10 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 32 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 2 0

Birol Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,100


Under 5 Mortality Rate: 33.607 (Per 1,000 live births)
Infant Mortality Rate: 28.689 (Per 1,000 live births)
Neonatal Mortality Rate: 23.770 (Per 1,000 live births)
Still Birth Rate: 4.262 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 17,835
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months):

Birol 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: 10
Total No. of Recipients Who Took at least one ANC: 4,600
Total Number of Deliveries: 6,105
Valid TT Coverage: 32.00 %
Maternal Mortality Ratio (MMR) is: 163.93 per 100,000 live births.

Birol 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 21,108 21,364 42,472 2,135 2,584 4,719 47,191 2,113 1,908 4,021 175 227 402 4,423
Union Sub-Centres 15,250 16,397 31,647 1,702 1,734 3,436 35,083 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 90,120 90,120 180,240 920 900 1,820 182,060 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

Birol 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 1,199 1,756 2,955 108 98 206 3,161 1 1 2 0 0 0 2
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

Birol 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 3,161
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 716 22.65
2 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 640 20.25
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 455 14.39
4 S09 Other and unspecified injuries of head XIX: Injury, poisoning and certain other consequences of external causes 155 4.90
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 147 4.65
6 N739 Female pelvic inflammatory disease, unspecified XIV: Diseases of the genitourinary system 64 2.02
7 J45 Asthma X: Diseases of the respiratory system 60 1.90
8 T629 Noxious substance eaten as food, unspecified XIX: Injury, poisoning and certain other consequences of external causes 50 1.58
9 F412 Mixed anxiety and depressive disorder V: Mental and behavioural disorders 33 1.04
10 A039 Shigellosis, unspecified I: Certain infectious and parasitic diseases 21 0.66

Birol 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 2
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 2 100.00
2 0 0.00
3 IX: Diseases of the circulatory system 0 0.00
4 0 0.00
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

Birol 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 (%) 80.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 8,906
Bed Occupancy Rates (%) 48.80
Average Length of Hospital Stay (No. of days per patient) 2.82
Hospital Death Rate (%) 0.06


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 210

 

Birol 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 4 1 4 44.44
Non Doctor 0 0 0 0 0.00
Class II 11 0 9 2 18.18
Class III 71 56 5 10 14.08
Class IV 21 18 3 0 0.00
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 10 5 4 1 10.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 9 3 0 0.00
Class IV 2 2 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 32 14 17 1 3.13
Class IV 0 0 0 0 0.00

 

Birol 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 19 13 3 3 15.79
Non Doctor 0 0 0 0 0.00
Class II 10 0 8 2 20.00
Class III 72 66 6 0 0.00
Class IV 21 18 3 0 0.00
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

 

Birol 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 9 4 1 1 0 0 0
Nurse 0 0 0 0 11 9 0 0 3 0 0
Medical Assistant 0 0 10 9 2 2 0 0 3 0 0
Medical Technologist 0 0 0 0 7 6 0 0 0 0 0
CHCP 32 31 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 6 6 0 0 0 0 0
HA 0 0 0 0 29 27 0 0 0 0 1

Birol 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 0 0 0 0 0
Autoclave 1 1 0 0 0
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 4 2 2 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 2 2 0 0 0
Sucker machine (electric) 3 3 0 0 0
Ventilator 0 0 0 0 0


Birol 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 1 1 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 0 1 0


Birol 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) 0 0 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 2 0 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Birol 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 3 2 0 1 0


Birol 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 0 0 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 6 2 0 0
Laptop 2 1 1 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 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Birol 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 44 35 5 4 0

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

Important information and necessary issues for Birol Upazila Health Complex
Important information and necessary issues for Birol Upazila Health Complex Birol upazila health complex is a 50 beded hospital Adminisstrative approval was obtained but yet not post of 50 beded manpower is createed.. Old building is going to be damaged. Urgently it needs repaier. By this time we corresponded with HED in this issue, In the field side we have shorteage of manpower. A new union is established in this upazila. Another 15 HA 5 AHI and 1 HI post should be created. post of at least 4 Emergncy medical officers should be created. Vaccant posts of doctors, nurses and stuffs should be filedup. Number of post of Sweeper, driver,wordboy, aya,MLSS should be at least double of present post. 100 Seated Confearance room. driver shed and a separate store room is needed.