Baraigram Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Baraigram upazila.This bulletin contains at the health related information of 2014. this bulletin is published to disserminate the information of Baraigram Upazila to other line department and development partners of health . I hope all the information of this bulletin will help for planning and bringing the gaps in the health services of this Upazila. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements pf 2014.
DR.RANJAN KUMAR DATTA
UHFPO
Upazila Health Complex,
Baraigram,Natore
Baraigram Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Baraigram
Organization Code
10001421
Name of UHFPO DR.RANJAN KUMAR DATTA
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01711480448
Email drrkdatta@gmail.com
GPS location of UHFPO office
Lati:
24.3687 And
Long:
89.2367
No. of Unions in the Upazila 7
No. of Households in the Upazila 61,941
Population in the Upazila 291,583
Area of Upazila in sq km 300.61
Baraigram 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)
4
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
35
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
9
130
No. of NGO Clinics/Facilities
1
0
Baraigram Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,022
Under 5 Mortality Rate: 20.757 (Per 1,000 live births)
Infant Mortality Rate: 18.266 (Per 1,000 live births)
Neonatal Mortality Rate: 14.779 (Per 1,000 live births)
Still Birth Rate: 4.650 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 63,730
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 0%
Baraigram 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:
5,325
Total Number of Deliveries:
6,050
Valid TT Coverage: 22.00 %
Maternal Mortality Ratio (MMR) is:
0.00 per 100,000 live births.
Baraigram 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
34,445
43,632
78,077
5,423
6,139
11,562
89,639
2,522
2,055
4,577
69
57
126
4,703
Union Sub-Centres
10,620
27,555
38,175
4,220
6,735
10,955
49,130
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
13,735
46,954
60,689
5,050
11,330
16,380
77,069
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
100,225
203,490
303,715
21,740
27,333
49,073
352,788
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
6,430
10,200
16,630
916
1,140
2,056
18,686
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Baraigram 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
1,349
2,028
3,377
71
63
134
3,511
4
3
7
1
0
1
8
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
2,130
3,720
5,850
188
190
378
6,228
14
15
29
2
2
4
33
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Baraigram 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
3,511
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
760
21.65
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
505
14.38
3
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
485
13.81
4
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
460
13.10
5
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
435
12.39
6
J46 Status asthmaticus
X: Diseases of the respiratory system
366
10.42
7
E46 Unspecified protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
266
7.58
8
T44 Poisoning by drugs primarily affecting the autonomic nervous system
XIX: Injury, poisoning and certain other consequences of external causes
102
2.91
9
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
78
2.22
10
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
54
1.54
Baraigram 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
8
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J45 Asthma
X: Diseases of the respiratory system
2
25.00
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
2
25.00
3
T44 Poisoning by drugs primarily affecting the autonomic nervous system
X: Diseases of the respiratory system
1
12.50
4
I50 Heart failure
IX: Diseases of the circulatory system
1
12.50
5
I46 Cardiac arrest
IX: Diseases of the circulatory system
1
12.50
6
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
1
12.50
7
0
0.00
8
0
0.00
9
0
0.00
10
0
0.00
Baraigram 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.)
8,143
Bed Occupancy Rates (%)
71.97
Average Length of Hospital Stay (No. of days per patient)
2.32
Hospital Death Rate (%)
0.23
Baraigram Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
540
Baraigram 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
10
6
3
1
10.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
73
47
14
12
16.44
Class IV
19
12
4
3
15.79
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
12
6
5
1
8.33
Class IV
4
0
4
0
0.00
Rural Dispensaries
Class I
Doctor
7
4
2
1
14.29
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
5
4
0
0.00
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
38
20
15
3
7.89
Class IV
0
0
0
0
0.00
Baraigram 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
17
10
5
2
11.76
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
132
78
38
16
12.12
Class IV
25
13
8
4
16.00
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
Baraigram 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
6
10
9
0
0
4
0
15
Nurse
0
0
0
0
11
10
0
0
4
5
6
Medical Assistant
0
0
7
7
2
2
0
0
4
0
0
Medical Technologist
0
0
0
0
6
6
0
0
0
0
0
CHCP
38
35
0
0
0
0
0
0
0
0
11
HI
0
0
0
0
3
3
0
0
0
0
10
AHI
0
0
0
0
8
8
0
0
0
0
0
HA
0
0
0
0
39
28
0
0
0
0
0
Baraigram 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)
1
0
1
0
0
X-ray machine (300 mA)
0
0
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
2
2
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
0
0
0
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
0
0
0
0
0
Sucker machine (electric)
3
3
0
0
0
Ventilator
0
0
0
0
0
Baraigram 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
3
3
0
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Baraigram 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
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
2
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Baraigram 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
Baraigram 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)
0
0
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
3
3
0
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
2
2
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
3
3
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
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
0
0
0
0
0
Baraigram 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
32
31
1
0
0
Baraigram Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Baraigram Upazila Health Complex
In 2014,we cannot achieve our standard in serving the people due to some lackings such as,1) Shortase of manpower including Clenar,Aya,Ward boy,2) Absence of equipements as,x-ray machine,USG machine,Photocopier,Scanner and Fax machine,etc.which should be filled up on an emergency basis.Local Level Planning and more financial power should be delegated to the Upazilla Level for upgrading the service quality.
DR.RANJAN KUMAR DATTA
UHFPO
Upazila Health Complex,
Baraigram,Natore