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Bera Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Health Bulletin of Bera upazila.This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the Health informations of Bera Upazila .I hope all the information of this bulletin will help for planning & bridging the gaps in health services of this Upazila.The bulletin contains the status of MDG 4 & MDG 5 which will help to evaluate the MDG targets.This bulletin has also the information on safe drinking water & sanitation status of this upazila.All the sanctioned & vacant posts are published in this bulletin of 2014.Finally I would congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh. Dr.Kartic Kumar Saha UH& FPO Bera Upazila Health Complex.
Dr.Kartic Kumar Saha
UH&FPO
Bera Upazila Health Complex

Bera Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bera
Organization Code 10001476
Name of UHFPO Dr.Kartic Kumar Saha
Land Phone No. 1 -0732375046
Land Phone No. 2
FAX No.
Mobile No. 01716110614
Email bera@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 87.0000
No. of Unions in the Upazila10
No. of Households in the Upazila 56,756
Population in the Upazila 280,470
Area of Upazila in sq km 248.60

Bera 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 28 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 3 14
No. of NGO Clinics/Facilities 0 0

Bera Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,615


Under 5 Mortality Rate: 5.896 (Per 1,000 live births)
Infant Mortality Rate: 3.326 (Per 1,000 live births)
Neonatal Mortality Rate: 1.814 (Per 1,000 live births)
Still Birth Rate: 1.361 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 60,822
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Bera 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: 5
Total No. of Recipients Who Took at least one ANC: 8,540
Total Number of Deliveries: 6,669
Valid TT Coverage: 37.00 %
Maternal Mortality Ratio (MMR) is: 75.59 per 100,000 live births.

Bera 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 24,722 29,423 54,145 4,769 4,974 9,743 63,888 13,746 10,456 24,202 2,693 2,294 4,987 29,189
Union Sub-Centres 18,778 36,617 55,395 7,156 6,959 14,115 69,510 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) 14,726 37,638 52364 9,213 8,240 17,453 69,817 0 0 0 0 0 0 17,453
Community Clinics 103,186 221,073 324,259 17,148 20,574 37,722 361,981 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 1,480 1,820 3,300 506 403 909 4,209 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bera 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 4,636 5,729 10,365 934 871 1,805 12,170 24 10 34 2 1 3 37
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 24 820 844 35 30 65 909 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Bera 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 12,170
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 K257 Gastric ulcer, chronic without haemorrhage or perforation XI: Diseases of the digestive system 1795 14.75
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 1654 13.59
3 X85 Assault by drugs, medicaments and biological substances XX: External causes of morbidity and mortality 1137 9.34
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 492 4.04
5 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 368 3.02
6 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 284 2.33
7 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system XIX: Injury, poisoning and certain other consequences of external causes 263 2.16
8 V70 Bus occupant injured in collision with pedestrian or animal XX: External causes of morbidity and mortality 252 2.07
9 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 238 1.96
10 J45 Asthma X: Diseases of the respiratory system 176 1.45

Bera 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 37
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 9 24.32
2 J45 Asthma X: Diseases of the respiratory system 6 16.22
3 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 5.41
4 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2 5.41
5 T48 Poisoning by agents primarily acting on smooth and skeletal muscles and the respiratory system XIX: Injury, poisoning and certain other consequences of external causes 2 5.41
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 1 2.70
7 D64 Other anaemias III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 2.70
8 Q20 Congenital malformations of cardiac chambers and connections XVII: Congenital malformations, deformations and chromosomal abnormalities 1 2.70
9 R100 Acute abdomen XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 2.70
10 K56 Paralytic ileus and intestinal obstruction without hernia XI: Diseases of the digestive system 1 2.70

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 85.00
Coverage of households having access to sanitary latrines (%) 87.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,170
Bed Occupancy Rates (%) 66.68
Average Length of Hospital Stay (No. of days per patient) 1.00
Hospital Death Rate (%) 0.30


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,779

 

Bera 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 3 3 4 40.00
Non Doctor 0 0 0 0 0.00
Class II 12 1 11 0 0.00
Class III 73 50 10 13 17.81
Class IV 19 13 4 2 10.53
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 10 5 4 1 10.00
Class IV 8 3 3 2 25.00
Rural Dispensaries
Class I Doctor 8 3 3 2 25.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 9 2 0 0.00
Class IV 3 3 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 28 16 10 2 7.14
Class IV 0 0 0 0 0.00

 

Bera 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 18 7 5 6 33.33
Non Doctor 0 0 0 0 0.00
Class II 12 1 11 0 0.00
Class III 84 57 14 13 15.48
Class IV 22 16 4 2 9.09
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

 

Bera 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 8 6 10 6 0 0 0 1 0
Nurse 0 0 0 0 12 12 0 0 3 2 0
Medical Assistant 0 0 8 8 2 2 0 0 10 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 28 26 0 0 0 0 0 0 0 0 3
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0 0
HA 0 0 0 0 39 28 0 0 0 0 5

Bera 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 0 1 0
X-ray machine (300 mA) 1 1 0 0 0
Ultrasonogram machine 1 1 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 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 5 5 0 0 0
Sucker machine (electric) 5 5 0 0 0
Ventilator 0 0 0 0 0


Bera 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 4 3 1 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 2 2 0 0 0


Bera 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) 3 3 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Bera 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 2 2 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Bera 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) 3 3 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 0 0 0 0 0
ICT equipment
Computer (desktop) 9 9 0 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 5 5 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


Bera 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 1 0 0 1 0
PA system (Sound) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 64 60 3 1 0

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

Important information and necessary issues for Bera Upazila Health Complex
Important information and necessary issues for Bera Upazila Health Complex It is very difficult to provide all the health services properly to all group of people at different level with limited human resources,shortage doctors,wardboy,sweepers etc.So I would like to invite the attention of our higher authority take all the necessary steps to improve the health facility . Thank you