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Belkuchi Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish health bulletin of Belkuchi upazila Health Complex . This bulletin contains all the health related information of 2014. This bulletin is published to disseminate the information of Belkuchi upazila to other line department and development partners of health . I hope all the information of this bulletin will help for planning and bridging the gaps in the health service of this upazila . Government health office has many data stored in the file . This health bulletin will help us to find constrains 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 health bulletin has also the information of safe drinking water and sanitation status of this upazila . All the sanctioned and vacant post are published in this bulletin of 2014. I would like to take attention of the higher authority to look into this issue . Finally I would like to congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh .
Dr. Umme Aziz Nasima Khandker
UH&FPO
Belkuchi Upazila Health Complex

Belkuchi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Belkuchi
Organization Code 10001624
Name of UHFPO Dr. Umme Aziz Nasima Khandker
Land Phone No. 1 0-0752256403
Land Phone No. 2
FAX No.
Mobile No. 01730324716
Email belkuchi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila6
No. of Households in the Upazila 71,041
Population in the Upazila 368,973
Area of Upazila in sq km 167.25

Belkuchi 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 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 1 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 5 0
No. of Rural/Urban/Thana Health Centers 1 0
No. of Community Clinics 37 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 5 50
No. of NGO Clinics/Facilities 0 0

Belkuchi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 9,895


Under 5 Mortality Rate: 32.542 (Per 1,000 live births)
Infant Mortality Rate: 18.898 (Per 1,000 live births)
Neonatal Mortality Rate: 13.643 (Per 1,000 live births)
Still Birth Rate: 3.739 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,967
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 97%

Belkuchi 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: 8
Total No. of Recipients Who Took at least one ANC: 7,995
Total Number of Deliveries: 8,433
Valid TT Coverage: 35.00 %
Maternal Mortality Ratio (MMR) is: 80.85 per 100,000 live births.

Belkuchi 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 21,618 27,632 49,250 2,020 2,623 4,643 53,893 4,973 5,098 10,071 751 914 1,665 11,736
Union Sub-Centres 11,576 14,536 26,112 2,448 3,367 5,815 31,927 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 10,224 12,384 22,608 1,972 2,028 4,000 26,608 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 11,323 19,221 30544 1,671 1,789 3,460 34,004 0 0 0 0 0 0 3,460
Community Clinics 265,032 400,668 665,700 18,672 18,588 37,260 702,960 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 12,981 1,988 14,969 2,241 2,311 4,552 19,521 61 68 129 24 0 24 153
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Belkuchi 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 1,672 1,819 3,491 396 321 717 4,208 3 1 4 1 0 1 5
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 55 79 134 29 35 64 198 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Belkuchi 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 4,188
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 1178 28.13
2 J06 Acute upper respiratory infections of multiple and unspecified sites X: Diseases of the respiratory system 765 18.27
3 Y00 Assault by blunt object XX: External causes of morbidity and mortality 633 15.11
4 V03 Pedestrian injured in collision with car, pick-up truck or van XX: External causes of morbidity and mortality 357 8.52
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 254 6.06
6 A010 Typhoid fever I: Certain infectious and parasitic diseases 227 5.42
7 E10 Insulin-dependent diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 211 5.04
8 J459 Asthma, unspecified X: Diseases of the respiratory system 147 3.51
9 J440 Chronic obstructive pulmonary disease with acute lower respiratory infection X: Diseases of the respiratory system 129 3.08
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 122 2.91

Belkuchi 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 5
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 1 20.00
2 J960 Acute respiratory failure X: Diseases of the respiratory system 2 40.00
3 J180 Bronchopneumonia, unspecified I: Certain infectious and parasitic diseases 2 40.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,239
Bed Occupancy Rates (%) 81.65
Average Length of Hospital Stay (No. of days per patient) 2.21
Hospital Death Rate (%) 0.12


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,830

 

Belkuchi 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 12 1 10 1 8.33
Class III 90 85 5 0 0.00
Class IV 20 17 2 1 5.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 1 0 0 1 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 2 0 0 2 100.00
Class IV 1 0 0 1 100.00
Rural Dispensaries
Class I Doctor 5 3 2 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 5 1 0 0.00
Class IV 1 1 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 45 25 15 5 11.11
Class IV 0 0 0 0 0.00

 

Belkuchi 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 5 2 12.50
Non Doctor 0 0 0 0 0.00
Class II 12 1 10 1 8.33
Class III 98 83 8 7 7.14
Class IV 22 18 2 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

 

Belkuchi 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 6 5 10 9 0 0 2 1 0
Nurse 0 0 0 0 11 11 0 0 8 0 0
Medical Assistant 0 0 6 5 2 2 0 0 2 0 0
Medical Technologist 0 0 2 1 7 7 0 0 0 0 0
CHCP 45 40 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 11 10 0 0 0 0 0
HA 0 0 0 0 54 50 0 0 0 0 3

Belkuchi 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) 0 0 0 0 0
Ultrasonogram machine 1 0 0 0 1
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 2 1 0 0 1
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 3 2 1 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 2 1 0 1 0
Portable OT Light 2 1 0 1 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 2 1 0 1 0
Sucker machine (electric) 2 1 0 1 0
Ventilator 0 0 0 0 0


Belkuchi 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 0 0 2 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Belkuchi 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 1 1 0 0 0
Centrifuge machine (electric) 2 1 0 0 1
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 1 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Belkuchi 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 1 1 0 0 0
Vehicles
Ambulance 3 1 1 1 0


Belkuchi 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 0 0 0 0 0
ICT equipment
Computer (desktop) 5 3 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) 4 3 1 0 0
Scanner 0 0 0 0 0
UPS 4 0 0 4 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 1 1 0 0 0


Belkuchi 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 50 27 8 12 3

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

Important information and necessary issues for Belkuchi Upazila Health Complex
Important information and necessary issues for Belkuchi Upazila Health Complex Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future . 1. The vacant post should be filled immediately . Our doctors.SACMO and nurse need more training on IMCI 3. Number of community clinic and the bed capacity of the heath complex should be increased 4. All the repairable equipment's should be repaired as soon as possible 5. We have four female HA who need CSBA training Finally I am very happy to write this health bulletin of 2014 because this document will help us to compare our progress in upcoming years . This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future .