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Baliadangi Upazila Health Complex | Health Bulletin 2015 |
Preface
The Health bulletin 2015 contains all health related information of 2014. This bulletin is published to disseminate the information of Upazila and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services 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 & MDG 5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2014. I like to draw attention of the higher authority to look into to this issue. Finally i would like congratulate the initiator of the health bulletin software for setting us one step ahead toward Digital Bangladesh.
Dr. Md. Azizul Islam
UH&FPO
Baliadangi Upazila Health Complex

Baliadangi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Baliadangi
Organization Code 10001671
Name of UHFPO Dr. Md. Azizul Islam
Land Phone No. 1 -0562256011
Land Phone No. 2
FAX No.
Mobile No. 01715170815
Email baliadangi@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 26.0000 And Long: 88.0000
No. of Unions in the Upazila8
No. of Households in the Upazila 41,015
Population in the Upazila 251,081
Area of Upazila in sq km 248.37

Baliadangi 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 1 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 7 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 21 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 1 10
No. of NGO Clinics/Facilities 0 0

Baliadangi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,491


Under 5 Mortality Rate: 27.833 (Per 1,000 live births)
Infant Mortality Rate: 24.716 (Per 1,000 live births)
Neonatal Mortality Rate: 22.489 (Per 1,000 live births)
Still Birth Rate: 19.372 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 4,125
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Baliadangi 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: 7
Total No. of Recipients Who Took at least one ANC: 2,457
Total Number of Deliveries: 986
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is: 155.87 per 100,000 live births.

Baliadangi 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 6,502 7,834 14,336 1,702 1,916 3,618 17,954 412 568 980 142 154 296 1,276
Union Sub-Centres 1,712 2,515 4,227 656 712 1,368 5,595 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 31,285 67,295 98,580 4,413 3,564 7,977 106,557 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

Baliadangi 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 2,355 3,880 6,235 297 233 530 6,765 11 11 22 1 0 1 23
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 11 212 223 4 0 4 227 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Baliadangi 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 6,765
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 X791 Intentional self-harm by blunt object, residential institution XX: External causes of morbidity and mortality 1537 22.72
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 817 12.08
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 725 10.72
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 441 6.52
5 V190 Driver injured in collision with other and unspecified motor vehicles in nontraffic accident XX: External causes of morbidity and mortality 227 3.36
6 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 217 3.21
7 D64 Other anaemias III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 168 2.48
8 I119 Hypertensive heart disease without (congestive) heart failure IX: Diseases of the circulatory system 110 1.63
9 J219 Acute bronchiolitis, unspecified X: Diseases of the respiratory system 106 1.57
10 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 50 0.74

Baliadangi 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 23
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 3 13.04
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 3 13.04
3 I67 Other cerebrovascular diseases X: Diseases of the respiratory system 3 13.04
4 X791 Intentional self-harm by blunt object, residential institution XX: External causes of morbidity and mortality 3 13.04
5 P210 Severe birth asphyxia XVI: Certain conditions originating in the perinatal period 3 13.04
6 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 1 4.35
7 E46 Unspecified protein-energy malnutrition IV: Endocrine, nutritional and metabolic diseases 1 4.35
8 I249 Acute ischaemic heart disease, unspecified IX: Diseases of the circulatory system 1 4.35
9 J96 Respiratory failure, NEC X: Diseases of the respiratory system 1 4.35
10 D64 Other anaemias III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 1 4.35

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 88.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 16,725
Bed Occupancy Rates (%) 91.64
Average Length of Hospital Stay (No. of days per patient) 2.47
Hospital Death Rate (%) 0.34


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 143
Minor Surgeries 200

 

Baliadangi 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 21 7 1 13 61.90
Non Doctor 0 0 0 0 0.00
Class II 15 0 12 3 20.00
Class III 89 52 26 11 12.36
Class IV 26 14 6 6 23.08
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 7 2 0 5 71.43
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 7 6 0 1 14.29
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 1 1 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 1 1 0 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 22 6 15 1 4.55
Class IV 0 0 0 0 0.00

 

Baliadangi 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 29 10 1 18 62.07
Non Doctor 0 0 0 0 0.00
Class II 15 0 12 3 20.00
Class III 97 65 24 8 8.25
Class IV 27 15 6 6 22.22
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

 

Baliadangi 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 0 21 11 0 0 0 0 0
Nurse 0 0 0 0 15 12 0 0 0 0 0
Medical Assistant 0 0 8 6 2 2 0 0 0 0 0
Medical Technologist 0 0 0 0 8 5 0 0 0 0 0
CHCP 22 21 0 0 0 0 0 0 0 0 0
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 30 29 0 0 0 0 10

Baliadangi 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) 2 1 0 1 0
X-ray machine (300 mA) 2 1 1 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 5 3 1 0 1
Autoclave 5 1 3 1 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 6 3 0 0 3
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 10 6 1 3 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 4 1 3 0 0
Sucker machine (electric) 5 1 1 2 1
Ventilator 0 0 0 0 0


Baliadangi 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 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 3 1 1 1 0
Pulse oximeter 3 1 1 1 0
Dental equipment
Dental unit 2 1 1 0 0


Baliadangi 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 0 1 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 1 4 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Baliadangi 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 1 1 0 0 0
Blood bank refrigerator 1 1 0 0 0
Refrigerator 3 2 1 0 0
Vehicles
Ambulance 1 1 0 0 0


Baliadangi 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) 4 2 0 2 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 2 2 0 0 0
ICT equipment
Computer (desktop) 2 2 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 2 1 0 0
Printer (laser) 2 2 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 1 1 0 0 0
Multimedia 0 0 0 0 0


Baliadangi 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 81 45 20 11 5

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

Important information and necessary issues for Baliadangi Upazila Health Complex
Last year we could not give our maximum efforts to improve the health status due to many reasons. Here I mention some important factors which will help us to achieve good results in future.1.The vacant post should be filled immediately . 2. Our doctors, nurse and SACMO need more training on IMCI and basic EOC. 3. One modern, One Photocopy machine & One Digital Camera should be supplied this year. Finally I am very happy to write this health bulletin of 2015 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 available health services and provide us the useful advice for improvement in future. Thank you all.