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Borhanuddin Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to published Local Health Bulletin of Upazila Health Complex Borhanuddin, Bhola. This bulletin Contains all the health related information of 2014. This bulletin is Published to disseminate the information of Borhanuddin 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 health services of this Upazila. Government Health office has many data stored in the fine.This health bulleting will help us to find constrains and also to see the results and achievements of 2015. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG tergets.This Health bulletin has also the information on safe drinking water and sanitation status of the Borhanuddin Upazila. All the sanctioned and vacant posts are Published in the bulletin of 2015. I Like to take attention of the higherauthority of look this issue. Finally I would to congratulate the initiator of health bulletlin 2015 software for setting us one step ahead toward DIGITAL BANGLADESH. THANK YOU Dr. Nazimuddin UHFPO Borhanuddin, Bhola.
Dr.Nazimuddin
UH&FPO
Borhanuddin Upazila Health Complex

Borhanuddin Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Borhanuddin
Organization Code 10002004
Name of UHFPO Dr.Nazimuddin
Land Phone No. 1 04922-0492256119
Land Phone No. 2
FAX No.
Mobile No. 01748977227
Email borhanuddin@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.4967 And Long: 90.7194
No. of Unions in the Upazila9
No. of Households in the Upazila 50,950
Population in the Upazila 264,333
Area of Upazila in sq km 284.50

Borhanuddin 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 0 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) 8 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 29 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 0 0

Borhanuddin Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,174


Under 5 Mortality Rate: 14.091 (Per 1,000 live births)
Infant Mortality Rate: 8.260 (Per 1,000 live births)
Neonatal Mortality Rate: 4.373 (Per 1,000 live births)
Still Birth Rate: 7.613 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 3,337
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 100%

Borhanuddin 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: 9
Total No. of Recipients Who Took at least one ANC: 3,054
Total Number of Deliveries: 6,329
Valid TT Coverage: 56.00 %
Maternal Mortality Ratio (MMR) is: 145.77 per 100,000 live births.

Borhanuddin 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 12,357 23,729 36,086 2,209 1,592 3,801 39,887 3,668 4,242 7,910 1,604 1,018 2,622 10,532
Union Sub-Centres 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 78,055 208,904 286,959 16,488 16,629 33,117 320,076
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

Borhanuddin 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 2,677 3,683 6,360 1,582 1,009 2,591 8,951 7 11 18 1 2 3 21
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

Borhanuddin 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 10,053
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2302 22.90
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 2086 20.75
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 1317 13.10
4 K29 Gastritis and duodenitis XI: Diseases of the digestive system 903 8.98
5 J45 Asthma X: Diseases of the respiratory system 287 2.85
6 V99 Unspecified transport accident XX: External causes of morbidity and mortality 253 2.52
7 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 201 2.00
8 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 199 1.98
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 103 1.02
10 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 67 0.67

Borhanuddin 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 21
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 8 38.10
2 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 3 14.29
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 3 14.29
4 A010 Typhoid fever I: Certain infectious and parasitic diseases 2 9.52
5 P21 Birth asphyxia XVI: Certain conditions originating in the perinatal period 1 4.76
6 G039 Meningitis, unspecified VI: Diseases of the nervous system 1 4.76
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 4.76
8 K271 Peptic ulcer, site unspecified, acute with perforation XI: Diseases of the digestive system 1 4.76
9 V99 Unspecified transport accident XX: External causes of morbidity and mortality 1 4.76
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
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.) 17,678
Bed Occupancy Rates (%) 96.87
Average Length of Hospital Stay (No. of days per patient) 1.76
Hospital Death Rate (%) 0.21


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

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

 

Borhanuddin 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 22 7 1 14 63.64
Non Doctor 0 0 0 0 0.00
Class II 16 0 10 6 37.50
Class III 95 57 25 13 13.68
Class IV 22 18 4 0 0.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 9 9 9 -9 -100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 9 9 3 -3 -33.33
Class IV 0 0 0 0 0.00
Rural Dispensaries
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
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 31 19 10 2 6.45
Class IV 0 0 0 0 0.00

 

Borhanuddin 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 31 16 1 14 45.16
Non Doctor 0 0 0 0 0.00
Class II 16 0 10 6 37.50
Class III 126 76 35 15 11.90
Class IV 22 18 4 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

 

Borhanuddin 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 9 9 22 8 0 0 6 1 3
Nurse 0 0 0 0 14 10 0 0 9 0 0
Medical Assistant 0 0 9 3 2 2 0 0 5 0 0
Medical Technologist 0 0 0 0 10 4 0 0 0 0 0
CHCP 31 29 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 11 11 0 0 0 0 0
HA 0 0 0 0 52 48 0 0 0 0 0

Borhanuddin 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 2 1 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 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 1 1 0 0 0
Sucker machine (electric) 2 0 2 0 0
Ventilator 0 0 0 0 0


Borhanuddin 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 5 3 2 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 0 1 0 0


Borhanuddin 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) 6 3 1 2 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Borhanuddin 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 1 1 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 3 2 0 1 0


Borhanuddin 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) 1 0 1 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 0 0 0 0 0
ICT equipment
Computer (desktop) 7 5 2 0 0
Laptop 4 3 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 2 1 0 1 0
Printer (laser) 4 2 2 0 0
Scanner 0 0 0 0 0
UPS 7 5 2 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 1 1 0 0 0


Borhanuddin 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) 1 1 0 0 0
Land phone 1 0 0 1 0
Mobile phone 2 1 1 0 0
Total 57 36 16 5 0

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

Important information and necessary issues for Borhanuddin Upazila Health Complex
Last year we could not give our maximum attempts the 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 up immediately (2) All the repairable equipments should be repaired as soon as possible (3) our Doctors, Nurses & others staff need more training (4) Hospital & Community Clinic medicine will be increased. 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 & will help the public to understand health services & to provide us the useful advice for improvement in future. Dr. Md. Nazimuddin UHFPO Borhanuddin, Bhola.