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Bauphal Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Bauphal Upazila .This bulletin Contains all the health releated information of this Upazila of 2014.This bulletin is published to diesseminate the nformations of Bauphal Upazila to other line department & development partners of health . I hope all the inforrmations of the bulletin will help for planning budgetting & birdging the gaps in health services of the Upazila .We have many data stored in the file .This bulletin contains the statua og MDG -4 & MDG -5 .It will help us to Localise the MDG -targets & will help us to find constrains & also to see the results & achivements of 2014.This health bulletin has also the information on save drinking water & sanitation status of the Upazila . All the sanctioned & vaccant posts published in this bulletin of 2014. I like to take attention of the higher authourty to look in to this issue .Finally I would like to congratulate the inititiator of the health bulletin software for setting us one step ahead toward digital Bangladesh.
Dr.Manzurul Alam
UH&FPO
Bauphal Upazila Health Complex

Bauphal Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Bauphal
Organization Code 10002033
Name of UHFPO Dr.Manzurul Alam
Land Phone No. 1 0442256-0442256227
Land Phone No. 2
FAX No.
Mobile No. 01730324426
Email bauphal@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.4146 And Long: 90.5615
No. of Unions in the Upazila15
No. of Households in the Upazila 70,995
Population in the Upazila 350,981
Area of Upazila in sq km 497.00

Bauphal 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) 10 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 43 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 2 0
No. of Chest Disease Clinics (TB Clinics) 0 0
No. of Private Clinics/Facilities 4 10
No. of NGO Clinics/Facilities 2 10

Bauphal Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 7,471


Under 5 Mortality Rate: 3.212 (Per 1,000 live births)
Infant Mortality Rate: 0.402 (Per 1,000 live births)
Neonatal Mortality Rate: 0.268 (Per 1,000 live births)
Still Birth Rate: 0.937 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 16,989
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%

Bauphal 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: 7,431
Total Number of Deliveries: 7,868
Valid TT Coverage: 11.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Bauphal 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 11,428 11,809 23,237 2,314 2,332 4,646 27,883 1,052 1,115 2,167 621 442 1,063 3,230
Union Sub-Centres 8,297 12,628 20,925 2,132 2,597 4,729 25,654 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) 66,498 130,423 196921 18,642 21,921 40,563 237,484 0 0 0 0 0 0 40,563
Community Clinics 66,498 130,423 196,921 18,642 21,921 40,563 237,484 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 1,437 2,249 3,686 484 491 975 4,661 0 0 0 0 0 0 0

Bauphal 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 1,456 1,512 2,968 601 435 1,036 4,004 3 3 6 3 0 3 9
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 0 626 626 80 100 180 806 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 15 15 0 0 0 15 0 0 0 0 0 0 0

Bauphal 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 4,004
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T14 Injury of unspecified body region XIX: Injury, poisoning and certain other consequences of external causes 1157 28.90
2 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 886 22.13
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 578 14.44
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 454 11.34
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 275 6.87
6 D50 Iron deficiency anaemia III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 135 3.37
7 J459 Asthma, unspecified X: Diseases of the respiratory system 69 1.72
8 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 63 1.57
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 43 1.07
10 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 36 0.90

Bauphal 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 9
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I64 Stroke, not specified as haemorrhage or infarction IX: Diseases of the circulatory system 4 44.44
2 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 3 33.33
3 I509 Heart failure, unspecified IX: Diseases of the circulatory system 1 11.11
4 T240 Burn of unspecified degree of hip and lower limb, except ankle and foot XIX: Injury, poisoning and certain other consequences of external causes 1 11.11
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 96.00
Coverage of households having access to sanitary latrines (%) 89.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 15,009
Bed Occupancy Rates (%) 82.24
Average Length of Hospital Stay (No. of days per patient) 3.75
Hospital Death Rate (%) 0.22


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 75
Minor Surgeries 123

 

Bauphal 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 5 0 5 50.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 9 1 10.00
Class III 128 63 50 15 11.72
Class IV 20 15 2 3 15.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 11 5 2 4 36.36
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 11 5 2 4 36.36
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 1 1 1 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 0 2 33.33
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 47 17 24 6 12.77
Class IV 0 0 0 0 0.00

 

Bauphal 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 24 10 4 10 41.67
Non Doctor 0 0 0 0 0.00
Class II 10 1 9 0 0.00
Class III 192 94 76 22 11.46
Class IV 23 19 2 2 8.70
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

 

Bauphal 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 14 9 10 5 0 0 0 0 0
Nurse 0 0 0 0 10 10 0 0 7 2 0
Medical Assistant 0 0 14 10 2 2 0 0 12 0 0
Medical Technologist 0 0 3 1 7 5 1 1 1 0 0
CHCP 47 41 0 0 0 0 0 0 41 0 2
HI 0 0 0 0 6 6 0 0 6 0 0
AHI 0 0 0 0 17 16 0 0 16 0 0
HA 0 0 0 0 85 78 0 0 78 0 19

Bauphal 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) 2 1 0 1 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 2 1 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 4 2 1 1 0
Portable OT Light 1 1 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 2 1 1 0 0
Sterilizer 3 2 1 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Bauphal 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 10 2 0 0 8
Pulse oximeter 1 0 0 1 0
Dental equipment
Dental unit 1 1 0 0 0


Bauphal 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) 4 3 0 1 0
Colorimeter 1 0 1 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 2 2 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Bauphal 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 0 1 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 3 1 1 1 0


Bauphal 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) 5 2 3 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 0 0 1 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 8 6 1 1 0
Laptop 51 40 7 4 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 6 3 3 0 0
Scanner 1 1 0 0 0
UPS 6 3 1 2 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 0 1 0 0


Bauphal 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 1 0 0
PA system (Sound) 1 0 1 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 132 84 27 13 8

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

Important information and necessary issues for Bauphal Upazila Health Complex
Important information and necessary issues for Bauphal.Upazila Health Complex .Last year we could not give our all efforts to improve the health status due to many reasons. Here I like to mention some important factors which will help us to achieve good results.1.the vaccant post should immediately fillup.2.Our doctors & Nurses need more training on IMCI ,EmoC & Diarrhoea .3. Number of Community clinic and the bed capacity in the UHC should be increased.4. All the repairable equipments should be repair as soon as possible . Finally I am very happy to write this health bulletin of 2014 .because this document will help us to upcoming year .This is very useful document and the public to understand health service and to provide us the useful advice for improvement in future . Administrative order have got but manpower ,equipments & Medicine yet not Sanction no full for 50 beded Hospital. (DR.MD.MANZURUL ALAM) UH&FPO, BAUPHAL,PATUAKHALI