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Biswanath Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a matter of both competence and pleasure to publish the Health Bulletin`2015 of Upazilla Health Complex, Biswanath, Sylhet . In spite of certain constraints and setbacks diligent effort made the Bulletin a reality. Utmost care has been exercised in presenting the data & information contained here in. Any discrepancy should be considered as Technical and/or human error & deserves kind notification. We hope that the Bulletin should be helpful in viewing the status of MDG 4 and MDG 5 and localizing the MDG targets. It also helps us finding the results achieved in 2014 and plan for the future. I hereby take the opportunity to humbly extend my heartfelt gratitude to Civil Surgeon, Sylhet, Divisional Director (Health), Sylhet, Director MIS and all concerned in DGHS. for their Kind support and valuable guidance. Dr. Bivash Chandra Mani UH&FPO Biswanath, Sylhet.
Dr. Bivash Chandra Mani
UH&FPO
Biswanath Upazila Health Complex

Biswanath Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Biswanath
Organization Code 10002177
Name of UHFPO Dr. Bivash Chandra Mani
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01715587888
Email biswanath@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 92.0000
No. of Unions in the Upazila8
No. of Households in the Upazila 32,592
Population in the Upazila 213,631
Area of Upazila in sq km 215.25

Biswanath 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 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 5 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 19 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

Biswanath Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,694


Under 5 Mortality Rate: 27.749 (Per 1,000 live births)
Infant Mortality Rate: 24.236 (Per 1,000 live births)
Neonatal Mortality Rate: 12.118 (Per 1,000 live births)
Still Birth Rate: 11.591 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 22,101
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months): 100%

Biswanath 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: 3,077
Total Number of Deliveries: 5,952
Valid TT Coverage: 33.00 %
Maternal Mortality Ratio (MMR) is: 140.50 per 100,000 live births.

Biswanath 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 18,296 17,696 35,992 5,582 5,908 11,490 47,482 1,454 1,218 2,672 499 458 957 3,629
Union Sub-Centres 15,985 26,126 42,111 7,144 6,969 14,113 56,224 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 1,051 783 1,834 609 1,013 1,622 3,456 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 56,485 112,849 169,334 9,701 9,157 18,858 188,192 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

Biswanath 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 257 426 683 197 205 402 1,085 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

Biswanath 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 1,085
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A08 Viral and other specified intestinal infections I: Certain infectious and parasitic diseases 318 29.31
2 J159 Bacterial pneumonia, unspecified X: Diseases of the respiratory system 165 15.21
3 X990 Assault by sharp object, home XX: External causes of morbidity and mortality 68 6.27
4 J459 Asthma, unspecified X: Diseases of the respiratory system 66 6.08
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 17 1.57
6 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 16 1.47
7 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 13 1.20
8 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 11 1.01
9 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 10 0.92
10 N739 Female pelvic inflammatory disease, unspecified XIV: Diseases of the genitourinary system 8 0.74

Biswanath 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 0
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 0 0.00
2 0 0.00
3 0 0.00
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

Biswanath 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 (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 3,892
Bed Occupancy Rates (%) 34.40
Average Length of Hospital Stay (No. of days per patient) 3.59
Hospital Death Rate (%) 0.00


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 1,565

 

Biswanath 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 9 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 1 4 6 54.55
Class III 78 58 17 3 3.85
Class IV 19 5 5 9 47.37
Union Health & Family Welfare Center (under DGHS)
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 5 0 0 5 100.00
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 3 0 3 50.00
Class IV 3 1 0 2 66.67
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 25 10 9 6 24.00
Class IV 0 0 0 0 0.00

 

Biswanath 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 11 7 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 1 4 6 54.55
Class III 114 68 26 20 17.54
Class IV 22 6 5 11 50.00
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

 

Biswanath 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 7 10 10 0 0 0 1 0
Nurse 0 0 0 0 12 5 0 0 1 1 0
Medical Assistant 0 0 8 3 2 1 0 0 0 0 0
Medical Technologist 0 0 3 0 8 5 0 0 0 0 0
CHCP 25 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 9 9 0 0 0 0 0
HA 0 0 0 0 45 42 0 0 0 0 2

Biswanath 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 1 0 0 0
X-ray machine (300 mA) 0 0 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 1 0 0 1 0
Autoclave 2 2 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 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 0 1 0 0
Ventilator 0 0 0 0 0


Biswanath 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 1 1 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


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


Biswanath 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 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Biswanath 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 0 0 1 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 1 1 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 4 3 0 1 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 8 6 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


Biswanath 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 0 0 0 0 0
Mobile phone 1 1 0 0 0
Total 51 40 7 4 0

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

Important information and necessary issues for Biswanath Upazila Health Complex
Salam/Adab, Being situated 4.5 Km away from the Upazila Head Quarters located amidst vast stretches of Agricultural Lands, having no establishment but a spares in-habitation around the Upazila Health Complex Hospital has been Experiencing difficulty in drawing patients as an en-catchment center since its establishment. Manpower shortage, very power (Electricity) supply management, Extremely slow Internet are additional drawbacks.Our doctors & nurse need more training on IMCI, EOC, all the reparable equipment`s should be repaired as soon as possible. However we are committed and working accordingly to improve the situation as good as the field activities of this Health Complex which is fairly well. Prepared by: Dr. Bivash Chandra Mani Ali Ahmed UH&FPO Office Assistant (In charge-statistician), UHC Biswanath, Sylhet. Biswanath, Sylhet.