Bagatipara Upazila Health Complex | Health Bulletin 2014 |
Preface
অষ্টাদশ শতকের অর্ধ বঙ্গশ্বেরী রাণী ভবানীর স্মৃতি বিজড়িত বিদগ্ধ প্রকৃতি প্রেমী কবি জীবনানন্দ দাশের কল্পোলোকের প্রেয়সী বনলতা সেন, রসনাতৃপ্ত সু-স্বাদু অবাক সন্দেশ, কাঁচাগোল্লা আর দৃষ্টি নন্দন অপূর্ব কারুকার্য্য খচিত উত্তরা গণভবন খ্যাত বাংলাদেশের দ্বিতীয় রাজধানী ঐতিহ্যবাহী নাটোর জেলার ছোট্র একটি উপজেলা বাগাতিপাড়া। ১৯৪৮ সালের ৮ই আগস্ট জেলা কাউন্সিলের তত্ত্বাবধানে উপজেলার বিহারকোল মোড়ে লক্ষণহাটি দাতব্য চিকিৎসালয় নামে যে প্রতিষ্ঠানটি স্থাপিত হয় সেটিই পরবর্তীকালে সত্তোর দশকের শেষের দিকে থানা স্বাস্থ্য কমপ্লেক্স নাম ধারণ করে ৩১ শয্যার হাসপাতালে রুপান্তরিত হয়ে এলাকার বিপুল জনগোষ্ঠীকে স্বাস্থ্য ও পরিবার পরিকল্পনা সেবা প্রদান করে আসছে। এই স্বাস্থ্য কমপ্লেক্স থেকে লোকাল হেলথ্ বুলেটিন প্রকাশিত হচ্ছে এটা খুবই আনন্দের কথা।
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Bagatipara
Name of UHFPO Dr. Md. Khalilur Rahman
Telephone No. 0772272006
FAX No. 0
Mobile No. 01711894742
Email baghatipara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 94.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 31,862
No. of Population in the Upazila 133,408
Area of Upazila in sq km 140.00
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex
1
31
No. of Union Sub-Centres
1
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
17
0
No of Trauma Centres
0
0
No. of MCWCs
0
0
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
2
30
No. of NGO Clinics/Facilities
1
0
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 2,559
Total No. of children treated under IMCI Program 7,349
Fully Vaccinated Children: 99.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 6.25 per 1,000 live births.
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 4
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother in the Upazila
Maternal health and MDG-5 (No.) (January-December, 2013)
All ANC Receiptients: 1577
Total Number of Deliveries: 2559
No. of Maternal Death: 1
Valid TT Coverage: 71.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
39.08 per 100,000 live births.
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 5
No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
60,397
24,348
36,049
4,121
4,424
2,269
2,155
363
Union Sub-Centres
15,957
7,419
8,538
685
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
167,651
54,113
113,538
23,013
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
1,747
359
1,388
236
0
0
0
0
NGO Clinics/Facilities
1,658
562
1,096
314
0
0
0
0
Total
249,157
86,801
160,609
28,369
4,424
2,269
2,155
363
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
2,430
994
1,436
160
3
2
1
0
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
608
182
426
23
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
3,038
1,176
1,862
183
3
2
1
0
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 6
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
2590
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
K27 Peptic ulcer, site unspecified
392
15.14
2
D539 Nutritional anaemia, unspecified
376
14.52
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
313
12.08
4
Y09 Assault by unspecified means
309
11.93
5
B99 Other and unspecified infectious diseases
259
10.00
6
F929 Mixed disorder of conduct and emotions, unspecified
170
6.56
7
J45 Asthma
168
6.49
8
E44 Protein-energy malnutrition of moderate and mild degree
153
5.91
9
T571 Phosphorus and its compounds
82
3.17
10
J189 Pneumonia, unspecified
35
1.35
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period
3
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
I21 Acute myocardial infarction
1
33.33
2
T571 Phosphorus and its compounds
1
33.33
3
J46 Status asthmaticus
1
33.33
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
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
99.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
8,458
Bed Occupancy Rates (%)
74.75
Average Length of Hospital Stay (No. of days per patient)
3.20
Hospital Death Rate (%)
0.11
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
227
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
9
4
2
3
33.33
Non Doctor
0
0
0
0
0.00
Class II
10
1
9
0
0.00
Class III
52
43
2
7
13.46
Class IV
19
11
4
4
21.05
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
0
1
3
75.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
4
0
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
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
2
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
17
10
7
0
0.00
Class IV
0
0
0
0
0.00
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned (No.)
Filled-up (No.)
Vacant (No.)
Vacancy %
M
F
Upazila Total
Class I
Doctor
14
4
3
7
50.00
Non Doctor
0
0
0
0
0.00
Class II
10
1
8
1
10.00
Class III
69
53
9
7
10.14
Class IV
20
12
4
4
20.00
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
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 12
Status of Human Resources (No.) (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
5
1
9
6
0
0
2
0
Nurse
0
0
0
0
9
9
0
0
3
1
Medical Assistant
0
0
5
5
2
2
0
0
0
0
Medical Technologist
0
0
1
1
7
7
0
0
0
0
CHCP
17
17
0
0
0
0
0
0
0
0
HI
0
0
0
0
1
1
0
0
0
0
AHI
0
0
0
0
4
4
0
0
0
0
HA
0
0
0
0
19
17
0
0
0
0
CSBA trained***
0
3
0
0
0
1
0
0
0
0
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 13
Existing equipments 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
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
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
0
0
0
0
0
Autoclave
2
0
2
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
2
2
0
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
0
0
0
0
0
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 14
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
4
2
2
0
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
0
0
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 15
Existing equipments 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
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
4
1
3
0
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 16
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
0
0
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
0
0
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
2
1
1
0
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 17
Existing equipments 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
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
3
3
0
0
0
ICT equipment
Computer (desktop)
7
7
0
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)
6
5
1
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
1
1
0
0
0
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 18
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
OHP
PA system (Sound)
0
0
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
50
39
11
0
0
Bagatipara Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Bagatipara Upazila Health Complex |
বিশেষজ্ঞ চিকিৎসকসহ সকল শুন্য পদ পূরণ করা এবং ৩১ শয্যা থেকে ৫০ শয্যায় উন্নীত করে জরুরী প্রসূতি সেবা চালু করা প্রয়োজন। স্বাস্থ্য সেবার মান উন্নত করতে হলে দক্ষ/ প্রশিক্ষিত জনবলের বিকল্প নাই। সুতরাং প্রশিক্ষণের মাধ্যমে দক্ষ জনবল তৈরী করা প্রয়োজন। কমিউনিটি ক্লিনিকের মাধ্যমে স্বাস্থ্য সেবা জনগণের দোর গোড়ায় পৌঁছে দেয়া হয়েছে। আশার কথা, তৃণমূল পর্যায় থেকে প্রকাশিত প্রয়োজনীয় তথ্য সমৃদ্ধ এই হেল্থ বুলেটিন একদিকে যেমন সংশ্লিষ্ট স্বাস্থ্য প্রতিষ্ঠানে স্বাস্থ্য সেবার পরিধি, চিকিৎসার ধরণ এবং মান সম্পর্কে জনগণকে সুস্পষ্ট ধারনা দিতে পারবে তেমনি এই তথ্য পরিবীক্ষণ এবং বিশ্লেষণের মাধ্যমে জাতীয় পর্যায়ে স্বাস্থ্য বিভাগীয় উন্নয়ন পরিকল্পনা প্রনয়ণ এবং বাস্তবায়নে গুরুত্বপূর্ণ সহায়ক ভূমিকা রাখবে। আমি এর সার্বিক সাফল্য কামনা করি।