Rajoir Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin of Rajoir upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Rajoir upazila to the 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 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 and 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 take attention of the higher authority to look into to this issue. Finally I like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh. I would like to thank dr. Shishir Chandra Mandal, MODC & Mr. Sukumar Bagchi, statistical assistant for their active participation to publish the health bulletin.
Rajoir Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Rajoir
Organization Code
10000270
Name of UHFPO Dr. Mohamed Ali Habib
Land Phone No. 1
-0662356108
Land Phone No. 2
FAX No.
Mobile No.
01552387388
Email rajoir@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.1016 And
Long:
90.2306
No. of Unions in the Upazila 11
No. of Households in the Upazila 43,218
Population in the Upazila 245,334
Area of Upazila in sq km 229.04
Rajoir 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
5
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
20
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
8
68
No. of NGO Clinics/Facilities
1
0
Rajoir Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,684
Under 5 Mortality Rate: 40.816 (Per 1,000 live births)
Infant Mortality Rate: 30.964 (Per 1,000 live births)
Neonatal Mortality Rate: 20.408 (Per 1,000 live births)
Still Birth Rate: 23.223 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,347
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%
Rajoir 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:
8,870
Total Number of Deliveries:
5,884
Valid TT Coverage: 38.00 %
Maternal Mortality Ratio (MMR) is:
140.75 per 100,000 live births.
Rajoir 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
14,752
19,564
34,316
5,661
4,928
10,589
44,905
4,066
4,070
8,136
922
1,092
2,014
10,150
Union Sub-Centres
13,719
22,640
36,359
2,044
3,918
5,962
42,321
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGHS)
13,719
22,640
36,359
2,044
3,918
5,962
42,321
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
50,895
104,221
155,116
7,692
8,791
16,483
171,599
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
8,832
7,786
16,618
1,834
927
2,761
19,379
0
0
0
0
0
0
0
NGO Clinics/Facilities
1,812
8,107
9,919
1,455
2,154
3,609
13,528
0
0
0
0
0
0
0
Rajoir 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
2,922
3,366
6,288
577
598
1,175
7,463
37
21
58
5
4
9
67
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
613
1,922
2,535
123
134
257
2,792
0
2
2
0
2
2
4
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Rajoir 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
7,463
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
1823
24.43
2
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
812
10.88
3
K319 Disease of stomach and duodenum, unspecified
XI: Diseases of the digestive system
627
8.40
4
T629 Noxious substance eaten as food, unspecified
XIX: Injury, poisoning and certain other consequences of external causes
381
5.11
5
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
347
4.65
6
J069 Acute upper respiratory infection, unspecified
X: Diseases of the respiratory system
213
2.85
7
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
196
2.63
8
I249 Acute ischaemic heart disease, unspecified
IX: Diseases of the circulatory system
162
2.17
9
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
147
1.97
10
K928 Other specified diseases of digestive system
XI: Diseases of the digestive system
129
1.73
Rajoir 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
67
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I679 Cerebrovascular disease, unspecified
IX: Diseases of the circulatory system
11
16.42
2
J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified
X: Diseases of the respiratory system
10
14.93
3
V099 Pedestrian injured in unspecified transport accident
IX: Diseases of the circulatory system
13
19.40
4
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
9
13.43
5
K566 Other and unspecified intestinal obstruction
XI: Diseases of the digestive system
6
8.96
6
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
5
7.46
7
I469 Cardiac arrest, unspecified
IX: Diseases of the circulatory system
4
5.97
8
I210 Acute transmural myocardial infarction of anterior wall
IX: Diseases of the circulatory system
3
4.48
9
J960 Acute respiratory failure
X: Diseases of the respiratory system
2
2.99
10
N183 Chronic kidney disease, stage 3
XIV: Diseases of the genitourinary system
2
2.99
Rajoir Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
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.)
17,657
Bed Occupancy Rates (%)
96.75
Average Length of Hospital Stay (No. of days per patient)
2.37
Hospital Death Rate (%)
0.90
Rajoir Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
876
Rajoir 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
9
4
2
3
33.33
Non Doctor
1
1
0
0
0.00
Class II
11
0
11
0
0.00
Class III
86
43
26
17
19.77
Class IV
19
8
7
4
21.05
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
3
0
0
3
100.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
3
1
2
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
5
2
1
2
40.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
10
7
2
1
10.00
Class IV
5
3
2
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
24
11
9
4
16.67
Class IV
0
0
0
0
0.00
Rajoir 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
17
6
3
8
47.06
Non Doctor
1
1
0
0
0.00
Class II
11
0
11
0
0.00
Class III
123
62
39
22
17.89
Class IV
24
11
9
4
16.67
Other Hospitals & Clinics
Class I
Doctor
6
3
1
2
33.33
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
Rajoir 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
1
9
6
0
0
2
0
0
Nurse
0
0
0
0
11
11
0
0
3
0
0
Medical Assistant
0
0
8
8
2
2
0
0
5
0
0
Medical Technologist
0
0
5
4
5
4
0
0
0
0
0
CHCP
24
20
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
1
0
0
0
0
0
AHI
0
0
0
0
10
9
0
0
0
0
0
HA
0
0
0
0
50
40
0
0
0
0
0
Rajoir 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
1
1
0
0
0
Autoclave
1
1
0
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
0
0
0
0
0
Portable OT Light
1
1
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)
1
1
0
0
0
Ventilator
0
0
0
0
0
Rajoir 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
4
2
2
0
0
Dental equipment
Dental unit
0
0
0
0
0
Rajoir 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)
3
1
1
0
1
Colorimeter
1
0
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
4
2
1
0
1
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Rajoir 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
1
1
0
0
0
Vehicles
Ambulance
2
1
0
1
0
Rajoir 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
1
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)
6
4
1
1
0
Laptop
2
1
0
1
0
Printer (dot matrix)
5
2
1
1
1
Printer (inkjet)
0
0
0
0
0
Printer (laser)
0
0
0
0
0
Scanner
0
0
0
0
0
UPS
6
5
0
1
0
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
2
1
0
1
0
Multimedia
1
1
0
0
0
Rajoir 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
1
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
52
34
9
6
3
Rajoir Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Rajoir Upazila Health Complex
Rajoir UHC is now in program of DAAR. Anesthesiologist is now posted.Operation theatre has been prepared. But Gynae consultant and EOC trained nurses are vacant.So in spite of all available resources gynae & obstetric surgery can not be done.I request the MNCH programme for posting a gynae consultant immediately. Hospital Drainage system must be established immediatey. It's a 50 beded hospital but manpower is for 31 bed. So, i request the authority to solve this manpower problem as soon as possible.
