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Gopalpur Upazila Health Complex | Health Bulletin 2015 |
Preface
With great pleasure we are going to publish the 4th issue of Health Bulletin from Gopalpur Upazila Health Complex as a part MIS activities, DGHS, Dhaka.This will give a picture of current health situation of Gopalpur Upazila at a glance. We tried our best to minimize the mistakes and inconsistencies that took place in the 1st, 2nd and 3rd issues. Despite our all out efforts there may be some unwanted mistakes. As our staff, associated with the publication of bulletin, will be oriented and skilled, the unwanted mistakes will be bare minimum.
Dr. A.K.M Motiar Rahman
UH&FPO
Gopalpur Upazila Health Complex

Gopalpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Gopalpur
Organization Code 10000607
Name of UHFPO Dr. A.K.M Motiar Rahman
Land Phone No. 1 -0922675018
Land Phone No. 2
FAX No.
Mobile No. 01718068937
Email gopalpur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 20.0000 And Long: 87.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 53,352
Population in the Upazila 229,341
Area of Upazila in sq km 191.73

Gopalpur 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 8 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) 0 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

Gopalpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,867


Under 5 Mortality Rate: 15.775 (Per 1,000 live births)
Infant Mortality Rate: 11.896 (Per 1,000 live births)
Neonatal Mortality Rate: 7.499 (Per 1,000 live births)
Still Birth Rate: 2.586 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 20,592
Fully Vaccinated Children (<= 12 months): 92.00 %
Fully Vaccinated Children (<= 23 months): 1%

Gopalpur 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: 1
Total No. of Recipients Who Took at least one ANC: 4,077
Total Number of Deliveries: 3,877
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR) is: 25.86 per 100,000 live births.

Gopalpur 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 44,791 55,180 99,971 2,934 2,916 5,850 105,821 1,710 2,476 4,186 546 499 1,045 5,231
Union Sub-Centres 18,215 20,263 38,478 1,400 1,579 2,979 41,457 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 68,922 139,622 208,544 11,458 13,887 25,345 233,889 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

Gopalpur 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 1,423 2,376 3,799 496 291 787 4,586 8 2 10 1 1 2 12
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

Gopalpur 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 4,586
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T149 Injury, unspecified XIX: Injury, poisoning and certain other consequences of external causes 596 13.00
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 570 12.43
3 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 424 9.25
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 351 7.65
5 A99 Unspecified viral haemorrhagic fever I: Certain infectious and parasitic diseases 158 3.45
6 J45 Asthma X: Diseases of the respiratory system 141 3.07
7 O06 Unspecified abortion XV: Pregnancy, childbirth and the puerperium 90 1.96
8 V87 Traffic accident of specified type but victim's mode of transport unknown XX: External causes of morbidity and mortality 65 1.42
9 Y18 Poisoning by and exposure to pesticides, undetermined intent XX: External causes of morbidity and mortality 59 1.29
10 M14 Arthropathies in other diseases classified elsewhere XIII: Diseases of the musculoskeletal system and connective tissue 43 0.94

Gopalpur 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 12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J96 Respiratory failure, NEC X: Diseases of the respiratory system 8 66.67
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2 16.67
3 J45 Asthma X: Diseases of the respiratory system 1 8.33
4 R57 Shock, NEC XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 8.33
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 93.00
Coverage of households having access to sanitary latrines (%) 72.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 9,982
Bed Occupancy Rates (%) 54.70
Average Length of Hospital Stay (No. of days per patient) 2.18
Hospital Death Rate (%) 0.26


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 133

 

Gopalpur 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 1 4 40.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 72 32 31 9 12.50
Class IV 19 13 1 5 26.32
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 8 3 4 1 12.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 11 1 0 0.00
Class IV 4 2 1 1 25.00
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 29 9 18 2 6.90
Class IV 0 0 0 0 0.00

 

Gopalpur 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 8 6 3 17.65
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 84 46 34 4 4.76
Class IV 23 16 5 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

 

Gopalpur 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 6 0 0 1 1 0
Nurse 0 0 0 0 12 12 0 0 2 1 0
Medical Assistant 0 0 8 8 2 2 0 0 2 0 0
Medical Technologist 0 0 0 0 6 6 0 0 0 0 0
CHCP 29 27 0 0 0 0 0 0 0 0 4
HI 0 0 0 0 3 3 0 0 0 0 0
AHI 0 0 0 0 8 8 0 0 0 0 0
HA 0 0 0 0 40 35 0 0 0 0 0

Gopalpur 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 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 0 0 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 1 1 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 2 2 0 0 0
Ventilator 0 0 0 0 0


Gopalpur 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 4 2 2 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Gopalpur 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 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Gopalpur 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) 3 2 1 0 0
Generator
Generator (diesel/petrol) 4 2 2 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) 9 8 1 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) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 8 7 1 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Gopalpur 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 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 66 53 13 0 0

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

Important information and necessary issues for Gopalpur Upazila Health Complex
1,The Hospital was been declared as 50-bedded hospital since three years ago,but man-powwer for 50- bedded hospital has not yet been deployed. Logistics are also not supplied for 50-bedded hospital.2. There is neither Gynaecologist not Surgery Consultant at our Upazila Health Complex.As such Caesarean section and minor surgical operations are not being performed currently. To resume these activities,the required men-power should urgently be posted. 3. Side by side,there should be provision of altermate power supply without which,these activities cannot not see the lime light. 4.All the above-mentioned issues should be addressed as soon as possible to help function the Gopalpur Upazila Health comples with full-swing . 5. We would like to draw the kind attention of higher authority on the abobe-mentioned issues. ..