Rowangchari Upazila Health Complex | Health Bulletin 2015 |
Preface
I am really excited having informed about the publication of Local Health Bulletin 2015 under the direct supervision of Ministry of Health and Family Welfare, the ultimate aim and objective of this endeavor is to enhance the degree of state of mind in providing service among us to the extent. To make health services available on a regular basis for the residents of Rowangchari, as a one of the remote Upazilas in Hill Tracts is really tough. Information on the availability of human resources, necessary tools being used in this locality and what types of health services provided here in the past will be found in this bulletin which will definitely help to make a comparative statement on the services provided between the current and the previous years.
Rowangchari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Rawangchari
Organization Code
10000659
Name of UHFPO Dr. Md. Golam Mostafa
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01811444605
Email rawanchari@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.1042 And
Long:
92.2015
No. of Unions in the Upazila 4
No. of Households in the Upazila 5,912
Population in the Upazila 28,297
Area of Upazila in sq km 442.89
Rowangchari 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
10
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
0
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)
2
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
7
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
Rowangchari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 574
Under 5 Mortality Rate: 40.070 (Per 1,000 live births)
Infant Mortality Rate: 29.617 (Per 1,000 live births)
Neonatal Mortality Rate: 20.906 (Per 1,000 live births)
Still Birth Rate: 15.679 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 2,988
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months):
Rowangchari 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:
3
Total No. of Recipients Who Took at least one ANC:
626
Total Number of Deliveries:
574
Valid TT Coverage: 87.00 %
Maternal Mortality Ratio (MMR) is:
522.65 per 100,000 live births.
Rowangchari 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
4,312
4,339
8,651
671
561
1,232
9,883
286
87
373
15
6
21
394
Union Sub-Centres
0
0
0
0
0
0
0
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)
969
2,462
3431
292
451
743
4,174
0
0
0
0
0
0
743
Community Clinics
6,942
9,110
16,052
1,044
1,047
2,091
18,143
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
Rowangchari 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
311
326
637
72
45
117
754
0
1
1
0
0
0
1
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
Rowangchari 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
753
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
175
23.24
2
B349 Viral infection, unspecified
I: Certain infectious and parasitic diseases
171
22.71
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
144
19.12
4
J129 Viral pneumonia, unspecified
X: Diseases of the respiratory system
30
3.98
5
K352 Acute appendicitis with generalized peritonitis
XI: Diseases of the digestive system
27
3.59
6
V809 Rider or occupant injured in other and unspecified transport accidents
XX: External causes of morbidity and mortality
26
3.45
7
S279 Injury of unspecified intrathoracic organ
XIX: Injury, poisoning and certain other consequences of external causes
14
1.86
8
I10 Essential (primary) hypertension
IX: Diseases of the circulatory system
11
1.46
9
B50 Plasmodium falciparum malaria
I: Certain infectious and parasitic diseases
8
1.06
10
R33 Retention of urine
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
8
1.06
Rowangchari 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
1
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
E15 Nondiabetic hypoglycaemic coma
IV: Endocrine, nutritional and metabolic diseases
1
100.00
2
0
0.00
3
IV: Endocrine, nutritional and metabolic diseases
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
Rowangchari Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
37.00
Coverage of households having access to sanitary latrines (%)
43.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
2,279
Bed Occupancy Rates (%)
62.44
Average Length of Hospital Stay (No. of days per patient)
3.03
Hospital Death Rate (%)
0.13
Rowangchari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
82
Rowangchari 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
0
5
55.56
Non Doctor
0
0
0
0
0.00
Class II
10
0
9
1
10.00
Class III
38
16
20
2
5.26
Class IV
20
12
8
0
0.00
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
2
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
3
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
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
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
8
3
4
1
12.50
Class IV
0
0
0
0
0.00
Rowangchari 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
13
6
2
5
38.46
Non Doctor
0
0
0
0
0.00
Class II
10
0
9
1
10.00
Class III
50
20
27
3
6.00
Class IV
35
22
13
0
0.00
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
Rowangchari 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
4
4
9
4
0
0
1
0
0
Nurse
0
0
0
0
11
9
0
0
4
3
0
Medical Assistant
0
0
4
4
2
2
0
0
1
0
0
Medical Technologist
0
0
0
0
8
8
0
0
0
0
0
CHCP
8
7
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
1
1
0
0
0
0
0
AHI
0
0
0
0
3
3
0
0
0
0
0
HA
0
0
0
0
13
13
0
0
0
0
0
Rowangchari 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)
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
2
0
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
1
1
0
0
0
Ceiling mounting OT Light
1
1
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
0
0
0
1
Sterilizer
4
4
0
0
0
Sucker machine (electric)
6
2
0
0
4
Ventilator
0
0
0
0
0
Rowangchari 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
6
2
0
0
4
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
0
0
1
0
Rowangchari 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)
1
1
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
Rowangchari 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
0
0
0
0
0
Rowangchari 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)
2
2
0
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
2
2
0
0
0
IPS
3
0
0
3
0
ICT equipment
Computer (desktop)
7
7
0
0
0
Laptop
10
9
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
5
4
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
8
8
0
0
0
Multimedia
1
1
0
0
0
Rowangchari 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
74
58
3
4
9
Rowangchari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Rowangchari Upazila Health Complex
The objective of the Local Health Bulletin Publishing is to discuss the previous year Health information data. I am very happy to write the health bulletin of 2015 because the document will help us to compare the progress in up coming year. This is very useful documents which will help the public to understand the health services and advise for improvement in future. Rowangchari Upazila Health Complex, Bandarban | Email: rawanchari@uhfpo.dghs.gov.bd | Mobile: 01811-444 604
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