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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.

        I personally believe that an attempt in publishing such bulletin will remarkably encourage the persons who are involved in performing this humanitarian activity between each and every Upazila.





Dr. Md. Golam Mostafa
UH&FPO
Rowangchari Upazila Health Complex

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 Upazila4
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.

      I hope by this bulletin all the people of Bangladesh know about health services of this Upazila Health Complex.


Rowangchari Upazila Health Complex, Bandarban | Email: rawanchari@uhfpo.dghs.gov.bd | Mobile: 01811-444 604

Mobile: 01811- 444 604

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