Ramgarh Upazila Health Complex | Health Bulletin 2015 |
Preface
Ramgarh Upazila Health Complex is only Subdivision hospital in CTG. Hill Tract. It is nearer to India border Tripura.It is catchment area for Ramgarh,Datmara Fatikchari & Batna Union Manikchari.It is 31 bedded hospital, about 250 patient are treated at outdoor daily. It was promoted to 50 bedded hospital on 11-11-1013 and was inaugurated by honorable prime minister Sheikh Hasina. Different health services are provided continuously by grass root workers with relentless effort.
Dr. Harunur Rashid
UH&FPO
Ramgarh Upazila Health Complex.
Ramgarh Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Ramgarh
Organization Code
10000991
Name of UHFPO Dr. Harunur Rashid
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No.
01812544877
Email ramgor@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
20.0000 And
Long:
87.0000
No. of Unions in the Upazila 3
No. of Households in the Upazila 14,203
Population in the Upazila 70,932
Area of Upazila in sq km 241.12
Ramgarh 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
31
No. of OPD at Sadar Upazila Health Facility
0
0
No. of Union Sub-Centres
1
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)
3
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
3
0
Ramgarh Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,458
Under 5 Mortality Rate: 7.730 (Per 1,000 live births)
Infant Mortality Rate: 3.662 (Per 1,000 live births)
Neonatal Mortality Rate: 2.848 (Per 1,000 live births)
Still Birth Rate: 2.034 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 6,416
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 99%
Ramgarh 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:
4
Total No. of Recipients Who Took at least one ANC:
2,901
Total Number of Deliveries:
617
Valid TT Coverage: 99.00 %
Maternal Mortality Ratio (MMR) is:
162.73 per 100,000 live births.
Ramgarh 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
13,712
25,891
39,603
5,105
4,418
9,523
49,126
1,134
857
1,991
216
153
369
2,360
Union Sub-Centres
1,055
2,306
3,361
127
126
253
3,614
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)
906
7,968
8874
1,920
1,980
3,900
12,774
0
0
0
0
0
0
3,900
Community Clinics
14,051
22,558
36,609
712
861
1,573
38,182
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
Ramgarh 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
927
918
1,845
307
211
518
2,363
12
3
15
6
5
11
26
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
21
21
0
0
0
21
0
0
0
0
0
0
0
Ramgarh 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
2,363
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
Y04 Assault Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
301
12.74
2
J45 Asthma Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
118
4.99
3
A09 Diarrhoea Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
276
11.68
4
I50 Heart Failur Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
21
0.89
5
I11 Hyper tension Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
33
1.40
6
K 27 Pepticulcer Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
295
12.48
7
J18 Pneumonia Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
364
15.40
8
J12 Viral Fever Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
183
7.74
9
N34 Urainary tractInfection Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
23
0.97
10
E35 Diabetes Code either does not match or written incorrectly. Correct Example: A09.0 or A09 without space or hiphen or camma
20
0.85
Ramgarh 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
26
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
10
38.46
2
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
5
19.23
3
J13 Pneumonia due to Streptococcus pneumoniae
X: Diseases of the respiratory system
2
7.69
4
I50 Heart failure
IX: Diseases of the circulatory system
2
7.69
5
Y18 Poisoning by and exposure to pesticides, undetermined intent
XX: External causes of morbidity and mortality
2
7.69
6
V44 Car occupant injured in collision with heavy transport vehicle or bus
XX: External causes of morbidity and mortality
1
3.85
7
J45 Asthma
X: Diseases of the respiratory system
2
7.69
8
D07 Carcinoma in situ of other and unspecified genital organs
II: Neoplasms
1
3.85
9
J99 Respiratory disorders in diseases classified elsewhere
X: Diseases of the respiratory system
1
3.85
10
0
0.00
Ramgarh Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
78.00
Coverage of households having access to sanitary latrines (%)
76.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
6,867
Bed Occupancy Rates (%)
60.69
Average Length of Hospital Stay (No. of days per patient)
2.91
Hospital Death Rate (%)
1.10
Ramgarh Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
454
Ramgarh 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
3
1
6
60.00
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
74
45
11
18
24.32
Class IV
23
11
5
7
30.43
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
2
2
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
0
0
2
100.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
1
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
1
0
1
50.00
Class IV
1
0
0
1
100.00
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
7
4
3
0
0.00
Class IV
0
0
0
0
0.00
Ramgarh 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
1
6
46.15
Non Doctor
0
0
0
0
0.00
Class II
11
0
10
1
9.09
Class III
83
50
14
19
22.89
Class IV
24
11
5
8
33.33
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
Ramgarh 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
3
3
10
2
0
0
1
1
0
Nurse
0
0
0
0
9
9
0
0
3
7
0
Medical Assistant
0
0
3
3
2
2
0
0
2
0
0
Medical Technologist
0
0
1
0
6
6
0
0
0
0
0
CHCP
7
7
0
0
0
0
0
0
0
0
2
HI
0
0
0
0
2
1
0
0
0
0
0
AHI
0
0
0
0
7
3
0
0
0
0
0
HA
0
0
0
0
35
33
0
0
0
0
5
Ramgarh 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
0
1
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
2
1
1
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
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
2
2
0
0
0
Portable OT Light
2
2
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
1
1
0
0
0
Sterilizer
5
2
3
0
0
Sucker machine (electric)
4
4
0
0
0
Ventilator
4
4
0
0
0
Ramgarh 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
7
5
2
0
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
0
0
1
0
Ramgarh 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)
3
2
1
0
0
Colorimeter
3
3
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
2
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
1
1
0
0
0
Ramgarh 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
1
0
1
0
0
Ramgarh 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)
1
0
1
0
0
Generator
Generator (diesel/petrol)
1
1
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
1
1
0
0
0
ICT equipment
Computer (desktop)
8
7
1
0
0
Laptop
5
4
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
1
0
0
0
Printer (laser)
4
4
0
0
0
Scanner
1
1
0
0
0
UPS
6
6
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
2
2
0
0
0
Ramgarh 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
77
64
12
1
0
Ramgarh Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Ramgarh Upazila Health Complex
Ramgarh Upazila Health complex is now functioning as a 31 bedded hospital,although honorable prime minister inaugurated it as 50 bedded hospital in 1013.It is yet to receive administrative and man power approval from the concerned authority. Dew to shortage of gynecology consultant, comprehensive emergency obstetric care activity is totally absent. Ambulance service is stopped from July/14. due to accident. Xray machine is out of order. All these problems should receive special attention to be solved without delay.
