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Ramganj Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very happy to publish this Local Health Bulletin of our Ramgonj Upazilla Health Complex. This Bulletin contains some valuable health related information of 2014. It is a mirror of health service of our Upazilla. All the sanctioned and vacant post are published in this Bulletin/2015. I would like to take attention of the higher authority to look this issue. Finally I would like to congratulate the initiator of the Health Bulletin software for setting us one step ahead toward Digital Bangladeh.
Dr. Md. Mozammel Haque
UH&FPO
Ramganj Upazila Health Complex

Ramganj Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Ramganj
Organization Code 10001011
Name of UHFPO Dr. Md. Mozammel Haque
Land Phone No. 1 03821-075011
Land Phone No. 2
FAX No.
Mobile No. 01717013890
Email ramganj@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0924 And Long: 90.8613
No. of Unions in the Upazila10
No. of Households in the Upazila 62,990
Population in the Upazila 306,876
Area of Upazila in sq km 169.00

Ramganj 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 4 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 4 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 24 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 90
No. of NGO Clinics/Facilities 0 0

Ramganj Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,601


Under 5 Mortality Rate: 32.903 (Per 1,000 live births)
Infant Mortality Rate: 22.904 (Per 1,000 live births)
Neonatal Mortality Rate: 19.998 (Per 1,000 live births)
Still Birth Rate: 1.163 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 8,955
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months):

Ramganj 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: 10
Total No. of Recipients Who Took at least one ANC: 920
Total Number of Deliveries: 8,878
Valid TT Coverage: 91.00 %
Maternal Mortality Ratio (MMR) is: 116.27 per 100,000 live births.

Ramganj 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 15,811 26,174 41,985 3,498 3,703 7,201 49,186 2,845 2,755 5,600 462 350 812 6,412
Union Sub-Centres 4,016 4,235 8,251 1,547 1,657 3,204 11,455 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 35,842 80,305 116,147 2,793 2,665 5,458 121,605 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

Ramganj 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 2,056 2,414 4,470 409 255 664 5,134 7 6 13 3 3 6 19
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

Ramganj 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 5,014
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 1104 22.02
2 A009 Cholera, unspecified I: Certain infectious and parasitic diseases 744 14.84
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 440 8.78
4 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 397 7.92
5 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 388 7.74
6 A99 Unspecified viral haemorrhagic fever I: Certain infectious and parasitic diseases 224 4.47
7 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 156 3.11
8 A40 Streptococcal septicaemia I: Certain infectious and parasitic diseases 125 2.49
9 J45 Asthma X: Diseases of the respiratory system 101 2.01
10 A05 Other bacterial foodborne intoxications I: Certain infectious and parasitic diseases 57 1.14

Ramganj 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 19
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I469 Cardiac arrest, unspecified IX: Diseases of the circulatory system 8 42.11
2 I516 Cardiovascular disease, unspecified IX: Diseases of the circulatory system 3 15.79
3 Y09 Assault by unspecified means IX: Diseases of the circulatory system 2 10.53
4 A419 Septicaemia, unspecified I: Certain infectious and parasitic diseases 2 10.53
5 A014 Paratyphoid fever, unspecified I: Certain infectious and parasitic diseases 1 5.26
6 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1 5.26
7 F505 Vomiting associated with other psychological disturbances V: Mental and behavioural disorders 1 5.26
8 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 5.26
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 97.00
Coverage of households having access to sanitary latrines (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,398
Bed Occupancy Rates (%) 109.57
Average Length of Hospital Stay (No. of days per patient) 2.30
Hospital Death Rate (%) 0.37


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 47
Minor Surgeries 476

 

Ramganj 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 7 0 2 22.22
Non Doctor 0 0 0 0 0.00
Class II 10 0 5 5 50.00
Class III 152 59 33 60 39.47
Class IV 19 10 3 6 31.58
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 4 1 3 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 4 0 0 4 100.00
Rural Dispensaries
Class I Doctor 4 4 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 1 0 0.00
Class IV 4 2 0 2 50.00
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 7 17 0 0.00
Class IV 0 0 0 0 0.00

 

Ramganj 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 20 15 3 2 10.00
Non Doctor 0 0 0 0 0.00
Class II 10 0 5 5 50.00
Class III 152 87 48 17 11.18
Class IV 22 14 3 5 22.73
Other Hospitals & Clinics
Class I Doctor 3 3 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

 

Ramganj 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 8 9 7 3 3 7 4 0
Nurse 0 0 0 0 10 5 0 0 0 0 0
Medical Assistant 0 0 8 8 2 2 3 3 10 0 0
Medical Technologist 0 0 0 0 9 5 0 0 0 0 0
CHCP 24 24 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 5 2 0 0 0 0 8
AHI 0 0 0 0 14 11 0 0 0 0 0
HA 0 0 0 0 69 63 0 0 0 0 0

Ramganj 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) 2 1 0 1 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 4 3 1 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 2 2 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 6 2 4 0 0
Ventilator 0 0 0 0 0


Ramganj 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 2 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Ramganj 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) 1 1 0 0 0
Colorimeter 2 2 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 0 0 0 0 0


Ramganj 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 1 1 0 0 0
Vehicles
Ambulance 2 0 1 1 0


Ramganj 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 1 1 0 0
Generator
Generator (diesel/petrol) 2 2 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 6 4 2 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 2 3 0 0
Scanner 1 1 0 0 0
UPS 5 0 5 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 1 1 0 0 0


Ramganj 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) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Total 62 42 18 2 0

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

Important information and necessary issues for Ramganj Upazila Health Complex
I am very happy to publish this local Health Bulletin .I think it will be continue in future.I would like give my thank to initiator of this Bulletion.I would also like to mention that a new bullding constructed in our UpazillaHealth Complex area.