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Rajstali Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure for us to publish the Local Health Bulletin 2015. It includes all health facilities excisting at Rajasthali Upazila. It will also helps the health providers to take necessary steps to solve the health problems at community level. would like to thanks all concern personnel's for their Co-operation to publish the bulletin without any mistake. Dr. Masud Ahmed Chowdhury Upazila Health & Family Planning Officer Upazila Health Complex Rajasthali, Rangamati Hill Tracts.
Dr. Masud Ahmed Chowdhury
UH&FPO
Rajstali Upazila Health Complex

Rajstali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Rajstali
Organization Code 10001085
Name of UHFPO Dr. Masud Ahmed Chowdhury
Land Phone No. 1
Land Phone No. 2
FAX No.
Mobile No. 01816449776
Email rajasthali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.3600 And Long: 92.2500
No. of Unions in the Upazila3
No. of Households in the Upazila 4,508
Population in the Upazila 25,931
Area of Upazila in sq km 145.04

Rajstali 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 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) 2 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 3 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 2 0

Rajstali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 751


Under 5 Mortality Rate: 1.332 (Per 1,000 live births)
Infant Mortality Rate: 3.995 (Per 1,000 live births)
Neonatal Mortality Rate: 1.332 (Per 1,000 live births)
Still Birth Rate: 2.663 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 1,352
Fully Vaccinated Children (<= 12 months): 91.00 %
Fully Vaccinated Children (<= 23 months): 91%%

Rajstali 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: 0
Total No. of Recipients Who Took at least one ANC: 919
Total Number of Deliveries: 751
Valid TT Coverage: 13.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Rajstali 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 6,086 6,197 12,283 964 824 1,788 14,071 391 204 595 61 38 99 694
Union Sub-Centres 2,233 2,598 4,831 542 552 1,094 5,925 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) 4,339 8,859 13198 1,390 1,381 2,771 15,969 0 0 0 0 0 0 2,771
Community Clinics 2,884 4,279 7,163 559 557 1,116 8,279 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 662 7,998 8,660 25 22 47 8,707 0 0 0 0 0 0 0

Rajstali 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 202 187 389 59 40 99 488 0 0 0 1 0 1 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

Rajstali 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 493
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 B509 Plasmodium falciparum malaria, unspecified I: Certain infectious and parasitic diseases 58 11.76
2 A099 Gastroenteritis and colitis of unspecified origin I: Certain infectious and parasitic diseases 52 10.55
3 J189 Pneumonia, unspecified X: Diseases of the respiratory system 41 8.32
4 B349 Viral infection, unspecified I: Certain infectious and parasitic diseases 40 8.11
5 Y000 Assault by blunt object, home XX: External causes of morbidity and mortality 30 6.09
6 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 21 4.26
7 V204 Motorcycle rider injured in collision with pedestrian or animal, driver, traffic accident XX: External causes of morbidity and mortality 18 3.65
8 J459 Asthma, unspecified X: Diseases of the respiratory system 15 3.04
9 N390 Urinary tract infection, site not specified XIV: Diseases of the genitourinary system 10 2.03
10 I159 Secondary hypertension, unspecified IX: Diseases of the circulatory system 8 1.62

Rajstali 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 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 100.00
2 0 0.00
3 X: Diseases of the respiratory system 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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 80.00
Coverage of households having access to sanitary latrines (%) 74.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 1,410
Bed Occupancy Rates (%) 38.63
Average Length of Hospital Stay (No. of days per patient) 2.86
Hospital Death Rate (%) 0.20


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 164

 

Rajstali 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 3 1 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 8 0 7 1 12.50
Class III 34 25 4 5 14.71
Class IV 19 9 2 8 42.11
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 2 0 0 0.00
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 1 0 0.00
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 13 1 4 8 61.54
Class IV 0 0 0 0 0.00

 

Rajstali 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 12 6 1 5 41.67
Non Doctor 0 0 0 0 0.00
Class II 8 0 7 1 12.50
Class III 51 29 9 13 25.49
Class IV 20 9 2 9 45.00
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

 

Rajstali 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 9 5 0 0 0 0 0
Nurse 0 0 0 0 8 7 0 0 2 2 4
Medical Assistant 0 0 3 3 2 2 0 0 3 0 0
Medical Technologist 0 0 1 1 8 7 0 0 0 0 0
CHCP 13 5 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 0 0 0 0 1
AHI 0 0 0 0 2 2 0 0 0 0 0
HA 0 0 0 0 10 10 0 0 0 0 0

Rajstali 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 1 0 1 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 0 0 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 4 2 2 0 0
Sucker machine (electric) 9 6 2 1 0
Ventilator 0 0 0 0 0


Rajstali 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 8 8 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Rajstali 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 0 0 1
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 3 2 0 1 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Rajstali 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 0 1 0 0
Refrigerator 0 0 0 0 0
Vehicles
Ambulance 1 0 1 0 0


Rajstali 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) 0 0 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 2 2 0 0 0
ICT equipment
Computer (desktop) 8 3 1 2 2
Laptop 7 5 2 0 0
Printer (dot matrix) 1 1 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 7 2 3 0 2
Scanner 2 1 0 0 1
UPS 5 2 0 0 3
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 0 1 0 0


Rajstali 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 71 44 13 5 9

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

Important information and necessary issues for Rajstali Upazila Health Complex
Most of the areas of the upazila are hard to rich area. To provide health service in a crisis situation, emergency transport facility to move the health personnel's are very much important. So we need a vehicle like jeep to solve the problem.