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Gabtali Upazila Health Complex | Health Bulletin 2015 |
Preface
INSHA-ALLAH,we are going to publish our local Health bulletin-2014 like previous year of Upazila health Complex,Gabtali,Bogra supported by MIS,DGHS,Mohakhali,Dhaka. I am very greatful to Prof.Dr.Abul Kalam Azad,ADG (Planning& devolepment) and line director,MIS,DGHS,Mohakhali,Dhaka who is always working hard to develop information system of health sector. Every one can see our activities and achievement of Gabtali upazila Health Complex by this bulletin.All Officers & staffs are very happy to know about this bulletin.All Officers & staff,specially Statistician helped me to prepare this bulletin. Health bulletin is mirror of all activities of our hospital.I hope that the natural out come of these endeavors will be a much better opportunity of getting health information.There are many statistical data in this bulletin. This year it was easy to prepare from previous year experience.This Bulletin is like mirror of all activities in our Upazila Health Complex.Please inform us if any error of this bulletin. Thanks with best regards.
Dr.Md Rabiul Karim khan
UH&FPO
Gabtali Upazila Health Complex

Gabtali Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Gabtali
Organization Code 10001122
Name of UHFPO Dr.Md Rabiul Karim khan
Land Phone No. 1 -0502575009
Land Phone No. 2
FAX No.
Mobile No. 01715819646
Email gabtali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.8781 And Long: 89.4488
No. of Unions in the Upazila11
No. of Households in the Upazila 83,996
Population in the Upazila 336,223
Area of Upazila in sq km 239.60

Gabtali 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 50
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 3 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 3 0
No. of Rural/Urban/Thana Health Centers 2 0
No. of Community Clinics 42 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 4 0

Gabtali Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,571


Under 5 Mortality Rate: 15.095 (Per 1,000 live births)
Infant Mortality Rate: 12.689 (Per 1,000 live births)
Neonatal Mortality Rate: 10.282 (Per 1,000 live births)
Still Birth Rate: 1.969 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 22,016
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 81%

Gabtali 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: 2
Total No. of Recipients Who Took at least one ANC: 4,712
Total Number of Deliveries: 4,580
Valid TT Coverage: 30.00 %
Maternal Mortality Ratio (MMR) is: 43.75 per 100,000 live births.

Gabtali 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 15,347 29,760 45,107 4,328 4,027 8,355 53,462 597 397 994 129 75 204 1,198
Union Sub-Centres 7,884 14,992 22,876 381 410 791 23,667 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 11,738 19,319 31,057 1,865 1,863 3,728 34,785 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 26,705 28,332 55,037 123,275 312,479 435,754 490,791 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

Gabtali 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 1,401 1,751 3,152 417 250 667 3,819 2 2 4 0 0 0 4
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

Gabtali 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 3,819
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 845 22.13
2 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 493 12.91
3 Y090 Assault by unspecified means, home XX: External causes of morbidity and mortality 238 6.23
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 213 5.58
5 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 169 4.43
6 T60 Toxic effect of pesticides XIX: Injury, poisoning and certain other consequences of external causes 80 2.09
7 N39 Other disorders of urinary system XIV: Diseases of the genitourinary system 71 1.86
8 V89 Motor- or nonmotor-vehicle accident, type of vehicle unspecified XX: External causes of morbidity and mortality 53 1.39
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 28 0.73
10 C099 Tonsil, unspecified II: Neoplasms 16 0.42

Gabtali 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 4
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 2 50.00
2 A01 Typhoid and paratyphoid fevers I: Certain infectious and parasitic diseases 1 25.00
3 R10 Abdominal and pelvic pain X: Diseases of the respiratory system 1 25.00
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 93.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 12,469
Bed Occupancy Rates (%) 68.32
Average Length of Hospital Stay (No. of days per patient) 3.26
Hospital Death Rate (%) 0.10


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 772

 

Gabtali 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 21 9 5 7 33.33
Non Doctor 0 0 0 0 0.00
Class II 18 1 16 1 5.56
Class III 98 69 20 9 9.18
Class IV 22 13 5 4 18.18
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 5 1 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 8 2 0 0.00
Class IV 5 5 0 0 0.00
Rural Dispensaries
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 2 2 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 42 22 20 0 0.00
Class IV 0 0 0 0 0.00

 

Gabtali 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 30 12 11 7 23.33
Non Doctor 0 0 0 0 0.00
Class II 18 1 16 1 5.56
Class III 154 101 44 9 5.84
Class IV 27 18 5 4 14.81
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

 

Gabtali 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 9 9 21 14 0 0 2 8 0
Nurse 0 0 0 0 17 16 0 0 5 16 2
Medical Assistant 0 0 9 9 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 7 7 0 0 0 0 0
CHCP 42 42 0 0 0 0 0 0 0 0 2
HI 0 0 0 0 0 0 4 4 0 0 0
AHI 0 0 0 0 0 0 11 11 0 0 0
HA 0 0 0 0 0 0 54 46 0 0 2

Gabtali 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) 1 1 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 1 0 1 0 0
Autoclave 2 0 0 1 1
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 1 1 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 1 1 0 0 0
Hydrolic OT Table 3 3 0 0 0
Sterilizer 2 1 0 0 1
Sucker machine (electric) 3 1 1 0 1
Ventilator 0 0 0 0 0


Gabtali 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 11 1 0 4 6
Pulse oximeter 1 0 0 0 1
Dental equipment
Dental unit 0 0 0 0 0


Gabtali 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 3 1 1 1 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 1 2 2 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Gabtali 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 0 0 0 0 0
Vehicles
Ambulance 2 1 0 1 0


Gabtali 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) 5 4 0 0 1
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 8 8 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 4 4 0 0 0
Scanner 1 1 0 0 0
UPS 6 5 0 1 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


Gabtali 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 73 47 5 10 11

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

Important information and necessary issues for Gabtali Upazila Health Complex
Now there are many doctors in our Upazila Health Complex we can give better service by some instrument like Digital X-ray Machine,Ultra sonogram machine . To give proper health service in this upazila vacant post should fill up immediately. Some post like security guard & sweeper should be posted for security and cleanness of the hospital.Every year many seminar,advocacy meeting, and training held in our health complex so we need some furniture & digital camera. We are also giving health service through Mobile Pone It is easy for people to take health service from any where and any time.To contact with high official we use web cam.We can give and take any information by web cam.We have a advice board infront of our hospital attached with emergency room.Any people can give advice about further better health service.We are trying our best for improving health service.Please pray for us.