Rowmari Upazila Health Complex | Health Bulletin 2015 |
Preface
Rowmari Health Complex Situated on the main town of the rowmari upazilla at the road site
on the Dhaka rowmari high way.Total area of rowmari upazila is about 197sq km,Bed no 31 &50 Baded under prososed.50 Baded hospital building has been constructed & handed over but manpower &budget
not yet allocated..The name of uh&fpo is DR,Md,shajahan Kabir,His contuct no is
01716729875,Telephone no is 0582856005,Health service mobile no is 01730324662,Total union is
05,Total ward no 15,Total population is 2,20,409,Total household is 45855.It is hard to reach & border belt area.This is very wonderfull upazzilla, valley of bramhaputro river having typical temperate weather surrounded by indian hills.Still this is malaria prone zone but scenery become changing now a days.We have been waiting since long time to show our health service performance and local health bulletin gives us the lucrative chance to show our performance to our nation.It enriches our health information and documentation system.This is most forwarding step to digitalise our health sector.We are very happy as well as lucky to get the opportunity to work in such a scientific, informative and timely health bulletin projecct.
Rowmari Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Rowmari
Organization Code
10001333
Name of UHFPO DR MD SAHJAHAN KOBIR
Land Phone No. 1
-0582856005
Land Phone No. 2
FAX No.
Mobile No.
01716729875
Email rowmari@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
24.0000 And
Long:
87.0000
No. of Unions in the Upazila 5
No. of Households in the Upazila 47,126
Population in the Upazila 220,409
Area of Upazila in sq km 197.00
Rowmari 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
2
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
2
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
27
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
1
10
No. of NGO Clinics/Facilities
5
0
Rowmari Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,549
Under 5 Mortality Rate: 37.151 (Per 1,000 live births)
Infant Mortality Rate: 34.513 (Per 1,000 live births)
Neonatal Mortality Rate: 29.017 (Per 1,000 live births)
Still Birth Rate: 37.591 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 27,199
Fully Vaccinated Children (<= 12 months): 96.00 %
Fully Vaccinated Children (<= 23 months): 00%%
Rowmari 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:
5
Total No. of Recipients Who Took at least one ANC:
4,333
Total Number of Deliveries:
4,720
Valid TT Coverage: 90.00 %
Maternal Mortality Ratio (MMR) is:
109.91 per 100,000 live births.
Rowmari 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
24,342
23,140
47,482
8,566
5,968
14,534
62,016
670
620
1,290
18
6
24
1,314
Union Sub-Centres
15,730
15,720
31,450
2,730
2,739
5,469
36,919
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
94,071
144,525
238,596
15,578
10,937
26,515
265,111
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
11,334
9,788
21,122
712
417
1,129
22,251
0
0
0
0
0
0
0
Rowmari 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
1,995
2,595
4,590
68
71
139
4,729
20
21
41
7
2
9
50
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
Rowmari 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
4,735
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A499 Bacterial infection, unspecified
I: Certain infectious and parasitic diseases
640
13.52
2
Y00 Assault by blunt object
XX: External causes of morbidity and mortality
422
8.91
3
A09 Diarrhoea and gastroenteritis of presumed infectious origin
I: Certain infectious and parasitic diseases
267
5.64
4
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
128
2.70
5
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
129
2.72
6
E11 Non-insulin-dependent diabetes mellitus
IV: Endocrine, nutritional and metabolic diseases
103
2.18
7
J459 Asthma, unspecified
X: Diseases of the respiratory system
110
2.32
8
N341 Nonspecific urethritis
XIV: Diseases of the genitourinary system
98
2.07
9
N189 Chronic renal failure, unspecified
XIV: Diseases of the genitourinary system
62
1.31
10
I110 Hypertensive heart disease with (congestive) heart failure
IX: Diseases of the circulatory system
35
0.74
Rowmari 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
50
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
13
26.00
2
T600 Organophosphate and carbamate insecticides
XIX: Injury, poisoning and certain other consequences of external causes
9
18.00
3
I23 Certain current complications following acute myocardial infarction
XVI: Certain conditions originating in the perinatal period
7
14.00
4
I691 Sequelae of intracerebral haemorrhage
IX: Diseases of the circulatory system
6
12.00
5
J159 Bacterial pneumonia, unspecified
X: Diseases of the respiratory system
4
8.00
6
K26 Duodenal ulcer
XI: Diseases of the digestive system
4
8.00
7
G009 Bacterial meningitis, unspecified
VI: Diseases of the nervous system
2
4.00
8
K850 Idiopathic acute pancreatitis
XI: Diseases of the digestive system
2
4.00
9
B150 Hepatitis A with hepatic coma
I: Certain infectious and parasitic diseases
3
6.00
10
0
0.00
Rowmari 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 (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
4,735
Bed Occupancy Rates (%)
41.85
Average Length of Hospital Stay (No. of days per patient)
1.00
Hospital Death Rate (%)
1.06
Rowmari Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
1,331
Rowmari 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
0
6
66.67
Non Doctor
0
0
0
0
0.00
Class II
11
0
6
5
45.45
Class III
57
32
14
11
19.30
Class IV
21
12
1
8
38.10
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
2
1
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
2
0
2
50.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
2
1
0
1
50.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
2
0
2
50.00
Class IV
2
1
0
1
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
27
16
11
0
0.00
Class IV
0
0
0
0
0.00
Rowmari 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
6
5
45.45
Class III
92
52
25
15
16.30
Class IV
23
13
1
9
39.13
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
Rowmari 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
3
9
3
0
0
0
1
0
Nurse
0
0
0
0
11
6
0
0
3
3
0
Medical Assistant
0
0
4
4
2
1
0
0
1
0
0
Medical Technologist
0
0
2
0
7
4
0
0
0
0
0
CHCP
27
27
0
0
0
0
0
0
0
0
3
HI
0
0
0
0
2
1
0
0
0
0
0
AHI
0
0
0
0
6
5
0
0
0
0
0
HA
0
0
0
0
30
28
0
0
0
0
3
Rowmari 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
0
1
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
0
0
0
0
0
Anesthesia machine without ventilator
1
1
0
0
0
Autoclave
1
1
0
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
1
1
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
1
0
0
Sterilizer
1
1
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Rowmari 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
9
3
1
5
0
Pulse oximeter
1
1
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Rowmari 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
2
0
0
0
Colorimeter
0
0
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
5
3
2
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
0
0
0
0
0
Rowmari 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
1
1
0
0
0
Vehicles
Ambulance
1
1
0
0
0
Rowmari 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)
4
1
3
0
0
Generator
Generator (diesel/petrol)
2
2
0
0
0
Generator (gas)
0
0
0
0
0
Solar panel
3
3
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
7
7
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)
6
6
0
0
0
Scanner
1
1
0
0
0
UPS
5
5
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
1
1
0
0
0
Rowmari 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
69
53
11
5
0
Rowmari Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Rowmari Upazila Health Complex
There are thirty one hard to reach upazilla in Bangladesh ,Rowmari is one Of Them.This is a historical place for boraibari war against BSF.This is very important border belt area of bangladesh.This is not only remote from Dhaka but also from kurigram district.I like to mention some important factors which will help us active good result in future,we are very lucky that we have all the equipments and tarined nurses to run EOC activity but the great regret is we have no trained doctors, our vacant post should be filled up immediately.doctors,nurses,sacmo,pharmacist are not trained in computer & others tecnology.Most of the people of this area is uneducated & poor.We have limited manpower.Many of our post is vacant.Having all those limitations with the combined effort of all of my health stuff we are providing all necessary health services for the peoples of rowmari.Finally I Would like To Congratulate the Initiator Of the Health Bullettin software for Setting us One step ahead toward digital Bangladesh.I would like to show my regards and gratitude to MIS-DGHS-LHB for help us to create such a wonderful, informative local health bulletin.
