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Raninagar Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure for me that a Health Bulletin has been published for Raninagar Upazila of Naogaon district. The Health Bulletin contains all the health and family planning related informations of this Upazila of 2013 reflecting manpower ,infrastructural status and ongoing health and family planning related activities .I hope this Health Bulletin will inhance the status of health & family planning department of this Upazila and ensure their transparency and accountability to the people of this Upazila.
Dr.Sardar Mohammad Nazmul Ahsan
UH&FPO
Raninagar Upazila Health Complex

Raninagar Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Raninagar
Organization Code 10001412
Name of UHFPO Dr.Sardar Mohammad Nazmul Ahsan
Land Phone No. 1 -0743356003
Land Phone No. 2
FAX No.
Mobile No. 01712166282
Email raninagar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.7420 And Long: 88.9604
No. of Unions in the Upazila8
No. of Households in the Upazila 44,427
Population in the Upazila 186,786
Area of Upazila in sq km 249.00

Raninagar 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 8 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) 0 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 22 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 0 0

Raninagar Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,033


Under 5 Mortality Rate: 17.605 (Per 1,000 live births)
Infant Mortality Rate: 11.406 (Per 1,000 live births)
Neonatal Mortality Rate: 7.687 (Per 1,000 live births)
Still Birth Rate: 1.736 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 36,945
Fully Vaccinated Children (<= 12 months): 95.00 %
Fully Vaccinated Children (<= 23 months):

Raninagar 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: 3,108
Total Number of Deliveries: 4,040
Valid TT Coverage: 47.00 %
Maternal Mortality Ratio (MMR) is: 99.18 per 100,000 live births.

Raninagar 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 10,124 26,220 36,344 7,385 8,853 16,238 52,582 3,146 5,103 8,249 428 579 1,007 9,256
Union Sub-Centres 7,795 17,652 25,447 5,104 6,898 12,002 37,449 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 57,333 139,754 197,087 10,798 11,874 22,672 219,759 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 6 272 278 0 0 0 278 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Raninagar 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 1,387 1,733 3,120 437 344 781 3,901 4 3 7 0 0 0 7
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

Raninagar 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 3,901
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 663 17.00
2 Y00 Assault by blunt object XX: External causes of morbidity and mortality 411 10.54
3 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 169 4.33
4 J45 Asthma X: Diseases of the respiratory system 163 4.18
5 F99 Mental disorder, not otherwise specified V: Mental and behavioural disorders 153 3.92
6 T42 Poisoning by antiepileptic, sedative-hypnotic and antiparkinsonism drugs XIX: Injury, poisoning and certain other consequences of external causes 123 3.15
7 J189 Pneumonia, unspecified X: Diseases of the respiratory system 116 2.97
8 A014 Paratyphoid fever, unspecified I: Certain infectious and parasitic diseases 107 2.74
9 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 67 1.72
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 62 1.59

Raninagar 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 7
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 3 42.86
2 C88 Malignant immunoproliferative diseases II: Neoplasms 2 28.57
3 J42 Unspecified chronic bronchitis X: Diseases of the respiratory system 1 14.29
4 R33 Retention of urine XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 14.29
5 0 0.00
6 0 0.00
7 0 0.00
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 95.00
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.) 10,426
Bed Occupancy Rates (%) 92.14
Average Length of Hospital Stay (No. of days per patient) 2.67
Hospital Death Rate (%) 0.18


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 161

 

Raninagar 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 5 1 3 33.33
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 58 36 13 9 15.52
Class IV 19 11 5 3 15.79
Union Health & Family Welfare Center (under DGHS)
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
Rural Dispensaries
Class I Doctor 8 4 1 3 37.50
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 12 0 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 23 15 8 0 0.00
Class IV 0 0 0 0 0.00

 

Raninagar 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 17 9 2 6 35.29
Non Doctor 0 0 0 0 0.00
Class II 11 0 10 1 9.09
Class III 93 63 21 9 9.68
Class IV 23 13 5 5 21.74
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

 

Raninagar 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 5 9 6 0 0 1 0 0
Nurse 0 0 0 0 11 10 0 0 1 0 0
Medical Assistant 0 0 8 8 2 2 0 0 5 0 0
Medical Technologist 0 0 0 0 4 4 0 0 0 0 0
CHCP 23 23 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 0 0 0
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 24 0 0 0 0 0

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


Raninagar 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 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 2 2 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


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


Raninagar 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 0 0 0 0 0
Vehicles
Ambulance 1 0 0 1 0


Raninagar 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) 3 3 0 0 0
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) 6 6 0 0 0
Laptop 1 1 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 3 3 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


Raninagar 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 45 38 4 3 0

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

Important information and necessary issues for Raninagar Upazila Health Complex
31 beded UHC has been infrastructurally developed to 50 beded UHC ,but no manpower and MSR diet have been provided in that respect.