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Gurudashpur Upazila Health Complex | Health Bulletin 2015 |
Preface
We are very much proud to publish Local Health Bulletin 2015 by which the people would learn about the current health situation of Gurudaspur Upazila. This Upazila is in a remote distance from District town and its main problems regarding health are basic sanitation, maternal and child illness, OPC poisoning and Assaults. It is a fifty beded Hospital but its financial aproval not given which is the very much earnest need to meet the peoples demand. The database is made on the basis of informations of 2014. Thank you all. Dr.Md.Ayub Hossian, UH &FPO. Upazila Health Complex, Gurudaspur, Natore. Dr.Md.Ayub Hossian UH &FPO. Upazila Health Complex, Gurudaspur, Natore.
Dr.Md.Ayub Hossian
UH&FPO
Gurudashpur Upazila Health Complex

Gurudashpur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Gurudashpur
Organization Code 10001424
Name of UHFPO Dr.Md.Ayub Hossian
Land Phone No. 1 -0772474036
Land Phone No. 2
FAX No.
Mobile No. 01712986566
Email gurdaspur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.0000 And Long: 89.0000
No. of Unions in the Upazila7
No. of Households in the Upazila 52,058
Population in the Upazila 223,836
Area of Upazila in sq km 126.75

Gurudashpur 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 20 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 5 50
No. of NGO Clinics/Facilities 1 0

Gurudashpur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,388


Under 5 Mortality Rate: 16.518 (Per 1,000 live births)
Infant Mortality Rate: 8.723 (Per 1,000 live births)
Neonatal Mortality Rate: 5.754 (Per 1,000 live births)
Still Birth Rate: 2.227 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 68,222
Fully Vaccinated Children (<= 12 months): 90.00 %
Fully Vaccinated Children (<= 23 months): 0%

Gurudashpur 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: 6,081
Total Number of Deliveries: 5,399
Valid TT Coverage: 82.00 %
Maternal Mortality Ratio (MMR) is: 0.00 per 100,000 live births.

Gurudashpur 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 25,498 43,558 69,056 9,151 10,666 19,817 88,873 2,622 1,980 4,602 660 675 1,335 5,937
Union Sub-Centres 22,887 25,926 48,813 1,248 1,437 2,685 51,498 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 55,194 144,174 199,368 13,804 14,612 28,416 227,784 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 17,425 19,321 36,746 864 1,101 1,965 38,711 507 611 1,118 102 129 231 1,349
NGO Clinics/Facilities 3,415 7,701 11,116 1,251 1,529 2,780 13,896 0 0 0 0 0 0 0

Gurudashpur 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 1,941 2,901 4,842 81 90 171 5,013 9 8 17 2 1 3 20
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 1,016 1,423 2,439 63 97 160 2,599 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Gurudashpur 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 5,013
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T00 Superficial injuries involving multiple body regions XIX: Injury, poisoning and certain other consequences of external causes 841 16.78
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 773 15.42
3 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 649 12.95
4 T96 Sequelae of poisoning by drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 488 9.73
5 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 375 7.48
6 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 258 5.15
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 212 4.23
8 J14 Pneumonia due to Haemophilus influenzae X: Diseases of the respiratory system 197 3.93
9 D509 Iron deficiency anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 174 3.47
10 J11 Influenza, virus not identified X: Diseases of the respiratory system 141 2.81

Gurudashpur 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 20
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 T96 Sequelae of poisoning by drugs, medicaments and biological substances XIX: Injury, poisoning and certain other consequences of external causes 6 30.00
2 I21 Acute myocardial infarction IX: Diseases of the circulatory system 4 20.00
3 I64 Stroke, not specified as haemorrhage or infarction XIX: Injury, poisoning and certain other consequences of external causes 3 15.00
4 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 5.00
5 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified X: Diseases of the respiratory system 1 5.00
6 J44 Other chronic obstructive pulmonary disease X: Diseases of the respiratory system 1 5.00
7 V011 Pedestrian injured in collision with pedal cycle, traffic accident XX: External causes of morbidity and mortality 1 5.00
8 T146 Injury of muscles and tendons of unspecified body region XIX: Injury, poisoning and certain other consequences of external causes 1 5.00
9 J14 Pneumonia due to Haemophilus influenzae X: Diseases of the respiratory system 1 5.00
10 S14 Injury of nerves and spinal cord at neck level XIX: Injury, poisoning and certain other consequences of external causes 1 5.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 98.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 10,001
Bed Occupancy Rates (%) 54.80
Average Length of Hospital Stay (No. of days per patient) 2.19
Hospital Death Rate (%) 0.20


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 195

 

Gurudashpur 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 22 11 4 7 31.82
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 66 43 7 16 24.24
Class IV 26 10 5 11 42.31
Union Health & Family Welfare Center (under DGHS)
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 2 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
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 3 1 0 0.00
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 20 10 10 0 0.00
Class IV 0 0 0 0 0.00

 

Gurudashpur 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 28 16 5 7 25.00
Non Doctor 0 0 0 0 0.00
Class II 15 0 13 2 13.33
Class III 94 58 20 16 17.02
Class IV 28 11 5 12 42.86
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

 

Gurudashpur 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 6 6 22 15 0 0 1 0 0
Nurse 0 0 0 0 15 13 0 0 0 5 1
Medical Assistant 0 0 6 6 2 2 0 0 3 0 0
Medical Technologist 0 0 2 2 10 9 0 0 0 0 0
CHCP 20 20 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 2 0 0 2 0 2
AHI 0 0 0 0 6 6 0 0 0 0 0
HA 0 0 0 0 30 22 0 0 0 0 0

Gurudashpur 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) 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 1 0 0 0
Autoclave 2 1 0 1 0
Electric cautery machine 1 1 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) 7 6 0 1 0
Ventilator 0 0 0 0 0


Gurudashpur 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 1 1 0 0 0


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


Gurudashpur 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 2 1 0 1 0


Gurudashpur 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 3 1 0 0
Generator
Generator (diesel/petrol) 3 2 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 1 1 0 0 0
IPS 2 2 0 0 0
ICT equipment
Computer (desktop) 9 6 3 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 3 0 0 3 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 8 7 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 0 0 0 0 0


Gurudashpur 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 80 63 9 8 0

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

Important information and necessary issues for Gurudashpur Upazila Health Complex
In 2014,We try our best to Improve our service at every level but we cannot achieve our standard in serving the pepole due to some lacking such as,1) Absence of equipements as,x-ray machine,USG machine,Photocopier and Fax machin,ect.Which should be filled up on an emergency basis.Local Level Planning and more financial power should be delegated to the Upazilla Level for Upgrading the service quality. (Dr.Md.Ayub Hossian) UH&FPO Upazilla Health Complex Gurudaspur,Natore.