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Gangachara Upazila Health Complex | Health Bulletin 2015 |
Preface
At first I wish to express my profound gratitude to the almighty Allah for giving me the opportunity to carry on this health bulletin of Gangachara Health Complex of Rangpur District. This present bulletin contains all the health related information of 2014 of this Upazila. It will disseminate the information of health facilities Social health, maternal and foetal outcome of this Upazila. I hope all the information of this bulletin will help for further planing and bridging the gaps in health Service of this Upazila. This bulletin contains the status of MDG-4 & MDG-5 which will help to localize future MDG target for 2015. It will also help us to find constrains and also see the achievement of 2014. I would like to extend my thanks to initiators of health bulletin software who made their contribution to the development of integration program to build digital Bangladesh. Finally I also express my gratefulness to my stuff & colleague who help me to complete this bulletin in time.
Dr. Abu Md. Zakirul Islam
UH&FPO
Gangachara Upazila Health Complex

Gangachara Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Gangachara
Organization Code 10001579
Name of UHFPO Dr. Abu Md. Zakirul Islam
Land Phone No. 1 -0522356004
Land Phone No. 2
FAX No.
Mobile No. 01730324710
Email gangachara@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.8500 And Long: 89.2167
No. of Unions in the Upazila10
No. of Households in the Upazila 66,512
Population in the Upazila 307,662
Area of Upazila in sq km 268.25

Gangachara 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) 9 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 34 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 0 0

Gangachara Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,170


Under 5 Mortality Rate: 67.909 (Per 1,000 live births)
Infant Mortality Rate: 7.780 (Per 1,000 live births)
Neonatal Mortality Rate: 24.473 (Per 1,000 live births)
Still Birth Rate: 33.387 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 21,189
Fully Vaccinated Children (<= 12 months): 94.00 %
Fully Vaccinated Children (<= 23 months): 0%

Gangachara 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: 12
Total No. of Recipients Who Took at least one ANC: 6,837
Total Number of Deliveries: 6,421
Valid TT Coverage: 49.00 %
Maternal Mortality Ratio (MMR) is: 194.49 per 100,000 live births.

Gangachara 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 12,205 14,643 26,848 3,124 3,690 6,814 33,662 3,105 1,912 5,017 527 520 1,047 6,064
Union Sub-Centres 14,512 16,847 31,359 3,987 4,173 8,160 39,519 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 93,248 110,025 203,273 10,184 13,742 23,926 227,199 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

Gangachara 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 1,023 3,907 4,930 116 198 314 5,244 2 1 3 0 1 1 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

Gangachara 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 5,244
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 O750 Maternal distress during labour and delivery XV: Pregnancy, childbirth and the puerperium 1209 23.05
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 540 10.30
3 Y09 Assault by unspecified means XX: External causes of morbidity and mortality 294 5.61
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 238 4.54
5 J450 Predominantly allergic asthma X: Diseases of the respiratory system 59 1.13
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 55 1.05
7 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 52 0.99
8 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 38 0.72
9 R50 Fever of unknown origin XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 37 0.71
10 E43 Unspecified severe protein-energy malnutrition IV: Endocrine, nutritional and metabolic diseases 29 0.55

Gangachara 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 J459 Asthma, unspecified X: Diseases of the respiratory system 2 50.00
2 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 25.00
3 I110 Hypertensive heart disease with (congestive) heart failure 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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 89.00
Coverage of households having access to sanitary latrines (%) 97.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,480
Bed Occupancy Rates (%) 62.90
Average Length of Hospital Stay (No. of days per patient) 2.19
Hospital Death Rate (%) 0.08


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 272
Minor Surgeries 2,328

 

Gangachara 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 13 8 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 16 3 11 2 12.50
Class III 87 61 23 3 3.45
Class IV 24 16 6 2 8.33
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 10 6 4 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 12 7 4 1 8.33
Class IV 2 2 0 0 0.00
Rural Dispensaries
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
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 37 17 17 3 8.11
Class IV 0 0 0 0 0.00

 

Gangachara 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 31 19 12 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 16 3 11 2 12.50
Class III 136 84 44 8 5.88
Class IV 24 16 6 2 8.33
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

 

Gangachara 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 10 10 21 21 0 0 3 0 0
Nurse 0 0 0 0 16 16 0 0 12 2 0
Medical Assistant 0 0 10 10 2 2 0 0 2 0 0
Medical Technologist 0 0 0 0 8 8 0 0 0 0 0
CHCP 37 34 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 2 1 0 0 0 0 6
AHI 0 0 0 0 9 9 0 0 0 0 0
HA 0 0 0 0 43 37 0 0 0 0 0

Gangachara 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 0 0 1 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 1 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 1 1 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 2 1 1 0 0
Sucker machine (electric) 2 1 1 0 0
Ventilator 0 0 0 0 0


Gangachara 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 2 2 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 0 0 0 1


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


Gangachara 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 2 2 0 0 0
Vehicles
Ambulance 3 2 0 1 0


Gangachara 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) 6 6 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) 9 6 3 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 6 6 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


Gangachara 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 1 1 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 60 50 7 2 1

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

Important information and necessary issues for Gangachara Upazila Health Complex
Sanctioned post of health assistant is 43 only 37 are present. From 37, 2 (Two) is deputed to IHT for education . For this reason EPI activities is not going smoothly. As there is 36 hard to reach area of EPI. So it should be filled up very soon otherwise, we cannot achieve MDG. Regarding ward-boy sanction post is 3, 2 are present. By this 2 ward-boy we cannot maintain Emergency ward-boy roster. Ward-boy sanctioned post should be increased. Dr. Abu Md. Zakirul Islam UH&FPO Upazila Health Complex Gangachara, Rangpur.