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Ranisankhail Upazila Health Complex | Health Bulletin 2015 |
Preface
Ministry of Health and Family Welfare (MOHFW0 RANISANKAIL UPAZILA HEALTH BULLETIN-2015 Preface, I am very glad to publish this Health Bulletin of Ranisankail upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of Ranisankail upazila to other like department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the file. This health bulletin will help us to find constains and also to see the results and achievements of 2014. The bulletin contains the status of MDG 4 and MDG 5 which will help to localize the MDG targets.This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin 2015.I like to take attention of higher authority to look into this issue.Finally I would like to congratulate the initiator of this bulletin software for setting us of one step ahead toward digital Bangladesh.
Dr. Md Nazrul Islam (Add.Charge)
UH&FPO
Ranisankhail Upazila Health Complex

Ranisankhail Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Ranisankhail
Organization Code 10001678
Name of UHFPO Dr. Md Nazrul Islam (Add.Charge)
Land Phone No. 1 05625-0562556012
Land Phone No. 2
FAX No.
Mobile No. 01820520010
Email ranishankail@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 25.9000 And Long: 88.2500
No. of Unions in the Upazila8
No. of Households in the Upazila 46,079
Population in the Upazila 217,937
Area of Upazila in sq km 272.40

Ranisankhail 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) 6 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 25 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 4 40
No. of NGO Clinics/Facilities 0 0

Ranisankhail Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 5,660


Under 5 Mortality Rate: 24.735 (Per 1,000 live births)
Infant Mortality Rate: 22.085 (Per 1,000 live births)
Neonatal Mortality Rate: 20.141 (Per 1,000 live births)
Still Birth Rate: 15.018 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 10,574
Fully Vaccinated Children (<= 12 months): 97.00 %
Fully Vaccinated Children (<= 23 months): 0%

Ranisankhail 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: 8
Total No. of Recipients Who Took at least one ANC: 3,603
Total Number of Deliveries: 5,378
Valid TT Coverage: 8.00 %
Maternal Mortality Ratio (MMR) is: 141.34 per 100,000 live births.

Ranisankhail 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 10,181 21,853 32,034 2,040 2,410 4,450 36,484 3,405 4,200 7,605 300 323 623 8,228
Union Sub-Centres 8,282 10,871 19,153 980 1,101 2,081 21,234 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) 18,040 26,011 44051 5,055 6,076 11,131 55,182 0 0 0 0 0 0 11,131
Community Clinics 55,840 124,164 180,004 9,241 9,661 18,902 198,906 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 76 296 372 24 27 51 423 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ranisankhail 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 2,590 5,070 7,660 405 470 875 8,535 9 10 19 1 0 1 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 30 250 280 0 0 0 280 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Ranisankhail 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 8,535
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 Y009 Assault by blunt object, unspecified place XX: External causes of morbidity and mortality 1678 19.66
2 A09 Diarrhoea and gastroenteritis of presumed infectious origin I: Certain infectious and parasitic diseases 820 9.61
3 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 543 6.36
4 R529 Pain, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 398 4.66
5 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 387 4.53
6 B86 Scabies I: Certain infectious and parasitic diseases 299 3.50
7 V739 Bus occupant injured in collision with car, pick-up truck or van, unspecified bus occupant, traffic accident XX: External causes of morbidity and mortality 253 2.96
8 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 245 2.87
9 A499 Bacterial infection, unspecified I: Certain infectious and parasitic diseases 187 2.19
10 O69 Labour and delivery complicated by umbilical cord complications XV: Pregnancy, childbirth and the puerperium 148 1.73

Ranisankhail 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 I21 Acute myocardial infarction IX: Diseases of the circulatory system 4 20.00
2 J45 Asthma X: Diseases of the respiratory system 3 15.00
3 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 2 10.00
4 E46 Unspecified protein-energy malnutrition IV: Endocrine, nutritional and metabolic diseases 1 5.00
5 I11 Hypertensive heart disease IX: Diseases of the circulatory system 1 5.00
6 E14 Unspecified diabetes mellitus IV: Endocrine, nutritional and metabolic diseases 1 5.00
7 I249 Acute ischaemic heart disease, unspecified IX: Diseases of the circulatory system 1 5.00
8 C349 Bronchus or lung, unspecified II: Neoplasms 1 5.00
9 C50 Malignant neoplasm of breast II: Neoplasms 1 5.00
10 V892 Person injured in unspecified motor-vehicle accident, traffic XX: External causes of morbidity and mortality 1 5.00

Ranisankhail 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 (%) 85.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 17,712
Bed Occupancy Rates (%) 97.05
Average Length of Hospital Stay (No. of days per patient) 2.08
Hospital Death Rate (%) 0.23


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 78

 

Ranisankhail 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 6 1 14 66.67
Non Doctor 0 0 0 0 0.00
Class II 14 2 12 0 0.00
Class III 66 44 15 7 10.61
Class IV 25 17 5 3 12.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 4 1 1 16.67
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 3 1 16.67
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 2 2 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 2 1 1 25.00
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 26 9 16 1 3.85
Class IV 0 0 0 0 0.00

 

Ranisankhail 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 29 12 2 15 51.72
Non Doctor 0 0 0 0 0.00
Class II 14 2 12 0 0.00
Class III 102 57 35 10 9.80
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

 

Ranisankhail 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 7 21 7 0 0 0 0 0
Nurse 0 0 0 0 14 14 0 0 2 0 0
Medical Assistant 0 0 8 7 2 2 0 0 3 0 0
Medical Technologist 0 0 2 1 7 7 0 0 0 0 0
CHCP 25 25 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 27 0 0 0 0 0

Ranisankhail 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 9 9 0 0 0
Electric cautery machine 1 1 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 2 1 1 0 0
Ceiling mounting OT Light 2 2 0 0 0
Portable OT Light 2 2 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 3 3 0 0 0
Sucker machine (electric) 8 8 0 0 0
Ventilator 0 0 0 0 0


Ranisankhail 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 4 4 0 0 0
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Ranisankhail 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) 1 1 0 0 0
Pediatric equipment
Baby incubator 1 0 1 0 0
Phototherapy unit 1 0 1 0 0


Ranisankhail 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


Ranisankhail 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) 2 0 0 2 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 5 1 0 0
Laptop 29 18 11 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 0 1 0
Printer (laser) 5 5 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 0 0 0 0 0
Multimedia 1 1 0 0 0


Ranisankhail 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 2 1 1 0 0
Mobile phone 1 1 0 0 0
Total 99 77 18 4 0

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

Important information and necessary issues for Ranisankhail Upazila Health Complex
Important information and necessary issues for Upazila Health Complex, Ranisankail, Thakurgaon. Last year we could not give our maximum efforts to improve the health status due to many reasons.Here I like mention some important factors which will help us to achieve good result in future.1.The vacant post specialiiy Annesthetist should be filled up immediately.2.Our doctors and nurses need more training on IMCI.3.All the repairable equipments should be repaired as soon as possible.Finally I am very happy to write this bulletin of 2015, because this document will help us to compare our progress in-coming years. This is very useful document and will help the public to understand health services and to provide us the useful advice for improvement in future. Thanks. (Dr. Md.Nazrul Islam) Civil Surjeon,Thakurgaon And UH&FPO(Add. Incherge) Ranisankail,Thakurgaon.