Rampal Upazila Health Complex | Health Bulletin 2015 |
Preface
We are going to publish the Health Bulletin of Rampal Upazilla Health Complex for Third time. This Bulletin contains health related information & data for the year 2014 & reflects our activities for that period. we have our limitations like shortage of manpower (Doctors, support staff and field workers) and lac of facilities (investigations,Transport) yet we are trying our level best to discharge satisfactory services to the people. A large number of people specially the poor, got health services at their door - step through 24 community clinics. This was a great job performed by the CHCPS. All our achievements, failure and short falls- have been reflected in this Bulletin for general information and consideration of all concerned. suggestions and Directives for the improvement of our activities would be cordially accepted and will enrich our future planning & implementation. I am very much greatfull to Prof. Dr. A.K. AZAD,.A.D.G (planning & Dev) & Director, MIS- DGHS. Mohakhali, Dhaka, Director Health ( Khulna Division, Khulna), Civil Surgeon, Bagerhat for their guidance to prepare & publish this Health Bulletin . I would like to thank every body who helped me to furnish the job. I beg pardon for any unintended errors and omissions. Thank you all . (Dr. Utpal Kumar Debnath) UH&FPO Rampal, Bagerhat .
Rampal Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Rampal
Organization Code
10001710
Name of UHFPO DR. UTPAL KUMAR DEBNATH
Land Phone No. 1
0-0465756011
Land Phone No. 2
FAX No.
Mobile No.
01711188896
Email rampal@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.5879 And
Long:
89.6499
No. of Unions in the Upazila 10
No. of Households in the Upazila 37,518
Population in the Upazila 160,478
Area of Upazila in sq km 276.75
Rampal 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
1
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)
9
0
No. of Rural/Urban/Thana Health Centers
0
0
No. of Community Clinics
24
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
Rampal Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 2,095
Under 5 Mortality Rate: 15.752 (Per 1,000 live births)
Infant Mortality Rate: 15.752 (Per 1,000 live births)
Neonatal Mortality Rate: 11.933 (Per 1,000 live births)
Still Birth Rate: 8.592 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 28,936
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 0%
Rampal 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:
7
Total No. of Recipients Who Took at least one ANC:
1,749
Total Number of Deliveries:
2,303
Valid TT Coverage: 66.00 %
Maternal Mortality Ratio (MMR) is:
334.13 per 100,000 live births.
Rampal 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
10,869
19,881
30,750
3,900
4,117
8,017
38,767
1,949
2,662
4,611
117
200
317
4,928
Union Sub-Centres
4,833
7,342
12,175
1,555
2,000
3,555
15,730
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
31,000
60,500
91,500
20,986
31,607
52,593
144,093
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
Rampal 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
1,702
2,954
4,656
100
239
339
4,995
18
11
29
0
0
0
29
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
Rampal 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
4,995
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
623
12.47
2
K35 Acute appendicitis
XI: Diseases of the digestive system
365
7.31
3
A08 Viral and other specified intestinal infections
I: Certain infectious and parasitic diseases
319
6.39
4
X85 Assault by drugs, medicaments and biological substances
XX: External causes of morbidity and mortality
267
5.35
5
J45 Asthma
X: Diseases of the respiratory system
221
4.42
6
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
171
3.42
7
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
155
3.10
8
T43 Poisoning by psychotropic drugs, NEC
XIX: Injury, poisoning and certain other consequences of external causes
153
3.06
9
I13 Hypertensive heart and renal disease
IX: Diseases of the circulatory system
118
2.36
10
J17 Pneumonia in diseases classified elsewhere
X: Diseases of the respiratory system
71
1.42
Rampal 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
29
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I50 Heart failure
IX: Diseases of the circulatory system
10
34.48
2
I64 Stroke, not specified as haemorrhage or infarction
IX: Diseases of the circulatory system
4
13.79
3
S06 Intracranial injury
IX: Diseases of the circulatory system
3
10.34
4
J44 Other chronic obstructive pulmonary disease
X: Diseases of the respiratory system
2
6.90
5
G04 Encephalitis, myelitis and encephalomyelitis
VI: Diseases of the nervous system
1
3.45
6
Y18 Poisoning by and exposure to pesticides, undetermined intent
XX: External causes of morbidity and mortality
1
3.45
7
I95 Hypotension
IX: Diseases of the circulatory system
1
3.45
8
C95 Leukaemia of unspecified cell type
II: Neoplasms
1
3.45
9
D00 Carcinoma in situ of oral cavity, oesophagus and stomach
II: Neoplasms
1
3.45
10
D01 Carcinoma in situ of other and unspecified digestive organs
II: Neoplasms
0
0.00
Rampal Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
80.00
Coverage of households having access to sanitary latrines (%)
87.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
16,296
Bed Occupancy Rates (%)
89.29
Average Length of Hospital Stay (No. of days per patient)
3.26
Hospital Death Rate (%)
0.58
Rampal Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
367
Minor Surgeries
295
Rampal 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
8
2
12
54.55
Non Doctor
0
0
0
0
0.00
Class II
19
0
18
1
5.26
Class III
78
34
13
31
39.74
Class IV
23
14
6
3
13.04
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
9
1
1
7
77.78
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
9
2
7
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
1
0
1
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
2
2
0
0
0.00
Class IV
1
0
0
1
100.00
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
11
14
1
3.85
Class IV
0
0
0
0
0.00
Rampal 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
32
10
3
19
59.38
Non Doctor
0
0
0
0
0.00
Class II
19
0
19
0
0.00
Class III
115
49
34
32
27.83
Class IV
24
14
6
4
16.67
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
Rampal 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
3
22
10
0
0
0
1
0
Nurse
0
0
0
0
19
18
0
0
0
3
4
Medical Assistant
0
0
10
10
2
2
0
0
0
6
0
Medical Technologist
0
0
1
1
10
5
0
0
0
0
0
CHCP
26
25
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
3
3
0
0
0
0
0
AHI
0
0
0
0
8
8
0
0
0
0
0
HA
0
0
0
0
39
17
0
0
0
0
0
Rampal 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)
2
1
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
3
2
1
0
0
Autoclave
4
1
3
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
2
1
1
0
0
Portable OT Light
1
0
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
6
3
3
0
0
Sucker machine (electric)
6
4
2
0
0
Ventilator
0
0
0
0
0
Rampal 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
6
4
2
0
0
Pulse oximeter
2
1
1
0
0
Dental equipment
Dental unit
1
1
0
0
0
Rampal 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
3
2
1
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
1
1
0
0
0
Pediatric equipment
Baby incubator
0
0
0
0
0
Phototherapy unit
1
0
1
0
0
Rampal 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
2
1
1
0
0
Blood bank refrigerator
1
1
0
0
0
Refrigerator
3
2
1
0
0
Vehicles
Ambulance
1
1
0
0
0
Rampal 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)
0
0
0
0
0
Generator
Generator (diesel/petrol)
2
0
2
0
0
Generator (gas)
0
0
0
0
0
Solar panel
1
1
0
0
0
IPS
1
0
1
0
0
ICT equipment
Computer (desktop)
8
8
0
0
0
Laptop
24
24
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
1
0
0
Printer (laser)
6
6
0
0
0
Scanner
2
2
0
0
0
UPS
7
7
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
23
23
0
0
0
Multimedia
1
1
0
0
0
Rampal 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)
1
1
0
0
0
Land phone
1
1
0
0
0
Mobile phone
1
1
0
0
0
Total
127
104
23
0
0
Rampal Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Rampal Upazila Health Complex
MNH Programme is running in this upazila. To reach the goal of MDG-4, MDG-5 & MDG-6 on due time, the vacant post of Doctors & supporting Staff specially H/A should be fill up immediately. Doctors, nurses, SACMOs & CHCP specially all female CHCP needs training on EOC & IMCI. One Gaynee Specialist & Anaesthesiologist needs immediately to achieve the target of MDG-5. One X-ray Technician needs immediately. Our Hospital Building (31 Bed out of 50) Rejected one year back. So It need immediately reconstruction. If all this problems are solved. We would be able to put our maximum efforts for the Improvement of Health service of Rampal Upazila. I again pay my thanks & gratitude to all for patient hearing to the Presentation of Health Bulleting-2014 of Rampal UHC.
