Chowgacha Upazila Health Complex | Health Bulletin 2015 |
Preface
Health Bulletin is the yearly performance report of Chowgacha Upazila health complex,Jessore.Primary health care with its all components are implemented in the Upazila health Complex, RDC, FWC and Community clinic as per guide line of WHO. Easily available & accessible service are the components of the Chowgacha Model Upazila health complex.The performance of Chowgacha Upazila complex is praiseworthy and it helps to achieve the MDG target 4 & 5 in Chowgacha within 2009 and Now it is sustainable. Community participation and Systemic service delivery systems help to make the health Complex "Model". I thank to all service providers who are directly and indirectly performing their duties with satisfaction and I also thank the volunteers who are giving their hard labor side by side of the Government employee. And a lot of thanks to the community leaders who are spending their money and giving the moral supports to all activities of the Upazila heath Complex. And grateful to higher authorities for their inspiration.
Chowgacha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Chowgacha
Organization Code
10001744
Name of UHFPO Dr. A.S.M Abdur Razzaque.
Land Phone No. 1
-0422456231
Land Phone No. 2
FAX No.
Mobile No.
01711157876
Email chowgacha@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
23.2600 And
Long:
89.0248
No. of Unions in the Upazila 11
No. of Households in the Upazila 58,721
Population in the Upazila 246,523
Area of Upazila in sq km 257.75
Chowgacha 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
4
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
7
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
26
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
0
0
Chowgacha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 4,446
Under 5 Mortality Rate: 21.592 (Per 1,000 live births)
Infant Mortality Rate: 18.893 (Per 1,000 live births)
Neonatal Mortality Rate: 17.094 (Per 1,000 live births)
Still Birth Rate: 12.371 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 67,377
Fully Vaccinated Children (<= 12 months): 98.00 %
Fully Vaccinated Children (<= 23 months): 91%
Chowgacha 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:
4,449
Total Number of Deliveries:
4,501
Valid TT Coverage: 73.00 %
Maternal Mortality Ratio (MMR) is:
157.44 per 100,000 live births.
Chowgacha 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
37,906
64,754
102,660
15,187
14,593
29,780
132,440
8,380
12,536
20,916
2,354
2,258
4,612
25,528
Union Sub-Centres
14,357
16,711
31,068
2,904
2,791
5,695
36,763
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
41,413
85,220
126,633
16,753
16,097
32,850
159,483
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
344
397
741
79
87
166
907
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Chowgacha 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
3,486
8,113
11,599
1,558
1,497
3,055
14,654
13
6
19
2
2
4
23
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
297
297
0
0
0
297
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Chowgacha 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
14,654
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
1545
10.54
2
K27 Peptic ulcer, site unspecified
XI: Diseases of the digestive system
1045
7.13
3
B34 Viral infection of unspecified site
I: Certain infectious and parasitic diseases
973
6.64
4
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
730
4.98
5
J18 Pneumonia, organism unspecified
X: Diseases of the respiratory system
664
4.53
6
Y09 Assault by unspecified means
XX: External causes of morbidity and mortality
503
3.43
7
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
351
2.40
8
T47 Poisoning by agents primarily affecting the gastrointestinal system
XIX: Injury, poisoning and certain other consequences of external causes
316
2.16
9
V87 Traffic accident of specified type but victim's mode of transport unknown
XX: External causes of morbidity and mortality
287
1.96
10
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
216
1.47
Chowgacha 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
23
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
I11 Hypertensive heart disease
IX: Diseases of the circulatory system
9
39.13
2
T47 Poisoning by agents primarily affecting the gastrointestinal system
XIX: Injury, poisoning and certain other consequences of external causes
4
17.39
3
J18 Pneumonia, organism unspecified
IX: Diseases of the circulatory system
2
8.70
4
P21 Birth asphyxia
XVI: Certain conditions originating in the perinatal period
2
8.70
5
J45 Asthma
X: Diseases of the respiratory system
2
8.70
6
A01 Typhoid and paratyphoid fevers
I: Certain infectious and parasitic diseases
1
4.35
7
E46 Unspecified protein-energy malnutrition
IV: Endocrine, nutritional and metabolic diseases
1
4.35
8
B99 Other and unspecified infectious diseases
I: Certain infectious and parasitic diseases
2
8.70
9
0
0.00
10
0
0.00
Chowgacha 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 (%)
100.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
34,855
Bed Occupancy Rates (%)
190.99
Average Length of Hospital Stay (No. of days per patient)
2.38
Hospital Death Rate (%)
0.16
Chowgacha Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
979
Minor Surgeries
1,793
Chowgacha 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
16
4
1
4.76
Non Doctor
0
0
0
0
0.00
Class II
17
1
16
0
0.00
Class III
71
32
12
27
38.03
Class IV
22
11
8
3
13.64
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
7
5
1
1
14.29
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
7
5
2
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
Class I
Doctor
4
2
1
1
25.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
8
4
0
4
50.00
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
28
15
11
2
7.14
Class IV
0
0
0
0
0.00
Chowgacha 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
21
5
6
18.75
Non Doctor
0
0
0
0
0.00
Class II
17
1
16
0
0.00
Class III
114
56
25
33
28.95
Class IV
26
13
8
5
19.23
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
Chowgacha 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
11
9
21
16
0
0
3
0
10
Nurse
0
0
0
0
17
17
0
0
0
2
0
Medical Assistant
0
0
11
11
2
2
0
0
5
0
0
Medical Technologist
0
0
0
0
8
5
0
0
0
0
0
CHCP
28
26
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
6
AHI
0
0
0
0
5
2
0
0
0
0
0
HA
0
0
0
0
35
19
0
0
0
0
0
Chowgacha 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
1
1
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
5
3
1
0
1
Autoclave
7
2
5
0
0
Electric cautery machine
0
0
0
0
0
Diathermy machine
3
1
2
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
4
4
0
0
0
Sucker machine (electric)
7
2
5
0
0
Ventilator
0
0
0
0
0
Chowgacha 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
1
0
0
1
Ecocardiogram machine
0
0
0
0
0
Nebulizer machine
6
3
3
0
0
Pulse oximeter
4
2
2
0
0
Dental equipment
Dental unit
1
0
1
0
0
Chowgacha 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)
4
4
0
0
0
Colorimeter
1
1
0
0
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
2
2
0
0
0
Pediatric equipment
Baby incubator
2
2
0
0
0
Phototherapy unit
2
2
0
0
0
Chowgacha 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
Chowgacha 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
5
1
0
0
Generator
Generator (diesel/petrol)
5
3
1
0
1
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
5
4
1
0
0
ICT equipment
Computer (desktop)
9
9
0
0
0
Laptop
3
1
2
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
16
7
2
0
7
Scanner
1
1
0
0
0
UPS
3
0
0
3
0
Fax
0
0
0
0
0
Intercom
9
9
0
0
0
Internet fixed line
1
1
0
0
0
Internet wireless line
0
0
0
0
0
Multimedia
2
0
2
0
0
Chowgacha 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
120
78
28
4
10
Chowgacha Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Chowgacha Upazila Health Complex
Health Manpower shortage is the burning and important issue of Chowgacha Upazila health complex. Deficiency of consultants and others staffs & fields staffs are hampering the normal speed of the work. This is a big challenge of the Chowgacha Upazila health complex. Model activities are running against the said challenge because community participation is very strong. Various types of management system makes the Chowgacha Upazila health complex "Model" are given below:
1. Integrated approach of community leaders, administration & health management.
2.Team approach & dedication of the health service providers.
3. Citizen charter of hospital & fields services are displayed on the wall of the hospital.
4. Protocol board to locate the service points.
5. Continuous health education in outdoor, indoor, antenatal registration room.
6. Mobile phone of Emergency, Indoor, EOC to provide telephonic health service facility.
7. Separate service delivery system with 4 outdoor pts registration counter.
8. Under 5 corner/ IMCI corner for under 5 children.
9. Pregnant women rest room where heath education is given daily by Nursing supervisor, DSF coordinator & audiovisual system.
10. Maximum utilization of govt. limited resource.
11. Maintaining all criteria for woman friendly hospital like separate female Pt's registration, separate ANC service by female doctor, maintaining privacy by screening, safe drinking water supply by water filter and other facilities.
12. Running blood bank system by registered about 1000 donors with their addresses with in 1km radius of the hospital.
13. All activities focused on the basis of all components of PHC as per guide line of WHO.
14. TQM with 5s kaizen program is going on with the help of JICA & DGHS.
15. With honesty & sincerity all motivated staffs are working, providing effective and prompt services showing respect to the patients.
*Scope for extra information from individual institution should be remaine
