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Rupsha Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure for us to publish the health bulletin 2015 of Rupsa Health Complex, Khulna. All the information and data provided in this bulletin reveals that. Our Health status is gradualy improving in all aspcet. As we know that specific data is the prerequisite for compiling, evaluation and planning for future activities, these data will allow and help exchanging information among various departments of GOs and NGOs. I Would like give my thanks to all concerned of my Office in Publishing this Health bulletien .
Dr. UDAY BARAN MONDAL
UH&FPO
Rupsha Upazila Health Complex

Rupsha Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Rupsha
Organization Code 10001826
Name of UHFPO Dr. UDAY BARAN MONDAL
Land Phone No. 1 041-0800115
Land Phone No. 2
FAX No.
Mobile No. 01820531188
Email rupsa@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.4560 And Long: 93.0000
No. of Unions in the Upazila5
No. of Households in the Upazila 40,956
Population in the Upazila 180,722
Area of Upazila in sq km 120.00

Rupsha 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 31
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 0 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) 4 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 0 0
No. of NGO Clinics/Facilities 1 200

Rupsha Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,397


Under 5 Mortality Rate: 7.359 (Per 1,000 live births)
Infant Mortality Rate: 6.476 (Per 1,000 live births)
Neonatal Mortality Rate: 2.649 (Per 1,000 live births)
Still Birth Rate: 4.710 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 3,368
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 0%

Rupsha 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: 6
Total No. of Recipients Who Took at least one ANC: 3,324
Total Number of Deliveries: 4,110
Valid TT Coverage: 57.00 %
Maternal Mortality Ratio (MMR) is: 176.63 per 100,000 live births.

Rupsha 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 13,135 17,207 30,342 2,524 1,831 4,355 34,697 1,638 597 2,235 92 36 128 2,363
Union Sub-Centres 0 0 0 0 0 0 0 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) 3,309 21,984 25293 5,376 5,556 10,932 36,225 0 0 0 0 0 0 10,932
Community Clinics 28,506 89,756 118,262 8,151 8,781 16,932 135,194 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 22,089 27,237 49,326 1,064 728 1,792 51,118 0 0 0 0 0 0 0

Rupsha 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 1,397 2,075 3,472 207 151 358 3,830 7 6 13 0 0 0 13
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 1,528 1,883 3,411 74 50 124 3,535 2 3 5 5 7 12 17

Rupsha 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 3,830
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 547 14.28
2 B34 Viral infection of unspecified site I: Certain infectious and parasitic diseases 325 8.49
3 Y04 Assault by bodily force XX: External causes of morbidity and mortality 271 7.08
4 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 207 5.40
5 J45 Asthma X: Diseases of the respiratory system 176 4.60
6 T006 Superficial injuries involving multiple regions of upper limb(s) with lower limb(s) XIX: Injury, poisoning and certain other consequences of external causes 148 3.86
7 X48 Accidental poisoning by and exposure to pesticides XX: External causes of morbidity and mortality 121 3.16
8 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 109 2.85
9 K35 Acute appendicitis XI: Diseases of the digestive system 105 2.74
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 70 1.83

Rupsha 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 13
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 I68 Cerebrovascular disorders in diseases classified elsewhere IX: Diseases of the circulatory system 4 30.77
2 J45 Asthma X: Diseases of the respiratory system 4 30.77
3 J46 Status asthmaticus IX: Diseases of the circulatory system 5 38.46
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

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 94.00
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.) 12,884
Bed Occupancy Rates (%) 113.87
Average Length of Hospital Stay (No. of days per patient) 3.36
Hospital Death Rate (%) 0.34


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 157
Minor Surgeries 2,875

 

Rupsha 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 10 7 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 66 27 22 17 25.76
Class IV 19 9 6 4 21.05
Union Health & Family Welfare Center (under DGHS)
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 11 2 9 0 0.00
Class IV 9 4 5 0 0.00
Rural Dispensaries
Class I Doctor 5 2 3 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 5 3 2 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 20 10 10 0 0.00
Class IV 0 0 0 0 0.00

 

Rupsha 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 15 9 6 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 11 0 11 0 0.00
Class III 102 42 43 17 16.67
Class IV 28 13 11 4 14.29
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

 

Rupsha 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 5 5 10 10 0 0 4 0 0
Nurse 0 0 0 0 11 11 0 0 3 0 0
Medical Assistant 0 0 5 5 2 2 0 0 6 0 0
Medical Technologist 0 0 0 0 8 6 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 0 0 0
AHI 0 0 0 0 7 7 0 0 0 0 0
HA 0 0 0 0 35 24 0 0 0 0 0

Rupsha 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 1 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 1 1 0 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 0 0 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 2 0 0 0
Sterilizer 0 0 0 0 0
Sucker machine (electric) 4 2 1 1 0
Ventilator 0 0 0 0 0


Rupsha 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 2 0 2 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Rupsha 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) 0 0 0 0 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 2 2 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Rupsha 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 0 0 0 0 0
Vehicles
Ambulance 2 1 1 0 0


Rupsha 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) 3 3 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 7 2 0 0
Laptop 2 1 1 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 1 0 1 0 0
Printer (laser) 7 6 0 1 0
Scanner 1 1 0 0 0
UPS 9 8 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


Rupsha 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 55 43 7 5 0

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

Important information and necessary issues for Rupsha Upazila Health Complex
We are trying to ensure highest service with our limited Manpower and resources. Parctically which is so difficult. Here I like to mention some important factors which will help us to achieve good results in future. 1. The Vacant post should be filled immediately. 2. Our Doctor and Nurse need more training on IMCI. 3. All the repairable equipments should be repaired as soon as possible. We need immediate administrative approval to run the 50 bed Hospital. Finilly we are very happy to prepare this Health Bulletin of 2014 because this document will help us to compare our progress in upcoming years. This is very usefule document and will help the public to understand health services and to provide us the useful advice for improvement in future.