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Gangni Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this health bulletin as last year. This bulletin contains all the health related information of 2014. I hope all the information of this bulletin will help for planning and bridging the gaps in health service of this Upazila. All the sanctioned and vacant posts are shown in this bulletin .I like to take attention of the higher authority to look this issue. Finally We would like to congratulate the initiator of the health bulletin software for setting us one step forward Digital Bangladesh.
Dr. Md. Alauddin
UH&FPO
Gangni Upazila Health Complex

Gangni Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Gangni
Organization Code 10001891
Name of UHFPO Dr. Md. Alauddin
Land Phone No. 1 0792275-0792275004
Land Phone No. 2
FAX No.
Mobile No. 01716883040
Email gangni@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0000 And Long: 88.0000
No. of Unions in the Upazila9
No. of Households in the Upazila 76,273
Population in the Upazila 321,435
Area of Upazila in sq km 342.00

Gangni 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 3 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 4 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 3 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 35 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 2 20

Gangni Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 6,832


Under 5 Mortality Rate: 8.050 (Per 1,000 live births)
Infant Mortality Rate: 7.611 (Per 1,000 live births)
Neonatal Mortality Rate: 4.977 (Per 1,000 live births)
Still Birth Rate: 4.391 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 13,915
Fully Vaccinated Children (<= 12 months): 99.00 %
Fully Vaccinated Children (<= 23 months): 98%

Gangni 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: 5,787
Total Number of Deliveries: 6,830
Valid TT Coverage: 85.00 %
Maternal Mortality Ratio (MMR) is: 117.10 per 100,000 live births.

Gangni 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 56,494 83,146 139,640 5,488 6,310 11,798 151,438 1,452 1,038 2,490 30 34 64 2,554
Union Sub-Centres 7,469 9,382 16,851 210 356 566 17,417 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 12,370 16,390 28,760 1,124 1,279 2,403 31,163 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 154,071 259,805 413,876 12,210 14,660 26,870 440,746 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 3,640 9,004 12,644 2,934 3,081 6,015 18,659 0 0 0 0 0 0 0
NGO Clinics/Facilities 2,422 9,794 12,216 2,011 2,018 4,029 16,245 487 518 1,005 24 21 45 1,050

Gangni 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 3,014 7,069 10,083 701 776 1,477 11,560 8 3 11 1 0 1 12
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 123 1,312 1,435 64 67 131 1,566 0 0 0 0 0 0 0
NGO Clinics/Facilities 361 558 919 174 166 340 1,259 0 0 0 0 0 0 0

Gangni 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 11,560
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 O800 Spontaneous vertex delivery XV: Pregnancy, childbirth and the puerperium 1675 14.49
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 794 6.87
3 A929 Mosquito-borne viral fever, unspecified I: Certain infectious and parasitic diseases 702 6.07
4 K279 Peptic ulcer, site unspecified, unspecified as acute or chronic, without haemorrhage or perforation XI: Diseases of the digestive system 609 5.27
5 Y000 Assault by blunt object, home XX: External causes of morbidity and mortality 341 2.95
6 O669 Obstructed labour, unspecified XV: Pregnancy, childbirth and the puerperium 297 2.57
7 J189 Pneumonia, unspecified X: Diseases of the respiratory system 264 2.28
8 V99 Unspecified transport accident XX: External causes of morbidity and mortality 263 2.28
9 J450 Predominantly allergic asthma X: Diseases of the respiratory system 234 2.02
10 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 108 0.93

Gangni 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 12
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J449 Chronic obstructive pulmonary disease, unspecified X: Diseases of the respiratory system 3 25.00
2 D649 Anaemia, unspecified III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 2 16.67
3 N178 Other acute renal failure X: Diseases of the respiratory system 1 8.33
4 K460 Unspecified abdominal hernia with obstruction, without gangrene XI: Diseases of the digestive system 1 8.33
5 R402 Coma, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 8.33
6 I210 Acute transmural myocardial infarction of anterior wall IX: Diseases of the circulatory system 1 8.33
7 V99 Unspecified transport accident XX: External causes of morbidity and mortality 1 8.33
8 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 8.33
9 K913 Postoperative intestinal obstruction XI: Diseases of the digestive system 1 8.33
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 90.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 11,681
Bed Occupancy Rates (%) 64.01
Average Length of Hospital Stay (No. of days per patient) 1.01
Hospital Death Rate (%) 0.10


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 199
Minor Surgeries 1,194

 

Gangni 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 2 13 61.90
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 84 40 25 19 22.62
Class IV 28 8 8 12 42.86
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 4 0 2 33.33
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 4 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 2 1 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 2 2 33.33
Class IV 3 2 0 1 33.33
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 35 15 20 0 0.00
Class IV 0 0 0 0 0.00

 

Gangni 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 30 12 3 15 50.00
Non Doctor 0 0 0 0 0.00
Class II 16 0 16 0 0.00
Class III 131 61 49 21 16.03
Class IV 31 10 8 13 41.94
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

 

Gangni 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 9 7 21 8 0 0 1 1 0
Nurse 0 0 0 0 16 16 0 0 5 2 0
Medical Assistant 0 0 9 9 2 2 0 0 7 0 0
Medical Technologist 0 0 0 0 8 6 0 0 0 0 0
CHCP 35 35 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 0 0 3 0 0 0 0
AHI 0 0 0 0 0 0 9 9 0 0 0
HA 0 0 0 0 0 0 44 37 0 0 16

Gangni 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) 0 0 0 0 0
Ultrasonogram machine 1 1 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 3 1 0 0 2
Anesthesia machine without ventilator 0 0 0 0 0
Autoclave 2 1 1 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 0 1 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 1 1 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 4 2 2 0 0
Sucker machine (electric) 4 2 2 0 0
Ventilator 0 0 0 0 0


Gangni 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 0 0 0 2
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 6 1 2 0 3
Pulse oximeter 1 1 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Gangni 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 1 1 0 0 0
Centrifuge machine (electric) 2 2 0 0 0
Colorimeter 2 2 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 4 4 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 1 1 0 0 0


Gangni 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 1 1 0 0 0
Vehicles
Ambulance 3 2 1 0 0


Gangni 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 1 1 0 1
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) 8 6 2 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 5 1 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 1 1 0 0 0
Multimedia 1 1 0 0 0


Gangni 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 78 56 14 0 8

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

Important information and necessary issues for Gangni Upazila Health Complex
Building condition of UHC, Gangni, Meherpur is very worse. It is risky for lives. Construction work of 50 bed Hospital is incomplete since 4 years. Male ward has been shipped nearby RTC, NIPORT, Gangni, meherpur. But there is no available place for patients, nurse and doctors. There is no adequate toilet facility. There are 21 post of doctors in this Health Complex, but only 9 doctors are working now, rest of posts are vacant. Moreover there are also 9 posts of doctors had created at Union level (USC & UHFWC), two posts are vacant. For better service it is urgent necessary to fill up the all post of doctors and complete the 50 bed Hospital contraction work immediately.