Gournadi Upazila Health Complex | Health Bulletin 2015 |
Preface
It is my great pleasare to publish this health bulletin.It has been tried to describe in a nutsell the health activites taken in Gournadi UHC in the year 2014 .
Dr.Md Moslem Uddin Khan
UH&FPO.Gournadi .Barisal
Gournadi Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila
Gournadi
Organization Code
10001982
Name of UHFPO Dr.Md Moslem Uddin Khan
Land Phone No. 1
04322-056106
Land Phone No. 2
FAX No.
Mobile No.
01711464521
Email gournadi@uhfpo.dghs.gov.bd
GPS location of UHFPO office
Lati:
22.9626 And
Long:
90.2258
No. of Unions in the Upazila 7
No. of Households in the Upazila 41,140
Population in the Upazila 229,974
Area of Upazila in sq km 147.89
Gournadi 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
0
0
No. of Union Health and Family Welfare Centres (belongs to DGHS)
3
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
25
0
No of Trauma Centres
1
20
No. of MCWCs (belongs to DGFP)
1
10
No. of Chest Disease Clinics (TB Clinics)
0
0
No. of Private Clinics/Facilities
5
50
No. of NGO Clinics/Facilities
1
10
Gournadi Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,885
Under 5 Mortality Rate: 2.574 (Per 1,000 live births)
Infant Mortality Rate: 0.257 (Per 1,000 live births)
Neonatal Mortality Rate: 0.000 (Per 1,000 live births)
Still Birth Rate: 0.000 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 28,531
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months):
Gournadi 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:
3
Total No. of Recipients Who Took at least one ANC:
4,275
Total Number of Deliveries:
3,885
Valid TT Coverage: 10.00 %
Maternal Mortality Ratio (MMR) is:
77.22 per 100,000 live births.
Gournadi 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
11,022
16,490
27,512
4,159
5,237
9,396
36,908
2,631
2,546
5,177
897
1,134
2,031
7,208
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)
5,851
9,782
15,633
1,985
2,124
4,109
19,742
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (belongs to DGFP)
3,225
4,175
7400
1,212
1,417
2,629
10,029
0
0
0
0
0
0
2,629
Community Clinics
46,847
98,577
145,424
15,429
17,591
33,020
178,444
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)
1,985
6,320
8,305
1,522
1,720
3,242
11,547
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
Gournadi 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
1,776
2,349
4,125
789
1,021
1,810
5,935
6
5
11
0
1
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
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
Gournadi 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
5,935
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1
A090 Other and unspecified gastroenteritis and colitis of infectious origin
I: Certain infectious and parasitic diseases
1412
23.79
2
X85 Assault by drugs, medicaments and biological substances
XX: External causes of morbidity and mortality
877
14.78
3
R50 Fever of unknown origin
XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
367
6.18
4
F412 Mixed anxiety and depressive disorder
V: Mental and behavioural disorders
314
5.29
5
J189 Pneumonia, unspecified
X: Diseases of the respiratory system
311
5.24
6
Y19 Poisoning by and exposure to other and unspecified chemicals and noxious substances, undetermined intent
XX: External causes of morbidity and mortality
198
3.34
7
V892 Person injured in unspecified motor-vehicle accident, traffic
XX: External causes of morbidity and mortality
101
1.70
8
O034 Spontaneous abortion, incomplete, without complication
XV: Pregnancy, childbirth and the puerperium
51
0.86
9
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
51
0.86
10
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
46
0.78
Gournadi 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
P210 Severe birth asphyxia
XVI: Certain conditions originating in the perinatal period
2
16.67
2
A011 Paratyphoid fever A
I: Certain infectious and parasitic diseases
1
8.33
3
I509 Heart failure, unspecified
XVI: Certain conditions originating in the perinatal period
1
8.33
4
T634 Venom of other arthropods
XIX: Injury, poisoning and certain other consequences of external causes
1
8.33
5
I50 Heart failure
IX: Diseases of the circulatory system
1
8.33
6
D50 Iron deficiency anaemia
III: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
1
8.33
7
V011 Pedestrian injured in collision with pedal cycle, traffic accident
XX: External causes of morbidity and mortality
1
8.33
8
J45 Asthma
X: Diseases of the respiratory system
1
8.33
9
I21 Acute myocardial infarction
IX: Diseases of the circulatory system
1
8.33
10
K290 Acute haemorrhagic gastritis
XI: Diseases of the digestive system
1
8.33
Gournadi Upazila Health Complex | Health Bulletin 2015 | Page# 9
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
100.00
Coverage of households having access to sanitary latrines (%)
98.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.)
14,580
Bed Occupancy Rates (%)
79.89
Average Length of Hospital Stay (No. of days per patient)
2.46
Hospital Death Rate (%)
0.20
Gournadi Upazila Health Complex | Health Bulletin 2015 | Page# 10
Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries
0
Minor Surgeries
275
Gournadi 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
11
3
7
33.33
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
78
39
22
17
21.79
Class IV
26
12
5
9
34.62
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
2
2
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
1
1
2
50.00
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
1
3
50.00
Class IV
3
3
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
28
10
13
5
17.86
Class IV
0
0
0
0
0.00
Gournadi 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
28
15
6
7
25.00
Non Doctor
0
0
0
0
0.00
Class II
16
0
16
0
0.00
Class III
116
53
36
27
23.28
Class IV
29
15
5
9
31.03
Other Hospitals & Clinics
Class I
Doctor
12
6
0
6
50.00
Non Doctor
0
0
0
0
0.00
Class II
12
0
12
0
0.00
Class III
48
23
13
12
25.00
Class IV
42
14
16
12
28.57
Gournadi 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
7
7
21
14
0
0
3
2
0
Nurse
0
0
0
0
16
16
0
0
8
6
3
Medical Assistant
0
0
7
5
2
2
0
0
2
0
0
Medical Technologist
0
0
0
0
10
5
0
0
0
0
0
CHCP
28
25
0
0
0
0
0
0
0
0
0
HI
0
0
0
0
0
0
3
3
0
0
0
AHI
0
0
0
0
0
0
8
8
0
0
0
HA
0
0
0
0
0
0
39
30
25
7
0
Gournadi 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
0
2
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
6
1
2
3
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
1
1
0
0
0
Portable OT Light
1
1
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
0
0
0
0
0
Sterilizer
5
5
0
0
0
Sucker machine (electric)
3
2
0
1
0
Ventilator
0
0
0
0
0
Gournadi 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
5
3
0
2
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
1
1
0
0
0
Gournadi 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
0
1
1
0
Colorimeter
2
1
0
1
0
Electrolyte analyzer
0
0
0
0
0
Microscope (binocular)
6
1
0
5
0
Pediatric equipment
Baby incubator
1
1
0
0
0
Phototherapy unit
0
0
0
0
0
Gournadi 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
2
1
0
0
1
Refrigerator
2
2
0
0
0
Vehicles
Ambulance
2
0
2
0
0
Gournadi 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)
4
3
0
0
1
Generator
Generator (diesel/petrol)
2
1
0
0
1
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
6
3
0
0
Laptop
26
19
7
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
6
2
4
0
0
Scanner
1
1
0
0
0
UPS
0
0
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
0
0
0
0
0
Gournadi 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
0
1
0
0
Mobile phone
1
1
0
0
0
Total
93
55
22
13
3
Gournadi Upazila Health Complex | Health Bulletin 2015 | Page# 20
Important information and necessary issues for Gournadi Upazila Health Complex
Important information and necessary issues for Gournadi Upazila Health Complex |
Important information and issues for UHC Gournadi.Due to many reasons we could not give our maximum eforts to improve the health status last year. I mention some important factors which will healp us to achive our goal in future as per 1.The Vacant post should be filled up immediately Doctor.Sacmos.and other staffs.2.Adequate supply of madicene should be confirmed .I am very much happy to write this health bulletine of 2014. Because this document will healp us to compare our programe in up comming days Dr.Md Moslem Uddin Khan .. UH&FPO .Gournadi.Barisal
Thank's For ALL
