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Rajapur Upazila Health Complex | Health Bulletin 2015 |
Preface
It is a great pleasure to me for publishing Health Bulletin 2014 of Rajapur Upazilla Health complex under Jhalakati district.The Bulletin contains all Health related information and data 2014.It also highlight on going Health sectoral program of Rajapur Upazila .Analyizing the data given in the Health Bulletin. We can improve our service also future planning. The Bulletin help us to compare our present activities with previous one.The Bulletin contains status of MDG target. The Bulletin also help us information of safe drinking water and sanitation status of Rajapur Upazila .All the sanctioned and vacant post publishing in the bulletin. The Hospital improve 50 beds from 31 beds but manpower isn't yet sanctioned.There is a acute shortage of doctors.I like to attend to higher authority to action into this issue. I like to congratulate initiation of Health Bulletin software setting us on step ahead towards digital Bangladesh.The Hospital is running 50 beds.
Dr.Md. Mahbubur Rahman.
UH&FPO
Rajapur Upazila Health Complex

Rajapur Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Rajapur
Organization Code 10002029
Name of UHFPO Dr.Md. Mahbubur Rahman.
Land Phone No. 1 -0495465009
Land Phone No. 2
FAX No.
Mobile No. 01730324425
Email rajapur@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.3400 And Long: 90.0800
No. of Unions in the Upazila6
No. of Households in the Upazila 30,190
Population in the Upazila 151,849
Area of Upazila in sq km 163.75

Rajapur 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) 0 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 5 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 19 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 1 0
No. of NGO Clinics/Facilities 0 0

Rajapur Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 3,295


Under 5 Mortality Rate: 10.015 (Per 1,000 live births)
Infant Mortality Rate: 7.587 (Per 1,000 live births)
Neonatal Mortality Rate: 3.945 (Per 1,000 live births)
Still Birth Rate: 2.428 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,299
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 99%

Rajapur 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: 4,847
Total Number of Deliveries: 3,303
Valid TT Coverage: 9.00 %
Maternal Mortality Ratio (MMR) is: 242.79 per 100,000 live births.

Rajapur 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 8,613 14,149 22,762 5,923 5,973 11,896 34,658 3,409 2,926 6,335 741 507 1,248 7,583
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) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 29,273 59,923 89,196 3,905 4,923 8,828 98,024 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

Rajapur 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 1,612 1,730 3,342 161 159 320 3,662 6 5 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 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

Rajapur 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 3,652
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 685 18.76
2 Y04 Assault by bodily force XX: External causes of morbidity and mortality 478 13.09
3 J459 Asthma, unspecified X: Diseases of the respiratory system 245 6.71
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 205 5.61
5 A010 Typhoid fever I: Certain infectious and parasitic diseases 185 5.07
6 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 115 3.15
7 V899 Person injured in unspecified vehicle accident XX: External causes of morbidity and mortality 95 2.60
8 O083 Shock following abortion and ectopic and molar pregnancy XV: Pregnancy, childbirth and the puerperium 89 2.44
9 F419 Anxiety disorder, unspecified V: Mental and behavioural disorders 85 2.33
10 G969 Disorder of central nervous system, unspecified VI: Diseases of the nervous system 69 1.89

Rajapur 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 J459 Asthma, unspecified X: Diseases of the respiratory system 4 33.33
2 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 3 25.00
3 J448 Other specified chronic obstructive pulmonary disease X: Diseases of the respiratory system 1 8.33
4 J189 Pneumonia, unspecified X: Diseases of the respiratory system 1 8.33
5 J90 Pleural effusion, NEC X: Diseases of the respiratory system 1 8.33
6 A858 Other specified viral encephalitis I: Certain infectious and parasitic diseases 1 8.33
7 E871 Hypo-osmolality and hyponatraemia IV: Endocrine, nutritional and metabolic diseases 1 8.33
8 0 0.00
9 0 0.00
10 0 0.00

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

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 99.00
Coverage of households having access to sanitary latrines (%) 94.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 14,222
Bed Occupancy Rates (%) 77.93
Average Length of Hospital Stay (No. of days per patient) 3.89
Hospital Death Rate (%) 0.33


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

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 978

 

Rajapur 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 9 3 1 5 55.56
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 72 34 28 10 13.89
Class IV 19 13 3 3 15.79
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 6 0 5 1 16.67
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 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
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 19 8 11 0 0.00
Class IV 0 0 0 0 0.00

 

Rajapur 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 4 6 5 33.33
Non Doctor 0 0 0 0 0.00
Class II 10 0 10 0 0.00
Class III 78 32 24 22 28.21
Class IV 19 13 3 3 15.79
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

 

Rajapur 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 6 5 9 4 0 0 0 1 0
Nurse 0 0 0 0 11 11 0 0 3 2 0
Medical Assistant 0 0 6 6 2 2 0 0 1 0 0
Medical Technologist 0 0 0 0 8 3 0 0 0 0 0
CHCP 22 19 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 3 0 0
AHI 0 0 0 0 8 8 0 0 8 0 0
HA 0 0 0 0 39 37 0 0 26 0 0

Rajapur 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 1 0 0 0
X-ray machine (300 mA) 0 0 0 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 0 0 0 1
Autoclave 3 0 2 0 1
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 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 1 1 0 0 0
Sterilizer 2 1 1 0 0
Sucker machine (electric) 4 2 1 1 0
Ventilator 0 0 0 0 0


Rajapur 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 0 0 0 1
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 0 0 0 0 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 0 0 0 0 0


Rajapur 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 2 1 1 0
Colorimeter 0 0 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 5 4 1 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Rajapur 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 3 2 0 0 1


Rajapur 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) 2 2 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) 8 5 0 0 3
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 2 2 0 1
Scanner 1 1 0 0 0
UPS 6 4 0 0 2
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


Rajapur 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 54 34 8 2 10

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

Important information and necessary issues for Rajapur Upazila Health Complex
For improving our Health Service a new x-ray machine is needed. Posting of pathology technician is necessary for investigation facility. The vacant post should be field immediately.There is no meting room in the upazila health complex . The vacant post of all jr. consultant should be field immediately for interest of public service . The hospital is running 50 bed but manpower is not yet sanctioned .The hospital building including o