HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Rajoir Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very glad to publish this health bulletin of Rajoir upazila. This bulletin contains all the health related information of 2013.This bulletin is published to disseminate the information of Rajoir upazila to the other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the fine. This health bulletin will help us to find constrains and also to see the results and achievements of 2013. The bulletin contains the status of MDG-4 and MDG-5 which will help to localize the MDG targets. This health bulletin has also the information on safe drinking water and sanitation status of the upazila. All the sanctioned and vacant posts are published in this bulletin of 2013. I like to take attention of the higher authority to look into to this issue. Finally I like to congratulate the initiator of the health bulletin software for setting us one step ahead toward digital Bangladesh. I would like to thank dr. Shaon Sarkar, MODC & Mr. Sukumar Bagchi, statistical assistant for their active participation to publish the health bulletin.
Dr. Dilip Kumar Das
UH&FPO
Rajoir Upazila Health Complex

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaRajoir
Name of UHFPO Dr. Dilip Kumar Das
Telephone No. 0662356108
FAX No. 0
Mobile No. 01712865853
Email rajoir@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.1016 And Long: 90.2306
No. of Unions in the Upazila10
No. of Households in the Upazila 43,218
No. of Population in the Upazila 245,334
Area of Upazila in sq km 229.29

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of Union Sub-Centres 5 0
No. of Union Health and Family Welfare Centres 4 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 19 0
No of Trauma Centres 0 0
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 6 52
No. of NGO Clinics/Facilities 1 0

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 5,077


Total No. of children treated under IMCI Program 6,250
Fully Vaccinated Children: 93.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 33.09 per 1,000 live births.

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 4

Legends

  • R.P.W-
  • Registered Pregnanat Woman
  • 1st ANC-
  • No. of 1st ANC recipients
  • R.P.W-
  • No. of 4th ANC recipients
  • C. Preg-
  • No. of complicated pregnancies
  • N. deli-
  • No. of normal deliveries
  • V. deli-
  • No. of vaginal deliveries
  • C. deli-
  • No. of cesarean deliveries
  • PNC-
  • No. of PNC services provided to mother in the Upazila

Maternal health and MDG-5 (No.) (January-December, 2013)


All ANC Receiptients: 3812
Total Number of Deliveries: 7668
No. of Maternal Death: 8
Valid TT Coverage: 39.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 157.57 per 100,000 live births.

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 5

No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 28,828 13,566 15,262 5,661 8,257 4,235 4,022 834
Union Sub-Centres 41,033 15,500 25,533 2,858 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 147,821 48,303 99,518 13,993 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 32,411 13,421 18,990 3,899 0 0 0 0
NGO Clinics/Facilities 8,138 2,031 6,107 1,455 0 0 0 0
Total 290,642 92,821 165,410 27,866 8,257 4,235 4,022 834
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 5,855 2,854 3,001 665 71 49 22 12
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 2,276 546 1,730 114 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 8,131 3,400 4,731 779 71 49 22 12

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 6

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 6520
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 Y09 Assault by unspecified means 1534 23.53
2 A090 Other and unspecified gastroenteritis and colitis of infectious origin 703 10.78
3 K319 Disease of stomach and duodenum, unspecified 514 7.88
4 T629 Noxious substance eaten as food, unspecified 355 5.44
5 V892 Person injured in unspecified motor-vehicle accident, traffic 231 3.54
6 J069 Acute upper respiratory infection, unspecified 187 2.87
7 I10 Essential (primary) hypertension 183 2.81
8 I249 Acute ischaemic heart disease, unspecified 143 2.19
9 A01 Typhoid and paratyphoid fevers 122 1.87
10 K928 Other specified diseases of digestive system 120 1.84

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 7

Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period 73
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 I679 Cerebrovascular disease, unspecified 15 20.55
2 J441 Chronic obstructive pulmonary disease with acute exacerbation, unspecified 9 12.33
3 V099 Pedestrian injured in unspecified transport accident 9 12.33
4 J189 Pneumonia, unspecified 8 10.96
5 K566 Other and unspecified intestinal obstruction 8 10.96
6 P210 Severe birth asphyxia 6 8.22
7 I469 Cardiac arrest, unspecified 5 6.85
8 I210 Acute transmural myocardial infarction of anterior wall 4 5.48
9 J960 Acute respiratory failure 4 5.48
10 N183 Chronic kidney disease, stage 3 3 4.11

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 86.00
Coverage of households having access to sanitary latrines (%) 95.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 16,029
Bed Occupancy Rates (%) 88.00
Average Length of Hospital Stay (No. of days per patient) 2.46
Hospital Death Rate (%) 0.58


Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 934

 

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 9 4 2 3 33.33
Non Doctor 1 1 0 0 0.00
Class II 11 0 11 0 0.00
Class III 86 42 29 15 17.44
Class IV 19 7 5 7 36.84
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 3 1 2 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 5 1 0 4 80.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 10 8 2 0 0.00
Class IV 5 2 0 3 60.00
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 24 11 9 4 16.67
Class IV 0 0 0 0 0.00

 

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 17 5 2 10 58.82
Non Doctor 1 1 0 0 0.00
Class II 11 0 11 0 0.00
Class III 123 61 42 20 16.26
Class IV 24 9 5 10 41.67
Other Hospitals & Clinics
Class I Doctor 2 2 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

 

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 12

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 8 1 9 6 0 0 2 0
Nurse 0 0 0 0 11 11 0 0 3 2
Medical Assistant 0 0 8 8 2 2 0 0 5 0
Medical Technologist 0 0 0 0 5 4 0 0 0 0
CHCP 24 20 0 0 0 0 0 0 0 0
HI 0 0 0 0 3 3 0 0 0 0
AHI 0 0 0 0 10 10 0 0 0 0
HA 0 0 0 0 50 38 0 0 0 0
CSBA trained*** 0 0 0 0 0 0 0 0 0 8

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 13

Existing equipments 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 0 0 1
X-ray machine (300 mA) 0 0 0 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 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 1 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 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 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 1 1 0 0 0
Ventilator 0 0 0 0 0


Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 14

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 2 1 1 0 0
Pulse oximeter 4 2 2 0 0
Dental equipment
Dental unit 0 0 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 15

Existing equipments 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) 1 0 1 0 0
Colorimeter 1 0 1 0 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 1 1 0 0 0
Microscope (binocular) 1 1 0 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 0 0 0 0 0


Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 16

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Blood plasma seperating machine 1 1 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 0 0 0 0 0
Refrigerator 0 0 0 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 2 2 0 0 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 17

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 1 0 1 0 0
Air conditioner (window) 0 0 0 0 0
Generator
Generator (diesel/petrol) 1 0 1 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) 5 5 0 0 0
Laptop 3 2 1 0 0
Printer (dot matrix) 5 5 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 0 0 0 0 0
Scanner 0 0 0 0 0
UPS 6 5 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 1 1 0 0 0


Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 18

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP
PA system (Sound) 0 0 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 46 36 8 1 1

Rajoir Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Rajoir Upazila Health Complex |
 Rajoir UHC is now in program of DAAR. Anesthesiologist is now posted.Operation theatre has been prepared. But Gynae consultant and EOC trained nurses are vacant.So inspite of all available resources gynae & obstetric surgery can not be done.I request the MNCH programme for posting a gynae consultant immediately. A new x-ray machine was supplied about six years back. Machine is still packed and not installed. CMSD didn't take any necessary action still now inspite of repeated remindation. Due to lack of MT Lab (2 post), pathology systems can not be established.