Gazaria Upazila Health Complex | Health Bulletin 2014 |
Preface
In the last year we tried our level best to give optimum service to the people of this area and we are successful to some extent .But there is still some scope for improvement . Our O.T should be started immediately . It can not be started for lack of Instruments Our doctor and nurses need more training. One 10 bedded hospital in Gazaria union and one 20 bedded hospital in Guagasia union should be established. USG and echocardiography facility should be started.
Gazaria Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Gazaria
Name of UHFPO Dr.Bijan kumar das
Telephone No. 00
FAX No. 0
Mobile No. 01716030257
Email gazaria@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.5417 And Long: 90.6083
No. of Unions in the Upazila 8
No. of Households in the Upazila 30,191
No. of Population in the Upazila 156,847
Area of Upazila in sq km 131.00
Gazaria 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
4
0
No. of Union Health and Family Welfare Centres
4
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
17
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
3
35
No. of NGO Clinics/Facilities
1
12
Gazaria Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 4,557
Total No. of children treated under IMCI Program 21,449
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Gazaria 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: 2182
Total Number of Deliveries: 1036
No. of Maternal Death: 2
Valid TT Coverage: 23.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Gazaria 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
50,524
18,028
32,496
16,577
7,094
3,247
3,847
2,058
Union Sub-Centres
32,387
14,414
17,973
1,317
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
92,012
31,623
60,389
24,238
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
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
174,923
64,065
110,858
42,132
7,094
3,247
3,847
2,058
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
6,167
2,377
3,790
503
12
8
4
2
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
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
6,167
2,377
3,790
503
12
8
4
2
Gazaria 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
6670
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y09 Assault by unspecified means
136
2.04
2
A09 Diarrhoea and gastroenteritis of presumed infectious origin
450
6.75
3
J189 Pneumonia, unspecified
75
1.12
4
J449 Chronic obstructive pulmonary disease, unspecified
54
0.81
5
J45 Asthma
136
2.04
6
V011 Pedestrian injured in collision with pedal cycle, traffic accident
111
1.66
7
E43 Unspecified severe protein-energy malnutrition
5
0.07
8
I15 Secondary hypertension
156
2.34
9
I99 Other and unspecified disorders of circulatory system
6
0.09
10
E10 Insulin-dependent diabetes mellitus
23
0.34
Gazaria 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
14
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
A09 Diarrhoea and gastroenteritis of presumed infectious origin
1
7.14
2
J189 Pneumonia, unspecified
2
14.29
3
J449 Chronic obstructive pulmonary disease, unspecified
2
14.29
4
J45 Asthma
2
14.29
5
V011 Pedestrian injured in collision with pedal cycle, traffic accident
1
7.14
6
V90 Accident to watercraft causing drowning and submersion
1
7.14
7
I15 Secondary hypertension
1
7.14
8
I99 Other and unspecified disorders of circulatory system
1
7.14
9
E10 Insulin-dependent diabetes mellitus
1
7.14
10
T21 Burn and corrosion of trunk
1
7.14
Gazaria Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
95.00
Coverage of households having access to sanitary latrines (%)
90.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
14,905
Bed Occupancy Rates (%)
81.67
Average Length of Hospital Stay (No. of days per patient)
2.33
Hospital Death Rate (%)
0.09
Gazaria Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
0
Minor Surgeries
150
Gazaria 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
21
14
4
3
14.29
Non Doctor
0
0
0
0
0.00
Class II
15
2
12
1
6.67
Class III
66
43
14
9
13.64
Class IV
22
12
7
3
13.64
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
4
4
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
4
3
1
0
0.00
Class IV
0
0
0
0
0.00
Rural Dispensaries
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
8
7
0
1
12.50
Class IV
4
4
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
18
8
9
1
5.56
Class IV
0
0
0
0
0.00
Gazaria 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
29
20
6
3
10.34
Non Doctor
0
0
0
0
0.00
Class II
15
2
12
1
6.67
Class III
96
61
24
11
11.46
Class IV
26
16
7
3
11.54
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
Gazaria 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
8
21
18
0
0
1
0
Nurse
0
0
0
0
14
14
0
0
1
1
Medical Assistant
0
0
8
8
2
2
0
0
4
0
Medical Technologist
0
0
0
0
10
10
0
0
0
0
CHCP
18
17
0
0
0
0
0
0
0
0
HI
0
0
0
0
2
2
0
0
0
0
AHI
0
0
0
0
6
6
0
0
0
0
HA
0
0
0
0
30
25
0
0
0
0
CSBA trained***
0
0
0
0
2
2
0
0
0
0
Gazaria 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
1
0
0
0
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
2
2
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
0
0
0
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
1
0
0
1
Sterilizer
0
0
0
0
0
Sucker machine (electric)
2
2
0
0
0
Ventilator
0
0
0
0
0
Gazaria 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
13
10
0
3
0
Pulse oximeter
2
1
0
0
1
Dental equipment
Dental unit
1
0
0
1
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Gazaria 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
2
2
0
0
0
Centrifuge machine (electric)
2
2
0
0
0
Colorimeter
1
1
0
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
0
0
0
0
0
Microscope (binocular)
2
2
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
2
1
0
0
1
Phototherapy unit
2
1
0
0
1
Gazaria 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
1
1
0
0
0
Blood plasma seperating machine
0
0
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
0
0
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
Gazaria 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)
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)
3
2
1
0
0
Laptop
1
1
0
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
0
0
0
0
0
Printer (laser)
5
3
2
0
0
Scanner
2
2
0
0
0
UPS
1
1
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
1
1
0
0
0
Gazaria 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
0
0
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
54
43
3
4
4
Gazaria Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Gazaria Upazila Health Complex |
It is my great privileges to see that Gazaria health complex is gorging to publish three health bulletin .On this occasion , I express my thanks to all concerned , directly or indirectly, remained with us to publish this bulletin . The last year was a year of success for this upazilla health complex when the overall environment and service improved. MIS has given laptop tab and internet modem to CHCP, HA, By the DGHS in 2013.
